Hi!

I just want to notify EHR vendors and other interested parties that there
is now a (from Swedish perspective) big procurement/buying process
starting. It is the three largest healthcare regions in Sweden covering 5
million of Sweden's 9 million inhabitants, it is the regions containing
Sweden's largest cities Stockholm (Stockholms l?ns landsting), Gothenburg
(V?stra G?talandsregionen) and Malm? (Region Sk?ne) that together will
attempt to get a good deal for a new (probably) all comprehensive
EHR/Health-IT-system covering for example both primary and secondary care.
I hear rumors that the deal or procurement might be open for other Swedish
regions to join.

Personally I hope that whoever wins this battle will be open to using real
open/shared detailed clinical modeling via something like CIMI, ISO13606 or
openEHR and open/shared clinical query capabilities comparable to AQL, and
a way to share decision support rules between systems. Either by using some
powerful enough RM+AM system internally or by creating reusable (not too
manually resource demanding) conversion mechanisms between internal
models/queries/rules and international shared models/queries/rules.

If the procurement organisation sees enough value in such shared
models/queries/rules or not, I guess is still an open question that
probably will be affected by how different actors present the value of this
compared to potential benefits of proprietary such models and systems.

A press release in Swedish with some names and contact information is
available at
http://www.mynewsdesk.com/se/region_skane/pressreleases/nu-laeggs-grunden-foer-ett-gemensamt-informationssystem-foer-sjukvaarden-1105218
(and
via a non-perfect Google translation
<https://translate.google.com/translate?sl=sv&tl=en&js=y&prev=_t&hl=sv&ie=UTF-8&u=http%3A%2F%2Fwww.mynewsdesk.com%2Fse%2Fregion_skane%2Fpressreleases%2Fnu-laeggs-grunden-foer-ett-gemensamt-informationssystem-foer-sjukvaarden-1105218&edit-text=&act=url>
)

According to an article at...
http://computersweden.idg.se/2.2683/1.604479/nu-lyfter-de-tre-stora-vardregionerna-it-miljon
(and
via a non-perfect Google translation
<https://translate.google.com/translate?hl=sv&sl=sv&tl=en&u=http%3A%2F%2Fcomputersweden.idg.se%2F2.2683%2F1.604479%2Fnu-lyfter-de-tre-stora-vardregionerna-it-miljon>
)
...there will first be a requirements gathering process (around one year?)
and then procurement follows.The article states that they are looking a bit
at Denmark and Finland that recently have bought new systems.

One could hope that they will also have a look at some recent Norwegian
"Nasjonal IKT" developments involving open specifications and archetypes,
e.g. http://arketyper.no/ckm/. I guess a similar procurement battle is
going on in (or coming to) Norway.

It is worth noting that Sweden is a member of IHTSDO and that Snomed CT has
been translated and is available in Swedish. I hope vendors will show
proper capabilities to make use of powerful terminology systems and
ontologies and that requirement gathering staff will describe what they
want to use the systems for now and in the future.

As always the requirements gathering is likely to be influenced by what is
already available on the market and by marketing actions of involved
players.

This message contains no secrets so feel free to forward it to other
persons and organisations.

Good luck to both vendors and requirement gathering staff!

Best regards,
Erik Sundvall
Ph.D. Medical Informatics. Information Architect. Tel: +46-72-524 54 55 (or
010-1036252 in Sweden)
Region ?sterg?tland: erik.sundvall at regionostergotland.se (previously lio.se
) http://www.regionostergotland.se/cmit/
Link?ping University: erik.sundvall at liu.se, http://www.imt.liu.se/~erisu/

P.s. to openEHR vendors:
If...
you in a connectathon-like demo can demonstrate real interoperabilty
between several openEHR-capable systems and that complete EHR content for
patients, decision rules, archetypes, templates etc can be moved from one
system to several competing (and/or open source) systems without too much
hassle
...then...
the procurement argument of "avoiding vendor lock-in" will be more
interesting. Such a demo would be interesting for some of us working in
other Swedish regions too.
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