ADL versions 1.4, 1.5 and 2.0

All

Hope everyone is well.

I have a few questions on ADL versions

Is there a general view as to when archetypes will be created in an ADL version other than version 1.4?

I’ve sampled CKMs from various countries & found all archetypes (that I sampled) were in the ADL 1.4 format.

Some questions:

Is anyone planning to use anything other than ADL 1.4 in the near future?

How will CKMs cope with multiple ADL versions in a single CKM?

When will tools be available to create archetypes in 1.5 and 2.0?

How will the export format change from ADL 1.4 to 1.5 and 2.0?

Will I be able to import an archetype in 1.5 or 2.0 into my CKM?

Is there an XML schema available for 1.5 and 2.0?

When do we expect archetypes in 1.5 & 2.0 to be the norm?

What’s the driver to move to archetypes created to DL version 1.5 or 2.0?

Are all the answers in the published document http://www.openehr.org/releases/trunk/architecture/am/adl2.pdf ?

Regards

Dave Barnet
Health and Social Care Information Centre

NHS England, UK

Dave,

I'll try to answer a few.

Firstly, please treat the active specifications as what you find by going to the home page 'Specifications' button (top left), i.e. the HTML specs here <http://www.openehr.org/programs/specification/releases/currentbaseline#ADL2&gt;\.

Second point, 'ADL 1.5' was what we used for a long time as the moniker for 'next generation ADL', until we realised that we introduced breaking changes due to CIMI, OMG/AML and openEHR development work. So 'ADL / AOM 2' is the 'modern' archetype formalism.

We never released any interim version, although some people think we should, as per this page <https://openehr.atlassian.net/wiki/display/ADL/ADL+1.4+Migration+Roadmap&gt;\.

The ADL / AOM 2 specs referred to above are not yet quite complete - there are a few more additions to the documents, and 2 very minor potential semantic changes - semantic slots and smarter annotations. I would expect these specs to be ready for release formal TRIAL in the next 4 weeks.

Why does ADL2/AOM2 exist? It addresses various limitations in ADL1.4, including lack of proper modelling for specialisation, templating, proper versioning and id rules, and proper value sets. A full list is here <https://openehr.atlassian.net/wiki/display/ADL/Evolution+from+ADL+1.4&gt;\.

The ADL Workbench <http://www.openehr.org/downloads/ADLworkbench/home&gt;will reliably (in most cases) convert ADL 1.4 archetypes to ADL 2 form. This transform is not trivial, so anyone who wants to do this conversion should use this tool, or the command line version.

CIMI is using only ADL/AOM 2, and CIMI will become a working group of some kind in HL7 (agreed but not finalised yet), so HL7 will potentially use ADL 2 at some point (but I assume jut the CIMI workgroup for some time).

ADL/AOM2 is the basis for the OMG Archetype Modelling Language (AML) specification, which has entered the standards track a few months ago.

On the ground in openEHR implementation space, ADL 1.4 is being used. New tools that are internally ADL 2 will / do generate ADL 1.4 OPTs to enable these systems to keep running. The ADL Workbench doesn't yet do this but will.

There is an XML Schema for ADL / AOM 2 here <https://github.com/openEHR/specifications/tree/master/ITS/AOM2/XML-schema&gt;, also reachable from the current specifications page <http://www.openehr.org/programs/specification/releases/currentbaseline&gt;\.

The tougher question to answer is when systems will move to ADL 2. THere are two questions: EHR systems, and tools. Tools can move faster, and are already being changed. CKM also incorporates some ADL 2 features already. EHR systems will move more slowly and carefully for obvious reasons, which is why we need ADL 1.4 OPT support in next gen tools. I would expect some vendors to eventually support ADL 1.4 and ADL2, and existing ADL 1.4 based deployments may stay on ADL 1.4.

- thomas

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Thanks Thomas, for the clarification. Very useful.

Bert

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And now some ADL 2.0-related news: as of yesterday you can explore the ADL 2.0 capable developer-pre-release of the openEHR web based archetype- and template-editors (templates can also be exported to OPT 1.4)

When the web-client source code has been moved to the right place, we’ll post info to the lists.

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Hi Erik,

just took a look at it: that's some seriously amazing stuff! Editing archetypes by using Mindmaps is really a great idea. Thanks to all participants for making it happen!

Best,

Birger