CCR/ASTM

Clinical (archive)
1

Dear all,

Through a Health 2.0 blog (http://www.health2blog.com/2007/11/health-20-compu.html), I’ve came into contact with David Kibbe, who’s secretary (and possibly the new chairman) of the ASTM E31 technical committee, which is responsible for continuity of care (CCR) standard.

His reaction when I suggested to look into the openEHR work was: "I think we’re very much on the same page about separating technology from knowledge, and giving doctors the responsibility for specifying content and presentation. We have talked about “Specialty Specific Clinical Summaries” using the CCR standard with associated XSLT and transforms for precisely this purpose. And there has been some interest here in the States among the specialty organizations for this approach.

Unfortunately, things move very slowly where the doctors and their organizations are concerned. Information technology is not a core competence of these organizations, and so they take their advice from vendors and consultants, many of whom have no experience with XML and associated open standards and protocols, and whose interests are often quite proprietary."

David invites us to “create an ‘openEHR’ work group, which will be recognized within ASTM to begin sharing knowledge about the two sets of standards, CCR and CEN, with ourselves and others. As ASTM E31 we will take an inclusive and knowledge-sharing approach to all related standards work that utilizes XML and other web based tools.”.

Who’s interested and willing to join the E31 ASTM working group (I’ve already signed up).

Cheers

Stef

2

Hi Stef

I have long wanted to create the CCR from a template as one of the outputs but have not had the time. It would be virtually a no-brainer for us in Ocean to do this but has an opportunity cost at our end.

We have been producing XSLT that takes what we call a ‘Template data schema’ or TDS (which is simplied use specific XML schema which contains all the constraints of the template and archetype) which has been populated and transforms it to openEHR or to CDA. It would be easy to add CCR to this list.

Further, it would probably be fairly easy to take the clinical data in CCR as the model for template and produce a TDS which mirrored this artefact. It would then be straight forward to take CCR and produce CCD or openEHR!

The ‘high fidelity’ openEHR environment is a good basis for interoperability - but if people take up the EHR repository and service it does provide a major threat to current vendors (by way of alignment and simplification). We will see push back in the US to the idea of a standard EHR service.

Oh, I am happy to help if you give me a nudge. By the way, I am concerned about the impact on what we are doing if the US gets interested as we need to gear up as a Foundation and community to go to the next level.

Cheers, Sam

Stef Verlinden wrote:

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