Healthcare of the future needs ICT-systems of the future.
Healthcare needs systems that are:
-patient safe,
-help respect privacy and
-make ‘plug-and-play’ exchange between systems possible,
CEN/tc251 has published part 1 of a new exciting European standard for the EHR.
It is CEN/tc251 EN13606 EHRcom.
Together with other CEN standards it will make possible ‘plug-and-play’ semantic interoperability between conforming EHR-systems.
1- ConSys: System of Concepts for Continuity of Care describes the concepts clinicians need to co-operate
2- EHRcom: EHR standard that helps store, retrieve, present, and exchange data, information and knowledge ‘plug-and-play’ without reprogramming
3- HISA: Health Information Services Architecture that makes co-operation between systems possible.
The revolutionary ‘plug-and-play’ is possible because of a new paradigm: the Archetype Paradigm.
Complex and resource intensive processes like IHE will not be necessary to implement many message specifications.
It must be clear that deployment of these standards can play an important role to achieve the i2010 goals accepted by all Member States.
And is exactly what healthcare of the future needs
In the attachment a draft presentation with more information about the CEN standards.
March 29 and 30 a tutorial about the new revolutionary European EHR standard and Archetypes will be held in Leiden. More information can be found at: http://web.mac.com/g.freriks/iWeb/conexis - Welcome
For several reasons I was using that special nasty word " revolutionary".
-1-
To be able to get ‘plug-and-play’ interoperability as opposed to the very big problem of implementing many messages across vendors in a uniform way, is REVOLUTIONARY.
-2-
To have a standard with these capabilities that signals a paradigm shift.
Paradigm shifts by definition are a “disruptive technology”.
Meaning all old, present, working systems have to be changed completely, rewritten even, to have the full benefit of this new paradigm.
This is my second reason to use the word REVOLUTIONARY.
Perhaps people become reluctant to read about it, deploy it, etc.
But what can I do?
Tell a lie?
Play nice?
With all reservations I will play honest.
Gerard
– –
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
It's not a nasty word. But the revolution is over. Now it's implementation time.
This is a typical case of an innovation that is mature enough to be implemented
by many not only by the original inventors.
Venture capitalists don't like "revolutionary", it's true.
In the mean time you all know that it is, has to be true.
The railway and locomotive,
the steam engine in ships,
the telephone,
the fax,
the PC,
Internet,
the printed book or newspaper,
and many more things were paradigm shifts,
were revolutions, that changed society.
And EN13606 and openEHR will be the same.
It is ‘disruptive technology’.
It is ’ creative destruction’.
Greetings,
Gerard
– –
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
In the mean time you all know that it is, has to be true.
The railway and locomotive,
the steam engine in ships,
the telephone,
the fax,
the PC,
Internet,
the printed book or newspaper,
and many more things were paradigm shifts,
were revolutions, that changed society.
And EN13606 and openEHR will be the same.
It is 'disruptive technology'.
It is ' creative destruction'.
In the mean time you all know that it is, has to be true.
The railway and locomotive,
the steam engine in ships,
the telephone,
the fax,
the PC,
Internet,
the printed book or newspaper,
and many more things were paradigm shifts,
were revolutions, that changed society.
And EN13606 and openEHR will be the same.
It is 'disruptive technology'.
It is ' creative destruction'.
Hi there,
I had decided not to respond to this thread but the most recent posts by
Gerard & Ogi has lit my fire!
Well regarding "red flags" I agree totally and want to remind you that
nearly all revolutions had been "bloody" ; meaning has some component of
"redness"
Also on the matter of "disruptive/creative" nature of it, I totally
agree with Gerard because pure "creative" changes are usually not
observed without "disrupting" some other thing. I want to give you a sad
example from my country: in 1999 we had a terrible earthquake in the
most populated and industrial area or Turkey...Before that there were
many junky settlements of poor workers who built their own
"one-nite-homes" on government property with no planning or
infrastructure. Of course most of the casualties were from those places.
Nearly 70,000 died and maybe more. The point is, now all the region is
clean, has modern buildings and good infrastructure - clearly better
than before. From a humanistic point of view I wish good things had
happened before the disaster but I guess this is human nature against
humans! So let's see what happens in openEHR space - but we definitely
need real big implementations.
As one last comment, I guess openEHR has to seek getting some strong
allies from existing "Matrix" before sending out these "revolution
spells" as making a war too early or not so strong may result in defeat And the strongest enemy is not current technology or vendors'
implementation but "ignorance". The decision makers don't even care to
understand the fundamental problems of the domain and have to be
forcibly educated!
And the strongest enemy is not current technology or vendors'