Hello everyone,
I’m Lincoln, a practice educator and a nurse citizen developer t based in the UK. I’ve been developing the Open Nursing Core Implementation Guide — a set of FHIR profiles covering the full nursing process (ADPIE), including NEWS2, Braden Scale, MUST, and several other structured nursing assessments.
As part of this work, I’ve been exploring the intersection between FHIR and openEHR, particularly how vendor-neutral clinical models can serve both architectures. I’ve recently registered on the CKM and am keen to contribute.
I’ve identified three areas where I believe the CKM could benefit from new or extended archetypes, and I’d welcome the community’s input:
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Monk Skin Tone Scale The Fitzpatrick scale archetype exists as a draft, but it was designed for UV photoreactivity, not skin tone classification. The Monk Skin Tone Scale (10-point, developed for inclusivity in clinical and AI contexts) is increasingly being adopted in dermatology and EHR systems. I’m planning to draft this using the Fitzpatrick archetype as a structural starting point.
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Equity-Driven Safety Constraints for Skin Assessments In my FHIR work, I’ve developed computable safety rules that mandate skin tone documentation before skin assessments (e.g., pressure ulcer staging) can be recorded. This addresses documented clinical bias in assessment of darker skin tones. I’m interested in how this pattern could be expressed at the openEHR template level.
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Relational Engagement in Nursing Therapeutic empathy and relational care quality are central to nursing but largely absent from structured clinical data standards. I’ve been working on a computable model for this, informed by existing validated scales. I’d be curious whether anyone has explored similar concepts within openEHR.
Has anyone in the community worked on related models, or would there be interest in collaborating on any of these?
Happy to share more detail with anyone interested.
Best, Lincoln