# March 26 online seminar: Practical tools and methods for clinical decision- and process-support **Category:** [Confs & Events](https://discourse.openehr.org/c/conferences-events/26) **Created:** 2020-02-27 14:02 UTC **Views:** 4854 **Replies:** 41 **URL:** https://discourse.openehr.org/t/march-26-online-seminar-practical-tools-and-methods-for-clinical-decision-and-process-support/376 --- ## Post #1 by @erik.sundvall # Practical tools and methods for clinical decision- and process-support ![|759x324](upload://gz9mdDo9FgHJa1dpLQQ5EyrzZd2.jpeg) *Update March 12: This seminar was previously planned as a physical event in Stockholm and has now been changed to an online event.* *Update March 30: The [video recording is now available](https://discourse.openehr.org/t/march-26-online-seminar-practical-tools-and-methods-for-clinical-decision-and-process-support/376/39) ## What Public seminar demonstrating and discussing applications of decision support and process support using openEHR-based tools and methods. Such applications can be created and maintained in an open way that is practically adjustable to be patient-specific and integrated across organisations and IT-systems using e.g. openEHR, HL7 FHIR or ISO13606. The seminar gives an update regarding state of the art of the international openEHR “Guideline Definition Language” and “Task Planning” specifications. The specifications are maintained by the international openEHR specification editorial committee (SEC) that meets in Stockholm March 25-27 to focus on the future directions for this. The SEC is interested in feedback, needs and ideas from seminar participants. [Programme with links to slides and references](https://openehr.atlassian.net/wiki/spaces/spec/pages/582877214/Agenda+public+CDS+TP+seminar+2020-03-26). ## When Thursday March 26, 2020. * Online meeting open for connection & test from 16:00 CET (Stockholm timezone) * Seminar 16:15 - 18:15 CET (Stockholm timezone) ## Who Anybody interested in the topic is welcome to join, for example clinicians, technical staff and informaticians interested in designing, implementing and maintaining decision- and process-support. ## Registration Please register (for free) at: [https://forms.gle/1WFepvP1oF8duHEQ9](https://forms.gle/1WFepvP1oF8duHEQ9) ## Connection links and instructions *We now got an offer from [Nedap](https://openehr.org/community/industry_partners_detail/nedap-nv) to be primary host and have switched the liu-se alternative to become a backup plan (again).* ### Primary meeting alternative You are invited to a Zoom webinar. **When**: Mar 26, 2020 04:00 PM Amsterdam/Stockholm (16:00 CET Login/setup, 16:15 CET Presentation starts) **Topic**: Practical tools and methods for clinical decision- and process-support Please click the link below to join the webinar via **Zoom app** or via modern **web browser**: * https://nedap.zoom.us/j/281953142 Alternatively you can join using the search bar in **Skype for business** with `281-953-142@lync.zoom.us` Or **Telephone**: Dial(for higher quality, dial a number based on your current location): * Netherlands: [+31 20 794 0854](tel:+31207940854) or [+31 20 794 7345](tel:+31207947345) or [+31 20 241 0288](tel:+31202410288) * US: [+1 669 900 6833](tel:+16699006833) or [+1 929 436 2866](tel:+19294362866) or [+1 253 215 8782](tel:+12532158782) or [+1 301 715 8592](tel:+13017158592) or [+1 312 626 6799](tel:+13126266799) or [+1 346 248 7799](tel:+13462487799) * Sweden: [+46 8 5052 0017](tel:+46850520017) or [+46 850 539 728](tel:+46850539728) or [+46 8 4468 2488](tel:+46844682488) * Norway: [+47 2396 0588](tel:+4723960588) or [+47 7349 4877](tel:+4773494877) * Germany: [+49 695 050 2596](tel:+496950502596) or [+49 69 7104 9922](tel:+496971049922) or [+49 30 5679 5800](tel:+493056795800) * United Kingdom: [+44 208 080 6592](tel:+442080806592) or [+44 330 088 5830](tel:+443300885830) or [+44 131 460 1196](tel:+441314601196) or [+44 203 481 5237](tel:+442034815237) or [+44 203 481 5240](tel:+442034815240) or [+44 208 080 6591](tel:+442080806591) * Finland: [+358 3 4109 2129](tel:+358341092129) or [+358 9 4245 1488](tel:+358942451488) * Portugal: [+351 308 804 188](tel:+351308804188) or [+351 308 810 988](tel:+351308810988) * Slovenia: [+386 1600 3102](tel:+38616003102) or [+386 1888 8788](tel:+38618888788) * Japan: [+81 3 4578 1488](tel:+81345781488) or [+81 524 564 439](tel:+81524564439) * Spain: [+34 91 787 0058](tel:+34917870058) or [+34 917 873 431](tel:+34917873431) or [+34 84 368 5025](tel:+34843685025) * Australia: [+61 3 7018 2005](tel:+61370182005) or [+61 8 7150 1149](tel:+61871501149) or [+61 2 8015 6011](tel:+61280156011) If connected via phone/skype/sip you may need to enter **Webinar ID:** 281 953 142 Other international phine numbers available: https://nedap.zoom.us/u/adUKuZsiS8 Or iPhone one-tap : * Netherlands: [+31207940854,,281953142#](tel:+31207940854,,281953142#) or [+31207947345,,281953142#](tel:+31207947345,,281953142#) ### Backup meeting alternative (only if the above crashes/fails) https://liu-se.zoom.us/j/277726484 see [details and Skype/phone/SIP alternatives below](https://discourse.openehr.org/t/march-26-online-seminar-practical-tools-and-methods-for-clinical-decision-and-process-support/376/9?u=erik.sundvall) ## Organized by Karolinska Institutet, openEHR International, Region Stockholm, Region Uppsala and Region Östergötland are organizing this event in order to build knowledge about some of the modeling and tooling options based on the openEHR family of specifications and standards. A printable PDF-version of the original invitation (with previously physical and thus wrong location): [Process and decision support - openEHR seminar March 26.pdf|attachment](upload://8nCFwGwhO3DqnZlGuJv06OOYEEA.pdf) (214.4 KB) ## Questions and comments? Feel free to ask questions or comment here below by replying in this thread right here in openEHR's forum. --- ## Post #2 by @bna Do we in the SEC group have to register or are we already "counted"? --- ## Post #3 by @erik.sundvall @bna there will be room for the SEC either way of course, but if you register you'll get to see the same mails etc that the participants get before and after the event, so registration can be a good idea anyway. //Erik --- ## Post #4 by @erik.sundvall ~40 responses already! --- ## Post #5 by @sebastian.iancu Will this event also be recorded or live streamed? --- ## Post #6 by @erik.sundvall We are looking for such possiblilities and have asked around a bit, but so far have not found anyone volunteering to do it. So we might find such options later, but it has not happened yet. Volunteers can either post here or contact me directly via mail to erik.sundvall@regionostergotland.se When registering as participant using the [link to the form](https://forms.gle/1WFepvP1oF8duHEQ9) above there is an option for stating that you **can't participate physically on site** but would like to get updates before and presentation material afterwards. If we get a streaming or recording option it will be announced in such an update (and in this forum). *Update March 13: This response is now outdated, remote participation is now the only option see below... (We'll try to record it also.)* --- ## Post #7 by @erik.sundvall **Update: The seminar will be converted from physical to online seminar due to many participants’ and speakers' current travel restrictions and other COVID-19 related issues.** The same times remain: Thursday March 26, 2020. * Meeting open for connection & test from 16:00 * Seminar starts at 16:15 and ends at 18:15 CET (Stockholm time) Links for seminar participation will later be announced via mail to registered participants and in this discussion thread. A positive side effect of going online is that more participants can join. We had underestimated the interest when booking a room for 50-60. We currently have more than 80 registrations and now expect more. The registration form (https://forms.gle/1WFepvP1oF8duHEQ9) has been updated with more online-relevant questions, so if you said that you could not participate (but wanted updates & info) then you can now use the update link in your confirmation email to say that you e.g. want to participate online. A [preliminary seminar agenda draft is available](https://openehr.atlassian.net/wiki/spaces/spec/pages/582877214/Agenda+public+CDS+TP+seminar+2020-03-26) and will continue to be updated. --- ## Post #8 by @johngrant4est For avoidance of doubt: 16:15 - 18:15PM CET 15:15 - 17:15PM GMT/UTC Find your starting time [here](https://www.timeanddate.com/worldclock/converter.html?iso=20200326T151500&p1=239) --- ## Post #9 by @erik.sundvall # Connection for seminar backup plan if primary fails *There are 170+ registered now, which is over the capacity of the originally intended openEHR zoom stream so we got an offer from Nedap to host and this is the backup plan (from Linköping University) in case Nedap Zoom described above crashes. (Skype for Business users, note link by the end.) Topic: Practical tools and methods for clinical decision- and process-support Time: Mar 26, 2020 16:00 Stockholm Join Zoom Meeting * https://liu-se.zoom.us/j/277726484 Meeting ID: 277 726 484 One tap mobile +46844682488,,277726484# Sweden +46850539728,,277726484# Sweden Dial by your location +46 8 4468 2488 Sweden +46 850 539 728 Sweden Meeting ID: 277 726 484 Find your local number: https://liu-se.zoom.us/u/cdxad70S4j Join by SIP 277726484@109.105.112.236 277726484@109.105.112.235 Join by H.323 109.105.112.236 109.105.112.235 Meeting ID: 277 726 484 Join by Skype for Business * https://liu-se.zoom.us/skype/277726484 > Again. note that this is the backup plan if [the primary plan](https://discourse.openehr.org/t/march-26-online-seminar-practical-tools-and-methods-for-clinical-decision-and-process-support/376) crashes --- ## Post #10 by @heather.leslie 2.15am. Ouch, I'll watch the replay :sleeping: --- ## Post #11 by @ian.mcnicoll Hi Erik, the openEHR Zoom account is setup and available (as of last Friday) - the details have been given to all Board members, Jill our admin and the program leads. --- ## Post #12 by @erik.sundvall ## Updated connection links and instructions *We now got an offer from [Nedap](https://openehr.org/community/industry_partners_detail/nedap-nv) to be primary host and have switched the liu-se alternative to become a backup plan (again).* ### Primary meeting alternative You are invited to a Zoom webinar. **When**: Mar 26, 2020 04:00 PM Amsterdam/Stockholm (16:00 CET Login/setup, 16:15 CET Presentation starts) **Topic**: Practical tools and methods for clinical decision- and process-support Please click the link below to join the webinar via **Zoom app** or via modern **web browser**: * https://nedap.zoom.us/j/281953142 Alternatively you can join using the search bar in **Skype for business** with `281-953-142@lync.zoom.us` Or **Telephone**: Dial(for higher quality, dial a number based on your current location): * Netherlands: [+31 20 794 0854](tel:+31207940854) or [+31 20 794 7345](tel:+31207947345) or [+31 20 241 0288](tel:+31202410288) * US: [+1 669 900 6833](tel:+16699006833) or [+1 929 436 2866](tel:+19294362866) or [+1 253 215 8782](tel:+12532158782) or [+1 301 715 8592](tel:+13017158592) or [+1 312 626 6799](tel:+13126266799) or [+1 346 248 7799](tel:+13462487799) * Sweden: [+46 8 5052 0017](tel:+46850520017) or [+46 850 539 728](tel:+46850539728) or [+46 8 4468 2488](tel:+46844682488) * Norway: [+47 2396 0588](tel:+4723960588) or [+47 7349 4877](tel:+4773494877) * Germany: [+49 695 050 2596](tel:+496950502596) or [+49 69 7104 9922](tel:+496971049922) or [+49 30 5679 5800](tel:+493056795800) * United Kingdom: [+44 208 080 6592](tel:+442080806592) or [+44 330 088 5830](tel:+443300885830) or [+44 131 460 1196](tel:+441314601196) or [+44 203 481 5237](tel:+442034815237) or [+44 203 481 5240](tel:+442034815240) or [+44 208 080 6591](tel:+442080806591) * Finland: [+358 3 4109 2129](tel:+358341092129) or [+358 9 4245 1488](tel:+358942451488) * Portugal: [+351 308 804 188](tel:+351308804188) or [+351 308 810 988](tel:+351308810988) * Slovenia: [+386 1600 3102](tel:+38616003102) or [+386 1888 8788](tel:+38618888788) * Japan: [+81 3 4578 1488](tel:+81345781488) or [+81 524 564 439](tel:+81524564439) * Spain: [+34 91 787 0058](tel:+34917870058) or [+34 917 873 431](tel:+34917873431) or [+34 84 368 5025](tel:+34843685025) * Australia: [+61 3 7018 2005](tel:+61370182005) or [+61 8 7150 1149](tel:+61871501149) or [+61 2 8015 6011](tel:+61280156011) If connected via phone/skype/sip you may need to enter **Webinar ID:** 281 953 142 Other international phine numbers available: https://nedap.zoom.us/u/adUKuZsiS8 Or iPhone one-tap : * Netherlands: [+31207940854,,281953142#](tel:+31207940854,,281953142#) or [+31207947345,,281953142#](tel:+31207947345,,281953142#) ### Backup meeting alternative (only if the above crashes/fails) https://liu-se.zoom.us/j/277726484 see [details and Skype/phone/SIP alternatives below](https://discourse.openehr.org/t/march-26-online-seminar-practical-tools-and-methods-for-clinical-decision-and-process-support/376/9?u=erik.sundvall) --- ## Post #13 by @erik.sundvall This is a summary of the responses to the registration question: *"If you already have some questions or things you'd like to be described, or examples of process related clinical needs/problems that you think IT-systems should handle better, then feel free to add them here"* * Distributed process support * How could the interoperability between different LIMS in different laboratories be better? Or use the same standards in different systems. * The state of tooling around GDL. Why GDL and not e.g. BPMN and the supporting standards? * Guideline modeling that enables an application to continually evaluate results and update the guideline. * The diagnostic process. IMHO, problem-oriented records allow for the most useful structuring of information, not least for diagnosis support. How could we best represent this process? How would you design such a system? Inevitably, problems need to be refined, merged, debated, or even excluded after previous statement. It would be invaluable to audit this process, reviewing each step of the decision: data gathering and interpretation, problem generation, hipothesis formulation and their investigation. The late Lawrence Weed had this in mind from the very beginning. Thank you for your time. Any help will be very appreciated. * Open EHR should have an online free course module to learn details about it. * Digital-Twin based EHR updating plus Immersive Analytics for Rapid Diagnosis. * How is patient generated data, such as wearable sensors, health monitoring devices and such integrated into the clinical decision support systems Feel free to add new questions below in this forum thread during and after the presentation. We won't have time to answer all of them "live" but maybe in written form here later. > REMINDER: The connection info has been updated, see post above this one... --- ## Post #14 by @johnmeredith My question concerns the CE marking of medical devices; has this been an issue to systems/functions such as NEWS calculation utilising GDL? --- ## Post #15 by @ian.mcnicoll @rong.chen has a lot of experience with CE and Medical device directives - needs to be addressed --- ## Post #16 by @wouterzanen So how are we going to share taskplans on CKM and how is granularity handled? It seems that current developments are very use case specific.. --- ## Post #17 by @thomas.beale Well, for sharing, they are archetypes so it can be done like that. In terms of content, it will be a community research exercise to work out a good way to write re-usable sub-plans, and how to recombine to larger full work plans. We have concepts like 'sub-plan', and separated plans, plan linking etc, also more granular elements (even single 'Task groups' containing a few Tasks), so the technical elements are probably ok; the real question is doing the modelling in such a way and then managing libraries of various general / less general plans. This will take some time and experience with a lot of people doing experiments, I think! --- ## Post #18 by @Asa_Skagerhult To what extent do the GDL and Task Planning parts of OpenEHR overlap in terms of what they try to solve? /TOmas Lundqvist --- ## Post #19 by @johnmeredith @danielle.santosalves Are the Brazil maternity models available? IE could anyone build a maternity system off of the back of them? ;-) --- ## Post #20 by @thomas.beale TP plans have small decision 'fragments' all through them e.g. is the patient hypertensive, critical BP, or normal, and so on, within Task structures. GDL is rule sets, so essentially larger chunks of decision logic. We are now working on a next generation of things that integrates the underlying 'decision' part to be the same for GDL and Task Planning. --- ## Post #21 by @torbjorn Interested to hear how you describe the difference between SMART on FHIR and OpenEHR Cds apps. --- ## Post #22 by @torbjorn We would like to like apps for the cancer quality registers, who can we contact. --- ## Post #23 by @rong.chen Hi Torbjörn Eles, you can contact me at rong.chen@cambio.se --- ## Post #24 by @bna [quote="torbjorn, post:22, topic:376, full:true"] We would like to like apps for the cancer quality registers, who can we contact. [/quote] We are currently working on openEHR templates and models for the Norwegian cancer registry. First out is CRC (ColoRectal Cancer). --- ## Post #25 by @torbjorn ok, thanks! I will. --- ## Post #26 by @danielle.santosalves Hy John! This is part of my thesis but it will be publish soon. I'll publish the link here, for sure. But for the moment, we are trying to think a way to share and improve all Work Plans in the CKM (I think) in a way that everybody can use! That's the idea! I'm glad to share for sure! --- ## Post #27 by @torbjorn Interesting!, can we get in touch to see if we can work together? torbjorn.eles@rccvast.se --- ## Post #28 by @rong.chen Not at all, all of our CDS apps are CE-marked products. If the customers and other app developers decide to use GDL tools to develop CDS apps, they need to follow the these regulations just the same as they chose to use java/C# to develop the apps. --- ## Post #29 by @ian.mcnicoll We also built a large phenotypics registry which is partly based on the UK cancer registry https://ckm.apperta.org/ckm/projects/1051.61.28 and some models for Acute coronary syndrome at https://ckm.apperta.org/ckm/projects/1051.61.39/dashboard --- ## Post #30 by @danielle.santosalves I want to say thank you for the openEHR committee to promote such a great day to share our experiences and see more works with openEHR standard. I think today was an important day to see what we can do with openEHR. We are given a step forward in the clinical process. --- ## Post #31 by @johngrant4est My take was that task planning models, whilst important, are just one element of an overall Perinatal Care Management System. What would be great is if they can be plugged into an existing (ideally OpenEHR-based) model of the rest of peri-natal care. --- ## Post #32 by @johngrant4est Are you talking about only physical devices or are we including "apps" that now have to be registered, if they include some kind of decision support ? --- ## Post #33 by @johnmeredith The latter. --- ## Post #34 by @bna [quote="ian.mcnicoll, post:29, topic:376"] We also built a large phenotypics registry which is partly based on the UK cancer registry [/quote] Interesting. We are exploring Phenotype "collection" based on HPO as part of the BigMed project) www.bigmed.no). Take a look here: http://bigmed.northeurope.azurecontainer.io/#/ --- ## Post #35 by @matijap [quote="johngrant4est, post:31, topic:376"] What would be great is if they can be plugged into an existing (ideally OpenEHR-based) model of the rest of peri-natal care. [/quote] Definitely. That's the next step, and the last one mandatory to make TP really usable in a healthcare environment. It's exactly what we're doing now at Better (Slovenia) but not with those models, but other (simpler). I will add that we see real advantage in using openEHR TP only within an openEHR ecosystem, because (what was perhaps not stressed enough in our today's presentation) no clinical data is held in the task engine, but rather in the openEHR CDR ("server" -- clinical data repository) where all integration with the ecosystem also takes place. As our colleges from DIPS (Norway) have shown (in what limited time we all had), a vast majority of end-user application can be generic when openEHR archetypes and templates are utilised in combination with generic form building/rendering functionality, and TP will bring generic process support to this arena as well with task lists for clinical workers and automated guidance through various necessary data gathering procedures. --- ## Post #36 by @thomas.beale [quote="johngrant4est, post:31, topic:376, full:true"] My take was that task planning models, whilst important, are just one element of an overall Perinatal Care Management System. What would be great is if they can be plugged into an existing (ideally OpenEHR-based) model of the rest of peri-natal care. [/quote] Yes that is of course true. You'd probably find a proper clinical explanation of the plans + logic e.g. risk assessment very interesting - we might be able to get her to do an online workshop for clinical profs, I think she could get a lot of useful feedback from people who have used different systems. --- ## Post #37 by @johngrant4est I can think of many uses in peri-op care too. Perhaps take a simple guideline e.g. surgery and anti-thrombotics, and work through the stages of GDL and TP. If you're new to the topic, it might help visualise the process. --- ## Post #38 by @ian.mcnicoll The task and cdss modules absolutely do work directly on the ehr data. If you missed the live session the videos should be available very soon. The demos showed clearly that these are fully integrated. --- ## Post #39 by @thomas.beale The [video of this event](https://youtu.be/YmRljwBj5S0) is now available on the [openEHR YouTube channel](https://www.youtube.com/user/openehr), with timings, so you can watch the presentations you want. Duration 2hr 20 mins --- Introduction --- [00:00:00](https://www.youtube.com/watch?v=YmRljwBj5S0&t=0s) - webinar overview (Erik Sundvall, PhD) [00:01:50](https://www.youtube.com/watch?v=YmRljwBj5S0&t=110s) - what is openEHR (Ian McNicoll, MD) [00:04:40](https://www.youtube.com/watch?v=YmRljwBj5S0&t=280s) - openEHR facilities for process and CDS (Thomas Beale) [00:11:42](https://www.youtube.com/watch?v=YmRljwBj5S0&t=702s) - background of CDS, closing the 17 year feedback loop (Rong Chen, MD, PhD) --- Product / Tool Demonstrations --- [00:20:03](https://www.youtube.com/watch?v=YmRljwBj5S0&t=1203s) - Guideline Definition Language (GDL) tools (Rong Chen, Cambio) [00:35:40](https://www.youtube.com/watch?v=YmRljwBj5S0&t=2140s) - openEHR / Task Planning in DIPS Arena (Bjørn Næss, DIPS) [00:46:10](https://www.youtube.com/watch?v=YmRljwBj5S0&t=2770s) - openEHR Covid-19 project - UK (Ian McNicoll, FreshEhr) [00:52:31](https://www.youtube.com/watch?v=YmRljwBj5S0&t=3151s) - openEHR Covid-19 project - Norway (Bjørn Næss, DIPS) [00:59:10](https://www.youtube.com/watch?v=YmRljwBj5S0&t=3550s) - Task Planning for Obstetric care - Brazil (Danielle Santos Alves, RN, PhD cand. UFPE) --- Tools and how to develop? --- [01:10:25](https://www.youtube.com/watch?v=YmRljwBj5S0&t=4225s) - Task Planning implem for Moscow City, Better Care (Matija Kejžar, Better) [01:45:02](https://www.youtube.com/watch?v=YmRljwBj5S0&t=6302s) - Cambio GDL tools & development (Rong Chen, Cambio) [01:52:20](https://www.youtube.com/watch?v=YmRljwBj5S0&t=6740s) - DIPS Task Planning development (Bjørn Næss, DIPS) --- Conclusions --- [01:57:03](https://www.youtube.com/watch?v=YmRljwBj5S0&t=7023s) - openEHR roadmap for GDL, Task Planning, CDS (Thomas Beale) [02:00:30](https://www.youtube.com/watch?v=YmRljwBj5S0&t=7230s) - Questions --- ## Post #40 by @linforest Unfortunately, neither YouTuBe or Google is available for users in our country. So it would be nice if some volunteer(s) copy these valueable resources to a locally available media site, say, one of the most popular video sites in this country. --- ## Post #41 by @lvxd I can help to do that Lin Zhang via openEHR 于2020年4月3日周五 上午8:35写道： --- ## Post #42 by @linforest Wow, that's awesome! So appreciate that. --- **Canonical:** https://discourse.openehr.org/t/march-26-online-seminar-practical-tools-and-methods-for-clinical-decision-and-process-support/376 **Original content:** https://discourse.openehr.org/t/march-26-online-seminar-practical-tools-and-methods-for-clinical-decision-and-process-support/376