# Resolution

**URL:** <https://discourse.openehr.org/t/resolution/14539>\
**Category:** Clinical (archive)\
**Created:** [15 April 2006 12:32 UTC](https://discourse.openehr.org/t/resolution/14539 "2006-04-15T12:32:29Z")\
**Posts on this page:** 6\
**Page:** 1

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**Author:** ![Bruce\_Wilder](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/b/8c91f0/32.png) [@Bruce\_Wilder](https://discourse.openehr.org/u/Bruce_Wilder)\
**Post date:** [15 April 2006 12:32 UTC](https://discourse.openehr.org/t/resolution/14539/1 "2006-04-15T12:32:29Z")

</div>

A few months ago, I posted a proposed resolution and  
asked for comments, and many of you kindly reponded.  
When this came up for debate on the floor of the  
Pennsylvania Medical Society House of Delegates, here  
was an unsuccessful movement to remove all the  
references to open source, but it was adopted without  
amendment, but only for referral for decision by the  
Board of Trustees. It was not adopted by the House of  
Delegates (except for referral), primarily because  
most of the Delegates did not really have an  
understanding of what open source is. What follows is  
what was officially adopted for referral for decision  
by the Board.

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**Author:** ![Ed\_Dodds](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/e/c2a13f/32.png) [@Ed\_Dodds](https://discourse.openehr.org/u/Ed_Dodds)\
**Post date:** [15 April 2006 12:52 UTC](https://discourse.openehr.org/t/resolution/14539/2 "2006-04-15T12:52:30Z")

</div>

Bruce et. al.:

Excellent timing. Check out this April 18th event please.

ExpeditionWorkshop/OpenCollaboration NetworkingHealthInformationTechnology  
2006 04 18

[http://colab.cim3.net/cgi-bin/wiki.pl?ExpeditionWorkshop/](http://colab.cim3.net/cgi-bin/wiki.pl?ExpeditionWorkshop/)  
OpenCollaboration\_NetworkingHealthInformationTechnology\_2006\_04\_18

Or [http://tinyurl.com/qejyw](http://tinyurl.com/qejyw)

Purpose / Description (32LP)  
Participants will explore opportunities for multi-disciplinary and  
community-based collaboration around national challenges. By drawing on  
strategic leadership and "best practices" underway in the health arena,  
participants will learn how to conduct open collaboration in their own  
settings. Presentations will illustrate exemplary collaboration that is  
transforming healthcare services delivery today. Growing Communities of  
Practice will benefit from knowledge-sharing including: (33PG)

open standards development (33PH)  
web-based collaboration environments (33O1)  
ontologies for efficient information-sharing and (33O2)  
Federal Enterprise Architecture Data Reference Model V2.0 (32LQ)  
In Light of this Purpose, How are We Building Collaboration Readiness and  
Discernment? Key Workshop Questions: (32LR)  
How can multiple communities from diverse sectors work together using  
relevant scenarios to build stewardship practices that support readiness and  
realization of shared missions? (32LS)  
How is the emerging maturity of notation systems generally, including the  
DRM abstract model, enabling multiple notation (modeling) systems to  
reinforce and map to one another, while contributing to current demands for  
real-time readiness and visibility of the "whole picture"? (32LT)  
How can the capacities of trust, agility, and accountability be achieved  
through federated stewardship among communities still building common ground  
and understanding? (32LU)  
How can Communities of Practice (or Interest) define their identities,  
roles, and governance relationships in a manner that reinforces their  
individual and collective capacities? (32LV)  
The President's Management Agenda (PMA) requires all federal agencies to  
transform the roles and relationships among people, processes, and  
technology in order to become a citizen-centered government. The PMA  
emphasizes bringing value and productivity results to citizens, businesses,  
and public managers. The Federal Enterprise Architecture (FEA) is emerging  
as an important collaborative organizing process to promote the delivery of  
effective, efficient services. FEA Reference Models serve as catalysts for  
foresight and discernment around improved mission and business performance,  
including data and information-sharing. The Data Reference Model, in  
particular, will provide a concrete means for improving the capacity for  
mission-related sharing, while also increasing the downstream value of  
strategic information assets. (32LW)

/AdditionalContextualBackground - from the Network of Communities of  
Practice (32LX)  
8:30am - Check-in and Coffee (32LY)

8:40am - Welcome and Overview (32LZ)

SusanTurnbull, GSA, Co-chair, Emerging Technology Subcommittee, and  
Co-chair, Social, Economic and Workforce Implications of IT and IT Workforce  
Development Coordinating Group, Subcommittee on Networking and Information  
Technology Research and Development (32M0)

JohnThonasian, National Governors Association, State Views on Collaboration  
and Initiatives for Health Information Technology (33WR)

MarcWine, GSA, Intergovernmental Solutions Division, Health Information  
Technology (32N9)

BrandNiemann, EPA, Chair, Semantic Interoperability Community of Practice,  
SICoP, EPA Data Architecture with DRM 2.0. See new pilot to incorporate the  
CHI Vocabularlies into the NCI Ontology Infrastructure. See April 3, 2006,  
Federal Computer Week, Framework could aid global information exchange UDEF  
attracting interest of National Cancer Institute, IT groups (330N)

9:00am - Introductions: What are your interests in light of the workshop  
purpose? (32M2)

9:30am - Overview of Health IT Sharing Project, MarcWine, GSA  
Intergovernmental Solutions Division, Health Information Technology  
(32M3)

9:40am - Federal Health IT Initiatives: Enabling Collaboration, J. Michael  
Fitzmaurice, Ph.D., FACMI, Senior Science Advisor for Information  
Technology, Office of the Director, Agency for Healthcare Research and  
Quality (33LE)

10:00 - Questions and Discussion (33LC)

10:10 - BREAK (33LG)

10:20 - Health Care Standards Landscape Web-based Tool, Tom Rhodes, NIST  
(33LI)

10:40 - Open Collaboration and the Harmonization of Standards -- Open  
Discussion (33WS)

11:00 - Healthcare Services Specification Project (HSSP): Toward Open,  
Interoperable Health Service Standards for Interoperability, Ken Rubin,  
Chief Healthcare Architect, EDS Civilian Government & DoD Healthcare  
Portfolio and member HL7 Service-oriented Architecture SIG and Object  
Management Group's Healthcare Domain Task Force (33PM)

11:20 - VA-DoD Health IT Sharing: Collaboration Among Agencies, Fred McLain,  
VA-DoD Health IT Sharing Program (33PC)

11:40 - Questions and Discussion (33LO)

11:50 - NASA Electronic Medical Record Project - Collaboration between NASA  
and Indian Health Service, Wycliff Hoffler, NASA (33NS)

12:10 - Networking Lunch (on own) (33PD)

1:10 - caCORE: A Common Framework for Cancer Data Management, Denise Warzel,  
Associate Director, Core Infrastructure, National Cancer Institute, Center  
for Bioinformatics, NIH (33NB)

1:10 - Health IT: Value for Medicaid, Richard Friedman, Director, Division  
of State Systems, Center for Medicaid and State Operations, The Centers for  
Medicare and Medicaid Services, DHHS and Jared Adair, Computer Science  
Corporation (33PE)

1:30 - Questions and Discussion (33PF)

1:40 - Perspectives on Public - Private Open Collaboration, Ned McColloch,  
Federal Health Group Director, IBM (33NM)

2:0 - BREAK (33NK)

2:10 - Virtual Open Collaboration,Tom Jones, Tolven Health and former VP  
Medical Information, Oracle Corporation (33NI)

2:30 - Questions and Discussion (33NN)

2:40 - NIH Roadmap: Re-engineering Clinical Research Enterprise - Clinical  
Research Networks Update, Jody Sachs, D.P.M., National Center for Research  
Resources, NIH (33NP)

3:00 - Questions and Discussion (33NQ)

3:10 - Collaboration and Open Source Electronic Health Record (EHR)  
Solutions, Peter Groen, Assistant Professor, Shepherd University (33LB)

3:30 - Emerging Models of Open Collaboration for Electronic Health Records,  
Roger Maduro, VISTA Software Alliance (33NU)

3:50 - Emerging Nationwide Health Information Networks: Public - Private  
Collaborations - A View From the Field, Claudine Beron, Accenture (33NW)

4:10 - The Future of Health IT Open Solutions, Doug Goldstein, President,  
Medical Alliances (33NY)

4:30pm - ADJOURN (32MA)

Upcoming Events (33O3)

Ed Dodds  
dodds@conmergence.com  
Strategist  
\<Conmergence/\>  
facilitating convergence

# # # #

Does anyone have a idea of where open source is going  
in the U.S. Health and Human Services efforts to  
promote universal ehr in the U.S.? I know there has  
been (not surprisingly) some resistance from the  
proprietary vendors, to early efforts to promote an  
open source model.

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**Author:** ![Joseph\_Dal\_Molin](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/j/49beb7/32.png) [@Joseph\_Dal\_Molin](https://discourse.openehr.org/u/Joseph_Dal_Molin)\
**Post date:** [15 April 2006 14:13 UTC](https://discourse.openehr.org/t/resolution/14539/3 "2006-04-15T14:13:38Z")

</div>

Hi Bruce,

\> Does anyone have a idea of where open source is going  
\> in the U.S. Health and Human Services efforts to  
\> promote universal ehr in the U.S.? I know there has  
\> been (not surprisingly) some resistance from the  
\> proprietary vendors, to early efforts to promote an  
\> open source model.

I am WorldVistA's program manager for the HHS/CMS funded VistA-Office EHR effort and can tell you that the project is going full steam ahead. We have just entered the Beta field test phase and in parallel will be working on certifying VOE to meet the ONCHIT EHR certification standards. CMS has completely bought into the open source model of user driven, collaborative improvement and has decided that WorldVistA will become the open source "steward" for VistA Office. Concrete progress has been made in implementing the open source approach as we are about to integrate several community developed enhancements in VOE. We will also be sending code to the VA for inclusion in FOIA VistA to address requiements in the VA and achieves one of WorldVistA's long standing goals of establishing two way code sharing with the VA. Perhaps the most important element of our collaboration with the VA is synchronizing with their "patch stream" approach to fixing bugs and improving VistA. Last but not least, over the next few weeks we will be porting VOE to Linux as we have FOIA VistA, to make a full open source version avaialble for the server side.

Will be glad to answer any other questions off list....unfortunately we will not be able to send anyone to the GSA meeting...but, coincidentally are organizing the next VistA Community meeting for late June at Robert Morris University in Pittsburgh, PA.... that would also be a good opportunity to expose folks from PMS to the open source model and VOE?

Cheers,

Joseph

....  
Joseph Dal Molin  
VP, Businsess Development, WorldVistA  
www.worldvista.org  
1.416.232.1206

Bruce Wilder wrote:

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**Author:** ![Bruce\_Wilder](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/b/8c91f0/32.png) [@Bruce\_Wilder](https://discourse.openehr.org/u/Bruce_Wilder)\
**Post date:** [18 April 2006 11:39 UTC](https://discourse.openehr.org/t/resolution/14539/4 "2006-04-18T11:39:29Z")

</div>

Thank you for that information, Joseph. Can you  
provide us with any more specific info on the meeting  
in Pittsburgh this June?

As an aside, I went over a recent 65-page report on  
the "eHealth Initiative" of the American Health  
Quality Foundation (www.ahqf.org), which receives  
some funding from AHRQ (www.ahrq.gov), and not one  
reference to open source. I'll see what they have to  
say at the HIT Symposium in Boston in July.

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**Author:** ![Joseph\_Dal\_Molin](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/j/49beb7/32.png) [@Joseph\_Dal\_Molin](https://discourse.openehr.org/u/Joseph_Dal_Molin)\
**Post date:** [18 April 2006 13:27 UTC](https://discourse.openehr.org/t/resolution/14539/5 "2006-04-18T13:27:43Z")

</div>

We will be posting a draft agenda etc. on the WorldVistA website in the next couple of weeks.... www.worldvista.org  
Follow navigation bar link to Events.

I find that there is still some reluctance to use the term "open source" by the public sector in the US and Canada...particularly the closer you get to policy making bodies....it is still too controversial for many.... ironically the private sector has far fewer antibodies for the term.

Joseph

Bruce Wilder wrote:

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**Author:** ![Koray\_Atalag](https://discourse.openehr.org/user_avatar/discourse.openehr.org/koray_atalag/32/70_2.png) [@Koray\_Atalag](https://discourse.openehr.org/u/Koray_Atalag)\
**Post date:** [20 April 2006 03:45 UTC](https://discourse.openehr.org/t/resolution/14539/6 "2006-04-20T03:45:09Z")

</div>

Hi,

I am not so sure whether relevant to the subject but in Turkey, as a formal EU applicant country now, we are bounded by the Mandates of the EU e-Govt and e-Health frameworks and these strongly point out the neccesity to obey Open Source systems to be delivered; thus avoiding single vendor/brand lock-in.

As in line with the recommendations and mandates, we had started an Open Source e-Government Gateway project by an Open Tender which was eventually won by a JV, a TR systems integrator company and one of the biggest Companies globally in e-Govt and e-Trade & Health from Singapore. The media news is in the following link:

[http://www.crimsonlogic.com/media/05\_11\_07.htm](http://www.crimsonlogic.com/media/05_11_07.htm)

We are also trying hard in TR, as a group of independent consultants and acedemicians, to help & promote FOSS initiatives in all possible rounds…I had started a personal effort by establishing the following project at [SourceForge.Net](http://SourceForge.Net): openHISI-TR with Website at:

[http://tsbs.asklepion.org](http://tsbs.asklepion.org/)

I would be delighthed to get your comments and guidance..

Best of my regards,

Dr. Koray ATALAĞ

[http://koray.asklepion.org](http://koray.asklepion.org/)