Banksy, London(2008)

With apologies to Banksy!

http://www.cnc-design.fi/site/index.php/en/webshop/item/127-deal-with-it-sunglasses/127-deal-with-it-sunglasses

Clinical data at the unit level chaotic dysfunctional

the crutch that many software vendors have relied on is the format of the data

http://www.forbes.com/sites/danmunro/2013/04/28/big-problem-with-little-data/

Various, Fitzroy (yesterday)

Obey Giant, London (2008)

Banksy, Melb (2008)

D*Face, London (2008)Unknown,

Fitzroy (2010)

Space Invader, various places (2008-2012)

What?

Outside Jimmy Buttons, Fitzroy (2012)

Common clinical content:

potentially a game changer for #healthIT interoperability!

Various, Fitzroy (yesterday)

• Transformations to implementation artefacts

Clinical Knowledge Manager/

“openEHR Approach” gaining traction

CKM

• ??Saudi

• XCity of Moscow

• X?Sweden

Prescription Report Healthcare service request

Medication List Procedure Report Imaging Examination Request

Medication Order Result Report Laboratory Test request

Medication action Review Procedure request

Procedure undertaken Absence of Information Referral request

Anatomical Location Adverse Reaction Body Surface Area

Device Alert Body weight

Dimensions Contraindication Physical Examination Findings

Examination Exclusion Statement Glasgow Coma Scale

Body fluid or substance Exclusion of an Adverse Reaction Imaging examination result

Medication administration Exclusion of Family History Indirect Oximetry

Medication amount Exclusion of a Medication Laboratory test

Medication ingredients Exclusion of a Problem/Diagnosis Blood gas assessment

Specimen Exclusion of a Procedure Histopathology

Symptom Goal Lipid studies

Pain Problem/Diagnosis Microbiolology

Timing Reason for Encounter Pulmonary Function Testing

Adverse Reaction List Recommendation Pulse

Encounter Evaluation of risk of condition Story/History

Imaging investigation Family history Urinalysis

Problem List Alcohol Use Summary Waist and hip circumference

Referral document Tobacco Use Summary Adhoc heading

Vaccination List

Govern ‘like hell’

Archetypes Templates

Semantic Queries

Terminology Mappings/

Subsets

Code Skeletons

Data Sets

UI Forms

XML Schemas

HTML Display

Messages

Reference Model

Decision-Support

Acknowledgements: Hugh Leslie, Thomas Beale

FHIR

FHIR?

FHIR?

FHIR?

FHIR?

FHIR?

Everfresh Crew, Fitzroy (painted 09/2009, photo yesterday)

Parallels with #HealthIT interoperability are real

@omowizard (05 Nov 2014):.@siljeb Most value comes if #FHIR resources & #openEHRarchetypes are aligned. Otherwise #healthIT interopis blocked by need for mappings