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RE: HCLSIG Meeting Record 15 Feb 2007

From: Forsberg, Kerstin L <Kerstin.L.Forsberg@astrazeneca.com>
Date: Mon, 19 Feb 2007 12:24:12 +0100
Message-ID: <00EF518168DD14409AA8DB92601D8736DFF3AB@SEMLRDEMBX02.rd.astrazeneca.net>
To: <public-semweb-lifesci@w3.org>

Hi Bill, Vipul and Eric,
I was quietly participating in the HCLSIG TC last Thursday as I was sitting on a bus on my way home. I heard that Eric and you discussed the DetailedClinicalModels http://www.w3.org/2007/02/15-hcls-minutes

Below some brief notes on my investigations related to this approach that Eric briefly mentioned.

Through my work the last three or four years on an information infrastructure to enable better use and reuse of clinical data within AstraZeneca leveraging external initiatives and standards, I have come across different initiatives in the EHR space of potential relevance:

- Clinical Observations Access Service (COAS)
  http://www.omg.org/technology/documents/formal/clinical_observation_access_service.htm

- Archetypes/Templates (openEHR) 
  http://www.oceaninformatics.biz/archetypes/

- General Purpose Information Component (GPIC) (CEN ENV13606) 
  http://www.centc251.org/WItems/PT/41/PT41-Message-header-Draft-prEN.pdf

- ebXML's Core Components + Archetypes (HL7)
  Exploiting ebXML Registry Semantic Constructs for Handling Archetype Metadata in Healthcare Informatics
  http://xml.coverpages.org/IHC-Dogac-IJMSO.pdf


My summarisation as of early 2006 was that none of these did have the momentum that I thought was required and none of were them mentioned in relationship to CDISC or the BRIDG work. Even though the Archetypes approach did seem to be something that could evolve to become "Observation Types Ontologies" that I see as part of the vision for our attempts to propose a RDF/OWL implementation of CDISC submission data standards.

>From a quick look on the http://detailedclinicalmodels.org pages it looks like a renewed interest for the Archetypes approach advocated by Thomas Beale, Australia. I will read more thoroughly the article by Sam Huff that Bill was referring to:
- Integrating Detailed Clinical Models Into Application Development Tools
  http://cmbi.bjmu.edu.cn/news/report/2004/medinfo2004/pdffiles/papers/5574Huff.pdf

In my previous investigations of the archetype approach I did find these two articles quite useful.

- Design and implementation of "Two-level" Clinical Information Systems, based on Archetypes
  http://www.ics.forth.gr/eHealth/publications/papers/2004/icth2004.pdf 

- Nursing constraint models for electronic health records: a vision for domain knowledge governance
  http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16115795&dopt=Abstract


Kind regards
Kerstin Forsberg
AstraZeneca
Received on Monday, 19 February 2007 11:24:28 GMT

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