RIMBAA 201203 Notes Gothenburg

These are the RIMBAA WG notes of the informal meeting (WGM #35) held in Gothenburg, March 8th 2012

• Note: due to illness no co-chair was present, as such the meeting was an informal one. No decisions were made. Below are some notes related to the outcomes of the meeting.

• Core topic: software implementation aspects of Refence Model based applications, focusing on both the 13606/OpenEHR RM as well as the HL7 RIM. Sweden has opted to use 13606/OpenEHR as the base standards for its national infrastructure, which means there should be lots of opportunities to discuss RM based implementation issues.
• Background on the Swedish projects:
  1. The Nationell Patientöversikt (NPÖ) [National Patient Summary] project (General background information: Swedish site, English flyer ,Article in e-Health Insider) is based on 13606-1 (and doesn't use openEHR nor its tools)
     • From an architectural perspective, the architecture can be compared to that of XDS, using a combination of persisted documents (long term persistence) and documents that (when queried) are constructed on-the fly, incorporating the latest available information. The long term persistence application doesn't used the 13606 extract as its persistence model, but HL7's SDA (Structured Document Architecture). SDA is transformed into 13606 extracts (and vice versa).
  2. High level OpenEHR archetypes (based on Swedish requirements models, there is no reuse of international achetypes) have been defined for use in (future) projects.

Agenda

1. Administrative agenda items (10:00 - 10:30)
   • Announcements
     • Jean: we would like to thank our kind sponsors of this meeting venue, the Hälso & Sjukvårdsavdelningen of the Västra GötalandsRegionen, and particularly Mikael Wintell (CIO/CTO BFR).
     • Jean: Rene is ill and wasn't able to attend this meeting.
   • Update on the joint 13606/openEHR/HL7 "RMBAA" sessions (Rene Spronk)
     • An initial joint implementer session was held in Sydney, January 2011. See RIMBAA 201101 Minutes Sydney (Thursday Q3/Q4) for minutes of the joint session.
     • Other openEHR implementers have occasionally presented during RIMBAA meetings; the lack of openEHR face-to-face meetings means that its implementation community is fragmented, which makes it difficult for HL7 RIMBAA to reach out to that community. The HL7 RIMBAA group, from a pure software implementation perspective, remains convinced that there are common issues and best practices between the two reference model based approaches. We will therefore continue to engage the openEHR implementer community.
   • Agenda setting for the afternoon, Unconference style: topics are proposed and scheduled by the attendees, on-site, typically using whiteboards or paper taped to the wall. (max 30 minutes)
     • Approval of the agenda
2. Prepared topic: Comparing HL7 RIM implementation for persistency with RIM for messages exchange (differences, tips and tricks, what to change) (Francesco Rossi/Andrea Ceiner, 10:30-11:30)
   • This presentation will cover V3 Messaging and CDA, using their experiences when implementing the PHI toolkit. Topics will include the PHI Use-case; Performance and data Consistency Problems; RIM Databse data versioning, as well as Best Practices for RIM Databases.
3. Discussion on Sweden Technology Issues (Lennart Eriksson, 11:30-12:15)
4. UI Components based on Datatypes (Hugh Glover, 12:15-12:30)
5. Lunch (12:30-13:30)
6. Prepared topic: PHI Query Manager (Francesco Rossi, 13:30-14:15)
   • This presentation will cover the use of MIF by a QueryManager application to retrieve data from a HL7 RIM db. It also covers the QueryManager architecture.
     • General discussion: comparison with AQL OpenEHR.
7. Why Sweden chose 13606? (Helen Broberg, 14:15-14:30)
8. National Patient Summary Overview (Viktor Jernelov, 14:30-15:00)

Attendees

1. Jean-Henri Duteau, (GP Informatics, CA)
2. Andrea Ceiner, (Insiel Mercato, IT)
3. Pekka Kola, (Tieto, FI)
4. Francesco Rossi (Insiel Mercato, IT)
5. Andy Stechishin (CANA Software, CA)
6. Helen Broberg, Informatics Architect, (County council of Region Skåne, SE)
7. Viktor Jernelöv, (Mawell, SE)
8. Lennart Eriksson, t.f. responsible for technology in CeHis AL-T (Onroute, SE)
9. Tomas Rasmusson, information architect (Västra GötalandsRegionen, SE)
10. Lars Börjeson, (Västra GötalandsRegionen, SE)
11. Mikael Wintell (CIO/CTO BFR, CSO VGR, SE)
12. Hugh Glover (Blue Wave Informatics, UK)
13. Bertil Reppen (Apertura, NO)