On Jun 14, 2019, at 8:38 AM, Ron G. Parker <rgparker57@eastlink.ca <mailto:rgparker57@eastlink.ca>> wrote:
My vote is this is not quite ready yet (sorry, it seems things jump out at you when it is time to commit… funny how that works)
I (mostly) agree with Carl here.
Solid lines rather than dotted.
I don’t believe that registries or other operational components should be lumped in with the “Digital Client Record”. It is very important to differentiate between the SHR (client / patient-centric data) and other data that is used to make health service delivery possible.
My preference is “Place of Service” rather than “External Systems”. Bottom row is not meant to be entirely comprehensive but rather representative (deserves a footnote?)
I would also add that having InterLinked Registries as a cog wheel and then showing the registries above could be a bit confusing. The concept of InterLinked Registries is a combination of the registries in the architecture and access mechanisms (service) that correlate registries to meet business needs. Can we re-label the cog wheel to be “Registry Linking Service”?
Ron G Parker | mail: rgparker57@eastlink.ca <mailto:rgparker57@eastlink.ca> | mobile: +1-902-222-7716 | skype: rongparker | timezone: ADT (UTC -3)
From: ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com> <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>> On Behalf Of Carl Leitner
Sent: June 14, 2019 09:18
To: Thomas, Jamie <jt48@regenstrief.org <mailto:jt48@regenstrief.org>>
Cc: Fourie, Carl <cfourie@path.org <mailto:cfourie@path.org>>; Jennifer E Shivers <jennifer.e.shivers@gmail.com <mailto:jennifer.e.shivers@gmail.com>>; litlfred@ibiblio.org <mailto:litlfred@ibiblio.org>; Derek Ritz <derek.ritz@ecgroupinc.com <mailto:derek.ritz@ecgroupinc.com>>; Daniel Futerman <daniel.futerman@jembi.org <mailto:daniel.futerman@jembi.org>>; Ryan Crichton <ryan.crichton@jembi.org <mailto:ryan.crichton@jembi.org>>; Jack Bowie <jack.bowie@gmail.com <mailto:jack.bowie@gmail.com>>; OHIE Architecture list <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>>
Subject: Re: (REVIEW & VOTE) 2019 Architecture Diagram
On Fri, Jun 14, 2019, 07:21 Thomas, Jamie <jt48@regenstrief.org <mailto:jt48@regenstrief.org>> wrote:
In case anyone was having trouble opening the file sent before here is a PDF version.
Jamie Thomas | Community Manager
Center for Biomedical Informatics
1101 West Tenth Street
Indianapolis, IN 46202
Tel 317-274-9218 | Fax 317-274-9305
Email: jt48@regenstrief.org <mailto:jt48@regenstrief.org> | Skype: jamie.thomas5670 | Twitter: @Regenstrief
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From: "Thomas, Jamie" <jt48@regenstrief.org <mailto:jt48@regenstrief.org>>
Date: Thursday, June 13, 2019 at 12:44 PM
To: "Fourie, Carl" <cfourie@path.org <mailto:cfourie@path.org>>, "jennifer.e.shivers@gmail.com <mailto:jennifer.e.shivers@gmail.com>" <jennifer.e.shivers@gmail.com <mailto:jennifer.e.shivers@gmail.com>>, "litlfred@ibiblio.org <mailto:litlfred@ibiblio.org>" <litlfred@ibiblio.org <mailto:litlfred@ibiblio.org>>
Cc: Derek Ritz <derek.ritz@ecgroupinc.com <mailto:derek.ritz@ecgroupinc.com>>, Daniel Futerman <daniel.futerman@jembi.org <mailto:daniel.futerman@jembi.org>>, Ryan Crichton <ryan.crichton@jembi.org <mailto:ryan.crichton@jembi.org>>, Jack Bowie <jack.bowie@gmail.com <mailto:jack.bowie@gmail.com>>, "ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>" <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>>
Subject: Re: (REVIEW & VOTE) 2019 Architecture Diagram
Thank you all for your input on the OHIE architecture diagram over the last few days. We have taken your feedback and made minor changes to the diagram, see attached. Please take a look at the revised diagram and remember (as Shaun put it), "consider whether this diagram achieves the goal of providing an overarching sense of the OpenHIE architecture, with the expectation that there is much more detail underneath to be unpacked through exploration of the particular real-world needs."
Couple other things to think about. One, the UHC community had a call today and discussed their roadmap for the next 12 months. They plan to take a look at how the UHC could be represented in the diagram in the future (fall 2019). Two, we recognize that the diagram will need to be flexible to support unique implementer needs and we are working on a way in which the community can create customizable diagrams using movable icons.
ACTION ITEM: Process to gain consensus will be the same as before. We ask that members of the Architecture Review Board <Log In - OpenHIE Wiki; take a look at this latest version and simply reply to this email as to whether they ‘Agree’ or ‘Disagree’ with the diagram. If anyone disagrees with what they see or do not see please provide some reasoning around why.
Please respond by EOD Friday, June 14
Jamie Thomas | Community Manager
Center for Biomedical Informatics
1101 West Tenth Street
Indianapolis, IN 46202
Tel 317-274-9218 | Fax 317-274-9305
Email: jt48@regenstrief.org <mailto:jt48@regenstrief.org> | Skype: jamie.thomas5670 | Twitter: @Regenstrief
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Confidentiality Notice: The contents of this message and any files transmitted with it may contain confidential and/or privileged information and are intended solely for the use of the named addressee(s). Additionally, the information contained herein may have been disclosed to you from medical records with confidentiality protected by federal and state laws. Federal regulations and State laws prohibit you from making further disclosure of such information without the specific written consent of the person to whom the information pertains or as otherwise permitted by such regulations. A general authorization for the release of medical or other information is not sufficient for this purpose.
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From: "ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>" <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>> on behalf of "Fourie, Carl" <cfourie@path.org <mailto:cfourie@path.org>>
Date: Wednesday, June 12, 2019 at 3:21 AM
To: "jennifer.e.shivers@gmail.com <mailto:jennifer.e.shivers@gmail.com>" <jennifer.e.shivers@gmail.com <mailto:jennifer.e.shivers@gmail.com>>, "litlfred@ibiblio.org <mailto:litlfred@ibiblio.org>" <litlfred@ibiblio.org <mailto:litlfred@ibiblio.org>>
Cc: Derek Ritz <derek.ritz@ecgroupinc.com <mailto:derek.ritz@ecgroupinc.com>>, Daniel Futerman <daniel.futerman@jembi.org <mailto:daniel.futerman@jembi.org>>, Ryan Crichton <ryan.crichton@jembi.org <mailto:ryan.crichton@jembi.org>>, Jack Bowie <jack.bowie@gmail.com <mailto:jack.bowie@gmail.com>>, "ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>" <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>>
Subject: Re: (REVIEW & VOTE) 2019 Architecture Diagram
HI Jennifer,
We are bringing this to light (all be it a little slowly) so I heed the comments here and I think we will need to know where things are going to plug in – but in short I don’t think we have a “diagram” that we “just haven’t sent in for approval yet” and we still need to build it. We are working on roadmap tomorrow and will add this to the conversation – I don’t think we need to hold on us for now. Once we have the “pattern” for OpenHIE we can easily do an interim update would be my option.
Cheers
Carl Fourie
Senior Technical Advisor
Cape Town | South Africa
tel / whatsapp: +27.71.540.4477
skype: carl.fourie17
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From: OHIE list <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>> on behalf of Jennifer Shivers <jennifer.e.shivers@gmail.com <mailto:jennifer.e.shivers@gmail.com>>
Date: Tuesday, 11 June 2019 at 20:53
To: Frederick Leitner <litlfred@ibiblio.org <mailto:litlfred@ibiblio.org>>
Cc: Derek Ritz <derek.ritz@ecgroupinc.com <mailto:derek.ritz@ecgroupinc.com>>, Daniel Futerman <daniel.futerman@jembi.org <mailto:daniel.futerman@jembi.org>>, Ryan Crichton <ryan.crichton@jembi.org <mailto:ryan.crichton@jembi.org>>, Jack Bowie <jack.bowie@gmail.com <mailto:jack.bowie@gmail.com>>, OHIE list <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>>
Subject: Re: (REVIEW & VOTE) 2019 Architecture Diagram
Carl,
Is the insurance team working on what they need from an architecture perspective?
Jennifer
On Jun 11, 2019, at 2:48 PM, Carl Leitner <litlfred@gmail.com <mailto:litlfred@gmail.com>> wrote:
Hi all,
I must admit to be slightly confused as to the "doing one at a time" vs "all at once." In the first diagram, we have an SHR, an HMIS and an LMIS in the set of components, and then have things like a PR in the metadata registries. Are we saying that health financing will be added into the main diagram or we will generate a new diagram for it specifically?
Also noting that the HMIS may also need some other components that are not reflected here such as an indicator registry (flagging for @James K) or a perhaps more broadly a knowledge repository:
Capabilitystatement-knowledge-repository - FHIR v5.0.0
Knowing that decisions on what's needed for each community may yet need to be done, I had thought we were first creating the framework for the diagrams for each business domain.
Cheers,
-carl
On Tue, Jun 11, 2019, 12:21 Derek Ritz <derek.ritz@ecgroupinc.com <mailto:derek.ritz@ecgroupinc.com>> wrote:
Thanks, Jennifer. Yes, I remember those calls. I also know that there is a huge overlap with the insurance registries and repositories and our existing care-focused HIE assets (please see below).
I didn’t realize our strategy was to do each one as a separate iteration. Thanks for clarifying that.
I still favour some diagrammatic approach that will illustrate the “loose-coupling” of separate domains to our HIE. I’m sorry to have missed yesterday’s call. Did that idea come up, at all? It certainly has been an aspect of discussion during our SCM community calls.
Warmest regards,
Derek
Derek Ritz, P.Eng, CPHIMS-CA
ecGroup Inc.
+1 (905) 515-0045
This communication is intended only for the party to whom it is addressed, and may contain information which is privileged or confidential. Any other delivery, distribution, copying or disclosure is strictly prohibited and is not a waiver of privilege or confidentiality.
From: Jennifer Shivers <jennifer.e.shivers@gmail.com <mailto:jennifer.e.shivers@gmail.com>>
Sent: June 11, 2019 11:17 AM
To: Derek Ritz <derek.ritz@ecgroupinc.com <mailto:derek.ritz@ecgroupinc.com>>
Cc: Daniel Futerman <daniel.futerman@jembi.org <mailto:daniel.futerman@jembi.org>>; Ryan Crichton <ryan.crichton@jembi.org <mailto:ryan.crichton@jembi.org>>; Jack Bowie <jack.bowie@gmail.com <mailto:jack.bowie@gmail.com>>; OpenHIE Architecture <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>>
Subject: Re: (REVIEW & VOTE) 2019 Architecture Diagram
Derek,
We spent at least one or two calls adding the supply chain icons to the diagram. The insurance community has not yet discussed architecture diagram changes. We will add theirs when they are ready.
Jennifer
On Jun 11, 2019, at 11:08 AM, Derek Ritz <derek.ritz@ecgroupinc.com <mailto:derek.ritz@ecgroupinc.com>> wrote:
I agree that we should be clear about what the boxes/groupings represent and consistent in the labeling. I also am surprised to see logistics explicitly referenced but health financing notably missing. Regarding this point, I would very much like to see some indication in our diagram that there are complementary domains that are “loosely coupled” to an HIE rather than appearing to indicate that these domains are “part of” an HIE. I’m not sure how we illustrate this… but I do think it is, conceptually, a very important message for us to clearly convey.
Derek Ritz, P.Eng, CPHIMS-CA
ecGroup Inc.
+1 (905) 515-0045
This communication is intended only for the party to whom it is addressed, and may contain information which is privileged or confidential. Any other delivery, distribution, copying or disclosure is strictly prohibited and is not a waiver of privilege or confidentiality.
From: ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com> <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>> On Behalf Of Daniel Futerman
Sent: June 11, 2019 6:06 AM
To: Ryan Crichton <ryan.crichton@jembi.org <mailto:ryan.crichton@jembi.org>>
Cc: Jack Bowie <jack.bowie@gmail.com <mailto:jack.bowie@gmail.com>>; OpenHIE Architecture <ohie-architecture@googlegroups.com <mailto:ohie-architecture@googlegroups.com>>
Subject: Re: (REVIEW & VOTE) 2019 Architecture Diagram
In previous discussions, those two boxed sections were labelled as 'Metadata Services' and 'Business Domain Services' (see here <2019 Architecture Diagram - icons - Google Slides) - I think it's worth labelling them in the diagram for clarity.
Has there been consensus on how to scale out the Component Layer systems? It seems we're promoting a single row, rather than stacking these vertically into several rows (presumably to avoid misperceptions of hierarchy). I don't see an issue with this in the current diagram, but wonder if it's practical as new systems are added to the diagram (e.g. health financing).
There was also discussion on decoupling labels and icons, to allow for a choice on whether to use acronyms/abbreviations. We may still need a 'default' diagram though - my vote is for the default to avoid acronyms and spell things out (and to be consistent e.g. the diagram uses HEALTH MGMT INFO SYSTEMat the top but then HMIS System at the bottom).
Otherwise I think the diagram does a great job of incorporating the changes discussed in the ARB meetings - I provisionally 'Agree' but would like to resolve/clarify these points.
Regards,
Daniel.
Daniel Futerman
Technical Program Manager
daniel.futerman@jembi.org <mailto:daniel@jembi.org>
Cell: +27 83 603 5424 <tel:++27+83+603+5424>
Skype: daniel.futerman
Jembi Health Systems | Johannesburg
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On Tue, Jun 11, 2019 at 10:55 AM Ryan Crichton <ryan.crichton@jembi.org <mailto:ryan.crichton@jembi.org>> wrote:
Hi,
Before I can agree or disagree, I see that the components are split up into two boxed sections. It's not clear why this is the case. We may need some more commentary around that.
Cheers,
Ryan
On Tue, Jun 11, 2019 at 2:53 AM Jack Bowie <jack.bowie@gmail.com <mailto:jack.bowie@gmail.com>> wrote:
Looks good, but 'ILR' does stick out as the only primary element described with an acronym in the diagram.
Jack
On Monday, June 10, 2019 at 12:49:00 PM UTC-4, Jamie Thomas wrote:
Hi All,
As a follow up from this morning’s OHIE architecture call I’ve attached the finalized draft 2019 OHIE architecture diagram. I would ask members of the Architecture Review Board <Log In - OpenHIE Wiki; take a look at this version and simply reply to this email as to whether they ‘Agree’ or ‘Disagree’ with the diagram. If anyone disagrees with what they see or do not see please provide some reasoning around why.
Please provide your response by EOD Wednesday at which time I will tally responses.
Jamie Thomas | Community Manager
Center for Biomedical Informatics
1101 West Tenth Street
Indianapolis, IN 46202
Tel 317-274-9218 | Fax 317-274-9305
Email: jt48@regenstrief.org <mailto:jt48@regenstrief.org> | Skype: jamie.thomas5670 | Twitter: @Regenstrief
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