Weekly Open-Source EHR - Architecture Work Group (AWG)

Weekly Open-Source EHR - Architecture Work Group (AWG)

20December 2011 OSEHRA AWG AGENDA-Minutes

Weekly Open-Source EHR - Architecture Work Group (AWG) Telecom

DATE & TIME: Every Tuesday 4:00 pm ET WebEx:

PHONE: +1-408-600-3600 Access code: 629 453 409 or use VOIP

DOCUMENTS at:

DISCUSSION at:

WIKI at:

HTML SYSTEM ARCHITECTURE at: … can be viewed with a web browser.

VISUAL CROSS-REFERENCE of PACKAGES/ROUTINES/GLOBALS at:

REQUESTED ACTIONS:

  • Joining OSEHRA is free; please join at
  • To receive AWG e-mail, join the OSEHRA AWG at:
  • Add your comments and suggestions-for-improvement to the AWG discussion forum or Wiki.

AWG PLAN OF ACTIONS & MILESTONES

  • 17 Sep 2011Initial 2011 System Architecture baseline
  • 06 Dec 2011
  • validated 2011 System Architecture baseline
  • Product Baseline and Roadmap approach
  • Initial iEHR Software Development Kit (SDK)
  • DRAFT iEHRServices Platform (ESP) Conceptual Architecture
  • DRAFT iEHRServices Platform (ESP) Implementation Guide
  • 17 Mar 2012“strawman” Product Definition and Roadmap
  • 17 Jun 2011“ironman” Production Definition and Roadmap.
  • 01 Oct 2012Product definition & certification for all 128 hospitals

AGENDA/MINUTES

(Related slides & spread sheets are posted at the “Documents” link given above)

  1. Start: Introductions and Roll Call
  2. Minutes: Approve last week’s minutes and review/update this week’s agenda
  3. Action Items: review open action items
  4. Discussion: (slides at:
  5. “Open Source EHR Re-factoring Services”slides by AfsinUstundag, Ray Group International,
  6. “Release Architecture Discussion” slides provided by Dr. Paul Tibbits

Roger Baker, VA CIO on Refactoring

We have heard conflicting statements from Roger Baker on refactoring and reuse of legacy VistA code.

  • “Our goals are to bring in as many private sector modulesas possible and selecting the same thing to run between VA and DOD so that we end up with a single, common electronic health record system,” Roger Baker, VA CIO said in March.
  • "The key phrase is single common electronic health system. It'stwo large systems, and... the intention is to get to a point where there is a single repositoryfor all the data related to an individual' s medical record whether generated in DoD or VA, and I might add through the nationwide health information network." Roger Baker, VA CIO said in July.
  • “OSEHRA now is involved in the analysis of the refactoring orrestructuring of VistAinto something that is more easily modified by private sector organizations. That analysis will be posted in the open source community for comment before we move forward based on it.” Roger Baker, VA CIO said in November.

As a result, we are conflicted on where to invest our energies. 1) refactoring of legacy or integration of new iEHR modules. In either case we need to integrate with the Enterprise Service Bus and iEHR data store.

Your thoughts?

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