Peer Review of Clinical Information Models: A Web 2.0 Crowdsourced Approach.

Area of Science:

• Health Informatics
• Clinical Informatics
• Information Governance

Background:

• The openEHR Clinical Model program has focused on developing a Web 2.0 approach and tooling over eight years.
• This initiative supports the development, review, and governance of atomic clinical information models, known as archetypes.

Purpose of the Study:

• To describe the background and review process of the openEHR Clinical Model program.
• To provide a practical example of cross-standards organization collaboration for clinical content.
• To demonstrate semantic alignment across different implementation formalisms.

Main Methods:

• Utilized a Web 2.0 approach and tooling for archetype development and governance.
• Facilitated cross-standards organization collaboration to achieve jointly agreed clinical content.
• Represented agreed clinical content in different implementation formalisms.

Main Results:

• Successfully demonstrated a practical example of collaboration resulting in semantically aligned clinical content.
• Achieved semantic alignment for clinical information models represented in diverse implementation formalisms.
• Showcased the governance of atomic clinical information models within a collaborative online community.

Conclusions:

• Highlighted socio-technical benefits and challenges in governing atomic clinical information models globally.
• Emphasized the importance of collaborative online communities for clinical informatics.
• Underscored the success of the openEHR approach in achieving semantic interoperability.