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OpenClinical: Open Source?

OpenClinical: Open Source?. John Fox University of Oxford (Engineering Science) UCL (Oncology, Royal Free Hospital) www.cossac.org. www.OpenClinical. org.

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OpenClinical: Open Source?

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  1. OpenClinical: Open Source? John Fox University of Oxford (Engineering Science) UCL (Oncology, Royal Free Hospital) www.cossac.org

  2. www.OpenClinical.org • Goal: To promote awareness and use of decision support, clinical workflow and other knowledge management technologies for improving quality and safety of patient care and clinical research. • A resource and portal for technologists, clinicians, healthcare providers and suppliers • Currently about 200,000 visitors a year (80% growth in 2010)

  3. wwwOpenClinical.net • Experimental project to explore how to develop content for high quality clinical decision support and workflow services at the point of care • Goal is to build a community of users, researchers and content providers who are willing to contribute to the development of a repository of open content, including applications and application components

  4. OpenClinical.net test sitepro tem: modx.openclinical.net

  5. Content development lifecycle • Prototype development model for open source content repository on www.OpenClinical.net • Currently limited to PROforma decision and process modelling language • Intended to eventually multiple representations (e.g. GLIF, ASBRU, GELLO, OWL ...)

  6. Load from, save to repository

  7. Download tools www.cossac.org/tallis

  8. Web publishing (“publets”)

  9. Integrate and Deploy

  10. Key questions for open content • Quality and Safety • Quality lifecycles, safety culture, who is liable? • Reusability and interoperability • Open technical standards, who is developing them? • Functioning community (Sheizaf Rafaelli) • What will sustain the open source ethic? • Facilitating infrastructure (Bob Greenes) • Three organisations; too little? too much? • Sustainable business models • How do the proprietary/open source worlds coexist?

  11. Sustainable business models (1) • Traditional standalone apps? • Issues of integration and localisation • Likes fragmentation; hates interoperability • Pay per patient (analogous to pay per view) • Who would/should actually pay? • No-one pays for Adjuvant! Online

  12. Sustainable business models (2) • Standard medical publishing model • Commercially viable on a publishing model? (Clinical Evidence) • Discussion on www.berkerynoyes.com/ pages/innovations_in_evidence_based_medicine.aspx • Open Source with value-adding services? (c.f. Linux model) • Attractive model but how can we achieve critical mass of a content development community?

  13. Towards an open content lifecycle? Ioannis Chronakis Vivek Patkar Richard Thomson Matt South Ali Rahmanzadeh

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