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NHS Connecting For Health release report on openEHR Clinical Modelling Pilot

• NHS CFH should use archetypes for user interface, messaging and dictionary content requirements definition. There should be no conflicts in content interpretation across NHS specifications for data captured and data shared. A standard approach should raise the quality of shared specifications and also reduce the effort required in defining them on a per project or per programme basis.
  

• Archetypes should be used to define national approaches to SNOMED CT use within the context of clinical record statements
  
• NHS CFH should invest in further elaborating the design technique and extending the current tools to meet NHS technical interoperability and data quality requirements. Any changes indicated to the SNOMED Clinical Terms, HL7 Version 3 and ISO/CEN 13606 standards to better support interoperability should be reported to the appropriate standards developers. The additional NHS-specified design rules and guidelines should be applied to the content models produced within the pilot for revision and further re-use within an emerging national repository.
• NHS CFH and the NHS ISB should define testable ‘success criteria’ for the development of a logical record architecture to inform the ongoing development of archetypes and their design methodology.
• NHS CFH and the NHS ISB should establish an appropriate governance structure for approving content models on a national basis from both the clinical and technical perspectives. This process should include multi-supplier testing of draft content models.
• Central coordination of local and national content model development efforts will be required and should be resourced appropriately. NHS CFH should establish appropriate collaborative processes to facilitate the development of national archetypes that are suitable for re-use across its (and other national) EHR specifications programmes."