Hi Nigel,
I'm unclear as to the nature of the approaches taken to harness SNOMED CT
(SCT) in the past as all the literature is decidedly vague. Most articles just
say "we used SNOMED for terminology". Hence it is difficult for me to engage
in your comment 'no one puts up the money". We are setting ourselves the goal
this year of creating an ED system prototype that has an instantly updatable
(SCT) terminology. I hope through that experiment we can shed some light on
the way forward to solve these problmes.
My view is that we have get on top of the problem of the automatic
distribution of SCT to all information systems to make it readily usable. In
some ways that is saying that the terminology is the heart of Health IS, the
rest of the data storage dimension is relatively straight forward. Data
Capture is seriously difficult at some level, as you say we have to deliver
coded data capture of clinical notes at the level of no time-cost - that is
what we are working on. we can't do it be ourselves -that would fail and
justify your overly negative view. we do need your help, especially with the
supply of realistic case notes to test our systems on.
cheers
jon
Date: Mon, 13 Feb 2006 12:07:29 +1000
From: Dr Nigel Brown <[EMAIL PROTECTED]>
> -----Original Message-----
> From: Jon Patrick [mailto:[EMAIL PROTECTED]
> Sent: Monday, 13 February 2006 8:55 AM
> To: General Practice Computing Group Talk
> Subject: [GPCG_TALK] Putting SNOMED to work
>
>
> I think there may be some misconceptions about the difficulty
> of making a
> terminology readily available for routine work. Some comments
> interspersed
> below.
...
> Automatic and semi-automatic methods of data capture at the
> point of care
> should add little if any time cost if the systems are well
> designed.
Jon (apologies for the earlier mis-spell),
This is the proposition that so far has not been demonstrated as
economically do-able. No one puts up the money to develop an automatic
system and semi-automatic ones have not met the 'little if any time cost'
criterion. I look forward to being proved overly negative.
I agree with you later statement:
"> There is a big opportunity for the development of
> home-grown technologies to do this which don't cost a
> bomb, and which
> can be incorporated in next-generation clinical
> information systems or
> retro-fitted to existing ones."
Go for it!
Nigel
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