In response to Tony's pondering we are doing soemthing that is related.
Although let me say this is a research project where we are trying to push
the boundaries rather thatn satisfy a specification. It may not be
everyone's cup-of-tea.
We call the project Generative Hospital Information Systems and it has that
name because we consider it is  system to generate special purpose
information systems. Some of its philosophical features are;
1. The users define the the nature of the data they want to collect ( with
the help of a generic data dictionary)
2. The users define the screen layouts and formats for collecting that
data.
3. The patient's information is a story stored in a document repository
rather than a record repository, hence reteival is of a form previously
populated by someone else.
4. The fundamental objective of the system is to support analytics,
everything else comes as an adjunct to that objective. This is justified
on the basis that clinicians purposive use of an IS is to get it to answer
questions as distinct from just retreiving patient hi-stories.

Our first attempt will be to replicate the processes in the ED at a western
sydney hospital. We spent 3months there last summer doing a process
analysis which we now have on a piece of paper covering the better part of
a small wall. If we hit the spot we will have something that at least
performs up to the current EDIS but can do better with functionality for
clinicians, greater flexibilty to re-engineer and  potentially much
superior analytics. We won't have analytics functioning for the first
release.

Code is written in Python and C# (some compromises made). Linux server -
windows client.
jon patrick
USyd



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