[EMAIL PROTECTED] wrote: > Hi Horst, in writing my answer to you last night I have been thinking about > some of these problems through the night so hopefully this answer helps. > May I shift the metaphorical description or modelling of what we are trying > to do away from your representation first. > We think of the the "patient record" as being a "patient story" because > "records" are for structured (typically relational) storage. For us each > episode in the story is a form that is completed by someone (anyone, even > the patient). The repository then has to collate the story from the > episodes and re-present it to any enquirer when asked- that is the > retreival aspect and we call those retrievals of "passive" episodes/forms. > However there is another type of episode which we call "active" which is a > derived or computed or analytical form and these can be either > automatically generated (as needed in an ED) or manually created as needed > by an analytical enquiry ( which importantly is not a retreival enquiry). > What you are now proposing is that we need a variant of the analytical > page which I will call a "compilated" page, that is a page that has > defined in it information from passive pages that are a compilation of > content from those pages. So the compilation page needs a function to > refer to content on other passive pages but also to accept conditions to > that content such as "most recent value" and even a floating cursor that > would show you a list of the last x number of values. Thanks for pressing > us on that issue.
I suggested to Jon a few weeks ago that a skill which every medical student and intern quickly learns is how to take the masses of detail and data points about each patient and distil that into a 15 second summary of only the situationally relevant information for the ward round (maybe a 1 minute summary if it is the first time the patient is being seen by the honorary). Computers are great at storing and regurgitating the masses of information, but are currently hopeless at working out which bits of all that information are relevant in a particular situation or point in time. Teaching computers to do that is a deep problem, but one which needs to be tackled. Tim C _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
