Richard Hosking wrote: > We are treating the patient as the primary focus for the record, which > is logical most of the time. Maybe we should look at other ways ?condition
Yes, ultimately, in almost all cases analysable data needs to be reduced to a flat table (even if on-the-fly during analysis), and a a good analytical capability needs to provide multiple flattened "views" of an EMR or other collection of patient records: person-oriented view with one row per person, an episode of illness view, a diagnosis or case view (one row per "case" eg if a woman is pregnant twice, then she has two pregnancy rows in the analysis data table), a visits view, and services or procedures view , a hospitalisation view, a health professional view. and so on. Some of these views may nee to contain rolled-up or summary data, or may need to accommodate multiple values per field/column. None of the existing reporting or statistical analysis tools make that easy, although some new ones being developed hope to close that gap (stay tuned...). Tim C > Tim Churches wrote: > >> Jon David Patrick wrote: >> >> >>> My motivation for using EMF is to bring into the foreground the range of >>> issues that "electronic" introduces to its management and manipulation. >>> Following this line of argument and Tim's point about images the F >>> should >>> stand for Folder, so EMF is Electronic Medical Folder. >>> >> >> But a folder is a bit of bent cardboard... and X-rays are kept in >> envelopes. >> >> I remain unconvinced that there is anything wrong with the term "medical >> record" or "health record", electronic or otherwise. >> >> >> >>> I can understand Richard's frustration with archetypes and their slow >>> arrival but I don't think that is the result of trying to get at the >>> fundamental aspects of the "system" to be modelled but rather it is an >>> attempt to model a very large volume of detail, so that they are >>> caught in >>> the trees without seeing the forest. >>> >> >> They seem to be developing a system for precisely and formally >> describing the cellular structure of the veins on the back of the leaves >> on the trees in the forest. It is a lengthy process... >> >> >> >> >> >> > _______________________________________________ > Gpcg_talk mailing list > [email protected] > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
