Andre Duszynski wrote:
> Hi Andrew,
>
> Interesting development regarding GELLO; is it not however dependent on
> the clinical concepts being appropriately defined and constructed? Are
> we (Aust HI) there yet?
GELLO talks to a "Virtual Electronic Medical Record" or vEMR and thats
an interface to a software application. The vEMR is based on the HL7 V3
model and we can take HL7 V2 data and build a vEMR around it so GELLO
can talk to that interface. This is easy with Lab data but we are going
to need Archetypes to do it with clinical data and thats a project we
have been working on within Standards Australia and an ITOL project.
A standard for a vEMR interface is whats needed and there was some talk
of that at recent HL7 meeting in Cologne. The HL7 V3 Model is the basis
of it however. Its not really "Standard" enough yet however. We build a
vEMR from the raw HL7 data. If we have the raw HL7 data we can build the
Model.
eg. this is what GELLO looks like when used to evaluate if someones
Neutrophil count is in the right range for trial eligibility. It talks
to "Observation" which is a collection of patient observations.
------------------------------------------------------
let AQuestion = "neutrophils < 1.5x10^9/l"
let neutrophils_code = factory.codedvalue('751-8','LN')
let neutrophils_threshold = factory.physicalquantity(1.5,'10^9/L')
let neutrophils_obs = observation->select(code =
neutrophils_code)->sortby(absolutetime)->last()
if neutrophils_obs.isdefined() then
let neutrophils_ok:boolean = neutrophils_obs.value < neutrophils_threshold
if neutrophils_ok then
conclude factory.GLIFDecisionResult(AQuestion,true,"neutrophils ok",50)
else
conclude factory.GLIFDecisionResult(AQuestion,false,"neutrophils too
high: " + neutrophils_obs.get_display_string(true),50)
endif
else
conclude factory.GLIFDecisionResult(AQuestion,unknown,"no observation
data",50)
endif
-----------------------------------------------------------------------
>
> Additionally within the use context of GELLO above, are you middleware
> mapping between MIRTH and other clinical software packages?
Not quite sure what u mean, we can interoperate with mirth using eg
Lower level protocol or SMTP.
Andrew
>
> Curious!!
>
> Andre.
>
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