Excellent observations!!!

Carol

El 25-06-2018, a las 07:30, Bert Verhees <bert.verh...@rosa.nl> escribió:

On 25-06-18 12:44, Anastasiou A. wrote:
The time scales for doing this would be enormous. We can probably work out a 
lower limit by looking at the lifecycle of archetypes
in the current CKM.

Thanks, for your answer, I agree with you and others, and already wrote that, 
that an EHR will not be good enough for machine learning.

I was too optimistic and to much impressed by some results of machine learning. 
It will do very good things in healthcare, but only on very specific cases.

But while writing this

What would be good, however, an improvement. I suggested to my wife (a GP), and 
she agreed (partly)

Classic EHR software only has few datapoints on a screen, and many 
particularities come into free text, and if the GP is really motivated, maybe 
he finds some ICPC code.

Archetypes do not really change this practice. A GP is a busy person.

What could help is modularity. A GP should be able to add datapoints to his 
screen. For example, beside all the normal things, the GP sees that there are 
red eyes, but how can he make this available to the system in a way that it can 
be found back?

What about micro-archetypes which describe only one datapoint? And the GP 
should be able to invoke them by voice. He says "red eyes" and magic happens, 
there is a datapoint on the screen which offers a possibility to click on a 
checkbox. Eventually a choice, A bit red, medium red, very red.

This kind of software does not have to be something for the far future, but can 
be available already now.

Also thanks to machine learning, a limited form of NLP (natural language 
expression (machine learning helping with NLP) can be used, and that was my 
idea of generating archetypes, last Saturday. A computer could, in some cases 
of simple datapoints, also even generate micro-archetypes for them, and with 
templates or container-archetypes, generate evaluation-archetypes

Maybe, when it is so easy to create datapoints, and store them, maybe then 
machine learning in diagnostic can come closer, also in some cases for a GP, or 
machine learning can do suggestion: look to the tongue of the patient, but the 
fact remains, a good GP needs experience for diagnotics.

Bert


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