Hi, As a GP with 20 years of experience in the Netherlands I learned that free text plus a not to complicated set of codes (ICPC) is sufficient for daily practice. We could generate automatic advice for medication based on complaints or diagnosis.
ICPC contains roughly 2000 complaints, diagnoses and procedures. It will cover 80% of every thing a GP will encounter during the day. The provision of medicine is an art. The registration of all medical (and other) relevant facts and findings is retelling the story of the pati?nt. It is a narritive process. Have we ever seen a piece of literature completely written in complex codes? The study of Archetypes (see the OpenEHR website) will reveal that Archetypes plus free text plus codes will enable future physicians a lot of flexibility and expressive power. Much of the flexibility will depend on the ontology (medical knowledge and knwoledge of the world) behind the scenes. And bye the way. In the R&D facility where I work we have a very powerfull tool for analysis of free text. Recently a lot of progress has been been at this. If the free text is 'enriched' with Archetypes this process of meaningfull data extraction will become much more easy. Gerard Freriks -- Gerard Freriks, MD Convenor CEN/TC251 WG1 TNO-PG Zernikedreef 9 Leiden The Netherlands +31 71 5181388 +31 654 792800 -- <private> -- Gerard Freriks, arts Huigsloterdijk 378 2158 LR Buitenkaag The Netherlands +31 252 544896 +31 654 792800 > From: "Christopher Feahr" <chris at optiserv.com> > Organization: Optiserv Consulting > Reply-To: "Christopher Feahr" <chris at optiserv.com> > Date: Mon, 11 Aug 2003 07:32:52 -0700 > To: "Thomas Clark" <lakewood at copper.net> > Cc: "Karsten Hilbert" <Karsten.Hilbert at gmx.net>, > <openehr-technical at openehr.org> > Subject: Re: HISTORY DATA SET IN EPR > > Presently, each doctor and EMR software vendor is cooking up his own > shorthand-language, and I'm suggesting that information should be > reduced as much as possible to a standard set of codes. - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
