Hi, Reply in text. ----- Original Message ----- From: "Karsten Hilbert" <[email protected]> To: <openehr-technical at openehr.org> Sent: Sunday, August 10, 2003 4:55 AM Subject: Re: HISTORY DATA SET IN EPR
> > The concept of modelling the symptoms in a genric manner manner and have > > these called up whenever there is a need to record the details. > I am not sure I fully understand what you want to say. What do > you mean by "modelling the symptoms" ? > You must have seen my mail which addresses of what I had in mind. Any comments??? > Symptoms could be recorded as free text. This approach you > describe as inadequate. It *is* inadequate if the goal is to > process the input computationally. The solution is not, > however, to use (inadequate) coding systems as is discussed in > Slee, Slee, Schmidt, "The Endangered Medical Record" (excerpt > available from http://www.tringa.com ). The context on which I have used the word inadequate is from the computational angle and also from the clinical compliance angle. In developing countries the clinician is pressured and the recording may be inadequate if it is left to free text. Doctors are not good at recording in free text on a systems (not to be read as something against clinician but is a general comment). > > Another approach would be to really *model* symptoms based on > openEHR archetypes. This promises to offer some degree of > computationality yet preserve the free text. Others in this > list have more experience with that. > The clinical algoritms that a clinician uses can be defined and the data set to meet the needs of these algoritms can be built in. Free text can also be present ot take care of the exceptions not considered in the algoritms. > Data-mining, however, shouldn't be the aim of an EMR. It > should be focussed on patient care. Data-mining will occur > with aggregates of extracts *from* EMRs. > Data is collected in an EMR and should be amenable to analysis form the point of view of Epidiomologicla analysis. Here the data is depersonalized and should be used. Currently the data is being used in clinical studies is from the paper record why restrict this critical function when it comes to an EMR? > Karsten Hilbert, MD > -- > GPG key ID E4071346 @ wwwkeys.pgp.net > E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346 > - > If you have any questions about using this list, > please send a message to d.lloyd at openehr.org > - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
