Dear All, When dreaming about future Medical ICT systems with decision assistance on the fly (Star Trek Syle!) I had the idea of including some PUBMED pointers/references (PMID) directly inside archetypes. The reason is simple; the simplest decision assistance (by the way my thesis advisor has warned me that this is the new buzzword replacing Decision Support :)) is providing users with recent and relevant publised papers about a particular subject...I am not even mentioning about guidelines and Evidence Based Medicine (EBM) repositories...Since in the past (and for most of the so called scientific community still valid) papers published in indexed/refereed journals were the ultimate sources of knowledge, this might be extremely useful for context dependent and seamless linking of clinical information systems which makes use of these archetypes to good-and-old knowledge sources. This I believe is also an important step in making EBM reality...
What I propose is to create another optional section in ADL documents like ONTOLOGY and put this information; probably in addition to PMIDs, other metadata like original language of the paper, MEDLINE style information about publishment such as names of authors, title, year and etc. This is the kind of functionality which I am planning to incorporate in future versions of my endoscopic information system as part of my Ph.D. work...Right now I can indirectly achieve this functionality by incorporating UMLS CIDs which are internally linked with MESH keywords used for indexing of all biomedical papers and doing a lot of querries to UMLS Knowledge Sources... This approach might attract more interest from the scientific community onto openEHR work and maybe increase the quality of archetypes...And probably more industries like publishing will provide support in us... Any comments??? -koray - If you have any questions about using this list, please send a message to d.lloyd at openehr.org

