In een bericht met de datum 15-9-2006 22:21:23 West-Europa (zomertijd), schrijft gfrer at luna.nl:
snip snip: > > > I agree. > There is only one patient, with one problem that needs our unified > attention and devotion. > So we have to co-operate. > But we have to continue to discuss and provide arguments and listen to the > arguments given. > Instead of attacking persons, as I have been able to observe several times > it to happen in the Netherlands. > > > Lets start the real debate. > Patients and healthcare providers need real solutions that empower them. > > > Gerard > I agree with several comments on HL7 v3, there are solutions for that underway. I agree that CEN 13606 / Open EHR and HL7 v3 have their advantages and disadvantages. I agree that we can work together I agree that there is a lot to be done I agree that both approaches have led to implementations and also to the determination of problems in the technological approach. I disagree that we should discuss this from a view point of superiority of one approach against the other. That is the WW 1 approach. That WW1 'for or against' approach will not lead to working solutions. My comments are based on believing that your points 1-6 are sensible to discuss and find solutions. Your comment 7 is not useful and I would suggest you to refrain from the pro - con discussion. For the one patient with always more problems (there is no situation in health care where a patient has only one problem, he might have one disease, but that will always have more than one interelated problems) that need our dispersed attention to tackle this in a holistic way. So the 'standard' approach is: one patient with one or more diseases and none to many associated problems / complaints and none to many associated nursing diagnoses / allied health problems and one to many activities for the disease (s) and one to many activities for the associated problems (the minimum, so always one has to be there is to monitor the onset of a potential problem) and one to many activities for the associated nursing diagnoses / allied health problems. Definitely this is is with respect to workflow a difficult non-linear process of care delivery and of changes of the disease(s) and the different problem situations. Thus we need to be able to have a system that can track what these changes are, and what the status of this set of mixed activities is. We must also be able to exchange this in the multitude of systems available in health care that will last for several decades. I am pretty sure that I can deal with these complex situations in HL7 v3 speak. I have not seen examples of these complex care situations in 13606 speak since that is missing examples from health care with this respect. Perhaps we need to work more from the clincial perspective and determine the requirements and from there to the technical bits. William -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20060917/1224b874/attachment.html>
