Hello, I am completely okay with T Baele. We have in France a comparable debate with the DMP project (Personal Medical record). The physician needs information under shape of documents.He/it wants them quickly and sure being that the content is reliable to be able to take a decision or to prescribe a treatment. For he/it is asked to the physician to be the supplier of data to put medicine in a system of information for decision-makers, payers or political. It is another probl?me.....
Dr R LONJON france Selon Thomas Beale <Thomas.Beale at oceaninformatics.biz>: > Williamtfgoossen at cs.com wrote: > > > > > > 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. > Hi William, > > the workflow aspects of the above need workflow languages and service > models to support multi-enterprise choreography. There are guideline and > workflow languages (not provided by HL7 or openEHR), and the beginnings > of models for choreography coming from WfMC and other places. I can't > think of much HL7 provides in this area. But the main question with > respect to workflow is: what needs to be automated? Humans are far > better at performing real-world tasks than machines, due to their > ability to handle exceptional cases. Mostly what we need to solve right > now is: > - clinical content > - simple workflow around medication prescription and management > - some basic workflow around admission, discharge, referral > > Other workflows are wonderful problems for computer science theses, but > mostly are done better and more economically by human beings at the > moment. If we just get clinical content solved, that will be a huge step. > > > > Perhaps we need to work more from the clincial perspective and > > determine the requirements and from there to the technical bits. > exactly... > > - thomas > > > _______________________________________________ > openEHR-technical mailing list > openEHR-technical at openehr.org > http://www.chime.ucl.ac.uk/mailman/listinfo/openehr-technical > --
