Thanks Ian, Glad to see Tom and Ed's debate on this in the technical list.
Ed, Sounds like your taking a "support the frontline/bottom-up innovation" approach to solve Dukes Informatics Challenges, which I think is a critical element needed for success here.. While I instinctively share Ian and Toms view that openEHR will offer a more agile approach to scaling and maintaining the clinical content management in the long term.... openEHR needs to have more working examples of effective decision support in the action within the ecosystem to prove that point... Time will tell what the right level of granularity is needed for archetypes/compound data types. Any lessons from the Duke frontline that you can share with us on that issue would be valuable I'm sure.. Kind regards, Tony Dr. Tony Shannon Consultant in Emergency Medicine, Leeds Teaching Hospitals Clinical Lead for Informatics, Leeds Teaching Hospitals Chair, Clinical Review Board, openEHR Foundation +44.789.988 5068 tony.shannon at nhs.net Ian McNicoll wrote: > There is 'Virtual EMR' project going on in HL7 do to exactly this sort > of work i.e a relatively simple interface/ service against which > decision support cab operate consistently - > http://wiki.hl7.org/index.php?title=Virtual_Medical_Record_(vMR) > > The big problem they will face, as ever, is defining the detailed > clinical content in a manageable and scalable fashion. > > I think the openEHR approach to content definition has definite advantages. > > Ian > > Dr Ian McNicoll > office / fax +44(0)141 560 4657 > mobile +44 (0)775 209 7859 > skype ianmcnicoll > ian.mcnicoll at oceaninformatics.com <mailto:ian.mcnicoll at > oceaninformatics.com> > ian at mcmi.co.uk <mailto:ian at mcmi.co.uk> > > Clinical Analyst Ocean Informatics openEHR Archetype Editorial Group > Member BCS Primary Health Care SG Group www.phcsg.org > <http://www.phcsg.org> / BCS Health Scotland > > > > On 25 June 2010 16:24, Shannon Tony (Leeds Teaching Hospitals NHS Trust) > <tony.shannon at nhs.net <mailto:tony.shannon at nhs.net>> wrote: > > FYI.. > > A thought provoking post from John Halamka on decision support > providers as service. > > http://geekdoctor.blogspot.com/2010/06/decision-support-service-providers.html > Some of you might have complementary/alternative views as to how > this might work within an openEHR enabled landscape... > > Rong > Would you like to comment? > Your recent work covered some of this key territory.. > > Regards, > > Tony > > > ******************************************************************************************************************** > > This message may contain confidential information. If you are not > the intended recipient please inform the > sender that you have received the message in error before deleting it. > Please do not disclose, copy or distribute information in this > e-mail or take any action in reliance on its contents: > to do so is strictly prohibited and may be unlawful. > > Thank you for your co-operation. > > NHSmail is the secure email and directory service available for all > NHS staff in England and Scotland > NHSmail is approved for exchanging patient data and other sensitive > information with NHSmail and GSI recipients > NHSmail provides an email address for your career in the NHS and can > be accessed anywhere > For more information and to find out how you can switch, visit > www.connectingforhealth.nhs.uk/nhsmail > <http://www.connectingforhealth.nhs.uk/nhsmail> > > > ******************************************************************************************************************** > > > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org <mailto:openEHR-clinical at openehr.org> > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical > > -- Dr. Tony Shannon Consultant in Emergency Medicine, Leeds Teaching Hospitals Clinical Lead for Informatics, Leeds Teaching Hospitals Chair, Clinical Review Board, openEHR Foundation +44.789.988 5068 tony.shannon at nhs.net ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSI recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail ********************************************************************************************************************
