Thanks Tony. I have always tried to be open to the best solutions to my
problems. Frequently it is a combination of resources. Of course, we also
have a lot of local debbates and discussions.
W. Ed Hammond, Ph.D.
Director, Duke Center for Health Informatics
Tony Shannon
<tony.shannon at nhs
.net> To
Sent by: For openEHR clinical discussions
openehr-technical <openehr-clinical at openehr.org>
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<openehr-technical at openehr.org>
Subject
06/28/2010 08:39 Re: Decision Support Providers
AM
Please respond to
For openEHR
technical
discussions
<openehr-technica
l at openehr.org>
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
>
>
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--
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
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