They (the clinical models in HL7 v3 R-MIM format) are all part of extensive clinician input and review, sorry clinicians do understand the modeling in HL7 space, but indeed like any other modeling effort, need some education first. Statements that this HL7 clinical content modeling is done without clinicians input is simply a lie. Comments that clinicians are unable to read and understand and critique UML and/or HL7 RIM based class models is not consistent with my 8 year + experience with a dozen of national projects in the Netherlands.
There are several papers out there explaining how clinicians where involved and reviewing content and leading the input. Bridging the HL7 template - 13606 archetype gap with detailed clinical models.Goossen WT, Goossen-Baremans A.Stud Health Technol Inform. 2010;160(Pt 2):932-6.PMID: 20841821 [PubMed - in process]Related citations 2. Sending electronic nursing discharge messages using the HL7 v3 Care Provision standard.Goossen W.Stud Health Technol Inform. 2009;146:269-75.PMID: 19592847 [PubMed - indexed for MEDLINE]Related citations 3. Using detailed clinical models to bridge the gap between clinicians and HIT.Goossen WT.Stud Health Technol Inform. 2008;141:3-10. Using SNOMED CT codes for coding information in electronic health records for stroke patients.van der Kooij J, Goossen WT, Goossen-Baremans AT, de Jong-Fintelman M, van Beek L.Stud Health Technol Inform. 2006;124:815-23.PMID: 17108614 [PubMed - indexed for MEDLINE]Related citations 8. Evaluation of documents that integrate knowledge, terminology and information models.van der Kooij J, Goossen WT, Goossen-Baremans AT, Plaisier N.Stud Health Technol Inform. 2006;122:519-22.PMID: 17102312 [PubMed - indexed for MEDLINE]Related citations 9. Intelligent semantic interoperability: Integrating knowledge, terminology and information models to support stroke care.Goossen WT.Stud Health Technol Inform. 2006;122:435-9. 18. Development of a provisional domain model for the nursing process for use within the Health Level 7 reference information model.Goossen WT, Ozbolt JG, Coenen A, Park HA, Mead C, Ehnfors M, Marin HF.J Am Med Inform Assoc. 2004 May-Jun;11(3):186-94. Epub 2004 Feb 5.PMID: 14764610 [PubMed - indexed for MEDLINE]Free PMC ArticleFree textRelated citations 19. Electronic patient records: domain message information model perinatology. Goossen WT, Jonker MJ, Heitmann KU, Jongeneel-de Haas IC, de Jong T, van der Slikke JW, Kabbes BL.Int J Med Inform. 2003 Jul;70(2-3):265-76. 21. Modeling nursing care in health level 7 reference information model. Helleman J, Goossen WT.Comput Inform Nurs. 2003 Jan-Feb;21(1):37-45. Electronic patient records: Dutch domain information model perinatology. Goossen WT, Jonker M, Kabbes BL.Stud Health Technol Inform. 2002;90:366-70. Model once, use multiple times: reusing HL7 domain models from one domain to the other.Goossen W.Stud Health Technol Inform. 2004;107(Pt 1):366-70. Met vriendelijke groet, Results 4 Care b.v. dr. William TF Goossen directeur De Stinse 15 3823 VM Amersfoort email: wgoossen at results4care.nl telefoon +31 (0)654614458 fax +31 (0)33 2570169 Kamer van Koophandel nummer: 32133713 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20101109/e07be76b/attachment.html>
