On 18/11/2014 03:34, pablo pazos wrote: > Hi all, just re-sending this question on the clinical list too. > > I'm wondering how to handle the link between documents and health > problems in a problem-oriented record. >
I think the future will be that a Care Plan informational construct (note: for US, something very closely related to an 'order set'), partially manually written, partially machine populated with links to relevant items, will be the thing that ties it together. Consider: the proof that something really is considered a 'problem', out of all the non-problems and trivial problems (e.g. one-off throat infection) is that some clinical professional wants to create a care plan, to define ongoing treatment and track interventions (all medications, other interventions etc). A flexible model of a Care Plan (for each major ailment) that allows tying together of such information, and is machine-updated, I think will end up being the main way clinical professionals can interact with the raw data. We can imagine a Care Plan 'service' with an API for add/update/remove items/rules and apps for looking at care plans. Behind the Care Plan(s) in the EHR we still need managed medication list(s) and problem list. I see the latter two as 2nd order informational constructs, and Care Plans as 3rd order constructs. - thomas -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/pipermail/openehr-technical_lists.openehr.org/attachments/20141119/f16c82d9/attachment.html>
