Hi Karsten, I agree about episodicity not being particularly an issue with problem orientation. Re randomness I couldn't find the best expression I guess...What I was referring to is the fact that the information captured by today's systems can be quite diverse and that stems not from the differences about data entry, coding etc. but more to do with human factors such as the care setting, qualifications and interest of the health professional capturing information, business rules of the organisation, organisational culture and sometimes pure chance. So if the patient has seen been seen by a nurse, a GP, community worker, specialist etc. they may all have own views of the problems and their relationships to goals and actions etc. and eventually any causality type links to observations.
I think the EHR specification and its implementation should provide firm hooks in the data collected to be able to generate different kinds of Problem Oriented Views. I assume this is one solid reason to incorporate some clinical semantics into RM as openEHR does. Cheers, -koray -----Original Message----- From: openEHR-technical [mailto:[email protected]] On Behalf Of Karsten Hilbert Sent: Wednesday, 26 November 2014 11:13 p.m. To: openehr-technical at lists.openehr.org Subject: Re: Problem-oriented records and querying by problem On Wed, Nov 26, 2014 at 08:52:28AM +0000, Koray Atalag wrote: > Another point is, although I haven't been practicing Medicine for too > long now, I know the links between problems vs goals vs actions do not > play nicely at all times - indeed for most of the time. They can be > subjective and quite error prone. Therefore I don't think 'natural > order' (as in DMBS) of an EHR cannot be of POMR type - it has to > follow real > life: randomness and episodicity. Problem orientation is -- of course -- a best-effort approach. An EHR which "forces" problem orientation facilitates good care by making clinicians think about what things really mean. What is meant by "randomness" ? "Episodicity" does not at all run counter to problem orientation. Karsten Hilbert -- GPG key ID E4071346 @ eu.pool.sks-keyservers.net E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346 _______________________________________________ openEHR-technical mailing list openEHR-technical at lists.openehr.org http://lists.openehr.org/mailman/listinfo/openehr-technical_lists.openehr.org __________ Information from ESET NOD32 Antivirus, version of virus signature database 10783 (20141126) __________ The message was checked by ESET NOD32 Antivirus. http://www.eset.com
