Le 05/04/2018 à 15:43, Thomas Beale a écrit : > we really should build a combined descriptive architecture to show how > all this fits together to solve: > > * the continuum of deterministic - non-deterministic utterances > possible in healthcare > * the linguistic interface v structured info behind question >
It would be great. I can provide the wine for those who are interested ;-) > the second is not the same as the first - there are many docs who > prefer a language /document / writing / speaking interface than a > structured form, even if the information really is or could be > structured in a standard way. > Yes, you are plainly right and IMHO they are entitled to do whatever they want as long as they "feed the ongoing processes with needed information". The pity being that there is no such notion in medicine so far... reason why my current effort is oriented toward providing citizen with a "personal health project manager" in order to have them demand that their practitioners behave as contributors in a multidisciplinary team. > Well, I knew that more than 10y ago when we first talked about this > ... So much to do :) > Probably 15 years ago ;) But at that time, your task was to go get the legacy systems where they were and offer openEHR as an evolutionary process. Maybe times are changing... this kind of articles becomes mainstream and I my bet is that the solution is not inside the box and that a Copernican revolution from care places to patients as reference frames is needed. https://hbr.org/2018/03/to-combat-physician-burnout-and-improve-care-fix-the-electronic-health-record Philippe
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