I would like to bring the group's attention to the work on Headings for
Communicating Clinical Information (http://www.sci.port.ac.uk/~headings/),
which is I think particularly valuable in being both relatively brief as
well as clinically relevant. This identifies:
7 health characteristics (History, Family History, Social Circumstances,
Examination Findings, Test Results, Diagnosis, Outcome);
4 actions (Assessment, Treatment, Clinical Administration, Participation)
and differentiation for time (Past, Present, Outlook - with sub-types of
goal, expected outcome and at risk - , and Plan).
3 role view headings (Problems, Alerts, Reason for Encounter) which are
often used to highlight particularly important information.
Definitions and examples of usage are provided on the web-site above.
Tim Benson
Abies e-Health
12 St Georges Road, London, NW11 0LR
020 8455 8106; 07768 825 012 (mob); 020 8458 9577 (fax)
[EMAIL PROTECTED]
> -----Original Message-----
> From: Sam Heard [mailto:[EMAIL PROTECTED]]
> Sent: 19 November 2000 11:03
> To: [EMAIL PROTECTED]
> Subject: Re: A Proposal
>
>
> Alvin
>
> This is the simplest form of architecture that was agreed in the early
> nineties at CEN. It is only likely to have value in the messaging arena
> where it is already the standard (HL7 and Australia).
>
> The problem domain is much larger than this and needs to be seen
> as such if
> we are to make any progress. I for one cannot rejoice at being somewhere I
> was 15 years ago! The only difference is that LOINC are doing
> what European
> GEHR project and Health.one did quite a while ago - with more
> resources and
> a less formal approach.
>
> Anyway - lets do that but lets do a little more if we want to share EHRs!
>
> Cheers, Sam
> ____________________________________
>
> Sam Heard
> Director, General Practice Education and Research Unit
> Northern Territory Clinical School, Flinders Univeristy
> PO Box 41326, Casuarina, NT 0811
>
> RACGP Training Program
> Northern Territory Regional Office
>
> Ph: (08) 8922 7937
> Fx: (08) 8922 7928
> Email - [EMAIL PROTECTED]
> Web - gperu.flinders.edu.au
>
> The Good Electronic Health Record
> www.gehr.org
> ___________________________________
> ----- Original Message -----
> From: "Alvin B. Marcelo" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Saturday, November 18, 2000 8:23 AM
> Subject: A Proposal
>
>
> > I would like to make a proposal to the alliance:
> >
> > Given that:
> >
> > we can't agree on data models
> > we can't agree on prgramming language
> > we can't agree on platforms for interoperability...
> >
> > (and this is all fine because the technology is not that
> mature) [read as:
> > no randomized trial to support any of them :) ]
> >
> > My proposal is that we agree _simply_ on data element _semantics_.
> >
> > PROPOSAL:
> >
> > All OSHCA projects (upcoming) will agree to use LOINC codes to identify
> > their data elements OR agree to map their current local data elements to
> > LOINC (ongoing).
> >
> > Wherever possible, use UMLS CUI's for data values. So
> name=value pair will
> > be LOINC code=UMLS CUI.
> >
> > It's clean and simple. Just LOINC (we can bypass UMLS if there's issue).
> > It's in plain ASCII and it's free.
> >
> > All you need is build a LOINC table into your app (or the subset you
> need).
> > And another table where you can keep your mappings (if needed).
> >
> > By doing so:
> >
> > No one is compelled to use any programming language.
> > No one is compelled to use any database management system.
> > We agree on using LOINC as our Esperanto.
> >
> > It doesn't solve all our problems, but it does give us a neutral, common
> > ground where we can start collaborating. And we don't reinvent anything
> > (Regenstrief-NLM will do the hard work.)
> >
> > Comments please. If you disagree, please explain why and please
> provide a
> > better (and as quick) solution.
> >
> > Please, someone tell me this can work.
> >
> > alvin
> >
> >
> >
> >
> --------------------------------------------------------------------------
> --
> > ----------
> > Alvin B. Marcelo, M.D.
> > National Library of Medicine, B1N30
> > Office of High Performance Computing and Communications
> > Bethesda, Maryland 20894
> >
> > Voice: 301-435-3278
> > Fax: 301-402-4080
> > eFax: 603-452-3657
> >
> > Work: [EMAIL PROTECTED] [EMAIL PROTECTED]
> > Home: [EMAIL PROTECTED]
> >
> > PGP keyID: 0x6E9941D1
> > PGP server: http://www.keyserver.net
> >
> >
>
