> The data model is more a symptom than an underlying cause of the problem.
I would agree and say in more detail that the lack of understanding of the critical importance of a robust conceptual and logical data model for the myriad facets of medicine is a symptom of an underlying set of problems - that fall under the very broad categories of false assumptions and underestimations. The set of problems has been studied with regard to IT for many years; for example see this work: Social Informatics. An introductory essay entitled “Learning from Social Informatics” by R. Kling at the University of Indiana can be found at this link. The book “Understanding And Communicating Social Informatics” by Kling, Rosenbaum & Sawyer, Information Today, 2005 (Amazon.com link here) was based on this essay. Scot [email protected] wrote: ----- To: [email protected] From: Rod Roark <[email protected]> Sent by: [email protected] Date: 04/19/2009 11:08AM cc: [email protected], "[email protected]" <[email protected]> Subject: Re: [openhealth] Re: I have been invited to testify on 'Meaningful Use' Interesting article, but I'm not sure its conclusions are on-target. The data model is more a symptom than an underlying cause of the problem. In my view the key point is that we cannot trust the existing "custodians" of medical IT to get it right. They haven't come close yet. The only way we'll get there is to require complete transparency at all levels. And fortunately the new administration does seem to value transparency. And yes, transparency is of course what FOSS is all about. However that point should not be raised prematurely. .. but perhaps when responding to the question of "how do we achieve transparency" .... Rod Scot Silverstein wrote: > If you get a chance, please touch on "meaningful misuse" as in this story by > a software engineer who became a patient: > > The Data Model That Nearly Killed Me > http://www.syleum. com/2009/ 03/17/healthcare -data-model/ > > Scot > > ------------ --------- --------- -- > Scot M. Silverstein, MD > Consultant in Medical Informatics > Teaching faculty in Healthcare Informatics and IT (Sept. 2007-) > Director, Institute for Healthcare Informatics (2005-7) > College of Information Science and Technology > Drexel University > 3141 Chestnut St. > Philadelphia, PA 19104-2875 > > Email: scot.silverstein@ ischool.drexel. edu > Bio: www.ischool. drexel.edu/ faculty/ssilvers tein/biography. htm > Common Examples of HIT difficulty: > www.ischool. drexel.edu/ faculty/ssilvers tein/medinfo. htm > ARS KU3E, member www.arrl.org > > -----openhealth@ yahoogroups. com wrote: ----- > > To: open-ehealth- collaborative@ googlegroups. com > From: fred trotter < fred.trotter@ gmail.com > > Sent by: openhea...@yahoogro ups.com > Date: 04/18/2009 06:05PM > cc: " hardh...@googlegrou ps.com " < hardh...@googlegrou ps.com >, " openhea...@yahoogro ups.com " < openhea...@yahoogro ups.com > > Subject: [openhealth] Re: I have been invited to testify on 'Meaningful Use' > > > > > > > > > > > > > > > > > > > > Sounds good... its got to be short. I do not have much time! > > > -FT > > > On Sat, Apr 18, 2009 at 4:52 PM, Edmund Billings > > < > edmund.billings@ > medsphere. > com >> wrote: > >> We should collaborate on a position paper.... I will work some points. > > >> Edmund > > >> ____________ > ______ > >> Edmund Billings MD > >> 415.505.8953 > > >> On Apr 18, 2009, at 2:46 PM, "fred trotter" < > fred.trotter@ > gmail.com > >> wrote: > > > >>> Hi, > >>> It looks like I have been invited to testify in Washington on > >>> what it means to have 'Meaningful Use' of EHR systems. > > http://www.ncvhs. > hhs.gov/090428ag > 2.pdf > > > >>> As before, I want to ensure that my testimony reflects the > >>> attitudes and values of our culture. Using Google moderator for the > >>> CCHIT meeting seemed to work. It is even more important this time, > >>> because I may be the only voice of reason (the FOSS angle) at this > >>> meeting. For this reason: > > > http://moderator. > appspot.com/ > #15/e=4a793& > t=4a795 > > > > >>> -- > >>> Fred Trotter > > http://www.fredtrot > ter.com [Non-text portions of this message have been removed]
