Re: Machine Learning , some thoughts

2018-06-25 Thread Bert Verhees
On 25-06-18 14:47, Philippe Ameline wrote: Successfully using machine learning demands a prior culture of data quality and information awareness. Dear Philippe, I read your document later. I have to disagree with the word "prior". It makes it sound like, is has gone wrong long time ago, and

Re: Machine Learning , some thoughts

2018-06-25 Thread Bert Verhees
On 25-06-18 12:31, Thomas Beale wrote: On 25/06/2018 11:21, Stefan Sauermann wrote: 82% of correct recognition rate is a desaster in healthcare. 92% would be a disaster in healthcare ... 74% is even worse. My evidence based feeling is that we still will need to sort it out manually for

Re: Machine Learning , some thoughts

2018-06-25 Thread GF
Largely I agree with Bert. Medicine is an art for 80% and science for 20% What medical data is recorded in most cases by GP’s is so scanty that AI is not possible. Collecting data over long periods of time might help. Most IT-systems can not store all the epistemology that is needed for AI, at

Re: Machine Learning , some thoughts

2018-06-25 Thread Bert Verhees
On 25-06-18 12:44, Anastasiou A. wrote: The time scales for doing this would be enormous. We can probably work out a lower limit by looking at the lifecycle of archetypes in the current CKM. Thanks, for your answer, I agree with you and others, and already wrote that, that an EHR will not be

RE: Machine Learning , some thoughts

2018-06-25 Thread Anastasiou A .
Hello Bert and all > I wonder if besides that approach an approach of archetypes growing in the > wild could be of use. They could be used beside the predefined archetypes. I don't think that enabling people to create local fragmented subsets of information is a step in the right direction. We

RE: Machine Learning , some thoughts

2018-06-25 Thread Anastasiou A .
Dear Bert and all > I wonder, Is OpenEhr usable for recognizing pattern in diseases over > Machine Learning, isn't behind every diagnosis a small cloud of > archetypes which forms a pattern? The features of recognizing/learning > should not be found in archetypes ID's, although, that can help

Re: Machine Learning , some thoughts

2018-06-25 Thread Bert Verhees
On 25-06-18 12:40, GF wrote: Providing health and care is part science and for a large part an art. Meaning that humans are needed. Artificial Intelligence is a nice scientific hyped topic and nothing more. That is not to say that AI might play a role and can be of use. It needs to be properly

Re: Machine Learning , some thoughts

2018-06-25 Thread Karsten Hilbert
On Mon, Jun 25, 2018 at 02:47:07PM +0200, Philippe Ameline wrote: > A friend of mine recently published a paper, after studying a group of > GPs located in the South of France. He found out that the diagnosis is > not reported in observations in more than one encounter out of two. That's because

Re: Machine Learning , some thoughts

2018-06-25 Thread Bert Verhees
On 25-06-18 14:56, Anastasiou A. wrote: Once you have this minimal dataset discovered, THEN you could compose the template or automatically create the archetypes. And yes, this CAN be done today, definitely. There is an understandable mindset which aspires to work with a standard-set of

Re: Machine Learning , some thoughts

2018-06-25 Thread GF
Providing health and care is part science and for a large part an art. Meaning that humans are needed. Artificial Intelligence is a nice scientific hyped topic and nothing more. That is not to say that AI might play a role and can be of use. It needs to be properly designed, engineered and not

Re: Machine Learning , some thoughts

2018-06-25 Thread Bert Verhees
On 25-06-18 12:21, Stefan Sauermann wrote: Hope this helps, Not really Stefan, but thanks for trying. ___ openEHR-clinical mailing list openEHR-clinical@lists.openehr.org http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org

Re: Machine Learning , some thoughts

2018-06-25 Thread Dr. Carol Hullin
Excellent observations!!! Carol El 25-06-2018, a las 07:30, Bert Verhees escribió: On 25-06-18 12:44, Anastasiou A. wrote: The time scales for doing this would be enormous. We can probably work out a lower limit by looking at the lifecycle of archetypes in the current CKM. Thanks, for your

Re: Machine Learning , some thoughts

2018-06-25 Thread Karsten Hilbert
On Mon, Jun 25, 2018 at 11:31:27AM +0100, Thomas Beale wrote: > > 82% of correct recognition rate is a desaster in healthcare. > > 92% would be a disaster in healthcare ... It much depends. In typical care "92%" (of what ?) can be an extremely brilliant result far beyond anything available

Re: Machine Learning , some thoughts

2018-06-25 Thread Karsten Hilbert
On Mon, Jun 25, 2018 at 12:52:07PM +0200, Bert Verhees wrote: > Allthough, there are some patient-conditions which are very typical for a > disease, mostly this is not the case. > For example, many infection-diseases have fever as a symptom, and one person > gets pain in his back, and the other

Re: Machine Learning , some thoughts

2018-06-25 Thread Shinji KOBAYASHI
Have anyone tried AQL adapter to pandas(python data analysis package for machine learning and statistics)? Shinji 2018-06-24 1:11 GMT+09:00 Bert Verhees : > Today my wife showed me Plantnet. > > https://plantnet.org/en/ > > It recognizes over 6000 plants from showing a flower or a leaf to your >

RE: Machine Learning , some thoughts

2018-06-25 Thread Anastasiou A .
Hello Bert and all I am a little bit "worried" with "micro-archetypes" the way you describe them. I think that what you are probably referring to is "Disease Specific Templates", which I really hope is what we are all working towards :) So, archetypes do indeed describe one conceptual

Re: Machine Learning , some thoughts

2018-06-25 Thread Bert Verhees
On 25-06-18 16:51, Anastasiou A. wrote: Hello Bert and all I wonder if besides that approach an approach of archetypes growing in the wild could be of use. They could be used beside the predefined archetypes. I don't think that enabling people to create local fragmented subsets of

Re: Machine Learning , some thoughts

2018-06-25 Thread GF
It is a truth that, in the case of GP’s, almost always they deal with Complaints, Tentative diagnosis or estimation of the Seriousness (good/bad feeling), some trial Therapies and some addition investigations/tests, plus finally some time to observe the evolution of the complaints over time;

Re: Machine Learning , some thoughts

2018-06-25 Thread GF
One needs patters that document the documentation process in general for Medical Statements, Evaluations, Orders, Actions Patterns to Collect Complaints Patterns to Collect Observations by tractus Patterns to collect complaint specific data Patterns to collect Diagnosis specific data Patterns to

Re: Machine Learning , some thoughts

2018-06-25 Thread Bert Verhees
> Therefore I conclude for myself that I will not trust (and recommend to > trust) automatically found archetypes, because you can not derive > reliable conclusions from them at a defined level of reliability. Stefan, I give a short reply, I have already given much input in this discussion and

Re: Machine Learning , some thoughts

2018-06-25 Thread Stefan Sauermann
82% of correct recognition rate is a desaster in healthcare. 74% is even worse. My evidence based feeling is that we still will need to sort it out manually for some years to come. Hope this helps, Stefan Stefan Sauermann Program Director Biomedical Engineering Sciences (Master) -> Medical

Re: Machine Learning , some thoughts

2018-06-25 Thread Thomas Beale
On 25/06/2018 11:21, Stefan Sauermann wrote: 82% of correct recognition rate is a desaster in healthcare. 92% would be a disaster in healthcare ... 74% is even worse. My evidence based feeling is that we still will need to sort it out manually for some years to come. I am slightly more

Re: Machine Learning , some thoughts

2018-06-25 Thread Karsten Hilbert
On Mon, Jun 25, 2018 at 12:21:26PM +0200, Stefan Sauermann wrote: > My evidence based feeling is that we still will need to sort it out manually > for some years to come. Not in visual classification of dermatological health concerns. Or areas of radiological diagnostics. Karsten Hilbert --