The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-05-27 Thread Gerard Freriks
On May 7, 2005, at 3:12 PM, Thomas Beale wrote: ...so it seems to me that the indicator of what to do next when a differential diagnosis is recorded relates strongly to the innate characteristics of the conditions recorded, not just the doctor's opinion of how likely it might be. If

The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-05-09 Thread Arild Faxvaag
P? 7. mai. 2005 kl. 15.12 skrev Thomas Beale: Gerard Freriks wrote: The EHR is not invented to describe the real actual health status of the patient. It is there to document what clinicians deemed important to say ABOUT the health status of the patient. It always is an opinion of a

The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-05-08 Thread Karsten Hilbert
On Sat, May 07, 2005 at 02:12:45PM +0100, Thomas Beale wrote: If angina pectoris is a possible diagnosis for burning chest pain at 5%, with the most probable diagnosis (in the opinion of the physician) being gastric reflux at 95%, and it is a 55-yo with a family history of coronary heart

The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-05-07 Thread Philippe AMELINE
Hi, I agree with Thomas, probably because we are engineers and ask ourselves If they don't record this information for further action, why do they record it anyway ?. I can perfectly understand the way Gerard thinks to it, in an EHRcom way : I use this EHR for myself, and I can send you a

The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-05-07 Thread Thomas Beale
Gerard Freriks wrote: The EHR is not invented to describe the real actual health status of the patient. It is there to document what clinicians deemed important to say ABOUT the health status of the patient. It always is an opinion of a professional about something. yes, hopefully we all

The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-04-28 Thread Sam Heard
Arild and Tim This is clearly an issue. In the CIP project the group wanted to be able to say that a diagnosis was a working diagnosis. We have archetyped a number of concepts that I think will enable the clinician to express these levels of uncertainty without resorting to confidence ratings

The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-04-28 Thread Dr LONJON Roger
Hello, I read opinions expressed on the topic. This question is important in France. The government took the decision that all citizen is going to have an electronic medical file.personal (DMP acronym) In principle all physicians with the authorization of the patient will have an access to this

The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-04-27 Thread Arild Faxvaag
Tim Cook wrote: While it might be an interesting exercise for us to record how confident a clinician was at the time of recording a diagnosis, it will have no impact on the health care of that patient. If we were to do this would we ask them to do so in sarcasm10% steps, 5% steps or .01%

The Uncertainty Decision was: Dr R LONJON Confidence indicator !

2005-04-20 Thread Tim Cook
On Wed, 2005-04-20 at 08:36, Thomas Beale wrote: so I wonder if we can reduce all uses of uncertainty qualifiers ('possible', 'probable' etc) in the EHR to just 'uncertain' as Peter has suggested. The short answer is; yes. ** Caution [Long winded, back to basics thought