On Apr 27, 2005, at 8:19 AM, Arild Faxvaag wrote:
We could say that physicians _infer_ diagnostic hypotheses based on
- knowledge of the tentative underlying disease,
- the patients subjective experiences
- phenomena registered in the patients body
In any case it is a subjective statement
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
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
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
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
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
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
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
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%
Hi Arild,
Another site is the MIT Group on Clinical Decision Making: [
http://medg.lcs.mit.edu/ ].
... a research group dedicated to exploring and furthering the
application of technology and artificial intelligence to clinical
situations. Because of the vital and crucial nature of medical
-1- Almost never a diagnosis is 100% certain.
-2- Almost always a test result has uncertainty attached to it
-3- Many times a conclusion is reached based on many uncertain and
conflicting facts
-4- Quite often a condition, a diagnosis, is assumed that gives rise to
a treatment. Not indicating
Elkin, Peter L., M.D. wrote:
Dear Roger and Thomas,
We have looked extensively at Multivalued logic for quantitating uncertainty.
It turns out that most folks in that world have taking 0 false and one true
with a number of discrete, usually equally spaced values in between for
uncertainty.
Tim Churches wrote:
Thomas Beale wrote:
I'm wondering if there is a meta-algorithm of some sort lurking behind
the scenes, which takes account of uncertainty in a note, and also
severity of non-discounted possibilities, as a way of deciding what to
do next. There is undoubtedly published work
, 2005 6:59 AM
To: openehr-technical at openehr.org
Subject: Re: Dr R LONJON Confidence indicator !
Elkin, Peter L., M.D. wrote:
Dear Roger and Thomas,
We have looked extensively at Multivalued logic for quantitating
uncertainty. It turns out that most folks in that world have
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
-
From: Dr LONJON Roger r.lon...@free.fr
Date: Monday, April 11, 2005 12:59 pm
Subject: Re: Dr R LONJON Confidence indicator !
hello philippe and thomas,
excuse me to intervene, in English of bad quality.
in medicine for me, a result must be validated and must be signed
by the
producer
Dr LONJON Roger wrote:
hello philippe and thomas,
excuse me to intervene, in English of bad quality.
in medicine for me, a result must be validated and must be signed by the
producer. This result is therefore automatically a total confidence level. It
is a very important notion on the legal plan
hello philippe and thomas,
excuse me to intervene, in English of bad quality.
in medicine for me, a result must be validated and must be signed by the
producer. This result is therefore automatically a total confidence level. It
is a very important notion on the legal plan when these results are
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