Thomas,
I consider the openehr repository as a black box, and I don't intend to
mix CDA or anything HL7 into it. By approval, I meant that openEHR is
fine with transferring data over HL7 CDA. At least that was the
impression I got from your comments in your presentation in Ankara some
time
Professor
Department of Family Medicine
McMaster University
- Original Message
From: Nandalal Gunaratne [EMAIL PROTECTED]
To: openhealth@yahoogroups.com
Sent: Monday, November 27, 2006 10:41:32 AM
Subject: Re: [openhealth] Re: GPs Revolt
Why
Thomas Beale wrote:
I would like to know if anyone here is interested in being able to play
with a demonstration system (located in Australia) over a web-service
(published API); currently you would write C# code against a client-side
DLL - the idea is to use the openEHR repository as a
Hi
Thanks anyway, having some CDA docs to play around sounded very
attractive, at least I tried :)
regards
Seref
Thomas Beale wrote:
Seref Arikan wrote:
Hi Thomas,
At the moment I am working on a project where I need CDA support. Would
it be possible to get CDA docs from the repository
Seref Arikan wrote:
Hi
Thanks anyway, having some CDA docs to play around sounded very
attractive, at least I tried :)
regards
Seref
I wonder if you understand that having some CDA docs to play around
is not a computable approach?
CDA documents are created 'by restriction' which
Hi Tim,
Sorry I was not clear about the issue. I was hoping that there is an
existing proof of concept application for the mentioned test repository.
Since the repository can be the source for a clinical document as
referred in the CDA docs, any simple application would do fine. I just
wanted
Seref Arikan wrote:
Hi Tim,
Sorry I was not clear about the issue. I was hoping that there is an
existing proof of concept application for the mentioned test repository.
Since the repository can be the source for a clinical document as
referred in the CDA docs, any simple application would
Thomas Beale wrote:
Seref Arikan wrote:
Hi Tim,
Sorry I was not clear about the issue. I was hoping that there is an
existing proof of concept application for the mentioned test repository.
Since the repository can be the source for a clinical document as
referred in the CDA docs, any
I would certainly like to help. Since I am a Surgeon
interested in HIT (rather than a HIT specialist
interested in surgery!), tell me how I could help, and
I most certainly will.
Best regards
Nandalal
--- Thomas Beale [EMAIL PROTECTED]
wrote:
Will Ross wrote:
in other words, in my
Thomas Beale wrote:
I would like to know if anyone here is interested in being able to play
with a demonstration system (located in Australia) over a web-service
(published API);
Interested, yes.
Capable ... perhaps less so.
Is Python at all likely?
Which end of Australia is it?
Hi Thomas,
At the moment I am working on a project where I need CDA support. Would
it be possible to get CDA docs from the repository you've mentioned? Or
what can we do to make it happen if it does not exist at the moment?
Regards
Seref Arikan
Thomas Beale wrote:
Will Ross wrote:
in
Will Ross wrote:
With regard to the underestimated complexity of Healthcare IT, the
recent comments by Andrew Grove are relevant.
But a key problem with this plan is the lack of a good medical
records system, Grove said. His solution? Not the complicated,
expensive medical
mspohr wrote:
Simple open systems and open communications standards have the best
chance of success.
open yes; simple? Only as simple as it can be to still fulfull the
requirements (i.e. as simple as possible but no simpler, to quote
Einstein). People who refuse to deal with the innate
Hi Thomas,
It is really interesting to see the same discussion going on all around
the world; and USA is not immune from it either. I've been following the
discussions in USA for a while, and
http://www.emrupdate.com/forums/thread/37654.aspx is a good place to see
the difference in
thomas,
i appreciate your concern for what you allege is dr. grove's naivete,
but i share dr. grove's concern that when it comes to intelligent
health information systems, the perfect is the enemy of the good.
in the age of wikis, soa, voip, wifi and rfid there is no reason we
cannot
My views haven't changed. Obviously
the patient can't do it him/herself. This
typically requires an agent involved, but
the patient is a key ingredient of the process.
The patient doesn't have the record in
his/her possession although they are likely
to have a copy updated to a certain point
in
Why not hand over the keeping of the patient records
to patients ( like PING), where clinicians just upload
to this, and they also carry it with them in a storage
format that is secure and easily accessible?
The National Health Card Taiwan
Will Ross wrote:
thomas,
i appreciate your concern for what you allege is dr. grove's naivete,
but i share dr. grove's concern that when it comes to intelligent
health information systems, the perfect is the enemy of the good.
in the age of wikis, soa, voip, wifi and rfid there is no
Thomas,
I agree that one shouldn't oversimplify but we are currently so far
into building systems that are way too complex that I don't think
there is a danger in oversimplification... yet.
Actually, basic patient registries are very difficult to build
properly when you consider the difficulties
thomas,
if there already were facile electronic heath record software with
semantically rich interoperability and a user interface that my
physicians want then i would be madly installing it. if it exists
and i don't know about it, please tell me. until then i plan to
continue rooting
Having the shared EHR literally at the GP clinic is unlikely to be a
good approach for technical reasons, even though the GP will in many
cases be the best gatekeeper. A better solution is on secure servers at
about the level of the primary care trust (UK) - in principle it needs
to be at a
Thomas Beale wrote:
Having the shared EHR literally at the GP clinic is unlikely to be a
good approach for technical reasons, even though the GP will in many
cases be the best gatekeeper. A better solution is on secure servers at
about the level of the primary care trust (UK)
**
Adrian Midgley wrote:
Health service administrative organisations are changed a little slower
than underwear, but are far from constant. And the persistence of
information between two avatars of essentially the same admin-org is
similar to that on underwear.
And that is the way the
I presume you mean that holding it at the GP level is
far more stable for the patient?
Admin/manager changes can vary, and their approach to
change as well. THerefore it all depends. As for
change in underwear, this could vary as well, if you
listen to this story :-)
A customs officer was
With regard to the underestimated complexity of Healthcare IT, the
recent comments by Andrew Grove are relevant.
But a key problem with this plan is the lack of a good medical
records system, Grove said. His solution? Not the complicated,
expensive medical record-keeping system that many
I find Dr. Grove's approach interesting. He focuses on the keep is
simple (KISS) principle and is rightly worried about huge spending on
unproven information systems. He also proposes the widespread
deployment of simple walk-in clinics to lower the cost and improve
access to medical care.
These
10 years ago! Do you think that is still valid, now?
Have you changed your views since then?
If the patients record is held in different places,
how does the patient keep up with the changes? Is it
his responsibility to keep it completed and upto date?
Maybe he should carry the version wth him
The structured mess in the bucket approach. It does appear to be within
our capabilities.
--
Midgley
Gregory,
Sun purchased SeeBeyond last year.
http://www.seebeyond.com/
It in now part of Sun's Healthcare and Life Sciences business unit.
With best regards,
[wr]
- - - - - - - -
On Nov 25, 2006, at 10:24 AM, Gregory Woodhouse wrote:
On Nov 22, 2006, at 5:51 AM, Seref Arikan wrote:
@yahoogroups.com
Assunto: Re: [openhealth] Re: GPs Revolt
Gregory,
Sun purchased SeeBeyond last year.
http://www.seebeyon http://www.seebeyond.com/ d.com/
It in now part of Sun's Healthcare and Life Sciences business unit.
With best regards,
[wr]
- - - - - - - -
On Nov 25, 2006, at 10:24 AM, Gregory
Nandalal Gunaratne wrote:
IT would seem to me that, what you favour is a system
where, all patients will have their EMR with their GPs
and nobody else and nowhere else.
Not so. The principle generalises and scales well.
What is done in a
hospital encounter, for example a Urological
I presumed then and still presume that Mr. Gates like just about
everyone else grossly estimates the difficulty of Healthcare IT.
Optimism in this business is a disease that infects even those who
should know better such as faculty at schools of health informatics.
For example, classic software
Absolutely not! I do want the patient to be in control
of his/her data, with GPs assisting. I believe in a distributed
EMR with control by the patient. Sometimes we called
this a Virtual Medical/Patient Record (about 10 years ago in a
journaled publication).
Dave
Nandalal Gunaratne wrote:
IT
On Nov 22, 2006, at 5:51 AM, Seref Arikan wrote:
Hi Will,
I'd be very much interested in hearing more about SeeBeyond going open
source. Would you please share any news on this one?
I seem to recall an interface engine being renamed SeeBeyond some
years ago, but I don't think it had
--- Adrian Midgley [EMAIL PROTECTED] wrote:
as The Rt Hon Mr
Anthony Blair MP steps back to being a back bench
MP, the plan is likely
to fall apart.
I hope not! In the sense that the NHS forgets about
plans for EMR. Maybe a more sensible and practical
approach will result?
Nandalal
--
Thomas,
Can you elaborate on the design flaw you see in a message based
National e-Health Grid? Is a message based grid inherently
flawed? Or is the design flaw contained in the CFH implementation
of a message based e-Health Grid? That is, can a message based grid
be implemented
I'm not sure what Thomas' view is, but here are my $.02.
Thinking of messaging tends to distract one from trying to solve the
real problem. The idea seems to be that sending messages around is
good and people will eventually be able to figure out what they mean.
One needs to worry more about
Nandalal Gunaratne wrote:
I hope not! In the sense that the NHS forgets about
plans for EMR. Maybe a more sensible and practical
approach will result?
Nandalal
Not unless the current one falls apart.
Apropos of which, when/if it does, I need something better to present...
IT would seem to me that, what you favour is a system
where, all patients will have their EMR with their GPs
and nobody else and nowhere else. What is done in a
hospital encounter, for example a Urological Surgery,
Cardioloical tests, CT scan reports, will be sent to
the GP for inclusion in the
Nandalal Gunaratne wrote:
--- Thomas Beale [EMAIL PROTECTED]
mailto:Thomas.Beale%40OceanInformatics.biz
wrote:
It is also a bad idea in terms of
security, as Ross
Anderson and others have repeatedly pointed out. In
short, it is doomed
to failure.
Bad start for HIT if this so
Adrian Midgley wrote:
The driving force for the programme was, so far as I can tell, a pitch
by Sir William Gates 3 over lunch at number 10 to the outgoing prime
minister, and therefore, in the nature of these things, as The Rt Hon Mr
Anthony Blair MP steps back to being a back bench MP, the
Thomas Beale wrote:
Adrian Midgley wrote:
The driving force for the programme was, so far as I can tell, a pitch
by Sir William Gates 3 over lunch at number 10 to the outgoing prime
minister, and therefore, in the nature of these things, as The Rt Hon Mr
Anthony Blair MP steps back to
just based on what we read in the Guardian, it appears to be on a
knife-edge anyway. But there has been substantive spending - CFH has
already spent many millions (I would think many times £100m) on message
development and other work that blithely assumes the central message
bank idea,
43 matches
Mail list logo
