Hi William
I still can't see how we are ever going to engage clinicians in signing
off on these DCM models if they can only participate in the
requirements collection phase and can't comment on the models
themselves? There will be literally only a handful of clinical people
around the world who will be able to get their heads around UML (or XML
Transforms?) to understand what the model means. I believe that this
is the big advantage of archetypes, because they are approachable for
non technical clinicians.
regards Hugh
Williamtfgoossen@cs.com wrote:
In a message dated 3-12-2008 14:57:33
W. Europe Standard Time, thomas.beale@oceaninformatics.com writes:
I
still don't quite get
what way DCM is going - I thought it was going with archetypes, based
on
the meeting a year ago, but in any case, I think the job of
standardising clinical models must be done by clinical people, and on a
far more agile basis than any of the official standards organisations.
DCM is about standardising clinical models done by clinicians.
Archetypes are one way to go (if certain conditions are met, see
discussions). Other models will remain for a while. Core of DCM is
either UML and from there to archetype or to HL7 v3 XML, or transforms.
The official standards organisations can set criteria and methods for
the how to. However we need a repository and knowledge manager approach
to actually handle the examples. Until now only archetypes are stored
such a way, HL7 v3 template / XML artefacts would need similar things,
e.g. to be included in a CDA or message.
My big concern is that an Apgar in archetype is different from an Apgar
in CDA or message, DCM helps to bridge the (potential) gap on clinical
content and DCM helps to fully specify the concept, the Snomed CT id
and the Snomed CT fully specified name or display text (which is
currently not possible in an archetype, at least the editor often
crashes while doing that).
Sincerely yours,
dr. William TF Goossen
director
Results 4 Care b.v.
De Stinse 15
3823 VM Amersfoort
the Netherlands
email: Results4Care@cs.com
phone + 31654614458
fax +3133 2570169
www.results4care.nl
Dutch Chamber of Commerce number: 32133713
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