Re: poor version management in archetype editor / clinicians content

[Williamtfgoossen@cs.com]

In a message dated 4-12-2008 1:50:06 W. Europe Standard Time, hugh.leslie@oceaninformatics.com writes: 
> 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


Hi Hugh,

I think you misjudge the qualities of clinicians. See my paper in Int Jrn Med Informatics on the perinatology project. At that time we explained clinicians without IT background how the UML models (HL7 RIM format, even complexer), and after two sessions explaining goal of project and how modelling works and how they can express data needs etc, they could fully engage in the project and critically review the models, their relationships and the content of it. 

I agree we need to make it simpler. Entering material in the archetype editor is. Reading the adl is not. :-) 

DCM is not about UML, DCM is about setting criteria for clinical content and so on. 
UML can be used, HL7 can be used, archetype can be used, XML can be used.
If someone uses A, we as IT specialist should guarantee that the same concept remains if we choose to use B. 

If the archetype editor would spit out a full HL7 v3 clinical statement spec, including the code, value, datatype and moodcode for instance (others attributes upon need) e.g. in the MIF format, then we can do business with DCM moving to one format only. However this is still not the case. 

I understood that the transformation tools currently existing still require a lot of manual tweeking. 



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