RE: Decision Support Providers
Thanks Tim Sounds like that work was ahead of its time. I hadn't come across it before. Any key conclusions you drew from that work? Regards, Tony ________________________________________ From: openehr-clinical-bounces@openehr.org [openehr-clinical-bounces@openehr.org] On Behalf Of Tim Cook [timothywayne.cook@gmail.com] Sent: 29 June 2010 16:32 To: For openEHR clinical discussions Subject: Re: Decision Support Providers On Tue, 2010-06-29 at 13:57 +0100, Tony Shannon wrote: > Many thanks Rong, > > The approach you outline which reuses archetypes and templates from > EHR > models resonates as a logical way to tackle this. Though it was redesigned to use CDA in order to hopefully gain acceptance with vendors EGADSS was originally designed (by me) for use with archetypes and templates. The implemented concepts and possibly the source code could be reused. http://egadss.sourceforge.net/ HTH, Tim > > John Halamka mentions in his blog... > "Thus, Anvita has defined clinical decision support (CDS) standards to > transmit decision support recommendations from the service provider > back > to the EHR. I am unaware any widely implemented standards that do this > today. " > > Can you comment on his quote/article? > > Also can you say some more about the rules element of your work.. > > Many thanks, > > Tony > > Dr. Tony Shannon > Consultant in Emergency Medicine, Leeds Teaching Hospitals > Clinical Lead for Informatics, Leeds Teaching Hospitals > Chair, Clinical Review Board, openEHR Foundation > +44.789.988 5068 tony.shannon@nhs.net > > > Rong Chen wrote: > > Hi Tony, > > > > I take the challenge to comment ;-) > > > > We start to see this kind of CDS services emerging now in Sweden. > > Web-services based drug interaction check is a good example of this. > > The difference is that the content (drug database) is available to > > the > > users. So it's not really a black-box. I doubt that a black-box CDS > > implementation will be very popular among the clinicians. > > > > I also think remote-service based CDS for raising single > > alerts/reminders can be useful in some limited scope but will not > > scale up to provide more comprehensive CDS functions. I am more in > > favour of developing CDS content based on standardised EHR models so > > CDS applications can be implemented directly within EHRs. > > > > We start to exploring representing clinical guidelines using openEHR > > archetypes/templates and rules. Using EHR models to represent > > guidelines could give several potential benefits: 1) reuse of > > existing > > EHR content models as building blocks of guidelines; 2) increase > > interoperability between CDS applications and EHRs; 3) facilitate > > guideline compliance checking. > > > > More details can be found in our MIE2009 paper: > > http://www.imt.liu.se/~ronch/MIE2009_Representing_Lymphoma_Guideline_5page_v3.pdf > > > > Cheers, > > Rong > > > > On 25 June 2010 17:24, Shannon Tony (Leeds Teaching Hospitals NHS > > Trust) <tony.shannon@nhs.net> wrote: > >> FYI.. > >> > >> A thought provoking post from John Halamka on decision support > >> providers as service. > >> http://geekdoctor.blogspot.com/2010/06/decision-support-service-providers.html > >> Some of you might have complementary/alternative views as to how > >> this might work within an openEHR enabled landscape... > >> > >> Rong > >> Would you like to comment? > >> Your recent work covered some of this key territory.. > >> > >> Regards, > >> > >> Tony > > _______________________________________________ > > openEHR-clinical mailing list > > openEHR-clinical@openehr.org > > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical > > > > -- > > > ******************************************************************************************************************** > > This message may contain confidential information. If you are not the > intended recipient please inform the > sender that you have received the message in error before deleting it. > Please do not disclose, copy or distribute information in this e-mail > or take any action in reliance on its contents: > to do so is strictly prohibited and may be unlawful. > > Thank you for your co-operation. > > NHSmail is the secure email and directory service available for all > NHS staff in England and Scotland > NHSmail is approved for exchanging patient data and other sensitive > information with NHSmail and GSI recipients > NHSmail provides an email address for your career in the NHS and can > be accessed anywhere > For more information and to find out how you can switch, visit > www.connectingforhealth.nhs.uk/nhsmail > > ******************************************************************************************************************** > > > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical@openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical -- *************************************************************** Timothy Cook, MSc LinkedIn Profile:http://www.linkedin.com/in/timothywaynecook Skype ID == (upon request) Academic.Edu Profile: http://uff.academia.edu/TimothyCook You may get my Public GPG key from popular keyservers or from this link http://timothywayne.cook.googlepages.com/home ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSI recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail ******************************************************************************************************************** _______________________________________________ openEHR-clinical mailing list openEHR-clinical@openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical