> philippe Ameline wrote:
> 
> Hi,
> 
> Medical informatic is a complicated thing ; medical informatic
> in France is a very complicated thing.
> 
> However, with Nautilus systems in more than 50 hospitals, I can
> now guess the kind of system that could work, and
> (fortunately), I am close to convincing some major sites - and
> expect a snowball effect for an open source system.

I suspect you are correct.

 
> If you have seen my web site (I must check the automatic
> translation by alta-vista kindly pointed out by Andrew), you
> have seen that we, at Nautilus, have sophisticated techniques
> to allow structured description (description is the key word,
> while usually structuration means simple coding or
> classification), and if we use a classical interface (I mean
> not a browser as client, but a "workstation" concept), we can
> dinamically publish each and every document as an HTML page
> (thats to say : load the structured tree that represents a
> medical report, translate it in natural langage - currently in
> french, find the appropriate template, and (at last) have an
> HTML page).
> 
> Why workstation ? because we think that the current concept of
> knowledge management allows the come back of AI in medicine ;
> we are closely studying Arden syntax and GLIF (since we know

This would of course be a wonderful thing for outcomes and best
practices.

> how to view the whole patient file as a single structured tree,
> we can work on it).

You mean like this?
http://www.freepm.org:8080/FreePM/emr/index_html

(Donated icons accepted, and appreciated, so I can get rid of the
object ID in the display!!)
 
> The next step is to federate all those little servers with an
> "URL server", a very simple Linux machine connected to
> hospital's centralized patient database, and knowing, for each
> patient, the list of his documents and for each document :
> - the title
> - the URL

...and like this?
http://www.freepm.org:8080/FreePM/emr/F/EMR-970839389/Encounter-984004668/edit_encounter

down to each object in the record. Kind of like the GEHR concept?
Digital Creations' ZEO client can provide the federation.

> - the access rights for physicians (read, know it exists,
> nothing)
> 
> This server could allow surfing in patients record from a
> simple browser.


> Can you criticize the concept, or if you think its worth it,
> give me some pieces of code (C++ appreciated).

I think it's a great idea. <s>
No C++ though. All Python (okay, a little C here and there for
performance). 

Later,
-- 
Tim Cook, President - FreePM,Inc. 
http://www.FreePM.com Office: (901) 884-4126
ONLINE DEMO: http://www.freepm.org:8080/FreePM

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