Hi Phillipe Op 21-dec-2007, om 13:51 heeft Philippe AMELINE het volgende geschreven:
> Hi Stef, >> This is correct. Healthcare plans belong in a separate 'workflow >> management system (WMS)' that 'instruct/ suggest' what should happen >> and 'oversees' what has happened. This is not part of the EHR itself >> and should be registered elsewhere. Nonetheless it is an important >> feature to support and (qualitity) management of procedures, which >> most healthcare providers might want to have. >> >> In my opinion a WMS for routine and clinical trial purposes will >> function similarly but with different guidelines/ protocols. >> >> Cheers, >> >> Stef >> > I don't get your point when you write that "suggesting what should > happen" and "overseeing what has happened" shouldn't be part of the > EHR > itself. Rethinking this I think I see you point: the steps in the guideline/ protocol are instructions, which are part of the EHR and the protocol itself should also be a part of the EHR as well. A WMS merely executes those instructions. Yesterday we had a lengthy discussion about quality assessment for management purposes: f.i. how many people in ward A have post-op wound infection and how does that relate to the overall rate of wound infection. This typically doesn't belong in an EHR but in a separate system. I was mixing these two things up:-) As for the clinical trial data and guidelines. Reasoning along the line above, this also should belong in the same EHR since it's about (the treatment, albeit experimental) of a patient. Cheers, Stef > To make it short, what remains if you put this away? > > Cheers, > > Philippe > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical
