Hi Paul, We can do it but I am increasingly of the view that although it makes some clinicians very happy it makes many others very unhappy as proper POMR requires huge discipline, and is hard to maintain. As others have said ... links.. but manging those links both clinically and technically is challenging.
I spent much of GP career advocating (and doing) POMR but I'm not now at all convinced that the effort is worth it or sustainable. Ian Dr Ian McNicoll mobile +44 (0)775 209 7859 office +44 (0)1536 414994 skype: ianmcnicoll email: [email protected] twitter: @ianmcnicoll Director, freshEHR Clinical Informatics Ltd. CCIO inidus Ltd. [email protected] Co-Chair, openEHR Foundation [email protected] Hon. Senior Research Associate, CHIME, UCL On Wed, 26 Jun 2019 at 14:35, Paul Miller <[email protected]> wrote: > How would we do this? > > There is a method of implementation in problem oriented records whereby a > header, generally the ‘problem’, is linked to other record entries or > elements that are to do with that problem. > > So ‘chest pain’ as a problem may be linked to blood tests, clinical notes, > ECG, CXR and medications that were ordered or reported as part of the work > up of that condition. > > In interfaces this allows for views of the record showing the Problem and > all linked events/entries/data. It’s essentially what Larry Weed used to > talk about. > > Of course things may relate to more than one Problem, Problems may link to > each other, Problem headers and content will change over time. There is > usually a fair amount of manual curation, which may be very contextual, but > theoretical a lot of it could be automated. > > By modelling this linkage in data it would become computable, and > potentially make some clinicians very happy in their work! > > Is this something that is part of openEHR specification or that can be > modelled in archetypes? Or is it down to the application to manage this? > > Thanks for any help. As always slightly anxious that am missing something > completely obvious, so apologies if so!! > > Paul > > Dr Paul Miller > > GP, Glenburn Medical Practice > > Clinical Lead, NES Digital Service > > Mobile/WhatsApp: +44 7711 346 938 > > -- > > -- > > Dr Paul Miller > > MBCHB MRCGP FFCI DRCOG DMI > Glenburn Medical Practice > Fairway Avenue > Paisley > PA2 8DX > Tel: 0141 884 7788 > > http://www.glenburnsurgery.scot.nhs.uk/ > > > > Clinical Lead > > NES Digital Service > > https://nds.nes.digital/ > > > > Mobile: +44 7711 346 928 > > Twitter: @docpaulmiller > _______________________________________________ > openEHR-clinical mailing list > [email protected] > > http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org >
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