Hi,
Information relating to a patient cinsits of possibly the following classes: - Invariant Personal information like name, data of birth, gender, parents - Variant Personal information: adresses, telphone numbers, maried, etc - Financial/administrative personal information: insurance, etc - acces control related information - logistics related information: notifications, appointments, etc - private health related information as entered by the patient. Personal information. - health related information as entered by a healthcare provider. Personal information. - sharable health related information On 2002-11-26 22:09, "Sam Heard" <sam.heard at bigpond.com> wrote: > Aniket > > Of course I know about CPGs - just the acronym eluded me! > > CPGs are very interesting from an EHR point of view. The issue here is the > generic CPG and the specific - how we allow specialisation to the particular > patient, how we merge a number of them sensibly, how we allow updates of > CPGs to influence future care. > > Our learning in this area has a long way to go but we can start. The openEHR > entry called an instruction allows specific 'guidelines' to be entered into > the record - monitoring or notifications, therapies etc. This is relatively > straight forward - the issues start to arise when a generic guideline is > altered - what does this mean to someone who is adhering to the previous > guideline? > > We can go with defaults - 2 years in Australia for a PAP test recall. So if > the Care Plan of a patient has a notification for a pap recall, and the > period is set to default, then the notification period can change with the > guideline. Not so bad - fixed recall periods will not be altered. There > might be some people however who need a 2 year one based on the evidence - > clinicians could learn to fix the period of anyone with any abnormality - > that seems solvable. > > Then we get into the issue of a complex CPG such as immunisation - there are > many rules, temporal and sequencing, age at immunisation etc. Changing the > default guideline becomes very interesting and really requires a little > decision support engine to be available specifically for the purpose. > > What do you think? > > Cheers, Sam > ____________________________________________ > Dr Sam Heard > The Good Electronic Health Record > Ocean Informatics, openEHR > 105 Rapid Creek Rd > Rapid Creek NT 0810 > Ph: +61 417 838 808 > sam.heard at bigpond.com > www.gehr.org > www.openEHR.org > __________________________________________ > > >> -----Original Message----- >> From: aniket Joshi [mailto:anya_joshi at yahoo.com] >> Sent: Wednesday, 27 November 2002 3:02 AM >> To: Sam Heard >> Subject: RE: Patient notifications >> >> >> Clinical practice guidelines. >> These can be incorporated in GEHR and thus we can have >> a much more specific application development. >> We can have mappings which will lead to particular set >> of tests as per the CPGs. >> This will ease the implementation of CPGs in clinical >> practice. >> Dr Aniket Joshi >> --- Sam Heard <sam.heard at bigpond.com> wrote: >>> Aniket >>> >>> I am not aware of CPG ?? >>> >>> Sam >>> ____________________________________________ >>> Dr Sam Heard >>> The Good Electronic Health Record >>> Ocean Informatics, openEHR >>> 105 Rapid Creek Rd >>> Rapid Creek NT 0810 >>> Ph: +61 417 838 808 >>> sam.heard at bigpond.com >>> www.gehr.org >>> www.openEHR.org >>> __________________________________________ >>> >>> >>>> -----Original Message----- >>>> From: aniket Joshi [mailto:anya_joshi at yahoo.com] >>>> Sent: Monday, 25 November 2002 6:02 PM >>>> To: Sam Heard >>>> Subject: Re: Patient notifications >>>> >>>> >>>> In our scenarios majority of the population is >>>> illeterate,so interaction with the computers is >>> out of >>>> question.We can record their videos and keep them >>> in >>>> the folders. >>>> Other non-medical communication which come from >>> the >>>> HCPs can definitely be kept in the folder. >>>> For the medical record of each appt a Hyperlink >>> can be >>>> given so that we can have a vertical record. >>>> Have gone through the CPGs and their application >>> in >>>> GEHR? >>>> DR ANIKET JOSHi >>>> --- Sam Heard <sam.heard at bigpond.com> wrote: >>>>> Dear All >>>>> >>>>> I have been developing the idea of part of the >>>>> record that the patient can >>>>> write in - I have (Gates style) called it My >>> Folder >>>>> (eh?) and have two >>>>> subfolders in it at present - consent statements >>> (as >>>>> these will be written >>>>> by the patient) and appointments and >>> notifications. >>>>> >>>>> It is clear that the patient needs to write and >>>>> interact with these. I have >>>>> thought recently that we may be best to develop >>> a >>>>> transaction for each of >>>>> the patient notifications - which will have all >>> the >>>>> details in it - rather >>>>> than process notifications into a collected >>>>> transaction (like a calendar) - >>>>> this means that the application will need to >>> process >>>>> these. >>>>> >>>>> I have thought that we could have an archive >>> folder >>>>> for when the patient has >>>>> done whatever was required - or declined to do >>> so. >>>>> This would mean perhaps >>>>> an archive folder and an entry for the outcome >>> of >>>>> the notification. >>>>> >>>>> What do you think? >>>>> >>>>> Sam >>>>> ____________________________________________ >>>>> Dr Sam Heard >>>>> The Good Electronic Health Record >>>>> Ocean Informatics, openEHR >>>>> 105 Rapid Creek Rd >>>>> Rapid Creek NT 0810 >>>>> Ph: +61 417 838 808 >>>>> sam.heard at bigpond.com >>>>> www.gehr.org >>>>> www.openEHR.org >>>>> __________________________________________ >>>>> >>>>> - >>>>> If you have any questions about using this list, >>>>> please send a message to d.lloyd at openehr.org >>>> >>>> >>>> __________________________________________________ >>>> Do you Yahoo!? >>>> Yahoo! Mail Plus Powerful. Affordable. Sign up >>> now. >>>> http://mailplus.yahoo.com >>> >> >> >> __________________________________________________ >> Do you Yahoo!? >> Yahoo! Mail Plus - Powerful. Affordable. Sign up now. >> http://mailplus.yahoo.com > > - > If you have any questions about using this list, > please send a message to d.lloyd at openehr.org -- <private> -- Gerard Freriks, arts Huigsloterdijk 378 2158 LR Buitenkaag The Netherlands +31 252 544896 +31 654 792800 - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
