Hi All,
I would like to ask Gerard Freriks to post some more information on the tool
for free text analysis he mentioned.
I think there is an influence on any EHR schema (even when built with
archetypes) by the way chosen to retrieve the particular fragment of
information. I also think archetypes could play an important role on future
health-related free text analysis. That's why I thought my request was valid
for a post.
Since this is my first message to the list I think it appropriate to
introduce myself (just a warning so I don't bore busy people with the rest
of the e-mail)
I'm a Systems Analyst working on an academic project for our country's main
public hospital ("Hospital de Cl?nicas", Uruguay).
Our work deals with the retrieval, analysis and integration of Epileptic
patients clinical data. We evaluated the use of openEHR some months ago, but
found too little empirical proof of its adequacy... :(
We don't have our web page finished yet, and the first version is going to
be in Spanish only, but I could send or post information on it when it's
done, if I receive any request.
Best Regards,
Conrado Vi?a
-----Mensaje original-----
De: owner-openehr-technical at openehr.org
[mailto:owner-openehr-technical at openehr.org] En nombre de Gerard Freriks
Enviado el: lunes, 11 de agosto de 2003 19:36
Para: Christopher Feahr; Thomas Clark
CC: Karsten Hilbert; openehr-technical at openehr.org
Asunto: Re: HISTORY DATA SET IN EPR
Hi,
As a GP with 20 years of experience in the Netherlands I learned that
free text plus a not to complicated set of codes (ICPC) is sufficient
for daily practice. We could generate automatic advice for medication
based on complaints or diagnosis.
ICPC contains roughly 2000 complaints, diagnoses and procedures. It will
cover 80% of every thing a GP will encounter during the day.
The provision of medicine is an art.
The registration of all medical (and other) relevant facts and findings
is retelling the story of the pati?nt. It is a narritive process. Have
we ever seen a piece of literature completely written in complex codes?
The study of Archetypes (see the OpenEHR website) will reveal that
Archetypes plus free text plus codes will enable future physicians a lot
of flexibility and expressive power. Much of the flexibility will depend
on the ontology (medical knowledge and knwoledge of the world) behind
the scenes.
And bye the way.
In the R&D facility where I work we have a very powerfull tool for
analysis of free text. Recently a lot of progress has been been at this.
If the free text is 'enriched' with Archetypes this process of
meaningfull data extraction will become much more easy.
Gerard Freriks
--
Gerard Freriks, MD
Convenor CEN/TC251 WG1
TNO-PG
Zernikedreef 9
Leiden
The Netherlands
+31 71 5181388
+31 654 792800
-- <private> --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
+31 252 544896
+31 654 792800
> From: "Christopher Feahr" <chris at optiserv.com>
> Organization: Optiserv Consulting
> Reply-To: "Christopher Feahr" <chris at optiserv.com>
> Date: Mon, 11 Aug 2003 07:32:52 -0700
> To: "Thomas Clark" <lakewood at copper.net>
> Cc: "Karsten Hilbert" <Karsten.Hilbert at gmx.net>,
> <openehr-technical at openehr.org>
> Subject: Re: HISTORY DATA SET IN EPR
>
> Presently, each doctor and EMR software vendor is cooking up his own
> shorthand-language, and I'm suggesting that information should be
> reduced as much as possible to a standard set of codes.
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