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Category Archives: Health Informatics
Identifying complex knowledge artefacts
Based on a lot of experience, thinking and gnashing of teeth of colleagues Ian McNicoll, Heather Leslie, Sebastian Garde who work on the Ocean Clinical Knowledge Manager (CKM) product, as well as many others using archetypes and archetype tools more … Continue reading
DCMs & archetypes – why we need 3 layers
This post is inspired by a slightly out-of-control discussion among people in the CIMI group. It’s a good discussion. The latest question that has come up is whether a DCM (Detailed Clinical Model) is a ‘model of use’ (i.e. some … Continue reading
Posted in Computing, Health Informatics, openehr
Tagged archetype, DCM, e-health, hl7 rim, openEHR, snomed ct
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Models from Intermountain Health – pioneering lessons
I am back this week from a week in Salt Lake City, visiting Dr Stan Huff’s group at Intermountain Health, a globally recognised centre of excellence for clinical computing. I should have been 10 years ago, but better late than … Continue reading
Ontologies in health: ready for prime time? IAO versus openEHR
A lot of ontology work has been going on for some years that comes loosely under the BFO and OBO activities, which stand to improve how computing in health is done. BFO is the Basic Formal Ontology, and OBO is … Continue reading
Posted in Health Informatics, openehr, Philosophy
Tagged archetype, DCM, e-health, IHTSDO, ontologies, openEHR
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The power of the openEHR archetype formalism – visualised
I made a new beta release of the ADL Workbench today, a tool whose core is a parser and 3-pass validator for archetypes written in the openEHR Archetype Definition Language. Today’s release includes visualisation that really shows how archetypes form … Continue reading
Posted in Computing, Health Informatics, openehr
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The CDA ‘dual-content’ conundrum
In his recent blog post, Eric Browne highlights what may be a problem in the design of the Australian PCEHR, due to the well-known CDA feature allowing dual forms of content – text and structured, supposedly equivalent – to be … Continue reading
CIMI group goes with openEHR archetypes & UML profile
The Clinical Information Modelling Initiative (CIMI) group led by Dr Stan Huff (Intermountain Health, Utah) met here in London 29 Nov – 1 Dec to make a final decision on formalism, from the two remaining – openEHR archetypes and various … Continue reading
CIMI: purpose-built or jury-rigged?
In recent weeks, the Clinical Information Modelling Initiative (CIMI), led by Stan Huff, has followed its stated process and is nearing a voting process in which a shared health domain modelling formalism is chosen. Proponents of each of the candidate … Continue reading
Posted in Health Informatics, openehr
Tagged 13606, archetype, e-health, ISO 21090, models, standards
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DCM – Data Types and Reference Model considerations
Following the DCM meeting convened by Dr Stan Huff (Intermountain Healthcare) in Washington in July, reported in an earlier blog post, there is a further meeting this week in San Diego, which will discuss the issues of ‘data types’ and … Continue reading
Why e-health really is hard
Every so often, someone asks: why can’t the health sector get its act together with ICT? Tell me why health is ‘different’? Every so often a new and interesting answer to this question pops up…