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Past Posts
- Towards a standard analysis of computable guidelines, clinical workflow, decision support and … the curly braces problem
- FHIR Fixes – the choice construct part I
- FHIR fixes: why a type hierarchy would help
- FHIR Fixes – the Observation.value problem
- Fixes for FHIR – the Admin Resources
- Why using HIT standards fails to achieve interoperability
- Improving Process State Representation in FHIR
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Tag Archives: CIMI
Making FHIR work for everybody
FHIR is the HL7’s modern approach to connecting components in the health computing space. Unlike the HL7v2 message approach, FHIR is oriented to enabling applications connect to back-ends. It has been running for a few years now, and is doing good work on how to … Continue reading
Health interoperability standards are a pre-platform concept. Discuss.
There is a growing recognition that we need an open platform concept to solve e-health interoperability and reuse problems. Some evidence of this I noted in my recent post ‘What is an open platform’, including various US-based cross vendor platform … Continue reading
Posted in Computing, Health Informatics, standards
Tagged archetype, CIMI, Health Informatics, openEHR, standards
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Evaluating e-health standards II – governance and commercial aspects
Following on from my post yesterday, Grahame Grieve commented that I had not dealt with issues of stability and commercial acceptability. I had not originally intended to do that, but on reflection, he is right – a standard that is … Continue reading
Posted in Health Informatics, openehr, standards
Tagged 13606, CDA, CIMI, fhir, Health Informatics, HL7, ISO, openEHR, standards
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Why clinical models are essential to big data
I attended HIMSS 2014 in the mammoth convention centre in Orlando 10 days ago, and went to a session on ‘Clinical Decision Support – is progress being made?’. Despite this being the dead Thursday of HIMSS, around 50 people showed … Continue reading
Posted in Health Informatics, openehr, standards
Tagged archetype, CIMI, DCM, Health Informatics, HL7, openEHR, order sets, standards
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CIMI – time for clinician collaboration?
How can CIMI ‘standard’ clinical models be created? In CIMI, we mostly seem to assume two pathways: de novo authoring, e.g. with an archetype tool that consumes the CIMI RM accession and conversion of external models, e.g. CEMs, openEHR, 13606, … Continue reading
Posted in Health Informatics, openehr
Tagged archetype, CEN, CIMI, DCM, Health Informatics, openEHR
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What is a ‘clinical statement’?
In the CIMI forum, a debate is raging about this question. It might partly be my fault for daring to question some things in the reference model, but having done that, various participants are indeed arguing. So that’s a vindication … Continue reading
A real world CIMI archetype analysis based on Intermountain CEMs
I have been meaning to blog the recent CIMI meeting (already 10 days ago 😉 but have been buried in ‘work’. So in lieu of that, I’ll put up an analysis of a real use case from Intermountain Health that … Continue reading
Posted in Health Informatics, standards
Tagged archetype, CIMI, Health Informatics, models
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