Tag Archives: DCM

Why clinical models are essential to big data

Posted on 11/03/2014 by wolandscat

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 , , , , , , , | 1 Comment

CIMI – time for clinician collaboration?

Posted on 08/11/2013 by wolandscat

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 →

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What is a ‘clinical statement’?

Posted on 30/07/2013 by wolandscat

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 →

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Identifying complex knowledge artefacts

Posted on 24/04/2013 by wolandscat

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 →

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DCMs & archetypes – why we need 3 layers

Posted on 09/10/2012 by wolandscat

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 , , , , , , | 3 Comments

Ontologies in health: ready for prime time? IAO versus openEHR

Posted on 03/09/2012 by wolandscat

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 , , , , , | 3 Comments

CIMI group goes with openEHR archetypes & UML profile

Posted on 14/12/2011 by wolandscat

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 →

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DCM – Data Types and Reference Model considerations

Posted on 11/09/2011 by wolandscat

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 →

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DCMs – can they look good AND be computable?

Posted on 08/06/2011 by wolandscat

Let’s talk about mindmaps and archetypes. Mindmaps seem to be fuzzy and friendly – we need them because they are incredibly efficient at transmitting information to humans. Archetypes seem über-mathematical, but we need them to do proper model-based computing.

Posted in Computing, Health Informatics, openehr | Tagged , , , , , | 1 Comment

Detailed Clinical Models (DCMs) – some basic facts

Posted on 03/06/2011 by wolandscat

The New Zealand e-health programme architecture task-force has published its Working Interoperability Reference Architecture blueprint document. With respect to the document and the comments posted (I tried to post myself,  but the comment disappeared), it seems worth making a couple … Continue reading →

Posted in Health Informatics, openehr | Tagged , , , , , , | 5 Comments