Tag Archives: EHR

Towards a standard analysis of computable guidelines, clinical workflow, decision support and … the curly braces problem

Posted on 24/06/2020 by wolandscat

Why don’t we have widespread clinical decision support (CDS), computable guidelines, clinical workflow (plans), and why don’t the pieces we do have talk to the health record? The first time I heard such challenges framed was around 2000, and even … Continue reading →

Posted in decision support, Health Informatics, openehr, standards | Tagged , , , , , , | 10 Comments

FHIR versus the EHR

Posted on 24/05/2019 by wolandscat

One of the many things the FHIR silver bullet hype claims FHIR will solve is the EHR, along with Clinical Decision Support (CDS), Care Pathways, and who knows, paving driveways and launching spacecraft. I have made various arguments against silver … Continue reading →

Posted in FHIR, Health Informatics, openehr, standards | Tagged , , , | 1 Comment

Major German research project chooses openEHR

Posted on 20/06/2018 by wolandscat

I just returned from Heidelberg, where another very successful ‘openEHR day’ was held, this time by the HiGHmed research consortium, with 100 attendees. HiGHmed is funded with 20m€ by the German Federal Ministry of Education and Research (BMBF) under the … Continue reading →

Posted in FHIR, Health Informatics, openehr, standards | Tagged , , , , | Leave a comment

Initial foundations for clinical workflow

Posted on 23/01/2017 by wolandscat

Over the last 6 months or so I have been working on two projects, but one theme: implementing computable clinical workflow. For as long as I can remember, ‘workflow’ and ‘process’ are the main words that excite most clinical professionals in health informatics. … Continue reading →

Posted in Computing, Health Informatics, openehr, standards | Tagged , , , , , | 8 Comments

Future of the EHR: adaptive clinical workflow support

Posted on 29/11/2016 by wolandscat

In the time since I left Ocean Informatics (the company I started with Dr Sam Heard and others in the late 1990s), I have been working with Intermountain Healthcare as well as various other openEHR vendor companies, notably DIPS (Norway) … Continue reading →

Posted in Health Informatics, openehr | Tagged , , , | 4 Comments

The innovations of openEHR

Posted on 04/11/2015 by wolandscat

The European Commission is putting together a position on disruptive innovation in health. Their preliminary opinion paper references Clayton Christensen’s The Innovator’s Prescription a number of times, as I did aeons ago in this post on the Crisis in e-health Standards. … Continue reading →

Posted in Computing, Health Informatics, openehr | Tagged , , , , , , | Leave a comment

openEHR in Brazil – Sirio Libanes

Posted on 10/08/2015 by wolandscat

openEHR training session last week at Hospital Sirio Libanes, one of the premiere teaching and research hospitals in Brazil. I delivered the background and theory part, Samuel Frade and Bostjan Lah (both from Marand) delivered the programming part. We were … Continue reading →

Posted in Health Informatics, openehr | Tagged , , , , | 2 Comments