Tag Archives: Health Informatics

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

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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

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What is a standard?

On the left  is the VMEbus, a  hardware bus specification created by Motorola at the time of the 68000 CPU. It uses the Eurocard physical card, connectors and mechanicals (DIN 41612), and adds an electrical/signalling specification (i.e. what do all … Continue reading

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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

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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

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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

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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

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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

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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

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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…

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