Archive for March, 2010

The missing entities

Wednesday, March 31st, 2010

There’s a reason why our medical records systems don’t work and that reason goes back quite a way. As I’ve mentioned before, it goes back to when IT people started implementing the paper records in computers, assuming the paper records contained a complete model of the medical management of the patient, which they didn’t. Automating […]

iPad: the lowest common denominator

Monday, March 29th, 2010

After watching

The interconnection con

Friday, March 26th, 2010

Every project and initiative in healthcare IT can be classified into one of two types: interconnection and the rest. Interconnection projects, as the term indicates, all have in common that they involve improving just the exchange of data and nothing else, by actually interconnecting two or more systems, or by creating some standard that is […]

IotaMed business plan

Monday, March 22nd, 2010

The main obstacle to getting a better electronic health care record off the ground is the following. Hospitals (or large primary care organizations, for that matter) generally do not buy anything but complete systems with wall-to-wall coverage of functionality, which in turn leads to major upheavals at every system change and generally an almost total […]

iota Mockups

Friday, March 19th, 2010

I’ve started to do mockups of the iotaPad interface, so I can illustrate the workflow of the iotaMed journal. I think those mockups are needed, since it’s very hard to illustrate how a medical record should work, unless you can see it in action.

One iota more

Wednesday, March 17th, 2010

Putting my money where my mouth is, or my wiki where my iota is, I decided to wikify the effort. But first it needed a name and I came up with “iotaMed” which stands for “Issue Oriented Tiered Architecture for Medicine”. You can find the wiki at Be there.

Open development of the medical record

Monday, March 15th, 2010

To summarize where the medical record is and where it is going, we could say the following. And if we can’t, please tell me why not. The frontend of current medical records systems simply don’t work in practice. They’re hard to use and are unsuitable to help in ongoing work. The only thing they do […]

Confidentiality of the right thing

Wednesday, March 10th, 2010

If we use “issues” as the top level item in the EHR, instead of the “encounter”, it comes naturally to attach confidentiality attributes to the issue instead of the department, doctor, or encounter. That’s a huge improvement. Let’s take an example to show why. As things are in current systems, confidentiality walls or borders are […]

Having issues

Monday, March 8th, 2010

In my last post I described the positioning of the SRR record and I also painted it as a form that can either be predetermined in the form of a clinical guideline record or a free form record to which the doctor can add steps, or a mixture of both. Since we don’t want to […]

What’s this SRR thing, then?

Friday, March 5th, 2010

In my last post, I arrived at the conclusion that the main element in the electronic healthcare record should be a list of problems and each of those problems should be an SRR, that is a document that is updated with  the most recent data pertaining to this problem, not a document that gets replaced […]