Archive for the 'iota' Category

TEDx talk public

Tuesday, December 9th, 2014

My TEDx talk is now public. It’s all about how bad current EHR systems are at helping us do our jobs as doctors. The title is “Rethinking clinical thinking: your doctor’s tools are blunt”. Enjoy it at:

TEDx Uppsala tickets open

Sunday, October 19th, 2014

I’m copying over the promotional email I got. Note that the last day to apply for a ticket is October 24, 2014.   A Day of Mind-Blowing Talks and Personal Stories  TEDxUppsalaUniversity will run their second event ever at Uppsala Stadsteater on Saturday, November 15.   Eight local and international speakers, ranging from scientists to authors […]


Saturday, December 11th, 2010

I was invited to give a lecture to the International Masters Programme in Health Informatics at Karolinska Institute, and we recorded a video of the entire lecture, in total around 3.5 hours. The last part is about iotaMed, our open source project for a “new and improved” electronic health care record, which is knowledge support, […]

Solution: open the market

Monday, June 14th, 2010

Now we’ve arrived at the last of the solutions in my list, namely “Opening the market for smaller entrepreneurs”. There are a number of reasons we have to do this, and I’ve touched on most of them before in other contexts. The advantages of having a large all-in-one vendor to deliver a single system doing […]

Solution: less need for standards

Friday, June 11th, 2010

Around 1996 I was part of the CEN TC251 crowd for a while, not as a member but as an observer. CEN is the European standards organization, and TC251 is “Technical Committee 251”, which is the committee that does all the medical IT standardization. The reason I was involved is that I was then working […]

Solution: improved specifications

Wednesday, June 9th, 2010

The quality of our IT systems for health-care is pretty darn poor, and I think most people agree on that. There have been calls for oversight and certification of applications to lessen the risk of failures and errors. In Europe there is a drive to have health-care IT solutions go through a CE process, which […]

Solution: modular structure

Monday, June 7th, 2010

Forcing a large application into small independent parts that have to communicate with each other using minimal interfaces is always a good thing. Large monolithic applications go “fat and lazy” when there is no requirement to keep them split up. Also, the effort to expand and maintain the applications go through the roof. We know […]

Solution: Issues

Friday, June 4th, 2010

Ah, finally we arrive at solutions. The first in the series is the elephant in the room: issues. Why do I say “elephant in the room”? Because when a doctor examines and treats a patient, he thinks in “issues”, and the result of that thinking manifests itself in planning, tests, therapies, and follow-up. When he […]

That was a rough ride

Monday, May 31st, 2010

Finally, we’re past the summing up of the problems in current health-care record systems. It was long, depressing, and admittedly quite boring at times, but oh so necessary. I hope you’re all in a suitably despaired state of mind to crave some solutions to all this misery, but first let’s see what we endured. I […]

Problem: too much secretarial work

Friday, May 28th, 2010

Since current electronic health-care record systems are largely text based, there is a large amount of text to be written after each encounter. In Sweden, doctors generally dictate the entry after each encounter, and a secretary then types it out. The same procedure is used for referrals, reports, and letters. Brevity in notes is definitely […]