Revision [207]

Last edited on 2010-05-19 04:27:47 by MartinWehlou
Additions:
In other words, as the EHR looks today, it is of critical importance to maintain the absolute minimum of text in the records and to avoid duplication and unrelated information as much as humanly possible. A disturbing number of government initiatives, however, result in exactly the opposite effect, interconnecting EHR systems over large geographical areas while at the same time sprinkling the EHR text mass with redundancies and irrelevancies to a degree that is outright dangerous.
Deletions:
In other words, as the EHR looks today, it is of critical importance to maintain the absolute minimum of text in the records and to avoid duplication and unrelated information as much as humanly possible. A disturbing number of government initiatives, however, result in exactly the opposite effect, interconnecting EHR systems over large areas while at the same time sprinkling the EHR text mass with redundancies and irrelevancies to a degree that is outright dangerous.

Revision [206]

Edited on 2010-05-19 04:06:24 by MartinWehlou
Additions:
- Once the doctor does understand the essentials of the patient's history, he usually summarizes the history and adds it to his own journal entry, so as not to lose it. This isn't as useful as it may seem since it will scroll away beyond the "reading horizon" of two entries pretty soon. Once it has scrolled away beyond the "reading horizon" it isn't useful anymore and only contributes to the enormous mass of unstructured text, reinforcing the vicious circle.
Deletions:
- Once the doctor does understand the essentials of the patient's history, he usually summarizes the history and adds it to his own journal entry, so as not to lose it. This isn't as useful as it may seem since it will scroll away beyond the "reading horizon" of two entries pretty soon. Once it has scrolled away beyond the "reading horizon" it isn't useful anymore and only contributes to the enormous mass of unstructured text.

Revision [205]

Edited on 2010-05-19 04:05:10 by MartinWehlou
Additions:
A number of initiatives coming from the outside of direct patient care result in an additional increase of the amount of non-essential or duplicated text. For example, a number of quality register initiatives and the "lifestyle" questionnaires add large amounts of text to the EHR, further obscuring the useful text we're looking for.
Deletions:
A number of initiatives coming from the outside of direct patient care result in an additional increase of the amount of non-essential text. For example, a number of quality register initiatives and the "lifestyle" questionnaires add large amounts of text to the EHR, further obscuring the useful text we're looking for.

Revision [204]

Edited on 2010-05-19 04:04:47 by MartinWehlou
Additions:
Current electronic health-care record systems contain huge amounts of textual data without any useful structure. The mass of text in itself becomes a big problem when there is no structure, standing in the way of the reader. Since there is no useful structure, the entire text must be read and internalized at every encounter where the patient is new to the doctor or if he hasn't seen the patient recently, which in primary care is most encounters. If the amount of text could be reduced to the absolute essentials, then the reader might have a chance of getting through it, but we passed that point a while ago in most systems. That was a point of no return, as far as current EHR systems are concerned.
A number of initiatives coming from the outside of direct patient care result in an additional increase of the amount of non-essential text. For example, a number of quality register initiatives and the "lifestyle" questionnaires add large amounts of text to the EHR, further obscuring the useful text we're looking for.
Deletions:
Current electronic health-care record systems contain huge amounts of textual data without any useful structure. The mass of text in itself becomes a big problem when there is no structure, standing in the way of the reader. Since there is no useful structure, the entire text must be read and internalized at every encounter where the patient is new to the doctor or if he hasn't seen the patient recently, which in primary care is most encounters. If the amount of text could be reduced to the absolute essentials, then the reader might have a chance of getting through it, but we passed that point a while ago in most systems. That was a point of no return, unless we restructure the entire system using "issues".
A number of initiatives coming from the outside of direct patient care are aimed to increase the amount of non-essential text. For example, a number of quality register initiatives and the "lifestyle" questionnaires add large amounts of text to the EHR, further obscuring the useful text we're looking for.

Revision [203]

Edited on 2010-05-19 04:03:25 by MartinWehlou
Additions:
Current electronic health-care record systems contain huge amounts of textual data without any useful structure. The mass of text in itself becomes a big problem when there is no structure, standing in the way of the reader. Since there is no useful structure, the entire text must be read and internalized at every encounter where the patient is new to the doctor or if he hasn't seen the patient recently, which in primary care is most encounters. If the amount of text could be reduced to the absolute essentials, then the reader might have a chance of getting through it, but we passed that point a while ago in most systems. That was a point of no return, unless we restructure the entire system using "issues".
Deletions:
Current electronic health-care record systems contain huge amounts of textual data without any useful structure. The mass of text in itself becomes a big problem when there is no structure, standing in the way of the reader. Since there is no useful structure, the entire text must be read and internalized at every encounter where the patient is new to the doctor or if he hasn't seen the patient recently, which in primary care is most encounters. If the amount of text could be reduced to the absolute essentials, then the reader might have a chance of getting through it.

Revision [202]

Edited on 2010-05-19 04:01:39 by MartinWehlou
Additions:
In other words, as the EHR looks today, it is of critical importance to maintain the absolute minimum of text in the records and to avoid duplication and unrelated information as much as humanly possible. A disturbing number of government initiatives, however, result in exactly the opposite effect, interconnecting EHR systems over large areas while at the same time sprinkling the EHR text mass with redundancies and irrelevancies to a degree that is outright dangerous.
Deletions:
In other words, as the EHR looks today, it is of critical importance to maintain the absolute minimum of text in the records and to avoid duplication and unrelated information as much as humanly possible. A disturbing number of government initiatives, however, result in exactly the opposite effect, sprinkling the EHR text mass with redundancies and irrelevancies to a degree that is outright dangerous.

Revision [201]

Edited on 2010-05-19 04:00:20 by MartinWehlou
Additions:
Current electronic health-care record systems contain huge amounts of textual data without any useful structure. The mass of text in itself becomes a big problem when there is no structure, standing in the way of the reader. Since there is no useful structure, the entire text must be read and internalized at every encounter where the patient is new to the doctor or if he hasn't seen the patient recently, which in primary care is most encounters. If the amount of text could be reduced to the absolute essentials, then the reader might have a chance of getting through it.
Deletions:
Current electronic health-care record systems contain huge amounts of textual data without any useful structure. This lack of structure is discussed elsewhere in these pages. The mass of text in itself becomes a big problem when there is no structure, standing in the way of the reader. Since there is no useful structure, the entire text must be read and internalized at every encounter where the patient is new to the doctor or if he hasn't seen the patient recently, which in primary care is most encounters. If the amount of text could be reduced to the absolute essentials, then the reader might have a chance of getting through it.

Revision [200]

The oldest known version of this page was created on 2010-05-19 03:59:50 by MartinWehlou
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