Diagnosing The Contextual Problem List
27 June, 2019
9 min read
As part of my work on the Welsh Information Solution for Diabetes Management (WISDM), we have the requirement to provide functions to support the curation of a problem list. This is not a definitive list of all the patient’s problems (as if one could…
Dealing with Legacy Apps: Remodeling the Hepatitis C Assessment
02 June, 2019
11 min read
The Hepatitis C Consultation Note was one of the first e-forms to be produced by NHS Wales Informatics Service. This digital form provides a means of capturing the clinical assessment from an outpatient appointment. It relies on data derived from two…
Positive Negation Statements with Adverse Reactions
10 March, 2019
7 min read
I have been doing some work with an Adverse Reactions service for some time. It’s one of those slow burn projects where decisions get made, time passes, thoughts change, and decisions get reappraised with the wisdom that inertia can sometimes bring…
A Pattern for Cardiovascular Assessment
13 February, 2019
9 min read
As part of my work helping to build the Welsh Diabetes record, I have started modelling this with OpenEHR. We have around 3,500 data points of various shapes and sizes and some of these are found in individual assessments. At seemingly random I…
Health Interoperability Symposium
13 February, 2019
1 min read
At the moment I am wearing a couple of hats and they all seem to be needed at the same time. #lotsofhats I am lucky to be involved with the organisation of Health Interoperability Symposium 2019 to be held in Cardiff, Wales. The symposium stems from…
Where You Been?
28 November, 2018
1 min read
I've been sleeping...Well that's a nice way of saying #busy but all the same it has been quiet around the Blog front for several reasons (which I will not bore you with). First things to note that there's a new blog layout. I noticed a little static…
Come to Hear Interoperababble...Live!
07 May, 2018
1 min read
I have the pleasure of being involved with the annual meeting for the Society for Computing and Technology in Anaesthesia. This year, the event is being held in Cardiff at the recently renovated (and mighty impressive) Exchange Hotel. My contribution…
Interoperability Badly Needs Defining
13 March, 2018
12 min read
It’s not everyday I leaf through my wife’s post to find something to incite the informatics soapbox. But in the most recent issue of the British Journal of General Practice I found just that. When I usually find myself perusing the BJGP (http://bjgp…
Using OpenEHR as the Basis for a Data Warehouse?!?
05 March, 2018
6 min read
Anyone au fait with openEHR knows the benefits of using its dual-modeling architecture to underpin an electronic health record. It is, after all what it was designed for. But I recently came across a paper which espoused the virtues of using openEHR…
Deriving Allergy Substance Category from Recursive SNOMED Calls
16 February, 2018
5 min read
As part of some work on recording Adverse Reaction Risks, we took the opportunity to look at binding SNOMED CT into the service. We approached the problem is a very linear way: we need a list of "stuff" that could cause a patient to have an allergic…
