Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Is Meaningful Communication Possible without a Common Record Architecture? HL7 UK Annual Conference October 2006 Julie James, MRPharmS Chair Pharmacy Sub-Group Partner, Blue Wave Informatics LLP [email protected] October 2006 © Blue Wave Informatics LLP 2 What is “Meaningful Communication”? • • • • • A baby cries….. A politician’s rhetoric….. A newspaper report…. A newspaper editorial…. A text book…… • • • • An FP10 prescription…. A discharge summary…. A consultant ward round discussion…. Two consultants discuss a single patient in the quiet of an empty office…. • The “grand round”…. • An EHR???? 3 How can I really know if I have communicated successfully? Good communication should be dynamic Good communication should be two-way (or more) Good communication will create and maintain understanding Good communication will be synergistic and develop a theme We do this by – talking together face to face or by phone – writing letters (and e-mail) – papers and presentations, speeches – films, books, plays, music, paintings, art But how can SYSTEMS do this? 4 Systems need to use HL7 HL7 v3 seeks to facilitate systems communication by • Providing a grammar and syntax for the facts of healthcare – The static model of the RIM • Providing the etiquette for systems communication – The Dynamic model • The trigger events • The application roles • The receiver responsibilities But you have to use it well…. 5 What about this “common record architecture” concept, then? Aren’t we muddling the concepts here? We need to be clear about the subtle difference between (ELECTRONIC) COMMUNICATION Sharing information between systems for a purpose (which may be the EHR) and THE ELECTRONIC HEALTH RECORD Documenting information (which may be shared) 6 An Electronic Health Record Structured (electronic) records have proven benefits: • the record is less likely to be unavailable (i.e. lost!) • records can be audited efficiently leading to better care • facilitates decision support, reducing errors and providing safer, higher quality care Having a shared structure (architecture) means that tools and knowledge for audit and decision support can be shared, which has to be beneficial! 7 But Communication: Dependency? Or Interdependency? “Meaningful Communication” and “Shared Record Architecture” are separate and distinct concepts covering different areas of functionality in life and in systems We need both to deliver 21st Century Healthcare A common (shared) culture usually makes communication “easier”, but is it “essential” to communication? To quote BT: It’s good to talk To quote Nike: Just do it 8