mlhim-owners team mailing list archive

[Luciana Tricai Cavalini <lutricav@xxxxxxxxx>]

Hello,


Em 24/07/2012 18:49, Timothy Cook escreveu:
> Dear Lu, et.al.
> 
...
> 
>> This is a HUGE research project. But it is difficult to know how much
>> semantics is lost because we can't see the paper forms. I know that Tim
>> and I disagree about that, but any type of form does constraint the user
>> to express himself exactly the way he/she wanted to. So, IMO, every time
>> a form is used, semantics is lost.
>>
> 
> I don't think we disagree about it.

But, according to this paper Tim sent me, it is better than free text notes:

http://www.ncbi.nlm.nih.gov/pubmed/22610494

> 
> 
>> Would the solution be videotaping the encounters and then extracting the
>> semantics directly from the conversation, the non-verbal gestures, the
>> medical devices? It sounds cool, but the problem is that people get self
>> conscious when they are being recorded.

The paper above suggestes that at least dictating notes is the worst choice!

OK that their outcome was not "lost semantics", but "quality of care",
but we are assuming (maybe a very strong assumption) that keeping
semantics is an intermediate step to improve quality of care.

>>
> 
> Well, I was thinking something a bit more doable.  Just examining
> their use cases and making rational commentary on where semantics are
> lost in their process.

Semantics is lost everywhere, which makes this project huge...

> 
> ...
> 
>>> Thoughts, comments?
>>
>> Wheeew, I think I missed the point or changed the subject in the middle,
>> but I think we need to study the cases on the Markle website, because
>> they show what is the final goal of MLHIM.
>>
> 
> Yes, you kind of did.  As I said, just a cursory look and some ideas
> about where in their process, MLHIM can improve on semantics
> retention.  Such as when they commit to using a SQL database or when
> they talk about software functionality.  Both of these should be
> inside the structure of the CCD as components or as assertions.

Do you mean that there is a relationship between the database type or
software functionality to the components or assertions of the CCD?

-- Luciana


> 
> Sincerely,
> Tim
> 

-- 
Esta mensagem foi verificada pelo sistema de antiv�s e
 acredita-se estar livre de perigo.