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Re: [Gnumed-devel] Fwd: [openhealth] Demonstrations & Standards.

From: Syan Tan
Subject: Re: [Gnumed-devel] Fwd: [openhealth] Demonstrations & Standards.
Date: Fri, 24 Mar 2006 13:26:38 +0800

maybe if we did a script that produces randomly "simulated" records and put them into gnumed

and say have about 15,000 of them, with some small infrequent for the younger patients

e.g have a  simulated " immunization ", "urti", "asthma", "cystic fibrosis", "adhd" paediatric records

with 99% immunization 10% asthma etc,   total 20%

and a simulated "medical certificate", "bronchitis", "blocked ear", "depression" , "psychosis", "drug related", "impotence", "pregnancy", "antenatal " , "fracture" ,

younger adult population records, for 10%

and a simulated "hypertension", "diabetes", "cholesterol", "early coad", "arthritis", "work related injury", "alcoholism",
"pain medication dependence"  older adult records , for 40%

and a simulated "skin cancer", "ccf", "cancer", "dementia", "COAD", "fracture/osteoporosis", "multiple medications"

"home/nursing home attendace" geriatric records for 20 %  ,

 of 15,000

then demonstrate how scalable and practical, minimally functional, an open source medical solution

even something in alpha like gnumed can be.  The point being, most of the problems of usable, scalable, capable,

networked ,  is dealt with with in the postgresql / debian package / gnu libraries/ linux + drivers  stack,

and application development is not the hard stuff in software, but writing to apis and frameworks,

ontop of the stack which has 10K person +  X 20 years  development behind it. 

On Thu Mar 23 8:31 , James Busser sent:

The following thread is active at openhealth. Would we like to submit
GNUmed's "export to text file" as a "good enough" solution for
awareness / consideration by others, for suggested improvements, and
possible adoption by others?

Begin forwarded message:

> Date: March 23, 2006 7:05:20 AM PST (CA)
> To: address@hidden
> Subject: Re: [openhealth] Demonstrations & Standards.
> IMHO this may be setting the bar too high....sorry for singing to the
> choir: what we need are a few "good enough" solutions (and there are a
> couple) that meet user needs.... and more importantly, critical mass
> communities of users and developers that collaboratively, continuously
> improve them. The most compelling solutions will emerge from those
> communities. The real challenge is building the communities, not the
> software.
> ... wrote:
>> Until we have compelling informatics solutions that meet actual
>> clinical user needs, adoption of new IT proposals will be minimal at
>> best, which describes the current state of EHR deployment in this
>> country (i.e., minimal).

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