Lunaria Clinical

Clinical Modelling Using Open Architecture

Author: Grant Forrest

  • `LA to skin´

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    Grant Forrest
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    too much or too little ? A recent discussion between colleagues from the anaesthetic community in the UK centred on what can best be described as the granularity of an anaesthetic record. Put simply, is there a need to include every possible detail of every drug, procedure, device and event in the record, or is…

  • Open AIMS

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    Grant Forrest
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    Introduction In recent times, there has been renewed interest in the UK from Health Care Entities (HCEs) in the purchase and deployment of Anaesthesia Information Management Systems (AIMS). The drivers of this change are a topic for debate, but after the demise of the Connecting for Health programme in NHS England over a decade ago,…

  • QR Codes for Medical Devices

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    Grant Forrest
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    2D barcodes are used on the packaging of healthcare devices. Using a combination of a 2D barcode, a URL and an openAPI, we can return important device properties that can be persisted in an EHR.

  • Shared Decision Making in Perioperative Care

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    Grant Forrest
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    Background A recent project in the UK to create structured documents for shared decision making (SDM) in healthcare got me thinking about what happens in perioperative care. After gathering my thoughts in the obligatory mind map, I began to think about the differences and challenges. The key challenge in perioperative care may be the time…

  • Invasive Devices on FHIR

    Invasive Devices on FHIR

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    Grant Forrest
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    The SCATA Open Standards Working Group met early in 2022 to discuss Martin Hurrell’s proposal to enlist the help of the HL7 Devices group to author a FHIR Implementation Guide for the intraoperative phase of anaesthesia, based on his domain analysis model. This will be a challenging piece of work for a number of reasons.…

  • Introduction to Clinical Modelling

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    Grant Forrest
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    If you’re interested in how clinical information is organised, categorised and structured, a great place to start is Larry Weed’s 1971 lecture on problem-oriented medical records. Larry may have been the first clinician to understand the challenges and to propose solutions. Almost half a century later, we are still grappling with them. Should a clinic…