Health Informatics – Nicholas Oughtibridge

Judy Faulkner, spaghetti and Elon’s I’m a celebrity – get out of here.

By Nicholas Posted on 28 November 2022 Posted in Care record models, Health, Health Data Architecture, Health Informatics, Master data, Reference data, Terminology Server

Like the sick blue parrot that tweets no more, the care record is trapped. Caged in vendors Electronic Medical Record management systems stuck on organisational islands and unable to move freely around its health and care ecosystem.

Freeing the care records stranded on islands of electronic medical records is critical if we are to join up care in England.

Judy Falkner has identified the barriers; I offer an alternative to her “solution”.

So what does it all mean? – Part 5 – Summaries

By Nicholas Posted on 16 May 2022 Posted in Care record models, International Patient Summary, What does it all mean Tagged with Grimsby, Scunthorpe and Goole

I’ve been looking back over 20 years to a functional and useful patient summary across 9 different sources and three NHS Trusts.

Mapping house names with Google

By Nicholas Posted on 9 May 2022 Posted in Master data Tagged with Geoplace, Google, Maps, UPRN

I’ve been wondering who is to blame for my parcels being delivered to a dirt track and I’ve now found out. It turns out Google can’t know everything!

So what does it all mean? – part 4 – Electronic records

By Nicholas Posted on 3 May 2022 Posted in Care record models, What does it all mean

Where should the meaning be stored?

Now I move to electronic records and explore some of the challenges that come with using modern databases to store health and records.

So what does it mean? – part 3 – forms

By Nicholas Posted on 25 April 2022 Posted in Care record models, What does it all mean

In this part of the “so what does it all mean?” series, I’m moving on from specific records to agreed forms designed to be filled in to become part of a person’s record. Part 1 of this series looked at …

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So what does it all mean? – part 2 – hospital records

By Nicholas Posted on 18 April 2022 Posted in Care record models, What does it all mean

Case note written by Dr Charles West when treating 15 year old Harry Harries in 1861.

In part 1 of this “so what does it all mean?” series I gave an overview of the Lloyd George case note used in English General Practices from 1911. Now to move to hospitals. The illustrations are from the Historical …

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So what does it all mean? – part 1 – Lloyd George envelopes

By Nicholas Posted on 14 April 2022 Posted in Care record models, What does it all mean

The Lloyd George envelope was the mainstay of General Practice record keeping for a century. In the first post of the “What does it all mean?” series I look at it from a health informatics perspective and introduce a basic data model for the record.

Inca masonry – key to interoperability?

By Nicholas Posted on 16 February 2022 Posted in Care record models, Health Data Architecture, Health Informatics, Reference data

Inca Stonework - Puka Pukara, Cusco, Peru

A couple of years ago I had the pleasure of visiting Puka Pukara high above Cusco in Peru. The work in building this fortress demonstrates attention to detail. Each stone is carefully shaped to fit into the overall architecture. Edges …

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Using health care data is not something new

By Nicholas Posted on 14 January 2022 Posted in Health Informatics

In a discussion today I remembered this remarkably astute section from Notes on Hospitals, London: Longman, Green, Roberts, Longman and Green, 1863, by Florence Nightingale, OM, RRC I am fain to sum up with an urgent appeal for adopting … …

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Separating data from applications that use it

By Nicholas Posted on 10 December 2021 Posted in Care record models, Health Data Architecture, Health Informatics, Master data

I joined an eclectic group of experts from the UK and US to discuss how we can achieve the policy commitment to “separate the data from applications”. In effect, to unlock the data held in operational systems (care records, rostering, HR, finance etc.) and make those data available to be use in other applications or for analytics.

Category: Health Informatics