SCIMP (@SCIMP_GP) profile picture

SCIMP focuses on Primary Care Informatics

Scotland
Joined May 2012
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SCIMP welcomes new members. If you're working in Primary Care in Scotland, join us! We advise @scotgovhealth on informatics in Primary Care. Our contract is #zero-hours, so contribute as or when you can. scimp.scot.nhs.uk/contact-us
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“Health and social care in Scotland is currently made up of multiple legacy systems and governance structures. We need a joined up approach to get clinical data safely, at the right place and at the right time”. Associate Director for Data, Steve Pavis @ndsscotland
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I love it when people say FHIR resources are analogous to openEHR archetypes. #Nope. And that's the principal reason why the AllergyIntolerance resource should be banned. It's an outlier.
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Today on-line booking goes live for a range of sexual health services in Scotland - nearly all the country covered thanks to amazing work by colleagues. nhsinform.scot/care-support-… or via local Board websites #STI #NaSH @Excelicare @SandyfordNHSGGC
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@ukfci in action at @DHSummerSchools workshops - Day 1. For a bit of instructive fun look out for #MedicinesInteroperability - we found the Holy Grail - what now? Ann Slee @ianmthompson and @ianmcnicoll
Demonstrating the first steps by @ndsscotland on building the #Nationaldigitalplatform
Looking forward to presenting on the @ndsscotland #NHSScotland #Nationaldigitalplatform @digitalhealth2 @DHSummerSchools as one of the 6 in 60 presenters next week. Talking about #AnticipatoryCarePlans #ReSPECT and much more! @ResusCouncilUK
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Yet another ... not only directly unsafe - missing this likely lung cancer - but indirectly i.e. creates lots of differential diagnoses and loads them all onto an already-anxious patient to manage. This is the opposite of Primary Care.
A 66 yr old♀️, 20 a day smoker from Suffolk, has had recent weight loss & over the past week has been coughing up blood... She's worried that it might be lung cancer, but after using @MattHancock's favourite #eHealth Chatbot, she's now Googling 'Tapeworm'...🤔
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Intern referral cheat sheet! Thanks to everyone from #medtwitter who offered suggestions to help me put this together. Have given to a couple of interns to trial this week after approval from some local registrars. #meded #tipsfornewdocs
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The key message is this work was drawn from best practice from around the world and is implemented in eprescribing systems in both community and hospital settings with full support for complex meds and dosages. – at Kettering, England
While what you say seems logical but lots of very smart people have chosen SQL databases for openEHR. Probably the state of the tech/market at the time they made that decision. One of the great things about openEHR is it technology agnostic
There are many vendors of DocumentDB's, and if you think it is wise to mimic a documentdb and path-based-queries in a rdbms, be my guest, but I cannot say that that is a smart thing to do. BTW, Oracle has a document-db included in their 12c-suite.
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We leave that to very smart people like you @ppazos so app devs just work with a vendor and technology agnostic API #awesome as the young people say – at Hackney, London
Replying to @jfb74 @WoodcoteEwan
Remember the #openEHR information model is not an data storage structure. We need to transform it for implementations on an specific technology, and at the same time design our data storage structure considering specific requirements of data storage and retrieval.
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Nope. So that's a call to GPIT support later. Not sure when, in between 2 surgeries, Docman, prescriptions, etc. It's still working I think, so maybe just carry on till it fixes itself or breaks completely? Or the Microsoft police come calling... ;) #gpit
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Ongoing saga though...#gpit Maybe this is happening to everyone today?
The Head of Astronomy at Harvard asserting that Oumuamua was a non-human solar sail. Great read that reflects on both (1) the lack of academic freedom with which most scientists work (2) further evidence that we haven't passed the Great Filter yet haaretz.com/us-news/.premium…
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I’d like to say a few things about @NHSGrampian . I don’t normally tweet about my employer, for obvious reasons, but in the last 24 hours, I have been a relative of a patient, and not an employee, and the experience has been top class.
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National Records of Scotland and the Scottish Government are recruiting for Assistant Statisticians. If you're interested in working with us, you can find further details of B1 and B2 grade positions here... ow.ly/aqfn30nenNl
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Outstanding Specialist Services Clinical Board session on Value Based Healthcare and Patient Reported Outcome Measures. We're committed to moving forward with this @RslewisSally @Fiona_Kinghorn @CAV_LenRichards @CV_UHB @PMO_CVUHB [see thread 1/5]
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Looking at the great #RealisticMedicine page on @NHSHighland intranet @DrRHelliwell Lots of great information and resources. Well done! @RealisticMed
What we should have: a universal health content model library. What the message people always do: impose their own content 'standard' rather than cooperate with mature approaches to modelling. What we get: dissonance. wolandscat.net/2017/01/29/fh…
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We have published a paper that examines morbidity and mortality in those who miss GP appointments. Need to find solutions to help (often very vulnerable) people feel engaged with primary healthcare, especially in mental health @aewilliamsonl @davidaellis bit.ly/2D4ZJqt
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