Author: Grant Forrest

  • Shared Decision Making in Perioperative Care

    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

    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

    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 […]