Hi Sam, As you may know, we have been working for nearly 3 years on "Archetypes" for goals (I don't clearly see the difference you make between a goal and a target). We already have systems at work in real practice with the process : risk factors -> risk calculation -> goals proposal -> goals follow up
I would be happy to contribute to your work. Can you first explicit the difference between a goal and a target ? Cheers, Philippe > Dear All > > The first instruction (based on the openEHR instruction model > proposal) is available at: > http://www.oceaninformatics.biz/archetypes > > It is not complete and needs more work, but has many of the features > of a medication order that are required in the health system. This is > not a prescription (which is a set of medication orders) - all this > information relates to a single order. It deals with the workflow and > includes dispensing and administration. > > The model describes the activity (details of the medication in this > case, and how to administer it) and the work flow steps that might be > recorded. It is worth noting that only the name of the medication is > mandatory! This deals with existing systems. > > Also, the idea of risk assessment has crept into the knowledge domain. > The family history archetype is a specialisation of this. It is > important to note that just recording that a relative had an MI is > possible using the problem or problem-diagnosis archetypes, family > history implies evaluation of risk. > > There are also goal and target archetypes - the target archetype > allows specification of a range of values for a particular patient > attribute. A blood pressure goal-target will be blood pressure, > systolic <140 mm[Hg], diastolic <90 mm[Hg]. It may not be clear from > the target archetype that it enables such statements to be made > unambiguosly (but experience will show!). > > Finally, exclusions are also there - general statements like "No > significant family history" or "No known allergies". Then there are > specific exclusions like "No known reaction to" + "penicillin". > Exclusions also deal with problems and past history. > > I look forward to your comments on the list or to: > > archetypes at oceaninformatics.biz > > Cheers, Sam > > ____________________________________________ > > Dr Sam Heard > Ocean Informatics > Director openEHR Foundation > Co-Chair, EHR Technical Committee, HL7 International > Chair EHR IT-14-9-2, Standards Australia > Adjunct Professor Health Informatics, Central Queensland Univerity > Hon. Senior Research Fellow, UCL, London > > 105 Rapid Creek Rd > Rapid Creek NT 0810 > ____________________________________________ > - > If you have any questions about using this list, > please send a message to d.lloyd at openehr.org > > - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
