Good day,
I would like to give some example here what I actually mean. It is may be
better to have operators and min, max etc all. People will have flexibility.
1.I am using Ocean Archetype in desigining EHRs may be guidelines
Senerio 1: For example
Alcohol wihdrawl Protocol: guideline for assessment and initiate treatment
Criteria 1: Perspiration
0 = no abnormal sweating
1 = Moist skin
2= Localised sweat (face/chest)
3 = Whole body wet
4 = Profusing sweating (includes linens)
Criteria 1: Tremor
0 = No tremer
1 = Slight intentional
2 = Constant slight in uppper extremities
3 = Constant marked tremor
so on
Clinician can choose appropriate number and criteria based on the objective
data (data from the assessment or observation). At the end of the assessment,
text box ( square box) should show the sum (sevirity index . Based on the sum
we can initiate three plan
1. mild - continue 4 hrly observation
2. Mod. - Oral diazepam such dose and such interval
3. Severe: IV diazepam such dose and such interval
To do this doctor does not need to be presented nurse can assess and initiate
plan as agreed by multidiscplinary team.
2. Senerio 2: For example
I need operators to calculate certain values using observational data and
lab test results. Thus, multiple text box need using along with the operators
(This should be based on the reserch articles though).This gives sevirity
index. Based on this we can create individual based plan. It is more decision
making but data input can be done using openEHR archetypes if the calculation
ability is incorporated. The data collected through this will be utilize for
reserch too (vertual randomise trials). Because these data are complete,
accurate and based on the clinical literatures. Again you can modify as reserch
changes.
This will help in EBP, research and guideline development. What is your
opinion?
Regards,
Pratima
Sebastian Garde <s.garde at cqu.edu.au> wrote:
Pratima, Sam,
One example where I miss these operators would be the Barthel archetype - the
total score could then explicitly be expressed as the sum of the other scores
and automatically calculated.
You probably can do this with invariants somehow? They are just not very
user-friendly...
Apart from the four basic operators Pratima mentioned, you could have others
like max, min: e.g. an assessment where you take the maximum of several scores
to e.g. indicate the severity of a condition.
Sebastian
---------------------------------
From: Sam Heard [mailto:sam.heard at oceaninformatics.biz]
Sent: Wednesday, 13 December 2006 11:32 AM
To: For openEHR clinical discussions
Subject: Re: Possible change request for Ocean Archetype Editor
Do you mean calculated fields? Sam
Pratima Poudel wrote: Good day,
It would be interesting and may be more powerful if we could add operators
(multiply, devide, substract and additions) in the Ocean Archetype editors.
Regards,
Pratima
Sam Heard <sam.heard at oceaninformatics.biz> wrote:
Would people like the description tab to be No 2 in the list - ie before the
definition?
Cheers, Sam
--
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Dr. Sam Heard
MBBS, FRACGP, MRCGP, DRCOG, FACHI CEO and Clinical Director
Ocean Informatics Pty. Ltd.
Adjunct Professor, Health Informatics, Central Queensland University
Senior Visiting Research Fellow, CHIME, University College London
Chair, Standards Australia, EHR Working Group (IT14-9-2)
Ph: +61 (0)4 1783 8808
Fx: +61 (0)8 8948 0215
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openEHR-clinical at openehr.org
http://www.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical
Pratima Poudel Acharya
http://sagarmatha.freewebpage.org/
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FONT-SIZE: 14pt; FONT-STYLE: italic; FONT-FAMILY: "Arial Unicode MS" }
Dr. Sam Heard
MBBS, FRACGP, MRCGP, DRCOG, FACHI CEO and Clinical Director
Ocean Informatics Pty. Ltd.
Adjunct Professor, Health Informatics, Central Queensland University
Senior Visiting Research Fellow, CHIME, University College London
Chair, Standards Australia, EHR Working Group (IT14-9-2)
Ph: +61 (0)4 1783 8808
Fx: +61 (0)8 8948 0215
_______________________________________________
openEHR-clinical mailing list
openEHR-clinical at openehr.org
http://www.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical
Pratima Poudel Acharya
http://sagarmatha.freewebpage.org/
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