Good morning,
My clinical experiences is:
Clinician does clinical assessment first before initiating plan and
intervention. SOAPIE (Subjective data, objective data, assessment, Plan,
intervention & Evaluation) are helping in critiical thinking leading to
decision making at the end of the day.
From the reality point of view (how we perform our work): Social workers
(normally write story about patient's social life in the clinicial notes) and
all other clinician ( physio, doctor, nurses, occupational therapist,
specialits ) collects clinical data using SOAPIE to execute intervention
(eventually simple way of creating clinical decision). SOAPIE can be the
standard way of writing clinical notes. Here in Middlemore hospital, they have
been using this method for writing clinical notes. In Auckalnd city hospital
doctors and physios writies using SOAPIE. Nurses uses Foci methods. I guess,
EHR always helps in making clinical decisions in the most of the clinical
situations and some of the decision requires decision engines.
Regards,
Pratima
Sam Heard <sam.heard at oceaninformatics.biz> wrote:
Sebastian
Just to say that we have to be careful not to try and include decision support
in the archetype itself - it just beeds to support DS engines.
Cheers, Sam
Sebastian Garde 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
_______________________________________________
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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@page {size: 21cm 29.7cm; margin: 2cm; } P { MARGIN-BOTTOM:
0.21cm } H2 { MARGIN-BOTTOM: 0.21cm } H2.western { FONT-SIZE: 14pt;
FONT-STYLE: italic; FONT-FAMILY: "Arial", sans-serif } H2.cjk { FONT-SIZE:
14pt; FONT-STYLE: italic; FONT-FAMILY: "HG Mincho Light J" } H2.ctl {
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
--
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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