Shouldn't each of these terms be given a shelf on http://www.openehr.org/wiki/display/healthcare/openEHR+Healthcare+Dictionary or how do we proceed from here? (each term deserves an URI) Arild Fax
Den 22. des.. 2007 kl. 10.51 skrev Gerard Freriks: > Hi all, > > Remember. > > EN13606, openEHR are about documenting by a healthcare provider what > he has (or want) to document about the treatment of his patient in > an EHR. > So any investigation or treatment protocol, used as a plan, is part > of the EHR. > Based on the protocol > > And is not about a complete hospital information system, a system to > perform quality control management related information. > Although these types of systems will use data and information > documented in the EHR. > > > When talking about these concepts may I point at the European Norm > System of Concepts for Continuity of Care. (ContSys) > The next url downloads the definitions. > http://tinyurl.com/2gfm42 > > The next url download the complete ContSys standard > http://tinyurl.com/2xx7g4 > > The next couple of relevant definitions occur in ContSys: > 3.1 > activities bundle > internally consistent set of health care activities (3.39) to be > performed, being performed, or having been > performed for a subject of care (3.89) by one or more health care > providers (3.52), in the context of one or > more care plans (3.6), within the framework of a programme of care > (3.76) > > > 3.6 > care plan > description of planned and duly personalised activities bundles > (3.1), addressing one or more health issues > (3.55), and encompassing all health care activities (3.53) to be > provided to a subject of care (3.89) by one > health care professional (3.49), or several health care > professionals having the same health care > professional entitlement (3.51) > > 3.10 > clinical guideline > set of systematically developed statements to assist the decision of > health care parties (3.48) about health > care activities (3.39) to be provided with regard to a health issue > (3.55) in specified clinical circumstances > > 3.39 > health care activity > activity performed for a subject of care (3.89) by a health care > agent (3.40) with the intention of directly or > indirectly improving or maintaining the health of that subject of care > > NOTE: Health Care Activity is an abstract construct, without any > direct instantiation. > > > 3.45 > health care goal > desired achievement of a care plan (3.6), considered as an > intermediate operational step to reach the > ultimate objective of a programme of care (3.76) > > 3.46 > health care objective > desired ultimate achievement of a programme of care (3.76) > > 3.76 > programme of care > description of planned and duly personalised activities bundles > (3.1) adopted by one healthcare organisation, > typically informed by one or more protocols (3.77), addressing one > or more health issues (3.55), accounting > for one or more health issue threads (3.56), and encompassing all > health care activities (3.39) to be > performed for a subject of care (3.89) by one or more health care > parties (3.48) > > > 3.77 > protocol > customisation of a clinical guideline (3.10) for use in a local > context > > NOTE: critical path(s), care plan(s), clinical pathway(s): plan, > based on data gathered during (subject's of > care) assessment, that identifies the care needs, lists the strategy > for providing services to meet those needs, > documents treatment goals and objectives, outlines the criteria for > terminating specified interventions, and > 4 > documents the (subject's of care) progress in meeting specified > goals and objectives. [ISO TR 18307:2001] > [JCAHO] > > > > > Gerard > > > On Dec 22, 2007, at 9:42 AM, Stef Verlinden wrote: >> >> Yesterday we had a lengthy discussion about quality assessment for >> management purposes: f.i. how many people in ward A have post-op >> wound infection and how does that relate to the overall rate of wound >> infection. This typically doesn't belong in an EHR but in a separate >> system. I was mixing these two things up:-) >> >> As for the clinical trial data and guidelines. Reasoning along the >> line above, this also should belong in the same EHR since it's about >> (the treatment, albeit experimental) of a patient. > > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical -- Arild Faxvaag MD, PhD Associate professor / Rheumatologist Norwegian Research Centre for Electronic Patient Records (NSEP) Medisinsk teknisk forskningssenter N-7489 Trondheim Phone: +47 9821 6825 http://folk.ntnu.no/arildfa/
