Hi Melanie,

Interesting questions.

Ocean have been working with NEHTA and the Royal College of Pathologists
Australia to develop Cancer Pathology reporting
archetypes and templates - you might find it helpful to have a look at these
in CKM at www.openehr.org/knowledge. The key aspects of the prostate cancer
archetype is at this link -Microscopic findings - Prostate
cancer<http://www.openehr.org/knowledge/OKM.html#showArchetype_1013.1.380>
If you go to this link then coose the Resource Centre archetype from the
toolbar buttons at the top you will be able to have a look at the
Operational Templates we have developed. The one which will be of most
interest is the
RCPA Prostate Cancer (Radical Prostatectomy) Structured Report Demonstrator
- click on the View Template button then View Form and you will see a view
of the whole report which includes some of the data elements you wish to
model, though these have not been done in great detail as yet.

Rong Chen has done some work on Chemotherapy Guidelines and used the current
INSTRUCTION.medication.v1 archetype
see http://www.hst.aau.dk/~ska/MIE2009/papers/MIE2009p0653.pdf


My feeling is that this is correct for chemotherapy and probably hormonal
therapy (which I assume is still mostly 'prescribable') but I suspect that
radiotherapy will require its own archetype, rather than a specialisation of
non-drug therapy, as the latter is a bit of a catch-all, whilst radiotherapy
is very common and will require specific detail.

What do others think?

Regards,

Ian

Dr Ian McNicoll
office / fax  +44(0)141 560 4657
mobile +44 (0)775 209 7859
skype ianmcnicoll
ian.mcnicoll at oceaninformatics.com
ian at mcmi.co.uk

Clinical Analyst  Ocean Informatics openEHR Archetype Editorial Group
Member BCS Primary Health Care SG Group www.phcsg.org / BCS Health Scotland



2009/11/10 Melanie Spath <melanie.spath at gmail.com>

> Hi,
>
> I'm trying to archetype patient records in a prostate cancer
> environment. I see that there are currently no specific archetypes for
> common cancer treatments such as radiotherapy, hormone therapy and
> chemotherapy. Could hormone therapy and chemotherapy be described as
> specializations of the openEHR-EHR-INSTRUCTION.medication.v1
> archetype? And could radiotherapy be described with a specialization
> of openEHR-EHR-INSTRUCTION.non_drug_therapy.v1? Or should these be
> described in completely new archetypes (e.g. INSTRUCTION.radiotherapy/
> hormone_therapy/chemotherapy)?
>
> Thanks for your help,
> Melanie Spath.
>
> PhD Candidate
>
> Centre for Health Informatics
> School of Computer Science & Statistics
> Trinity College Dublin
> Dublin 2, Ireland
> _______________________________________________
> openEHR-clinical mailing list
> openEHR-clinical at openehr.org
> http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical
>
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