Hi Melanie,
Your email caught my eye for a few reasons, firstly I have done a little work in Cancer information systems over the years, secondly i am working with Prof. Grimson in HIQA. Having modelled this before in a different environment (trying to awaken a few brain cells that have not been active for a few years) there were other archetypes which need consideration - Chemotherapy Treatment, Course & Cycles, when you get down to the daily administration you are probably close to a specialisation of a medication archetype. I would consider the Radiotherapy treatment to be a collection of archetypes again if it is external beam you are dealing with, Radiotherapy Treatment, Phases, and Fractions at a minimum and would probably best best modelled as specific archetypes but I am new to contributing to this so others may have different opinions. In my previous life then got into a lot of detail on planned and actualy and treatment sites and used the radiotherapy record to go on to drive a schedulling component for Radiotherapy department. We didn't look at brachytherapy in much detail. Happy to discuss if you want, my work email is kocarroll at hiqa.ie Regards, Kevin. Dr Kevin O'Carroll MB BCH BAO HDipCSC From: [email protected] Date: Tue, 10 Nov 2009 21:49:20 +0000 Subject: Re: Cancer treatment archetypes To: openehr-clinical at openehr.org 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 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 _________________________________________________________________ New Windows 7: Find the right PC for you. Learn more. http://windows.microsoft.com/shop -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-clinical_lists.openehr.org/attachments/20091110/566398d5/attachment.html>
