Hi Kevin, That is really helpful. If you and Melanie do have some discussions it would be really useful to capture some of this knowledge around radiotherapy, even via something a bit rough and ready like a mindmap.
I am hoping Rong will chip in with his experience of chemotherapy guideline modeling, which, of course, mirrors the actual prescribing instructions. Would hormonal therapy always be akin to a medication order? 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 Kevin o'Carroll <k_o_carroll at hotmail.com> > 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: Ian.McNicoll at oceaninformatics.com > 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<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<http://www.hst.aau.dk/%7Eska/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> > > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical > -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-clinical_lists.openehr.org/attachments/20091110/2bf169bb/attachment.html>
