I agree Ian - though they are always triggers in reality. Australia made
more progress on Lipids when it changed labs from reporting actual norms to
target norms. Suddenly everyone had high cholesterols and down they have
come!

Cheers, Sam

 

From: [email protected]
[mailto:openehr-clinical-bounces at openehr.org] On Behalf Of Ian McNicoll
Sent: Tuesday, 13 October 2009 9:42 AM
To: For openEHR technical discussions
Cc: openehr-clinical at openehr.org
Subject: Re: Modeling reference ranges

 

Thanks Sam,

That was helpful but would you agree that is does not make much sense to use
a reference range for blood pressure in the same manner as you would for a
lab test. I have suggested that if Pablo is trying to set trigger conditions
e;g a series of BPs over a particular level, then this properly belongs in
the guideline/pathway space, rather than as ref ranges?

Ian

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

Clinical Analyst  Ocean Informatics ian.mcnicoll at oceaninformatics.com
BCS Primary Health Care Specialist Group www.phcsg.org



2009/10/13 Sam Heard <sam.heard at oceaninformatics.com>

Hi Pablo

 

The issue is that you do not see the reference model attributes in the
archetype editor. A Quantity data type has a normal range and other
reference ranges built in.

We do not set the reference ranges in archetypes as these vary and
archetypes are the absolute statement about things (what could possibly be
true ever, anywhere).

 

So it is in the form or data that you will get access to the reference
range. You could set it in a template (not possible in our tools as yet).
Generally the reference ranges come with the results from the lab or a
dynamic depending on gender, age etc.

 

I hope this is helpful - have a look at the data type specs for
clarification. The UML is at:

http://www.openehr.org/uml/release-1.0.1/Browsable/_9_0_76d0249_110959933787
7_94556_1510Report.html

 

You will see an optional normal_range and 0..* other reference ranges as
part of a root abstract class DV_ORDERED

 

Cheers, Sam

 

From: [email protected]
[mailto:openehr-technical-bounces at openehr.org] On Behalf Of pablo pazos
Sent: Tuesday, 13 October 2009 8:02 AM
To: openehr-clinical at openehr.org; openehr-technical at openehr.org
Subject: Modeling reference ranges

 

Hi,

I'm playing around with archetypes trying to model an observation and its
reference ranges,
I mean something like "blood pressure" and some range to define what is
"hypertension", but
I can't found an archetype that defines a reference range for an
observation.

Any one has experience in modeling something like this? 
An archetype is the correct place to define a reference range for an
observation value?
Any ideas?


Thak you!

Cheers,
Pablo Pazos Gutierrez

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