Hello Bert:

As I mentioned in a previous message regarding the creation of this particular 
arquetype, I?ll be happy to assist. 

I?m a general practitioner but I work in a Cardiac Rehabilitation Service 
(public hospital) so exercise prescription is also important to me. Of course 
I?ll be happy to translate to spanish.

Best regards

Domingo



Date: Thu, 22 Dec 2011 12:09:22 +0100
From: [email protected]
To: openehr-clinical at openehr.org
Subject: Re: evaluate sport activity


  


    
  
  
    I don't know if it is of any use, I am not a medical educated
    person, I am just a programmer, but with experience in this domain.

    

    The case is, that people ask me sometimes, when I tell them about
    OpenEHR, trying to get some implementation-opportunities, they ask
    me who will write their archetypes. They expect more or less that I
    will do that.

    Of course that cannot be the case, but I have to communicate that
    message carefully.

    

    It is their classical way of application-thinking, single level
    modeling, in which the programmer needs to understand at least
    something of the medical domain he is writing for.

    

    So sometimes I have to write archetypes, I feel like a GP without
    education writing a description, but this is part of the dirty
    business which often hangs around new concepts.

    

    I think, I have to write archetypes to work with
    exercise-prescriptions myself, because I cannot simply download
    them, and my customer needs them.

    It is not a very complicated subject and I got some good ideas from
    this discussion about which entries to use, and how to.

    

    If it is of any use, I can post them in the CKM for others to look
    at them and possibly improve them. I can write them in two
    languages, English and Dutch.

    

    Is this possible? Something in this subject is better than nothing.
    You can see it as my contribution to the community. 

    (probably as an example how not to do it?  ....just kidding!)

    

    If this is the case, I can do that next month, when I have to write
    them.

    

    regards

    Bert Verhees

    

    

    On 22-12-11 03:25, Hugh Leslie wrote:
    
      
      Hi Domingo and all

      

      Its really exciting to see people starting to discuss the approach
      to developing clinical content using archetypes and to see the
      level of maturity that people like Domingo show in terms of
      understanding around pulling generic archetypes together to create
      something more complex like an exercise prescription.

      

      I would encourage you all to try to capture this on the CKM
      application - probably in the forums so that the discussion here
      is not lost or separated from the content there.

      

      regards Hugh

      

      On 22/12/2011 3:11 AM, Dr. Domingo Liotta (h) wrote:
      
        Hello Ian:

Of course!! I can review it.
I do VO2max in a cardiac (rehabilitation) service but the techic is the 
same. Send me the arquetype by email please. I didnt find it searching CKM

Best regards

Domingo

-----Mensaje original----- 
From: Ian McNicoll
Sent: Wednesday, December 21, 2011 12:40 PM
To: For openEHR clinical discussions
Subject: Re: evaluate sport activity

Hi Domingo,

Your suggestions are very appropriate if a very detailed level of
exercise surveillance is expected but I am not certain from Bert's
description if this is actually needed.

I have an example of a pulmonary function test archetype which
includes V02max. It might be interesting for you to have a look at it
and see if we can it fit enough for review on CKM.

Ian

Dr Ian McNicoll
office +44 (0)1536 414 994
fax +44 (0)1536 516317
mobile +44 (0)775 209 7859
skype ianmcnicoll
ian.mcnicoll at oceaninformatics.com

Clinical Modelling Consultant, Ocean Informatics, UK
Director/Clinical Knowledge Editor openEHR Foundation 
www.openehr.org/knowledge
Honorary Senior Research Associate, CHIME, UCL
SCIMP Working Group, NHS Scotland
BCS Primary Health Care  www.phcsg.org



On 21 December 2011 14:50, Dr. Domingo Liotta (h)
<domingo_liotta at hotmail.com> wrote:

        
          Hello Bert:

A quick database search revealed that the Arquetype: Level of exertion to 
be
useful as you will need to register the patients ?level of fitness? pre 
and
post training.
Also you have the related clinical observations: blood pressure, heart 
rate,
ECG recording
It would be useful to create a Borg perception of exercise (subjective) as
it correlates well with level of exertion.
I can be bold and try to make an Arquetype for: VO2max Testing which is my
expertise.
I didn?t find any ?exercise prescription? Arquetype. ( I?d like to see 
that
too).
I?ll help patch the pieces together if you want.
Be well
Domingo Liotta
-----Mensaje original-----
From: Bert Verhees
Sent: Wednesday, December 21, 2011 8:39 AM
To: openehr-clinical at openehr.org
Subject: evaluate sport activity

Hi all,

Can someone give me a hint about how I should do following, which kind
of entries are most suitable for this?

There is a software-requirement, I work with, which says that a patient
should do sport, exercises.
And to encourage the patient, there must be some kind of decision
support, which checks, the exercises the patient has done, and this
evalution must be stored for a later look-back how the patient is doing.

So, there must be an archetype which is able to decribe the exercise to
do, and there must be an archetype for evaluation-results.

I only need some hints to look at, so I am not foolish misusing some
concepts.

I looked at the entry-classes, evaluation, activity, instruction, and so
on. But I am not sure which one to use, because in the documentation,
the seem to target other purposes.

Can someone give me a hint?

Thanks
Bert Verhees
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      -- 

        
        
        
        
        
        
        
        
        
        
        
          
            ________________________________________________ 

              Dr Hugh Leslie MBBS, Dip. Obs. RACOG, FRACGP, FACHI 

              Chief Medical Officer 

              Ocean Informatics Pty Ltd 

              M: +61 404 033 767   E: hugh.leslie at oceaninformatics.com
                   W: www.oceaninformatics.com 
          
        
      
      

      
      

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