Dear Ian:
Sorry it took me some days to get back to you. I?m also sending this mail to
the Clinical Discussion List as it may benefit others.
The proposed pulmonary function archetype is also adequate for adult use, I
took some extra time to have it checked by the Chief of Intensive Care at my
Hospital. The archetype is detailed enough for international use.
Your assumption is correct VO2max does merit a separate archetype included as a
subset of a more detailed "Exercise Stress Testing" arquetype.
The VO2max has its clinical fundamentals for assessment of cardiovascular
function which may or may not have a pulmonary component.
So the pulmonary function test archetype could take the value from the Exercise
Stress Test arquetype and also if a cardiac patient also have a Lung
impairment the Exercise Stress Testing should read the values pre & post
bronchodilation.
The reason for showing the archetypes at my Hospital (and it worked as planned)
was to get more Clinical experts into the Clinical Modelling process. I will be
meeting next week the Chief of Acute Coronary Unit to discuss the modelling of
the more General "Stress Exercise Testing" I?ll keep the list informed.
Wow! For me an excellent way to finish 2011 :)
Happy new years to all :=)
Domingo
Hi Domingo,
Thanks for offering to have a look at this archetype. It was
developed
for use in a Paediatric EMR in Slovenia but very much as a
candidate
for international use.
One of the issues I suspect you might
challenge is whether V02max
merits a separate archetype.
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
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