We did briefly talk about whether a DICOM SR report should be allowed as a final report format to an EHR system. I don't think that it should be - that it's not suitable for this use. It's more for internal use in the PACS/RIS environment. Do you disagree?
I guess the SR format speaks to the structured details part - we should at least align with it's capabilities. Sigh... I'll get around to reviewing them Grahame On Wed, Jan 19, 2011 at 9:43 AM, Graham Denyer <Graham.Denyer at aad.gov.au> wrote: > Hi Heather et al > > You may well have already done so, but if not you should check out the > structured reporting extension to the DICOM standard: > > ftp://medical.nema.org/medical/dicom/2008 > -Part 3: SR SOP Classes (Section A.35), SR Modules (Section C.17) > -Part 16: Templates (Annex A) > > There is a very nice overview here: > http://www.pixelmed.com/srbook.html > > Graham > > _________________ > Dr Graham Denyer FACRRM > Medical Officer > Polar Medicine Unit > Australian Antarctic Division > 203 Channel Highway > Kingston TAS 7050 > Ph. +61 3 6232 3303 > Mob. +61 419 123 038 > > > > > From: openehr-clinical-bounces at openehr.org > [mailto:openehr-clinical-bounces at openehr.org] On Behalf Of Heather Leslie > Sent: Tuesday, 18 January 2011 4:49 PM > To: For openEHR clinical discussions > Cc: Grahame Grieve > Subject: Re: Imaging Exam Archetype [SEC=Unclassified] > > FYI - I've attached the latest working draft of the archetype following > today's discussions... > > Cheers > > Heather > > On 18/01/2011 3:48 PM, Grahame Grieve wrote: > hi Ian (and others) > > I spent some time today working on the imaging exam > archetype with Heather. We had some questions about > the Finding Details section, and Heather thought that > you are responsible for this part. And that part certainly > leaves me confused. > > There is a part called Detailed findings. In it, there is > > Finding name: Text > ?The name of the finding e.g Chest, heart or bones for a Chest x-ray. > Finding: Text > ?Brief description, often coded, of an individual finding from an > imaging procedure e.g. '2cm node in left upper lobe'. > Finding description: Text > ?A narrative, detailed description of each individual finding > > (note for other readers, this version of the archetype is > in preparation, and isn't posted to the CKM) > > I don't know what the intent is here. Howe do you differentiate > between these, and know > how to use them consistently? > > In fact, I wasn't exactly sure what "detailed findings" is exactly > meant to be - the > term isn't really defined. I assumed it was for some structured > representation of > the contents of the narrative, presumably to support some kind of synoptic > reporting? I'd add at least a Finding Value : ANY so that proper synoptic > reports would be possible. > > Heather and I thought that some examples might help have a productive > discussion. > This is some of the things I thought might be useful to say in a coded way > using snomed + values > > LMP: [value in months] > size of (uterus, placenta, foetus): [value in mm] > [Snomed Concept 84138006: Collapse of vertebra] > 246120007: Nodule size = [20mm] > 422005008: Ferucarbotran (product) > > That'll probably do to start us off. If no one claims reponsibility or > defends this > model, I'll suggest that we have just code | value following the classic HL7 > model. It's certainly got it's problems, but at least they are well > understood, > and the openEHR model would match the HL7 v2/v3 models of the same > > Grahame > > p.s. I tried to code exactly "2cm node in left upper lobe", but snomed > isn't vague > ?in those ways > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical > > > -- > Dr Heather Leslie > MBBS FRACGP FACHI > Director of Clinical Modelling > Ocean Informatics > Phone (Aust) +61 (0)418 966 670 > Skype - heatherleslie > Twitter - @omowizard > ___________________________________________________________________________ > > ? ?Australian Antarctic Division - Commonwealth of Australia > IMPORTANT: This transmission is intended for the addressee only. If you are > not the > intended recipient, you are notified that use or dissemination of this > communication is > strictly prohibited by Commonwealth law. If you have received this > transmission in error, > please notify the sender immediately by e-mail or by telephoning +61 3 6232 > 3209 and > DELETE the message. > ? ? ? ?Visit our web site at http://www.antarctica.gov.au/ > ___________________________________________________________________________ > > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical > -- ------------- Grahame Grieve, Health Intersections Pty Ltd. grahame at healthintersections.com.au | http://www.healthintersections.com.au
