This was bounced yesterday.
From: Heather Leslie [mailto:[email protected]] Sent: Thursday, 9 June 2011 11:18 AM To: 'For openEHR clinical discussions' Subject: RE: Implementation of the use of medical devices Hi Eunice, I've just updated the draft CLUSTER.device archetype on the openEHR CKM, now with a broader scope that fits with the SNOMED view of devices - http://www.openehr.org/knowledge/OKM.html#showArchetype_1013.1.17 Plus I've added a new CLUSTER.device_details to support it with the more technical aspects required for mechanical/electronic devices as per IEEE specs etc - http://www.openehr.org/knowledge/OKM.html#showArchetype_1013.1.844 These have evolved out of a number of recent modelling projects, including the work Ian was alluding to. Hope this is useful. Comments are welcome in the discussion area for the archetypes. Regards Heather From: [email protected] [mailto:openehr-clinical-bounces at openehr.org] On Behalf Of Eunice Ab Sent: Thursday, 9 June 2011 2:03 AM To: For openEHR clinical discussions Subject: Re: Implementation of the use of medical devices Hi Tom, Ian, Annette It was just like Tom read my mind. I was just going to ask whether the coding / description of the medical device was being considered. Just out of curiosity, will the medical device have an archetype defined for it to be embedded in the clinical activity or would it just be defined as an item or attribute of the activity for which it is used? Many thanks Eunice On 8 June 2011 15:29, Seabury Tom (NHS CONNECTING FOR HEALTH) <tom.seabury at nhs.net> wrote: Hi Annette, Ian As a point of information on coded representation of Medical Devices: There is work underway by IHTSDO to ensure that coded representation of Medical Devices will be very well supported in SNOMED CT, there is work underway to hold in SNOMED CT those devices currently identified by GMDN. The outlook as far as I am aware is for this to be released in SNOMED CT with the July 2012 release, so free to use in IHTSDO member countries. http://www.gmdnagency.com/ Tom Seabury -----Original Message----- From: [email protected] [mailto:openehr-clinical-bounces at openehr.org] On Behalf Of Ian McNicoll Sent: 08 June 2011 15:08 To: For openEHR clinical discussions Subject: Re: Implementation of the use of medical devices Hi Annette, This is almost exactly how I have approached this problem in a live hospital system. We actually have done a bit of work on the various related archetypes, especially fluid output and devices which we are preparing for upload to CKM. I would be happy to share these with you if they would be of interest. Do you have access to the Ocean Template Designer as it would probably be the easiest way to pass them though? Ian Dr Ian McNicoll office +44 (0)1536 414 994 +44 (0)2032 392 970 fax +44 (0)1536 516317 mobile +44 (0)775 209 7859 skype ianmcnicoll ian.mcnicoll at oceaninformatics.com Clinical Modelling Consultant, Ocean Informatics, UK openEHR Clinical Knowledge Editor www.openehr.org/knowledge Honorary Senior Research Associate, CHIME, UCL BCS Primary Health Care www.phcsg.org <http://www.phcsg.org/> On 8 June 2011 14:46, Annette Lund Lillegaard <avl at dips.no> wrote: > Hi! > > > > We are investigating how to implement the use of medical devices with > archetypes/templates. E.g. a doctor says that a patient needs to have a > drain tube from tomorrow and for a few days. A nurse inserts the drain tube > as the doctor has ordered. After a while she needs to change it and when she > does she also register how much fluid that has exited the body. She > continues doing this in the period of the doctors order. > > > > When we investigate the archetypes and documentation from openEHR.org, we > (think we) find the following: > > . "a doctor says that a patient needs to have a drain tube from > tomorrow and for a few days." -> Instruction (e.g. request-procedure) > > . "A nurse inserts the drain tube as the doctor has ordered." -> > Action connected to the instruction (e.g. procedure) > > . "After a while she needs to change it" -> A new instance of the > same action connected to the same instruction(?) > > . "and when she does she also register how much fluid that has > exited the body." -> Where do we put information like this? The action might > have an "outcome"-field, but this information is more an observation, isn't > it? We want to use this type of information in another setting (e.g. the > fluid management of the patient), so this measurement must be stored so that > our system can find it. If we choose to use an observation for this > information, how could the instruction/action be linked with the > observation? Or are we on the wrong track here? J > > . "She continues doing this in the period of the doctors order." -> > As indicated in the instruction > > > > Does anyone have thoughts/experience with this? > > > > Regards, > Annette Lund Lillegaard > www.dips.no <http://www.dips.no/> > > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical > _______________________________________________ openEHR-clinical mailing list openEHR-clinical at openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical **************************************************************************** **************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. 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