, individual messages vs. a regular digest.
Ian
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cs, Vital Signs and Investigation
> Results".
>
> From what you say, it sounds as though that's an acceptable way to
> organise/categorise the archetypes within that section.
>
> On point 2, I'll try the problem diagnosis archetypes approach initially
> and s
i but essentially
throw away.
Ian.
On Thu, 18 Jul 2019, 09:34 J Grant Forrest, wrote:
> Hello All, been doing a bit of work (with help from Ian McNicoll) on an
> OpenEHR template for surgical pre-operative assessment.
>
> You can view the results of my efforts (and Ian's) here :
hirad/healthrecords2007/The%20Problem%20Oriented%20Medical%20Record.doc
Ian
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challenging.
I spent much of GP career advocating (and doing) POMR but I'm not now at
all convinced that the effort is worth it or sustainable.
Ian
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Here was an earlier effort by me based on the Contsys approach.
https://github.com/openehr-clinical/shn-contsys
Ian
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It certainly expects UID to be unique - so be careful if cloning a template
that the uid is updated.
Ian
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condition focussed pathway document
on Acute coronary syndrome - the key thing is that the archetype is
identical in both cases.
Knitt
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Thomas is correct.
Right now the template ID is generally the source of truth from a technical
pov but some systems also expect and use the uid. I don't think 'concept'
is actually used practically speaking.
Ian
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ings for a
good example.
I believe there is a CR to make timing optional - for now I just put in
some kind of dummy timing structure to get around the mandation.
Ian
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behind this idea, maybe we could
> collectively encourage the new NHSx to think in this direction?
>
> Marcus
>
> On Tue, 28 May 2019 at 12:12, Ian McNicoll wrote:
>
>> Hi Paul,
>>
>> Nicely summed up.
>>
>> You definitely need to manage your CDR
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.
We do need to have better dependency management and better tools for local
deployment but ultimately this is a community effort, so if you have ideas
or software resource, please pitch in.
Ian
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aotic but I still believe it
has shown itself, so far to be the only means of tackling this complexity
at any sort of scale.
So sign up, get involved.
Ian
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arbitrary unit.
Ian
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Go for it. I trust you. A spruce up is a good start.
Ian
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sed/adapted from the
Apperta UK CKM
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ty of
> Heidelberg, Central Queensland University">
> ["name"] = <"Jasmin Buck, Sebastian Garde">
> >
> >
> >
> description
> original_author = <
> ["name"] = <"
Thanks Diego,
I think you expressed what I was trying to say much more clearly!!
I would also add that opinions about what is the 'right' code can differ
substantially between the terminology experts!!
Ian
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ms of
dtermining the correct bindings.
Ian
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Many congratuations Shinji,
The screenshots looked intruiging. Would it be possible to link the
presentations, pictures and any videos from the openEHR website? We cna add
to the Events section as we did in the past for other events.
Ian
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losed. Dynamic validation would be really useful and I
think ADL2 allows us to constrain slots as closed.
Ian
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The consensus view from the Apperta crew (over beer, so treat with caution)
is that 'Occupation' is fine. In UK use this would be seen more broadly
than employment to include 'what do you do?' student, carer, child, child
carer, Xbox carer, whatever.
Ian
Dr Ian McNicoll
m
different systems and vendors using different minor, major versions,
depending on their needs.
Ian
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Hi silje
I think we have always been clear that the definitions of major minor and
patch only ever applied to the techicalities of path handling and data
compatibility. I have always made it clear that minor changes may carry A
whole range of potential clinical risk, your examples being quite corr
doterminology
2017-09-26 11:10 GMT+02:00 Ian McNicoll :
> Hi Heather
>
> That is pretty well my approach too. I think we will start yo see more
> formal coding of composition names to be able to accurately identify the
> content. In the UK we have developed a document name SNOMED s
Hi Heather
That is pretty well my approach too. I think we will start yo see more
formal coding of composition names to be able to accurately identify the
content. In the UK we have developed a document name SNOMED subset for this
purpose and will also use this for ihe xds metadata.
Ian
On 26 Se
aspects of the
questionnaire as-is.
Commercially, I am interested in how we might make use of , or at worst,
play nicely with the FHIR Questionnaire resources.
Ian
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That is correct Bert,
There is no need to remove the SNOMED CT bindings from the archetypes.
Ian
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mapping, in which case a SNOMED license will be required.
Ian
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>>>>
>>>>>>
>>>>>>
>>>>>>
>>>>>> --
>>>>>> Ing. Pablo Pazos Gutiérrez
>>>>>> Cel:(00598) 99 043 145 <099%20043%20145>
>>>>>> Skype: cabolabs
>>>>>> <h
are very willing to be
generous in terms of vendor/org level licensing in such a situation.
Ian
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concerned about using archetypes with
SNOMED bindings, unless they intend to use SNOMED within their systems, in
which case they should make sure they are covered by a national or
individual licence.
Regards,
Ian
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-- Method
value matches {
DV_TEXT matches {*}
}
Ian
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to snomed but need to carry
legacy codes.
Ian
On Thu, 16 Mar 2017 at 09:58, Diego Boscá wrote:
> I assume that mappings could also contain constraint bindings right?
>
> 2017-03-15 23:20 GMT+01:00 Ian McNicoll :
>
> Hi Bert,
>
> A dv_coded text can carry a single defining_code
applied in software.
Perhaps I'm still not understanding the requirement here?
Ian
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to one data-item, which construct do you advise to make two
> terminology constraints_bindings available to one DV_CODED_TEXT (or maybe
> another datavalue-type)?
>
> Thanks for any help.
>
> Best regards
> Bert Verhees
>
> ___
ce between Text and Quantity. Where do you leave the result
> value when you use that item to describe the SNOMED (or other) code?
> And what do you do when there is no external code for the lab-test?
> Wouldn't it be better to have it as separate fields?
> One for the (choice betwee
s but use templates to overlay
the generic pattern with known terms, by using default values. That is the
approach we are using in the GEL project when we some lab tests are being
entered manually, rather than via a lab-feed or where a report is
constrained to carry very specific lab analytes.
Thanks Grahame,
Very helpful.
Ian
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inferenced as 'Creatinine Serum or Plasma' but this would
require a LOINC-aware terminology server.
or do folk just manually document the sets of terms to be queried?
Ian
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t
out guidelines in the second part. Will be helpful in
> the discussion
>
> Thanks
> Bert
>
> Op do 16 feb. 2017 om 10:07 schreef Ian McNicoll :
>
> This was helpful but still implies that some sort of terminology service
> is required
>
>
> https://confluence.ihtsdo
This was helpful but still implies that some sort of terminology service is
required
https://confluence.ihtsdotools.org/download/attachments/12781103/Expo_LOINC_SNOMED_EHR_October_2015_Final.pdf?version=1&modificationDate=1446571187000&api=v2
On Thu, 16 Feb 2017 at 08:35, Ian McNicol
: 14682-9 Creatinine [Moles/volume] in
> > Serum or Plasma
> > DVQuantity {
> > unit { "umol/L}
> > }
> > }
> > }
>
>
> ___
> openEHR-clinical mailing list
> openEHR-clinical@lists.openehr
clearly associate a specific LOINC code with valid
unit(s) then it is possible to do that as I suggested before.
Ian
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.
As far as I can see that will do what you need.
Ian
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to be more than one unit
required. I would either just handle the association between loinc code and
unit in the application, or clone the lab-test panel result-value to
support two different values each constrained to the correct loinc code /
unit combination.
Ian
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dvice would
apply whether one was using hl7v2, FHIR, CDA or openEHR.
Ian
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ership category, costing just under 100 euro per
annum? Essentially the same as individual membership but giving very
small commercial entities, the ability to post news of software and
educational events.
Ian
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want to consider becoming an Industry partner and taking advantage of the
new 'Micro Startup' rates http://members.openehr.org/join-us !! That allows
us to give your project/company much more visibility on the openEHR site
and access to the Industry News page.
Ian
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hich is a
> kind of DV_ORDERED
> <http://www.openehr.org/releases/RM/latest/docs/data_types/data_types.html#_quantity_package>,
> which has normal_range and reference_ranges defined.
>
> - thomas
>
>
>
> On 28/09/2016 14:25, Karsten Hilbert wrote:
>
> On Wed, Se
n Wed, Sep 28, 2016 at 01:23:00PM +0100, Ian McNicoll wrote:
>
>
> If a result is expressed as normal/ abnormal or high/normal/low,
> surely the 'normalcy range' is self-defining.
>
> If there is a need for the lab to assert some kind of textual normalcy
> rangeT
element in the Lab panel
archetype is intended for this purpose and essentially equates to
referenceRange/text in the FHIR Observation.
see http://openehr.org/ckm/#showArchetype_1013.1.2192
Does that work?
Ian
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Thanks Silje,
I'm glad we agreed :)
Ian
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Dir
analogue scale. The data element has
occurrences set to 0..* to allow for variations such as 'maximal
severity' or 'average severity' to be included in a template.
Property: Qualified real
which should fit your requirement.
Ian
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Thanks Diego,
This would of considerable interest. I have a feeling that AQL and SCT
query expressions are a pretty neat fit (plus of course the validation
use-case you have mentioned).
Ian
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key aim of trying to create the kind of iso-semantic
models that Bert is advocating, and while this is a laudable objective, the
challenge should not be under-estimated.
Ian
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Thanks Thomas and many thanks too to Pablo for picking this up.
Ian
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*initially in
simple applications* at the bottom of a market and then relentlessly moves
up market, eventually displacing established competitors. - See more at:
http://www.claytonchristensen.com/key-concepts/#sthash.Bky22rii.dpuf";
Ian
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Medication archetype
via http://openehr.org/ckm/#showArchetype_1013.1.1445 and we will
invite to the review in the next few days.
Regards,
Ian
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Hi Koray
The rippleosi.org project is planning to do some sort of phr based on
openEHR. Exact decisions re content and scope have not been made.
https://github.com/handihealth/c4h_ripple_rcm
Is up to a point a similar dataset (remote chemotherapy monitoring)
Ian
On Mon, 7 Mar 2016 at 00:15, Kor
Good point, Thomas,
I think the best solution is to repost the question on the Wiki and then
point people to the CKM incubator, once we have some activity there We are
still very much in discovery phase here and we need to work up the
questions/ possible answers first.
Ian
Dr Ian McNicoll
documents, or
archetypes/templates - contact me directly.
Ian
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examples. For policy reasons, this list does not accept attachments
(under discussion). We could setup an Incubator on the international CKM
and upload resources there. If people want to email mindmaps etc directly,
I am happy to upload them to CKM.
Ian
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nd post-op procedures/summary which perhaps
merit their own archetypes but for now I would probably just include these
within the operative details CLUSTER archetype.
Ian
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twitt
://www.diseasesdatabase.com/snomed/snomed_subset_browser.asp?dblSubsetID=4397100130
which are used in conjunction.
Ian
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Hi Jakob
Can you point us to the WHO checklists you had in mind ? It is worth noting
that checklists are often orthogonal to operational data capture.
I would be thinking in terms of operative note as a composition , using the
procedure archetype with device and detailed method in the slot.
To m
Very many thanks Shinji,
Great to see you making progress with openEHR Japan.
Ian
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Many congratulations Diego,
Like Thomas I have read through the presentation and look forward to a more
detailed dive into the thesis in due course.
Ian
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Hi Hemant,
openEHR builds components which end-user systems can make use of, and does
not provide a full EPR as such. The openEHR technology is well suited to a
cloud-based solution.
You can see some of the obstetric / gyn related components (archetypes) at
openehr.org/ckm
Ian
Dr Ian McNicoll
still active.
Ian
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Hon. Senior Research
Hi Heather,
I have been using an 'Anonymised person' archetype for this purpose,
including a 'Vital status' element which came out of the PARENT work and
European Rare Disease registry definitions.
This is still in an Incubator.
http://openehr.org/ckm/#showArchetype_1013.
Fantastic effort, Heather. It is great to see the momentum picking up.
Ian
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Hi Matt
I have been involved with a few groups around the uk looking to incorporate
openEHR into their registry/research solutions and there is some experience
with integration with i2b2 etc. Happy to discuss off-list.
Ian
On Tue, 17 Nov 2015 at 20:17, Matt Evans wrote:
> Thomas/Dave/Ian/Vebjør
in Norway, New Zealand are likely to be very interested.
Exciting stuff.
@Matt - please feel free to get in touch directly. We can also look at
getting the archetypes implemented in one of the NHS Code4Health demo
projects such as RippleOSI - see http://idcr.rippleosi.org/#/
Regards,
Ian
Dr
Thanks Silje,
I have done the core and will upload to CKM in an incubator.
Needs a bot of work on the metadata , wordsmithing.
Ian
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Has anyone developed a EQ-5D-5L archetype that they can share (and we will
get it up on CKM)?
http://www.euroqol.org/eq-5d-products/eq-5d-5l.html
Also any issues re licensing?
Ian
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Hi Koray,
It is a set of closed publications. I would be a bit worried about
licensing issues https://catalog.interrai.org/intellectual-property-use
and for that reason too, difficult to assess.
Ian
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; to the solution of wrangling commonality out of a complex, and at
time chaotic problem space. It was always going to be ugly but bit-by-bit,
I see commonality emerging.
Ian
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tw
s a problem here. We expect similar variance issues to
arise in other circumstances.
Ian
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Good luck with this Shinji :).
Ian
Dr Ian McNicoll
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n-breaking
manner.
Thanks to everyone who has contibuted so far - we still need other
implementer views!!
Ian
Dr Ian McNicoll
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cies which over time need to be
adjusted.
Ian
Dr Ian McNicoll
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ms.
Heather quite reasonably asks the question 'Is it the role of the
international modelling team to take such issues into consideration, or
should the CKM efforts be purely driven by quality and technical
correctness'.
I think it is very important that we get feedback from Industry on this.
Ple
Kindle - yes
Dr Ian McNicoll
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Hon. Senior Research
Me too - nice bed-time reading.
I will reserve judgement for the "2-5 years and we will be using this". I
agree this is the future but it still feels a lot like nuclear fusion to me
- nice to have but a br to use (at least in our messy world of clinical
documentation).
Ian
Dr Ia
ubject:*Re: ACTIONs, OBSERVATIONs and procedures
>
> In my view when you get any Observation about the patient, just take it and
> store in the record.The concept of action is only necessary when some
> activity is planned and ordered to be done in the next future.Etienne
> SaliezO
Hi David,
In theory you are correct but in many clinical records the date of the
observation acts as a sufficient proxy for activity being performed.
Where we do use actions is where we need to track the workflow of the
procedure though there is not always a direct correlation between the
procedu
they wish
to share these materials.
Ian
Dr Ian McNicoll
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Hi David,
Just caught up on this paper after my holiday. Fantastic piece of work and
great to see the full interaction of archetype tooling, querying, backend
operations and CDS being described in such detail.
Ian
Dr Ian McNicoll
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hey would count towards the
licence limit.
I will get round to updating the 'remote domain' in UK CKM to reflect these
new publications ASAP.
Ian
Dr Ian McNicoll
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Co-
Hi Heather,
Many, many thanks for the hard work that you and others have put into this.
It is great to see those green ticks go up :)
Ian
Dr Ian McNicoll
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that count at this point.
We still need about 70 votes in total. If 15 people cast their 5 votes
tactically we will make it!!
Ian
Dr Ian McNicoll
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Thanks Shinji,
We are now up to 85 followers and only need 14 more of the current
questions to be upvoted by 10 or more people and we are there.
If you still have votes please use them and be tactical :)
Ian
Dr Ian McNicoll
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answering some questions (though this
does not help the bid).
Ian
Dr Ian McNicoll
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Director
rting-jnc7-into-archetypes-and-template-gustavo-bacelar
Ian
Dr Ian McNicoll
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Director, HANDI
ure almost all of us here have asked or answered these kind of
questions and I have found StackOverflow and StackExchange invaluable for
this kind of use.
Let's try to get this off the ground.
Ian
Dr Ian McNicoll
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Thanks Thomas,
I would throroughly endorse this effort and have added my full q
Dr Ian McNicoll
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I think we need both.
Ian
Dr Ian McNicoll
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Hon. Senior Research
Excellent!
Many thanks Thomas.
At least one thread seems to be missing
*>From:* openEHR-technical [mailto:
openehr-technical-boun...@lists.openehr.org] *On Behalf Of *Ian McNicoll
*>Sent:* Tuesday, April 28, 2015 2:26 PM
*>To:* For openEHR technical discussions
*>Subject:* Re:
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