Re: Comment on openEHR-EHR-CLUSTER.inspection-skin-wound.v1 archetype
Hi Heather,
(And all: it seems that I am finaly "waving"....)
First I will introduce myself, a bit late, but never too late: I am
in the last year of Medical School and my final monography is about
openEHR, I have translated part of the documents to portuguese as part
of it.
A few last things just to make things a bit more clear before I
begin the "hard job"...
I have read the texts but only by working on it we get the actual
knowledge. I will need a template someday, of course, but I think I
have some adjustments to do in the archetypes. Of course I will tell
the comunity (by the ways you told me) in order to discuss it.
You said you use the Ocean tolls... But they don't seems to work on
Linux. Is there someone on the list to help with it? I am working in
the code-line: slow and error-prone...
I guess that is it... Give one month and I will give a feedback.
B.T.W.: The most important thing about rabies prophylaxis is where
in the body was the wound... That is why I felt we are in the need of
a body-parts archetype (for the SECTION?) to be used in the wounds and
many other archetypes... Is there any already done?
Thanks a lot...
Otavio
2010/2/6 Heather Leslie <heather.leslie@oceaninformatics.com>:
> Hi Otavio,
>
> Some suggestions...
>
> My approach would be to build a template (- I'm obviously using the Ocean
> tools) comprising a COMPOSITION to capture an encounter - I assume this is
> recording a consultation in primary care or emergency for a patient after an
> animal bite.
>
> You can use SECTION/s if you need them.
>
> History:
> The Story entry is a great start for capturing the history - enables ability
> to simply record a free text narrative. If you want more detail, I'd
> consider using the CLUSTER.health_event or its specialisation
> CLUSTER.health_event-trauma. See if you think either of these will be fit
> for purpose, or if they need some refining. In principle it would be better
> to enhance these existing archetypes to record the bite situation but if you
> find there are a number of specific attributes we could think of
> specialising for this. I suspect that this will not be neccessary if we
> think through how to improve the existing ones first. Remember these are
> all draft at present and this is the kind of use case that will help to
> improve them prior to publishing.
>
> So I would hope that the history and details should be largely captured just
> using these existing archetypes - let me know how it goes.
>
> Examination findings:
> I'd use the OBSERVATION.exam archetype as the base ENTRY class. In a
> template it can be renamed to 'Examination of Bite'. There is ability to
> record a free text narrative again, OR insert detailed examination CLUSTERs
> into the slot: CLUSTER.inspection-skin-wound, and maybe the generic
> palpation archetypes. What requirement do you have for examination of the
> wound?
>
> Conclusion:
> EVALUATION.problem-diagnosis
>
> Plan & Follow-up:
> There are a few possible INSTRUCTIONs already in CKM that might be useful -
> depends what else you need.
>
> Hope this helps. Happy to keep chatting.
>
> Suggestions from others are welcome.... ;-)
>
> Regards
>
> Heather
>
>
> On 6/02/2010 1:11 PM, Otavio Silva wrote:
>
> Hi Heather,
> What you wrote make a lot of sense...
> I coudn't get trought the Waves yet, I already told Ian... I must
> be doing something very silly...
> I am in team of Luciana from UFF (Brazil, RJ) and we are working on
> the OSHIP application for openEHR, by now I am aiming to make a
> decision support engine using pyCLIPS on rabies prophilaxis, where the
> most important thing is whether the wound is done by an animal and the
> second is where it was.
> So, if I could understand properly, and to be in consonance, I
> should work in an archetype that specialises the history-taking
> process (a specialisation of openEHR-EHR-OBSERVATION.story.v1?), to
> work on an archetype of bodyparts and suggest that the wounds
> archetype has a link to some bodyparts archetype...
> I guess is quite a lot of work to do... ;-)
> Otavio
>
>
>
> --
>
> Dr Heather Leslie
> MBBS FRACGP FACHI
> Director of Clinical Modelling
> Ocean Informatics
> Phone (Aust) +61 (0)418 966 670
> Skype - heatherleslie
> Twitter - @omowizard
>
--
Otavio C. da Silva
Linux user: # 495191
Ubuntu user: # 28559
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