Re: Medinfo 2010.. Re: clinically useful set of archetypes for a connect
Thanks Tim, Thats useful. Some other feedback from clinical colleagues would be useful on this. Certainly the high level use cases you posted , ie Newborn and then 65yo with Chronic Diseases should be useful. The detailed candidate content posted up about these 2 I'm not so concerned about directly replicating.. if we can tackle the archetypes needed to do SOAP and Summary noting these can form the basis of the material needed to support both journeys. The top 10 Emergency Archetype work Heather is currently over seeing will begin that. Not sure what timetable is realistic for broadening out CKM input to cover the other material needed for SOAP, but Im sure it will be months rather than weeks. It may be that a few of us produce a candidate subset of archetypes that can handle both SOAP and Summary for the Connectathon purposes ahead of any ARB/CRB checks, given the time pressures you were suggesting earlier. Dec 1 gives us about 12 weeks I guess. My sense is there must be value in agreeing a small set of very basic set of archetypes over the next weeks for these purposes if that helps move forward the Connectathon.. Others may have a view on that? #Heather do you want to comment on this thanks.. Perhaps other can comment on the date time and technical issues for the connectathon. I've updated the wiki as we will be aiming to use Opereffa within the Connectathon, Serefs time will likely be constrained but thankfully he is certainly willing to try... Regards, Tony Tim Cook wrote:
Hi Tony, I have added two potential use cases http://www.openehr.org/wiki/display/resources/Connect-a-thon+Details now I need clinicians to tell the rest of us is this a doable situation. Can we do these two with the 15-20 archetypes that were discussed below? If not, what needs to change? I also need feedback on the other items on that page. Also, please start making commitments to participate. http://www.openehr.org/wiki/display/resources/Connect-a-thon +Participants If we do not have systems signed up and committed to participate then we are wasting our time in planning the event. Cheers, Tim On Fri, 2009-08-21 at 10:22 +0100, Tony Shannon wrote:Thanks Tim, In reply.. I am a believer in keeping things simple where possible. My sense is that we can demostrate an impressive solution if we offer support around a single/few patient journey(s) and a limited set of archetypes. Let me play devils advocate and suggest all we need to address for the majority of this is just 2 overlapping groups of archetypes. 1) The Emergency Summary set (Top10) that Heather has been polling for 2) The SOAP note set Note that these have significant overlap. That journey could begin in any/many ways.. eg 1) Newborn .. with a SOAP notehttp://74.125.77.132/search?q=cache:YO6tdfa2xXgJ:faculty.washington.edu/alexbert/MEDEX/Spring/MCHNewBornsoapnote.doc+soap+note+newborns&cd=5&hl=en&ct=clnk&gl=ukHome with a Summary note 2) To the Primary Care doc.. with a new SOAP note At end of visit.. an updated Summary 3) To the ED/other Unit.. where we access the Summary Then we add a new SOAP note Then we update the Summary 4)..into old age.. When a Long Term condition requires more SOAP notes and updates to the Summary and so on and so on.. OK a very simplistic example, but I hope it illustrates a point. If some think that its too broad then we could use a subset of that journey..again only needing with SOAP and Summary. The top 10 Summary drive has already begin the process of now starting to explore 15/20 key archetypes, all of which selected can and will provide the basis for the SOAP note too. One point your question does raise is whether we are aiming for archetypes that have more breadth or depth, or a mix in between. I would be looking for the Medinfo demo set to provide *just enough* (and no more than that) detail to get the demo across. I would not expect us to have finalised the definitive archetypes for Summary/SOAP by then. There will be never be "final" versions of any of these anwway..always works in progress. Hope these ideas help.. Tony Tim Cook wrote:On Mon, 2009-08-17 at 17:46 +0100, Tony Shannon wrote:Thanks Tim & co for moving on this. Tim You kindly offered to help organise this, please let me know if I can help in any way.Tony, I think that you will be key in leading the charge to be sure that we have the correct archetypes in place. Maybe even if they haven't all passed review by then???? We at least need to have a MedInfo2010 Set defined. Probably no later than 1 December. So we have the list prior to everyone going on the holiday break. This will provide time for the various application developers to do template building and testing. Maybe enough time for CKM/ARB certification as well? But of course this means that we also need to define the number of use cases and number of patients we will be demoing. Comments please........ --Tim-- Dr. Tony Shannon Consultant in Emergency Medicine, Leeds Teaching Hospitals Clinical Lead, Clinical Content Service, NHS Connecting for Health Chair, Clinical Review Board, openEHR Foundation +44.789.988 5068 tony.shannon@nhs.net ******************************************************************************************************************** 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. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSI recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail ********************************************************************************************************************
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