Poll Results - Top 10 archetypes for use in an Emergency

The Proposal

It was proposed that the priorities and focus of the next openEHR Clinical Knowledge Manager archetype reviews for the remainder of 2009 be on achieving agreement and consensus on the 10 key archetypes that would support healthcare provision in a typical crisis situation.  Effectively these archetypes would contain clinical content that the openEHR community regard as the most important components of any Emergency Summary.  More colloquially, we could refer to them as '10 archetypes that could save a life'!
The ongoing value of agreeing these archetypes comes from the fact that while they will  support emergency care, they will also be re-used as foundation clinical content for many health record summaries (such as  ISO/TR 12773 - Business Requirements for Health Summary Records) or typical clinical encounters. 

Assumptions:

  • The process of creating, publishing, and managing an Emergency Summary; security and privacy; etc are out of scope for this process.  The focus of the 10 archetype review is on the clinical content alone. 
  • Review of the selected archetypes within CKM will be to agree the standard definition of 'maximal data set for a universal use case' for each archetype, not just for the Emergency Summary use-case.

The Poll

An open poll was conducted during the middle of July 2009.  Invitations were distributed through the openEHR clinical and technical lists and to all registered users in the openEHR Clinical Knowledge Manager.  Participants were asked to register a vote for up to 10 archetypes.

Background information about the Poll


The Results:

Additional suggestions included:

Suggestion

Comment

Allergy/contraindication

  • Allergy is included in Adverse Reaction review. 
  • Contraindication is a new suggestion

Blood Pressure

  • Blood Pressure is included in the Vital signs group review

Triage level in disaster

  • Triage level in disaster is a new suggestion

Alert/Travel combined

  • Alert and Travel History are both included as separate archetype reviews.  These are distictly differenet concepts and should be archetyped separately but brought together for clinical scenarios in an openEHR template.

Performed surgical procedure (eg transplant, pacemaker)

  • Performed surgical procedure is included in the Procedure review

Evaluation of Risk Condition

  • Evaluation of Risk of Condition is a new suggestion

Support Providers/Contact Persons

  • Work on Demographics-related archetypes will be occurring separately using both the Demographic and EHR Reference Models

Background information about the Poll

Next Steps: the archetypes for review...

Concept

Archetypes

1. Medication

Medication - InstructionActionand common Structure

2. Problem/Diagnosis

Problemand its specialisation Diagnosis

3. Adverse Reaction

Adverse Reaction - currently under review

4. Vital Signs group

Blood Pressure, Respirations(both currently under review), Heart Rate and specialisation Pulse, Body Temperature (completed) and Oximetry

5. Laboratory test result

Laboratory test result

6. Alert

Alert

7. Blood Group

Blood Group

8. Procedure

Procedure - Instruction , Actionand common Structure

9. Admission/Episode

Admission - needs initial some development work; no draft in CKM yet

10.Clinical Synopsis

Clinical Synopsis