Dear all,

I was wondering if anyone is interested/involved with reporting of 
cervicovaginal smears. A quite mature and stable micro terminology exists that 
is aimed to provide effective communication between gynecologist and 
cyto-pathologists and for reporting of cases: Bethesda System 2001. It had been 
discussed in 2001 at NCI and published at: 
http://bethesda2001.cancer.gov/terminology.html

I had modeled it with classical relational method and have been using it since 
2002 as an add on to my Anatomic Pathology Information System. The reason I am 
writing this message is that I personally believe it is a good candidate for 
Archetype modeling. Well I had done some initial modeling but it is obvious 
that first it has to go into an appropriate EHR 'slot' (i.e. as a 
specialization of plain pathology/cytology report). And secondly my experience 
is that it has to be extended so as to include some practical information like 
type of stain used or number of glass slides and so on. Archetype 
specialization is a good method to embed such auxilary information items while 
keeping original structure and semantics of the standard. I see a huge benefit 
for NCI or other related organizations first to get aware of Archetypes and 
then adopt the methodology for proper domain knowledge governance.

I would love to get your comments and contributions to design a really usable 
Archetype for reporting of cervicovaginal smears.

Best regards,

Koray Atalag, MD, Ph.D.
Freelance consultant and developer

skype: atalagk
http://koray.pathos-web.org


       
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