Thanks Silje,
to my personal opinion, I think this is the best answer, at least the
first part. The second part consist of negation, I would like a more
positive description about when to use an evaluation. That is per
example in the third part of your answer.
I like to thank all for your considerations shared on this mailinglist.
Best regards
Bert Verhees
On 10-04-17 09:46, Bakke, Silje Ljosland wrote:
I think this is a case of putting too much weight into the names of
the archetype classes.
Basically:
·OBSERVATIONs are used when you need a point in time event (or series
of them) or an interval event with or without a math function, ie want
the same thing done over and over again with the same protocol, or you
need to specify the patient state.
·EVALUATIONs are used when you don’t need any of the above, and the
use case doesn’t fit with ACTIONs, INSTRUCTIONs or ADMIN_ENTRY either.
BMI is evidence that is reached by calculation of measurements, it’s
not a clinical assessment. Based on the BMI, you could draw a
conclusion that the person is obese, which would be recorded in an
EVALUATION archetype (typically EVALUATION.problem_diagnosis).
Regards,
*Silje*
*From:*openEHR-clinical
[mailto:openehr-clinical-boun...@lists.openehr.org] *On Behalf Of *GF
*Sent:* Monday, April 10, 2017 9:33 AM
*To:* For openEHR clinical discussions
<openehr-clinical@lists.openehr.org>
*Subject:* Re: BMI archetype
My ‘definitions'
*Observation*: a result obtained by an author using human senses
*Calculation*: a kind of Evaluation by a human or device using
Observations and knowledge (rules, formula)
*Evaluation/assessment*: Interpreting observations caused by processes
using existing knowledge
*Diagnosis*: Special case of Evaluation. The process pertains to
processes in the Patient system.
Gerard Freriks
+31 620347088
gf...@luna.nl <mailto:gf...@luna.nl>
Kattensingel 20
2801 CA Gouda
the Netherlands
On 10 Apr 2017, at 09:10, Pablo Pazos <pablo.pa...@cabolabs.com
<mailto:pablo.pa...@cabolabs.com>> wrote:
from ehr_im
OBSERVATION (for all observed phenomena,including mechanically or
manually measured, and responses in interview)
My interpretation is automatic calculations are included in
"mechanically measured".
Also
EVALUATION (for assessments, diagnoses, plans, risks, recommendations)
I don't see an evaluation in the execution of a numeric formula,
but I can see it in the recording of an evaluation in terms of the
result of executing the formula. Similar case the calculation of
the mean systolic BP based on a series of events = 140 mmHg (is
OBS), and stating "high BP" or "hypertension" is EV).
On Mon, Apr 10, 2017 at 3:55 AM, Bert Verhees
<bert.verh...@rosa.nl <mailto:bert.verh...@rosa.nl>> wrote:
Op 10-4-2017 om 8:52 schreef GF:
I would say one needs both:
Evaluation: when calculating by the author the BMI-number
using existing weight/height data
Observation: when reading/copying by the author aa a
BMI-result from a source
Also a good argument ;-)
A good solution would then be, put it in a cluster, so it can
be sticked into whatever is right for the situation.
Bert
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