Hello All, been doing a bit of work (with help from Ian McNicoll) on an
OpenEHR template for surgical pre-operative assessment.
You can view the results of my efforts (and Ian's) here :
https://github.com/johngrant4est/surgical_preassessment
and I'm not sure how this works in terms of sharing but the working repo
is here :
https://ehrscape.marand.si/designerv2/#/designer/repos/surgical_preassessment
The template is being built in the form of a Report, which sort of
matches the real world, in as much as someone does the assessment which
is then made available as a report.
I have 2 challenges currently :
1. How to group the concepts of Biometrics, Physiological variables e.g.
Vital Signs and Investigation Results e.g. labs, radiology. These all
feel as though they should be grouped somehow as part of the assessment
but there is a conflict (in my head) between the archetypes for
investigations_results and exam findings. Is NIBP an investigation or an
exam finding ? I appreciate that the line between these concepts is a
bit blurred.
2. How to model the typical systematic enquiry when taking a history
relevant for peri-op care, e.g. how to record the presence of angina,
hypertension, heart failure, murmurs and group them under "Cardiovascular".
Any thoughts ?
Cheers
Grant
--
Dr J Grant Forrest
Webmaster, SCATA
www.scata.org.uk <http://www.scata.org.uk>
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