Thanks for answer, I'll do some more thinking.
Meanwhile, some more questions...

- has anyone worked with medication in the context of care plans, just as a 
very specific example?
  I have a couple of students that are working on this at the moment. Any ideas 
towards
  archetype representation?

--- ?ystein Nytr?

18.01.2003 00:00:53, skrev "Sam Heard" <sam.heard at bigpond.com>:

>Hi
>
>In the openEHR development we have been quite careful to include the
>'objects' in the information model that will allow care plans.
>
>This is predominantly the Instruction Entry type - allowing processes to be
>modelled and tracked in the EHR. It is not a process modelling formalism
>(such as WfPM) - but it is (hopefully) very much in tune with what is going
>on in the Guidelines and Decision Support arena.
>
>The challenge is to keep the information needed to determine what are the
>plans for this person - and to integrate a number of guidelines.
>
>Then there are the archetypes - the data instances that conform to standard
>clinical models.
>
>At present in my ontology I have a small set:
>
>Targets and Goals (Organiser)
>       Target (Evaluation)
>       Goal (Evaluation)
>(Targets are computable statements, goals are text)
>Index issues or problems (organiser)
>       Problem/Issue [Eval] (which can be replaced by the specialised Diagnosis
>and Histological diagnosis)
>       Accident/Injury/Poisoning
>Care to be provided (Organiser)
>       Notifications/recalls (Org)
>               Notification (Instruction)
>       Monitoring (Org)
>               Monitoring (Instruction)
>       Link to ongoing therapy (Link)
>Participation (Org)
>       Participation (Observation)
>
>This is really a first try - there are a lot of other things that could be
>in here but it is important that the care plans do not get too cluttered.
>
>I would be happy to keep in touch with you in this matter,
>
>Cheers, Sam
>



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