I am not quite aware of the distinction between medication plans and medications planned, but anyway, we are thinking about the "totality of monitoring, education, reviews" in addition to roles and delegation of responsibility, with the added complexity of limiting access to the plan content according to "need to know", i.e. unless you are in a role that has responsibility for a specific part of a multi-problem-plan, you're not allowed to see it.
More specificly, we are starting a pilot that looks at requirements for a plan-based "record system" that supports cooperation across roles and organizations for long-term psychiatric patients. You wouldn't want rehabilitation- people to have access or knowledge about specifics of family history etc... And even more: What about goals for treatments? Think "goal-driven guidelines"... Is an archetype neutral to the underlying guideline model/semantics/"execution"... How do we go about composition, inheritance and instantiation wrt. archetypes for plans? Multiple plans? (After all, it is more than common to be on many medication "plans" concurrently...) Just rambling, --- ?ystein N. 23.01.2003 10:27:31, skrev Thomas Beale <thomas at deepthought.com.au>: >?ystein Nytr? wrote: [...] >>- 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? >> >do you mean medications planned? I presume in the context of a care plan >you mean with ongoing monitoring, possible education, and reviews. Sam >Heard and I have done a certain amount of work in this area already, >using the example of asthma. The medication is just oral >corticosteroids, but the totality of monitoring, guideline, and other >factors make it interesting. Would this be the kind of thing you woudl >like to discuss? > >- thomas beale - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
