Bhupinder

The only values we are not wanting to show are those that are wrong - and
have been changed in a later version. The idea behind this is to store the
information in an openEHR system inside the Pathology service and then send
an extract - rather than develop a lot of messages.

Cheers, Sam

> -----Original Message-----
> From: owner-openehr-technical at openehr.org
> [mailto:owner-openehr-technical at openehr.org]On Behalf Of Bhupinder Singh
> Sent: Sunday, 26 October 2003 11:50 PM
> To: Thomas Beale; Openehr-Technical
> Subject: Re: Pathology requirements TIMED MEASUREMENTS
>
>
> What you say is one possibility.
> What is important is when there are two results out of the
> scenario and the
> readings are different. Would it be correct to take a mean. The difference
> in the reading may be on account of a number of causes starting from
> --Machine error
> --Human Error etc.
> The question is that there is a difference and this needs to be
> gone into in
> fact this requires to be highlighted and not covered through a mean value
> generated. Graphical representation should show both values and
> leave it to
> the clinician to decide what action he prefers to take. Textual display
> should show both values too.
>
> Bhupinder
>
> ----- Original Message -----
> From: "Thomas Beale" <thomas at deepthought.com.au>
> To: "Openehr-Technical" <openehr-technical at openehr.org>
> Sent: Friday, October 24, 2003 4:29 AM
> Subject: Re: Pathology requirements TIMED MEASUREMENTS
>
>
> > Bhupinder Singh <bobdog at sancharnet.in> wrote:
> >
> > > Dear Sam,
> > > What you say is correct.
> > > In clinical practice it is also possible that the same sample
> is sent to
> two
> > > labs for the same test and the protocol followed by both the labs is
> same so
> > > is the est method and the unit of reporting. The sample date
> and time is
> the
> > > same. These two results have to be viewed and stored. Thus
> there should
> be a
> > > method to store and retrieve values where the date and time of sample
> and
> > > the test type and method and the UOM is the same needs to be
> available.
> > > Eg Blood Sugar reporting unit and test method are the same so is the
> date
> > > and time of the sample.
> > > Bhupinder
> >
> > this is an inteersting scenario actually, since even if there are two
> > perfectly legitimate test results (let's say submitted to the EHR a day
> after
> > each other) they don't really represent distinct results - they are the
> same
> > result (presumably) submitted at same or different times. Wen doing
> > statistical or other queries we have to be careful - if we draw
> the values
> on
> > a graph for example of bsl over last five days, there might be
> two values
> at
> > the one timepoint (where the timepoints are the times of taking samples,
> not
> > doing the test - i.e. the biologically significant point in
> time). One way
> to
> > look at thist situation is to say that all test results where there is
> just a
> > single result are just a special case of a statistical testing situation
> in
> > which at any point in "body time", a sample might be tested any
> number of
> > times (and more than one sample might be made as well) - giving a
> > constellation of results. Where there are multiple results for the one
> > biological timepoint, we could consider it as a statistical
> strengthening
> of
> > the confidence in the result. Probably what applications processing the
> > results should do is consider N results at the same biological timepoint
> to be
> > the same as one, whoe value is the mean of the N, and whose
> confidence is
> some
> > higher value than that attributed to single value samples.
> >
> > - thomas beale
> >
> > -
> > If you have any questions about using this list,
> > please send a message to d.lloyd at openehr.org
> >
>
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