Bert Verhees wrote: > good question!!! > (though, seems an implementer-question to me) > > I hope you get a good answer, interesting for me, also some answers inline below.. > >> >> >> >> I'm trying to see how medication administration control or reporting >> should be modeled based on the OEHR RM and Archetypes. >> >> Let's take an example of say a intravenous medication to be >> administered for 8 hours. I have an GUI where nurses register the >> following information: >> >> - amount of medication administered since the last control. These are Actions (see EHR IM - http://svn.openehr.org/specification/BRANCHES/Release-1.1-candidate/publishing/architecture/rm/ehr_im.pdf, ACTION type). >> - problems which lead to cancellation of the medication plus the >> amount of medication administered so far. this is most likely an ACTION for suspending or aborting the medication, with accompanying reason (e.g. low white cell count). These kinds of actions (abort, cancel, suspend, resume) are all archetypable in such a way that clinical pathway actions can be mapped
The archetypes for this kind of thing are built around INSTRUCTION, ACTIVITY (part of instruction), and ACTION. See e.g. the archetype for medication order at http://oceaninformatics.biz/archetypes/openEHR-EHR-INSTRUCTION.medication.v1.html; there is a link to the Action archetype. Currently this link seems to be broken, so the correct link is http://oceaninformatics.biz/archetypes/openEHR-EHR-ACTION.medication.v1.html . It takes a bit of time to understand how this modelling works, and you need to read the Instruction section in the EHR IM to see the design approach. - thomas
