Hi Oliver,

On Sat, 2007-11-17 at 00:44 -0200, Oliver Zancul Prado wrote:
> Hello Thomas
> We installed the java project but It give an error and does not start.
> We will try to find and fix the problem. 

Great! That is how open source works. :-)

> I think with something "real" to see will be easier to understand

Very true.

> I have some questions and the answers could help me see if I
> understood the model.
> I dont know if they are too newbie to ask or not, lets see

Well, I'm not Tom but I hope a slightly different perspective from his
(in conjunction with his) may help you get on the road to progress with
openEHR. 

> Inventories, questionnaires and scales like Beck Depression Inventory
> and many others:
> Usually you have many questions and the answers are coded (calculated)
> and then you have a scale result.
> Can we have the scale itself as archetype or only the "scale result"
> as archetype (an observation entry)?
> I found that its possible to have body mass calculation as archetype,
> but how about more complex types of calculations?

My answer may be vague but simply you "can" have any level you want.
But the basic concept is that AN archetype is ONE clinical concept.  It
is an EXTREME/MAXIMAL data set for that concept. The process of
implementation is one of restriction for any application. This opens the
door for us to use an archetype in one context and yet it still be
completely valid (even contextually from the point of information
gathering) when transferred elsewhere.  

You can't do this when you have different "data models" because NOT ONLY
is the context of collection lost in what "data" should be transferred,
but the entire context of the entry is disjointed. 

> Schedules, payments and administrative tasks goes as admin archetypes,
> but how this relates to the GUI like the typical clinical calendar
> (agenda)?
> I can imagine archetype as a "form" but can it goes anywhere in the
> system and take any form in a GUI?

An archetype is a "part of" a form/template.  

> 
> Lets say you have a screening service that sent the patient to either
> psychotherapy or occupational therapy.
> The screening service will have a archetypes template 
> Psychotherapy another archetype template and occupational therapy
> another one?
> Some archetypes could be common to all three services.
> Is this correct?

They could be (and likely are).  But, when persisted in the patient
record they are recorded as a (versioned) contribution. This is kind of
the dividing line between what an archetype is and does and the reality
of creating a patient record in a system. 

I don't want to "tick-off" the clinicians here. But frankly we could be
talking about auto parts or aircraft assemblies as well.  Archetypes
describe the knowledge of the system.  The software is based on the
reference model. With a little more domain work we could build airplane
plans with the reference model and different archetypes. 

I think that as a group we just happen to believe healthcare is more
important to the world. :-)

> Information about the health service itself goes as archetype too?
> eg: 
> screening - general screening service, works only monday, 8AM-14PM
> psychotherapy - for adults with no disease conditions, behavioral
> oriented theory, works everyday 8AM-18-PM
> child psychoterapy - for kids, psicodinamic oriented theory, works
> everyday 8AM-18-PM
> emergency - general for everyone anytime, works 24/7

This is a tough question for me. Frankly I haven't given much thought
about scheduling and archetypes.  Off the top of my head I don't think
it makes much sense.


> with your clinical data you build a knowledge base to spread evidence
> based practices? 
> clinical supervision and training: to collect data about supervision
> and training process. 

DISCLAIMER: I am not a healthcare provider.  

The general idea is to create reusable, international knowledge
components. 

The reasoning is that so we can have software systems that can request,
share and reuse "information" from any other system. There are many
reasons for this desire and need that is alliterated in the health
informatics literature. 

I hope this helps answer your questions.

Kind Regards,
Tim



-- 
Timothy Cook, MSc
Health Informatics Research & Development Services
http://timothywayne.cook.googlepages.com/home

LinkedIn Profile:http://www.linkedin.com/in/timothywaynecook 



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