Dear Greg Caulton First, I think you must have a conceptual idea of "diagnostic-therapeutic cycle" (see http://www.mieur.nl/mihandbook/r_3_3/mmedia/f01_02l.gif)
And you think how to organize medical concepts into information model (openEHR's information model. For basic understanding, refer to http://ontology.buffalo.edu/medo/HL7_2004.pdf) and how to use information model in real practical situation(openEHR's archetype). For your understanding, from information model's viewpoint your example may be coded like this. (it's peudocode and not exactly match with openEHR. It's just for your understanding ) <Composition (Admission Note)> <Section (Present illness)> <Entry> <age, sex> with <ESLD> admitted with <dehydration> <Entry> Received <n> ml/kg of volume resuscitation last night. <Entry> Went to OR for <CVL> placement, transferred to ICU for management after OR. <Section (Microbiological Observation)> <Entry> a) Send <bacterial infection> <if stooling> <Section (Medication)> <Entry> b) <Re|start> <med> for wound infection But, in order to use this example in real situation, we need to define codes(terminology), ranges and other constraints for <age>, <sex>, etc. This is the role of archetype. I don't know whether these are tips for you. But as Mikael Nystrom said, it is better that you start reading Architecture Overview and post any questions here Best regards Seung Jong Yu MD, MS ggojang at gmail.com Research Doctor Medical Information Center Lab. Seoul National University Hospital 28 Yongon-dong, Chongno-gu Seoul 110-799, Korea +82-2-2072-1978 2007/10/19, Greg Caulton <caultonpos at gmail.com>: > > Hi, > > As someone who is an OpenEHR novice can you give me any tips - there > is so much information on the website it is difficult to know where to > start. > > While I have yet to understand the full potential of the framework, I > would like to start with something simple. > > Suppose a surgeon signs onto my system and wishes to create a new > progress note. On paper he may have written (swapping out the <>) > > ____________________ > <age, sex> with <ESLD> admitted with <dehydration> > > Received <n> ml/kg of volume resuscitation last night. Went to OR for > <CVL> placement, transferred to ICU for management after OR. > > a) Send <bacterial infection> <if stooling> > b) <Re|start> <med> for wound infection > c) Check weights > d) etc. > _____________________ > > How does OpenEHR come into play with this action - > > Should provide lookups or force sentence structure? > Should it be used to define and store the content into discrete data? > What data source or service would my code interact with? > > I guess I have many questions, and I apologize in advance if I miss > some concepts. > > thanks! > > Greg > > Boston, MA > http://www.patientos.org > _______________________________________________ > openEHR-technical mailing list > openEHR-technical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical > -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20071019/48605d14/attachment.html>
