Thanks Seung,

Simple diagrams help me a lot :-)  My background is computer science not
medicine.

I am starting to get the picture, this is exciting stuff.  In the past I
have the best HIS systems organize clinical data into a hierarchy with
little rhyme or reason, and custom to the client.  Writing meaningful
reports from flowsheet data was a disaster.  This could really help a lot
and gives me something to focus my implementation on rather than a custom
domain model.

I am sure I will post many more questions.

thanks!

Greg

Boston, MA
http://www.patientos.org


On 10/18/07, Seung Jong Yu <ggojang at gmail.com> wrote:
>
> 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
> >
>
>
>
>
>
> _______________________________________________
> openEHR-technical mailing list
> openEHR-technical at openehr.org
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>
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