As Sam wrote there are a number of approaches that help creating  
archetypes. Is there any booked methodology or approach available?  
does anyone know any useful reference for it?

Regards
paria

On Jul 2, 2008, at 1:34 PM, Sam Heard wrote:

> Hi P?ria...
>
> P?ria Kashfi wrote:
>>
>> It means that each clinician can create his/her own questionnaires.  
>> (experiences in this project showed that they are eager to have  
>> their own protocol including questionnaires and data they may  
>> access )there are some forms, or templates that are more general  
>> including questions like this one named GENERAL MEDICAL HISTORY
>> Do you consider yourself healthy?
>> Do you currently suffer from any disease or illness?
>> Have you previously suffered from any disease or illness?
>> Do you currently use any medication?
>> Have you had treatment with Steroids during the last year?
>> Do you have any skin problem?
> This is common. There are a number of approaches. It is possible to  
> provide a generic questionnaire archetype which allows the question  
> to be provided as a textural statement with a Yes/No boolean with a  
> possible text box as well for comments.
>
> Such an archetype can then be specialised for particular  
> questionnaires like the one above - this is appropriate for  
> questionnaires that will be used for decision support or used  
> widely. These can then be translated.
>
> The openEHR template provides a way of adding texts to labels - this  
> allows one-off questionnaires which are of uncertain meaning in the  
> general interoperability space. The openEHR-EHR-EVALUATION.risk- 
> anaesthetic.v1.adl will give you an indication (activate the web  
> lookup in the editor - tools - options - File locations = 
> http://archetypes.com.au/archetypefinder/services/ArchetypeFinderBean?wsdl
> and type in 'risk'.
>
> We will be moving to the new Knowledge Manager very soon on the  
> openEHR site which should make accessing and commenting on  
> archetypes a whole lot easier.
>
>
> I hope this helps, Sam
>> ....
>> Also we have other kinds of forms like SALIVARY GLAND DISEASE
>> What areas were examined?
>> What is the color of the skin/mucosa covering the salivary gland?
>> Are there any signs of muscositis?
>> .....
>> (I shows that there are two kinds of questions, one may be asked  
>> patient, one is for clinician herself to show what to examine or... )
> This sort of questionnaire might be better set out as an examination  
> entry rather than a questionnaire - although I can see why this  
> might be helpful at times. The same applies as above - but we might  
> see it as part of an examination - perhaps as a cluster  
> (questionnaire form).
>>
>> well, There are some unsolved problems in my mind regarding these  
>> questions and the possibility to create Archetypes or Templates for  
>> these questionnaires like the one above.
>> 1- Is this an appropriate design way for Archetypes to create  
>> Archetypes based on questions or actions that one may ask or may do  
>> during visit or treatment?
> We have to be careful not to force the archetypes to be too 'near  
> user form' - people may have forms that are quite pedantic for a  
> reason and then store the information differently. It is always  
> possible to include the questionnaire if appropriate.
>> 2- Can I map these questionnaires to Archetypes or they are more  
>> like Templates?
> As above - it depends on their processing and how wide the use is.
>> 3- I have this methodology in my mind when I try to map things to  
>> openEHR concepts
>>  - What are the specifications on the disease I want to present ,  
>> symptoms, signs, related guidelines,...(general knowledge about  
>> disease)
>>  - Which questions may I ask when a patient visits me? general  
>> patient data, patient medical history,...
>>  - Is there any protocol for data gathering?
>>  - What kind of treatments I may suggest, or any more data do I  
>> need? any related laboratory tests ?
> Here you can create a template that provides the means of  
> streamlining data collection in each setting....
>>
>> Finally, is it a proper way to think of creating an Archetype for a  
>> specific disease?
> In general, I do not think so - although burns and fractures are  
> examples where you might want a specialisation (of diagnosis I  
> guess). Usually templates are where you will provide the context  
> specific data points.
>> I know that I should first search for existing Archetypes and  
>> combine them to create Templates, but what if I cannot find any  
>> suitable Archetype for my case?
> Then you need to talk to us! You can try creating some archetypes  
> and sharing them with the clinical group.
> Have a look on that web site above for 'question' and you will find  
> some generic checklists and questionnaire archetypes.
>> I should mention that all these efforts is to create a CDSS for a  
>> specific disease, so I need to be more specific in knowledge or  
>> data gathering.
> Let us know how it goes.
>
> Cheers, Sam
>>
>> Regards
>> Paria
>>
>> PhD Student
>> IDC | Interaction Design Collegium
>> Department of Computing  Science and Engineering
>> Chalmers University of Technology
>>
>> Email: hajar.kashfi at chalmers.se
>> Office:+46 (0)31 7725407
>> Mobile Phone: +46 (0)707222815
>> Postal adress:
>> IT University of G?teborg
>> 412 96 G?teborg, Sweden
>> Visit: Room Simula B, House Svea, Campus Lindholmen
>>
>>
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>> openEHR-technical at openehr.org
>> http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
>>
>
> -- 
> <OceanInformaticsl.JPG>
> Dr Sam Heard
> Chief Executive Officer
> Director, openEHR Foundation
> Senior Visiting Research Fellow, University College London
> 214 Victoria Avenue
> Chatswood, NSW, 2067
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PhD Student
IDC | Interaction Design Collegium
Department of Computing  Science and Engineering
Chalmers University of Technology

Email: hajar.kashfi at chalmers.se
Office:+46 (0)31 7725407
Mobile Phone: +46 (0)707222815
Postal adress:
IT University of G?teborg
412 96 G?teborg, Sweden
Visit: Room Simula B, House Svea, Campus Lindholmen

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