Hi Paria,
I have just uploaded a tutorial to Ocean?s new website ? went live only tonight;-) I have just devised it recently for use in introductory training for clinicians in building archetypes. This might be a useful starting point for you ? http://www.oceaninformatics.com/ocean-informatics-resources/ocean-documentat ion/Tutorials.html I have been very slowly working on documenting a methodology but keep getting diverted ? will let you know when I have something ready for reading. Regards Heather From: [email protected] [mailto:openehr-technical-bounces at openehr.org] On Behalf Of P?ria Kashfi Sent: Thursday, 3 July 2008 6:30 PM To: For openEHR technical discussions Subject: Re: Creating Archetypes based on questionaire + methodology 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 _____ _______________________________________________ openEHR-technical mailing list 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 Phone: +61 2 9415 4994 Mobile: +61 4 1783 8808 21 Chester Cres London E8 2PH Phone: +44 20 7249 7085 Mobile: +44 77 9871 0980 _______________________________________________ openEHR-technical mailing list openEHR-technical at openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20080703/bae73ecc/attachment.html>
