Hi Sam, Ian, Thanks for your tips, I think we are far away from defining guidelines soon, but I think I can extend my templates to define this conditions/triggers there while we don't have a formal guideline to do so.
The objective of this project (it's my degree thesis) is: to build the first OpenEHR 100% medical record implementation in my country Uruguay, so if this is successful we can spread the word about OpenEHR works and how other can adopt it to build EHR systems. Now there are many initiatives to build EHRs but not much experience in how to do it, IMHO OpenEHR is the answer we are looking for, but I need something working to show it to the others :D Cheers, Pablo Pazos Gutierrez http://pablo.swp.googlepages.com/ From: [email protected] To: openehr-clinical at openehr.org Subject: RE: Modeling reference ranges Date: Wed, 14 Oct 2009 10:09:16 +0930 I agree Ian ? though they are always triggers in reality. Australia made more progress on Lipids when it changed labs from reporting actual norms to target norms. Suddenly everyone had high cholesterols and down they have come! Cheers, Sam From: [email protected] [mailto:openehr-clinical-bounces at openehr.org] On Behalf Of Ian McNicoll Sent: Tuesday, 13 October 2009 9:42 AM To: For openEHR technical discussions Cc: openehr-clinical at openehr.org Subject: Re: Modeling reference ranges Thanks Sam, That was helpful but would you agree that is does not make much sense to use a reference range for blood pressure in the same manner as you would for a lab test. I have suggested that if Pablo is trying to set trigger conditions e;g a series of BPs over a particular level, then this properly belongs in the guideline/pathway space, rather than as ref ranges? Ian Dr Ian McNicoll office / fax +44(0)141 560 4657 mobile +44 (0)775 209 7859 skype ianmcnicoll ian at mcmi.co.uk Clinical Analyst Ocean Informatics ian.mcnicoll at oceaninformatics.com BCS Primary Health Care Specialist Group www.phcsg.org 2009/10/13 Sam Heard <sam.heard at oceaninformatics.com> Hi Pablo The issue is that you do not see the reference model attributes in the archetype editor. A Quantity data type has a normal range and other reference ranges built in. We do not set the reference ranges in archetypes as these vary and archetypes are the absolute statement about things (what could possibly be true ever, anywhere). So it is in the form or data that you will get access to the reference range. You could set it in a template (not possible in our tools as yet). Generally the reference ranges come with the results from the lab or a dynamic depending on gender, age etc. I hope this is helpful ? have a look at the data type specs for clarification. The UML is at: http://www.openehr.org/uml/release-1.0.1/Browsable/_9_0_76d0249_1109599337877_94556_1510Report.html You will see an optional normal_range and 0..* other reference ranges as part of a root abstract class DV_ORDERED Cheers, Sam From: openehr-technical-bounces at openehr.org [mailto:[email protected]] On Behalf Of pablo pazos Sent: Tuesday, 13 October 2009 8:02 AM To: openehr-clinical at openehr.org; openehr-technical at openehr.org Subject: Modeling reference ranges Hi, I'm playing around with archetypes trying to model an observation and its reference ranges, I mean something like "blood pressure" and some range to define what is "hypertension", but I can't found an archetype that defines a reference range for an observation. Any one has experience in modeling something like this? An archetype is the correct place to define a reference range for an observation value? Any ideas? Thak you! Cheers, Pablo Pazos Gutierrez Windows Live: Keep your friends up to date with what you do online. _______________________________________________ openEHR-technical mailing list openEHR-technical at openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical _________________________________________________________________ Windows Live: Make it easier for your friends to see what you?re up to on Facebook. http://www.microsoft.com/middleeast/windows/windowslive/see-it-in-action/social-network-basics.aspx?ocid=PID23461::T:WLMTAGL:ON:WL:en-xm:SI_SB_2:092009 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20091014/c29ee8c7/attachment.html>
