Hi Silje,
there is no immediate equivalent of these codes, which have indirect
equivalents, i.e.
1. Result = OBSERVATION; provider = lab; limited to certain archetypes;
also comes under SOAP 'O' Heading
2. Observed by physician = OBSERVATION, provider = PARTY_IDENTIFIED
(physician); limited to certain archetypes; also comes under SOAP
'O' Heading
3. Patient information = OBSERVATION, with provider = PARTY_SELF,
possibly limited to specific archetypes ; also comes under SOAP 'S'
heading
4. Info from next of kin = OBSERVATION, with provider =
PARTY_IDENTIFIED (next of kin)
5. Info from other records = any ENTRY, with FEEDER_AUDIT set appropriately
6. ??
7. Reported by responsible clinician could be 1, 2, most EVALUATIONs,
most/all INSTRUCTIONs some or many ACTIONs; provider =
PARTY_IDENTIFIED (clinician)
I'd say it can be mostly set by using ENTRY.provider. 5 is a different
thing - it's about provenance of data obtained from elsewhere.
Presumably 6 means 'not any of 1-5 or 7'.
I'd also say it isn't a very well designed code-set, and I don't know
what use it would be in real life...
- thomas
On 16/01/2017 13:14, Bakke, Silje Ljosland wrote:
Hi everyone,
I’ve got a problem about where to put non-identifying information
about the source of information for an ENTRY. The value set we need to
store is the code set identified by the OID 2.16.578.1.12.4.1.7498
(Source of information), as following:
1.Result of test/analysis
2.Observed by treating physician
3.Patient’s own information
4.Information from next of kin
5.Obtained from other records
6.Other
7.Reported by responsible clinician
Our first hypothesis was that the reference model element “provider”
should be used for this, but then someone pointed out that the
“provider” should be an identifiable person or entity, and not just a
generalised coded text like this. So, where should this information
go, if not in RM:provider?
Kind regards,
*Silje Ljosland Bakke*
**
Information Architect, RN
Coordinator, National Editorial Board for Archetypes
Nasjonal IKT HF
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