Multiple archetypes in a single concept as a way to create an archetype collaborative
Hi Joaquin OpenEHR is a language and ontology neutral, standard. Archetype class is ready for translations via its ancestor: AUTHORED_RESOURCE that has unbounded instances of TRANSLATION_DETAILS. Several phrases (words) pertaining to a sole concept can be implemented via Terminology package that helps with assigning terminologies of any kind to map to Archetype parts. Regards On Tue, Aug 2, 2011 at 9:59 PM, Blaya, Joaquin Andres joaquin_blaya at hms.harvard.edu wrote: Hi, Apologies in advance if this is the incorrect email list for this topic, but I thought it was the most relevant. I'm a member of OpenMRS and there we are discussion a way to have users share the concepts (a limited form of an archetype) created in their systems. This means that for a single concept you could have many concepts from different implementations. This could be because of language or because different words refer to the same concept. For example, Gender in the US might be Sex in another country and Sexo in spanish. I would like to see if OpenEHR has solved this problem so that perhaps OpenMRS could begin to use archetypes. Thanks Joaquin -Original Message- *From:* openehr-technical-request at openehr.org [ openehr-technical-request at openehr.org] *Received:* Monday, 01 Aug 2011, 18:27 *To:* openehr-technical at openehr.org [openehr-technical at openehr.org] *Subject:* openEHR-technical Digest, Vol 61, Issue 1 Send openEHR-technical mailing list submissions to openehr-technical at openehr.org To subscribe or unsubscribe via the World Wide Web, visit http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical or, via email, send a message with subject or body 'help' to openehr-technical-request at openehr.org You can reach the person managing the list at openehr-technical-owner at openehr.org When replying, please edit your Subject line so it is more specific than Re: Contents of openEHR-technical digest... Today's Topics: 1. Multiple values in C_DV_ORDINAL constraints (Ian McNicoll) 2. Re: Multiple values in C_DV_ORDINAL constraints (Thomas Beale) 3. AUTO: Amnon Shabo is out of the office. (returning 11/08/2011) (Amnon Shabo) 4. Re: Multiple values in C_DV_ORDINAL constraints (Ian McNicoll) -- Message: 1 Date: Mon, 1 Aug 2011 16:17:16 +0100 From: Ian McNicoll Ian.McNicoll at oceaninformatics.com Subject: Multiple values in C_DV_ORDINAL constraints To: For openEHR technical discussions openehr-technical at chime.ucl.ac.uk,For openEHR clinical discussions openehr-clinical at chime.ucl.ac.uk Message-ID: CAG-n1KyO== CMadsWqE6D1OLoRXNqp4jhKm8rX0ANAqiEave-HQ at mail.gmail.com Content-Type: text/plain; charset=ISO-8859-1 I have come across an interesting example of where we might want to model an ordinal constraint where the values associated with each term are not unique. The example is the Waterlow Score http://www.judy-waterlow.co.uk/downloads/Waterlow%20Score%20Card-front.pdf If you look at the bottom-right corner Major surgery / Trauma you will se that two terms have identical values. Currently the openEHR Archetype Editor will not let me add duplicate values with separate terms. It is not clear (at least to me) from the specifications that this behaviour is correct. Is this a CR for the Archetype Editor, a CR to the Ref Model, or a clever alternative modelling suggestion to me? Regards, Ian Dr Ian McNicoll office +44 (0)1536 414 994 fax +44 (0)1536 516317 mobile +44 (0)775 209 7859 skype ianmcnicoll ian.mcnicoll at oceaninformatics.com Clinical Modelling Consultant,?Ocean Informatics, UK openEHR Clinical Knowledge Editor www.openehr.org/knowledge Honorary Senior Research Associate, CHIME, UCL BCS Primary Health Care ?www.phcsg.org -- Message: 2 Date: Mon, 01 Aug 2011 17:04:14 +0100 From: Thomas Beale thomas.beale at oceaninformatics.com Subject: Re: Multiple values in C_DV_ORDINAL constraints To: openehr-clinical at openehr.org, Openehr-Technical openehr-technical at openehr.org Message-ID: 4E36CE7E.8070707 at oceaninformatics.com Content-Type: text/plain; charset=iso-8859-1 If we consider this an ordinal based model, in which numbers which have multiple possible values, e.g. skin type: 1 is for tissue paper dry, oedematous, etc - this would be modelling using terminological synonyms for a notional term whose meaning was something like 'waterlow skin type 1'. - thomas On 01/08/2011 16:17, Ian McNicoll wrote: I have come across an interesting example of where we might want to model an ordinal constraint where the values associated with each term are not unique. The example is the Waterlow Score http://www.judy-waterlow.co.uk/downloads/Waterlow%20Score%20Card-front.pdf If you look at the
Multiple archetypes in a single concept as a way to create an archetype collaborative
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Multiple archetypes in a single concept as a way to create an archetype collaborative
Hi Joaquim, Just to add to Hugh's excellent comments. One of the issues you will find is that it is sometimes impossible to harmonise all the competing perspectives, even for something as seemingly simple as demographics. The archetype driven approach, with maximal dataset philosophy, allows these competing views to co-exist, very visibly and acts as a spur for future harmonisation. 'Minimal dataset' philosophies lose this knowledge and any future attempts at rationalisation essentially have to start from scratch. So, as well, as capturing shared, agreed requirements, we are also capturing dissent, which we can try again to resolve in the future. You should have a look at the Demographics model archetypes on CKM at www.openehr.org/knowledge e.g. Person http://www.openehr.org/knowledge/OKM.html#showArchetype_1013.1.479 We have had a few discussions with openMRS people in the past, and I am sure there is real value in collaboration. I think the archetype methodology and review process would be of great value, even if openEHR was not used formally at the back-end of openMRS systems. Ian Dr Ian McNicoll office +44 (0)1536 414 994 fax +44 (0)1536 516317 mobile +44 (0)775 209 7859 skype ianmcnicoll ian.mcnicoll at oceaninformatics.com Clinical Modelling Consultant,?Ocean Informatics, UK openEHR Clinical Knowledge Editor www.openehr.org/knowledge Honorary Senior Research Associate, CHIME, UCL BCS Primary Health Care ?www.phcsg.org On 3 August 2011 08:44, Hugh Leslie hugh.leslie at oceaninformatics.com wrote: Hi Joaquin Just to add another? view... The issue of openMRS implementations having different representations of the same thing is a common problem across clinical systems everywhere.? Its this problem that is one of the things that we are trying to solve with archetypes.? In general, what we find is that most clinical concept representations in clinical systems are subsets (based on a use case) of a fully specified concept.? What we try to do in the archetypes is produce the fully specified concept and then constrain it for all the use cases.? The different names that you see used for different concepts are not just language dependent, but are also region and usage dependent.? This is also usually a? matter of constraining the archetype or using a particular terminology subset to represent the information. What openEHR offers openMRS is a single way of representing clinical information that becomes a logical record architecture.? If openMRS adopted this approach, then any openMRS system could immediately share information with any other even if the other system hadn't seen the information before. It also means that the burden of developing high quality, clinician validated information models is shifted away from the application developer to a global or regional space.? This is going to become more and more critical, as we try to capture more complex clinical information and compute on it as well as share it. regards Hugh On 3/08/2011 3:29 AM, Blaya, Joaquin Andres wrote: Hi, Apologies in advance if this is the incorrect email list for this topic, but I thought it was the most relevant. I'm a member of OpenMRS and there we are discussion a way to have users share the concepts (a limited form of an archetype) created in their systems. This means that for a single concept you could have many concepts from different implementations. This could be because of language or because different words refer to the same concept. For example, Gender in the US might be Sex in another country and Sexo in spanish. I would like to see if OpenEHR has solved this problem so that perhaps OpenMRS could begin to use archetypes. Thanks Joaquin om ___ openEHR-technical mailing list openEHR-technical at openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
Multiple archetypes in a single concept as a way to create an archetype collaborative
Just to add to this. Another great aspect of openEHR is the separation of the technical and medical (content) aspect. In the clinical knowlegde manager (which Thomas already referred to) clinicians can cooperate to create archetype without have to think about the technical aspects. As for the technical people: whatever the clinicians come up with, they don't have to change any code, unless it would require a change in the reference model, which is extremely rare. Cheers, Stef Op 3 aug 2011, om 09:44 heeft Hugh Leslie het volgende geschreven: Hi Joaquin Just to add another view... The issue of openMRS implementations having different representations of the same thing is a common problem across clinical systems everywhere. Its this problem that is one of the things that we are trying to solve with archetypes. In general, what we find is that most clinical concept representations in clinical systems are subsets (based on a use case) of a fully specified concept. What we try to do in the archetypes is produce the fully specified concept and then constrain it for all the use cases. The different names that you see used for different concepts are not just language dependent, but are also region and usage dependent. This is also usually a matter of constraining the archetype or using a particular terminology subset to represent the information. What openEHR offers openMRS is a single way of representing clinical information that becomes a logical record architecture. If openMRS adopted this approach, then any openMRS system could immediately share information with any other even if the other system hadn't seen the information before. It also means that the burden of developing high quality, clinician validated information models is shifted away from the application developer to a global or regional space. This is going to become more and more critical, as we try to capture more complex clinical information and compute on it as well as share it. regards Hugh On 3/08/2011 3:29 AM, Blaya, Joaquin Andres wrote: Hi, Apologies in advance if this is the incorrect email list for this topic, but I thought it was the most relevant. I'm a member of OpenMRS and there we are discussion a way to have users share the concepts (a limited form of an archetype) created in their systems. This means that for a single concept you could have many concepts from different implementations. This could be because of language or because different words refer to the same concept. For example, Gender in the US might be Sex in another country and Sexo in spanish. I would like to see if OpenEHR has solved this problem so that perhaps OpenMRS could begin to use archetypes. Thanks Joaquin om ___ openEHR-technical mailing list openEHR-technical at openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical -- next part -- An HTML attachment was scrubbed... URL: http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20110803/3141c7b3/attachment.html
