Why ISM_TRANSITION of an ACTION is mandatory?
Hi Thomas, In our implementation of a Trauma EHR, we don't have an explicit state machine with the status of the action to work with, we only have a record of what was done. Trauma is a quick care act, and the physicians only want to check what actions they do on the patient, and in this case the description of the care act is enough for our record detaile level. I understand in something like give medication in an ICU has to follow a state machine for what was planned, active, suspended, etc, but in trauma a medication is given without a plan and is a one time thing, so it can't be suspended or cancelled. I also want to know the experience of other people modeling their action care entries. Best regards,Pablo Pazos Gutierrez Date: Sun, 22 Nov 2009 19:08:32 + From: thomas.be...@oceaninformatics.com To: openehr-technical at openehr.org Subject: Re: Why ISM_TRANSITION of an ACTION is mandatory? pablo pazos wrote: Hi, In the specs I see that ACTION has a mandatory relationship to ISM_TRANSITION. In my project I only use the description field of ACTION to record information about the ACTION and I don't have information to fill the ISM_TRANSITION. My question is: why the ISM_TRANSITION of the ACTION is mandatory instead of optional? the idea is that all Actions follow a state machine model (documented in the EHR IM spec). Even the simplest one will do this, and it is always useful to know whether the Action puts the relevant Instruction into a new state. If you know the state, you can query for all Instructions that are currently Active, Suspended, Completed etc etc. If you don't know the state, it is probably 'Active'. If we make this optional, many implementers are likely to ignore the state, but it is the single most important thing for clinical users - some people would argue that this is the most important attirbute in the whole model in fact. I am certainly interested to hear other views on this. - thomas beale _ Keep your friends updated?even when you?re not signed in. 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_5:092010 -- next part -- An HTML attachment was scrubbed... URL: http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20091123/2423fa81/attachment.html
Why ISM_TRANSITION of an ACTION is mandatory?
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Why ISM_TRANSITION of an ACTION is mandatory?
Ok, I'll do that. Thank you Thomas. Cheers, Pablo. Date: Mon, 23 Nov 2009 07:59:22 + From: thomas.be...@oceaninformatics.com To: openehr-technical at openehr.org Subject: Re: Why ISM_TRANSITION of an ACTION is mandatory? pablo pazos wrote: Hi Thomas, In our implementation of a Trauma EHR, we don't have an explicit state machine with the status of the action to work with, we only have a record of what was done. Trauma is a quick care act, and the physicians only want to check what actions they do on the patient, and in this case the description of the care act is enough for our record detaile level. I understand in something like give medication in an ICU has to follow a state machine for what was planned, active, suspended, etc, but in trauma a medication is given without a plan and is a one time thing, so it can't be suspended or cancelled. In this case I would suggest that the state be marked as 'completed'. This ensures that later queries over the same patient record don't return these medications or interventions as being active or ongoing in any way. - thomas _ Windows Live: Friends get your Flickr, Yelp, and Digg updates when they e-mail you. 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_3:092010 -- next part -- An HTML attachment was scrubbed... URL: http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20091123/18398c40/attachment.html
Why ISM_TRANSITION of an ACTION is mandatory?
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Why ISM_TRANSITION of an ACTION is mandatory?
Hi Pablo The resulting state of the activity (even if there is no instruction) needs to be recorded for information to work in a distributed environment. When you record an action the computer needs to know whether it is complete or not in relation to any instruction (recorded or not). If you are simply recording information you can put the state (which is the only mandatory feature of the IM_TRANSITION) to Completed (openEHR code). As you move into an EHR that is supporting workflow or is distributed you will see that a medication administration will usually leave the instruction in an active state (unless it is a single administration or the last dose). It enables recording of things like Medications ceased in hospital and the state of these medication actions will be 'aborted' or 'completed'. You can also suspend something etc. Hope this helps. Cheers, Sam From: openehr-technical-boun...@openehr.org [mailto:openehr-technical-bounces at openehr.org] On Behalf Of pablo pazos Sent: 19 November 2009 02:17 To: openehr technical Subject: Why ISM_TRANSITION of an ACTION is mandatory? Hi, In the specs I see that ACTION has a mandatory relationship to ISM_TRANSITION. In my project I only use the description field of ACTION to record information about the ACTION and I don't have information to fill the ISM_TRANSITION. My question is: why the ISM_TRANSITION of the ACTION is mandatory instead of optional? Thank you, Pablo. _ Windows Live: Friends get your Flickr, Yelp, and Digg updates when they e-mail http://www.microsoft.com/middleeast/windows/windowslive/see-it-in-action/so cial-network-basics.aspx?ocid=PID23461::T:WLMTAGL:ON:WL:en-xm:SI_SB_3:092010 you. -- next part -- An HTML attachment was scrubbed... URL: http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20091119/b8685689/attachment.html
Why ISM_TRANSITION of an ACTION is mandatory?
Hi, In the specs I see that ACTION has a mandatory relationship to ISM_TRANSITION.In my project I only use the description field of ACTION to record information about the ACTION and I don't have information to fill the ISM_TRANSITION. My question is: why the ISM_TRANSITION of the ACTION is mandatory instead of optional? Thank you,Pablo. _ Windows Live: Friends get your Flickr, Yelp, and Digg updates when they e-mail you. 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_3:092010 -- next part -- An HTML attachment was scrubbed... URL: http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20091118/aa2653ae/attachment.html
