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Root page for the clinical modeling activity

Clinical Models - Test

  • Heart Rate (Observation Entry / Measurement)
  • BMI (Grouping for Calculation)
  • Apgar Score (Entry)
  • Glucose Tolerance (Entry)
  • Adverse Reaction (Entry)
  • Problem List (Composition)
  • Medical Order (Composition)
  • Carer-reported Nausea (Observation Entry / Assertion)
  • Wound Culture (Unsolicited/Reflex Order; sensitivities/susceptibilities)

Existing models

An initial set of organisations only; to be added to. For the content rows, suggest to add URLs or wiki links to dedicated pages.

Model Infoway HL7 InterMountain NEHTA openEHR SG MOHH [1] VHA R4C / DCM NHS CfH
Heart rate xx xx xx xx Heart Rate [2]; and it's specialisation, Pulse[3] Observation [4] xx yes xx
BMI xx xx xx xx BMI [5] Observation [6] xx yes xx
Apgar xx xx xx xx Apgar [7] Observation [8] xx yes xx
OGTT result xx xx xx xx Blood Glucose (inclusive of GTT) [9] Observation [10] xx WIP xx
Adverse Reactionxx xx xx Adverse Reaction [11] Adverse Reaction [12] Adverse Reaction [13] xx WIP Allergies and Adverse Reaction: Reusable Domain Model[14], Discharge Summary-specific Constrained Domain Model[15]
Problem List xx xx xx Problem/Diagnosis [16] NEHTA Problem/Diagnosis archetype reflects the most recent iteration Problem Diagnosis [17] xx xx

Problems and Issues: DM[18], Discharge Summary CDM[19]

Diagnosis: DM [20], Discharge Summary CDM [21]

Medication orderYes [22] xx xx Medication instruction [23]; Medication action [24] NEHTA INSTRUCTION archetype reflects the most recent iteration Medication Order [25] xx xx Medication/Product-Substance Activity: DM[26], Discharge Summary CDM[27]
Nausea xx xx xx xx Symptom [28] Problem Diagnosis [29] xx xx xx
Wound culture xx xx xx Antimicrobial susceptibility testing (WHO) [30] Microbiology (specialisation of Pathology Test) [31] Investigation Result [32] xx xx xx

The EN13606 Association has not submitted a full set of artefacts but produced in the 13606 Associaton document a description how all these requested information models can be expressed using the generc semantic pattern.

The complete document can be downloaded via the EN13606 Association WIKI.[33]

And the Association submits two sets of 13606 archetypes that constitute this generic semantic pattern. [34] and [35] These archetypes can be specialised to express any clinical information model.

Model EN13606 Association......
Heart rate described in the EN13606 Associaton document
BMI described in the EN13606 Associaton document
Apgar described in the EN13606 Associaton document
OGTT result described in the EN13606 Associaton document
Adverse Reactiondescribed in the EN13606 Associaton document
Problem List described in the EN13606 Associaton document
Medication orderdescribed in the EN13606 Associaton document
Nausea described in the EN13606 Associaton document
Wound culture described in the EN13606 Associaton document

Quality Criteria for Clinical Models

The following is a list of proposed quality criteria which can be used to guide the development and evaluation of CIMI clinical models:

  • Satisfy the URU principles
       *    Understandable (cohesive and coherently expressed), 
       *    Reliable & reusable (consistency), 
       *    up-to-date (currency) 
       *    useful (fit for purpose)
  • Clinically accurate
  • Clinically valid
  • Evidence based
  • Adequacy in expressing required clinical statement
  • Maintain contextual integrity (especially when transformed into isosemantic models or representations)
  • Maintain semantic fidelity (when transformed to isosemantic models)
  • Clarity and precision – minimizing/prevent potential for
       *     mis-interpretation
       *     Misuse or inconsistency in use
  • Complexity: suitable for easy implementation and prevent cognitively overloading users

More Artefact requirements have been collected in a document that can be downloaded. [36]

The requirements are from various sources and collected in chapter 5.

Gerard Freriks 11:43, 1 August 2012 (EDT)