Difference between revisions of "ClinicalModelingActivity"

From CIMI
Jump to: navigation, search
Line 30: Line 30:
  
  
'''The EN13606 Association''' has not submitted a full set of artefacts but produced in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document] a description how all these requested information models can be expressed using the generc semantic pattern.
+
'''The EN13606 Association''' has not submitted a full set of artefacts but produced in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI 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.[http://www.en13606.org/wiki/images/1/1c/ERS_SIAMS_%28most_recent_version%29.pdf]
 
The complete document can be downloaded via the EN13606 Association WIKI.[http://www.en13606.org/wiki/images/1/1c/ERS_SIAMS_%28most_recent_version%29.pdf]
Line 40: Line 40:
 
<table border=1>
 
<table border=1>
 
<tr><th>Model</th>          <th>EN13606</th><th>......</th>
 
<tr><th>Model</th>          <th>EN13606</th><th>......</th>
<tr><td>Heart rate</td>      <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td></tr>
+
<tr><td>Heart rate</td>      <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]</td></tr>
<tr><td>BMI</td>            <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td>
+
<tr><td>BMI</td>            <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]]</td>
<tr><td>Apgar</td>          <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td>
+
<tr><td>Apgar</td>          <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]]</td>
<tr><td>OGTT result</td>            <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td>  
+
<tr><td>OGTT result</td>            <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]]</td>  
<tr><td>Adverse Reaction</td><td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td>
+
<tr><td>Adverse Reaction</td><td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]]</td>
<tr><td>Problem List</td>    <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td>   
+
<tr><td>Problem List</td>    <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]]</td>   
<tr><td>Medication order</td><td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td>   
+
<tr><td>Medication order</td><td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]]</td>   
<tr><td>Nausea</td>          <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td>   
+
<tr><td>Nausea</td>          <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]]</td>   
<tr><td>Wound culture</td>  <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| document]</td>  
+
<tr><td>Wound culture</td>  <td>described in the [https://www.dropbox.com/s/adoswvmmsem7su3/CIMI%20Clinical%20Modeling%20TF%20examples.pdf| CIMI document]]</td>  
 
</table>
 
</table>
  

Revision as of 16:54, 31 July 2012

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

Problems and Issues: DM[11], Discharge Summary CDM[12]

Diagnosis: DM [13], Discharge Summary CDM [14]

Medication orderxx xx xx Medication instruction [15]; Medication action [16] NEHTA INSTRUCTION archetype reflects the most recent iteration xx xx xx Medication/Product-Substance Activity: DM[17], Discharge Summary CDM[18]
Nausea xx xx xx xx Symptom [19] xx xx xx xx
Wound culture xx xx xx Antimicrobial susceptibility testing (WHO) [20] Microbiology (specialisation of Pathology Test) [21] xx xx xx xx


The EN13606 Association has not submitted a full set of artefacts but produced in the CIMI 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.[22]

And the Association submits two sets of 13606 archetypes that constitute this generic semantic pattern. [23] and [24] These archetypes can be specialised to express any clinical information model.


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