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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 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