Revision as of 18:12, 30 July 2012 by Stephen Chu (Talk | contribs) (Existing models)

Jump to: navigation, search

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

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