ClinicalModelingActivity

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 Reaction	xx	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 order	xx	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 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.[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 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 Reaction	described in the EN13606 Associaton document
Problem List	described in the EN13606 Associaton document
Medication order	described in the EN13606 Associaton document
Nausea	described in the EN13606 Associaton document
Wound culture	described in the EN13606 Associaton document

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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

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More Artefact requirements have been collected in a document that can be downloaded. v.09 The requirements are from various sources and collected in chapter 5.

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