Archetypes
Yu S et al, Journal of Biomedical Informatics, 2011
Clinical Archetypes provide a means for health professionals to design what should be communicated as part of an Electronic Health Record (EHR). An ever-growing number of archetype definitions follow this health information modelling approach, and this international archetype resource will eventually cover a large number of clinical concepts. On the other hand, Clinical Terminology systems that can be referenced by archetypes also have a wide coverage over many types of health-care information.
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20 December 2011 | No Comments »
Categories: Science | Tag(s): Archetypes, modelling, Ontology, SNOMED, Terminology
Thomas Beale, Woland's Cat
“The Clinical Information Modelling Initiative (CIMI) group led by Dr Stan Huff (Intermountain Health, Utah) met here in London 29 Nov – 1 Dec to make a final decision on formalism, from the two remaining – openEHR archetypes and various forms of UML (previous posts on CIMI: DCMs & RM, on formalisms).
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14 December 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, modelling, openEHR
Maldonado JA et al, Journal of Biomedical Informatics, 2011
Possibly the most important requirement to support co-operative work among health professionals and institutions is the ability of sharing EHRs in a meaningful way, and it is widely acknowledged that standardization of data and concepts is a prerequisite to achieve semantic interoperability in any domain. Different international organizations are working on the definition of EHR architectures but the lack of tools that implement them hinders their broad adoption. In this paper we present ResearchEHR, a software platform whose objective is to facilitate the practical application of EHR standards as a way of reaching the desired semantic interoperability.
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29 November 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR | Tag(s): Archetypes, Interoperability, Ontology, Semantic, Standards
Sari AK et al, Knowledge-Based Systems, 2011
The global effort in the standardization of electronic health records has driven the need for a model to allow medical practitioners to interact with the newly standardized medical information system by focusing on the actual medical concepts/processes rather than the underlying data representations. An archetype has been introduced as a model that represents functional health concepts or processes such as admission record, which enables capturing all information relevant to the processes transparently to the users. However, it is necessary to ensure that the archetypes capture accurately all information relevant to the archetype concepts. Therefore, a semantic backbone is required for each of the archetype.
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21 August 2011 | No Comments »
Categories: Science | EHR: EHR | Tag(s): Archetypes, Clinical Information Systems, Ontology, Semantic, SNOMED
Thomas Beale, Woland's Cat
“I will be attending a ‘Fresh Look’ meeting in Washington next week. The idea is to make some progress on the topic of ‘detailed clinical models’ (DCMs). Some of the goals include setting up a repository of DCMs, establishing governance, and defining a roadmap for tooling.
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8 July 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Clinical Models, openEHR, Repository, Template
Thomas Beale, Woland's Cat
“Let’s talk about mindmaps and archetypes. Mindmaps seem to be fuzzy and friendly – we need them because they are incredibly efficient at transmitting information to humans.
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9 June 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Clinical Models, openEHR
Heather Leslie, Archetypical
“The bulk of openEHR archetype modelling is focused on how to record the positive presence of data – for example the diagnosis of diabetes or asthma, or orders for long-term beta blocker medication.
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6 June 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Data, openEHR, Safety
Heather Leslie, Archetypical
“Up until recently clinical content models, such as archetypes, have been regarded as a novelty; watched from the sidelines with interest from many but not regarded as mainstream. However now that they are increasingly being adopted by jurisdictions and used in real systems, modellers need to change their approach to include processes, methodologies and quality criteria that ensure that the models are robust, credible and fit for purpose.
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29 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Clinical Knowledge, Clinical Models, Knowledge Management, openEHR, Quality
Heather Leslie, Archetypical
“The Collaboration & Verification step during the archetype development process in particular poses a particular challenge to determine appropriate quality criteria as it is performed online using the Clinical Knowledge Manager and, in the main, on a volunteer basis.
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29 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Crowd-sourcing, Quality
Heather Leslie, Archetypical
“Thomas Beale (CTO of Ocean Informatics and chair of the Architecture Review Board of the openEHR Foundation) posted these two paragraphs as part of the background for his recent Woland’s Cat post – The Null Flavour debate – part I.
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20 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Interoperability, openEHR
Raghupathi W, Umar A. Methods of Information in Medicine, 50(3)
Objectives:
We examine the potential of archetype patterns for upper-level ontology development in health information systems (HISs).
Methods:
Archetype patterns, based on the integration of archetype concepts and design patterns, are conceptualized and developed for ontology in the HIS domain. The UML provides the underlying modeling support.
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16 May 2011 | No Comments »
Categories: Science | Tag(s): Archetypes, health-information-system, Interoperability, Ontology
Heather Leslie, Archetypical
“Detailed clinical models are certainly a buzz term in the health IT community in recent years, commonly abbreviated to DCMs. Many people are talking about them but unfortunately, often they are referring to different things. The level of confusion is at least as large as the hype.
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15 May 2011 | No Comments »
Categories: News | Country: Australia, Netherlands, New Zealand | EHR: EHR | Tag(s): Archetypes, Clinical Models, HL7, openEHR, Standards, Template
Xiao L et al, BMC Medical Informatics and Decision Making, 11
BACKGROUND
In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR.
METHODS
A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function.
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6 May 2011 | No Comments »
Categories: Science | Country: Ireland | EHR: EHR, EHR Ireland | Tag(s): Archetypes, Decision Support, Drugs, openEHR, Standards
Thomas Beale, Woland's Cat
“One of the age-old debates in health informatics: can there be ‘one information model’ for shared clinical information? Some dream of a model to rule them all, uniting standards efforts, while others dismiss the idea as impossible or unrealistic.
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5 May 2011 | No Comments »
Categories: News | Tag(s): Archetypes, Health Informatics, Information Sharing, Template
Heather Leslie, Archetypical
“When I first started talking to my colleagues about collaboration on archetypes to specify Problem or Diagnosis in EHRs, one told me that arguments about the difference between a problem, diagnosis, issue, concern etc have been raging within some standards committees for many years and they hadn’t been able to achieve significant consensus. This was a little worrying. Yet on further inquiry it appears that they were stuck largely on the name and differentiation of problem from diagnoses – what was the difference between them?
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1 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, diagnose, openEHR
Heather Leslie, Archetypical
“Discussion about how to represent some of the commonest clinical concepts in an electronic health record or message has been raging for years. There has been no clear consensus. One of those tricky ones – so ubiquitous that everyone wants to have an opinion – is how to create a computable specification for an adverse reaction.
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6 March 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Adverse Reactions, Archetypes, Clinical Models, openEHR
Heather Leslie, Archetypical
“‘Severity’ is a pretty simple clinical concept, isn’t it?
I thought so too until I first sat down to create a single, re-usable archetype to represent ‘Severity’. I soon discovered that I had significantly underestimated it – the challenge was greater than appeared at first glance.
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22 February 2011 | No Comments »
Categories: News | Tag(s): Archetypes, Terminology
Heather Leslie, Archetypical
“With this blog I want to establish a simple baseline statement or overview about openEHR archetypes – a reference point if you like – from which we can journey further and in more detail into the issues around clinical modelling using specific archetypes.
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18 February 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, openEHR, Terminology
John Halamka, Life as a Healthcare CIO
“As the PCAST Workgroup ponders the meaning of a Universal Exchange Language and Data Element Access Services (DEAS), it is exploring what it means to exchange data at the “atomic”, “molecular”, and document level. See Wes Rishel’s excellent blog defining these terms.
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14 February 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Archetypes, Clinical Models, Data Exchange, HL7, openEHR, phr
Wes Rishel, Gartner
“The PCAST report represents an opportunity to redirect resources in a way that meets the short term goals associated with the HITECH, support more nimble development of standards for clinical data that are less arcane, and set a long-term direction that enables more innovative use of IT in healthcare.
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14 February 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Archetypes, Clinical Models, Coding, Documentation, HL7, Interoperability, Universal Exchange Language
