Concepts for Problems, Issues, Diagnoses etc.

ian.mcnicoll · 3 March 2010 18:53

On reviewing the very helpful comments on the existing Clinical
Knowledge Manager (CKM) Problem and Problem-diagnosis archetypes, it
is clear that we need to resolve some concept definitions in this
difficult area, before we move on to the even more heated question of
how to name these concepts.

As a start point, we have tried to tease out the various 'evaluative'
elements of a patient encounter and in problem-orientated health
issue/concern threads and have posted an entry to the openEHR wiki at

http://www.openehr.org/wiki/display/healthmod/Problem%2C+Issue%2C+Diagnosis+and+Concern

We would be grateful for some feedback on these concepts, prior to
incorporating them into related CKM archetypes.

The focus for now is on identifying the separate concepts, rather than
getting embroiled in naming.

Please use the CKM discussion area from the 'Problem' archetype at
http://www.openehr.org/knowledge/OKM.html#showArchetype_1013.1.169
to make any comments as this will lead to a more interactive
discussion. I will monitor for any comments made directly on the wiki.

You will need to register (free) with CKM at
www.openehr.org/knowledge, if you have not done so already, then adopt
the 'Problem' archetype. This will ensure that you are notified of any
new comments.

Problem and Diagnosis are clearly two of the most significant
archetypes that should be standardised across the international
community and we need your assistance to make this a lively and
productive debate.

Regards,

Ian

Dr Ian McNicoll
office / fax +44(0)141 560 4657
mobile +44 (0)775 209 7859
skype ianmcnicoll
ian.mcnicoll@oceaninformatics.com
ian@mcmi.co.uk

Clinical Analyst Ocean Informatics openEHR Archetype Editorial Group
Member BCS Primary Health Care SG Group www.phcsg.org / BCS Health Scotland

tonyshannon · 15 March 2010 11:42

THanks Ian

Have just registered for this, v important archetype.

Need to email you on related note..

Regards

Tony

Ian McNicoll wrote:

thomas.beale · 15 March 2010 11:59

For any resulting definitions, the root page http://www.openehr.org/wiki/display/healthcare/openEHR+Healthcare+Dictionary provides a point where they can be placed (i.e. as new pages)

thomas beale

(attachments)

williamtfgoossen · 15 March 2010 12:23

Could the reference list on CKM be completed with the CEN/ISO Contsys standard and the HL7 Concern / concern tracker standard?

They are refered to in the text, but not included in the reference list. Normally an approach in the academic world of publishing and referring.

Thank you,

Met vriendelijke groet,

Results 4 Care b.v.

dr. William TF Goossen
directeur

De Stinse 15
3823 VM Amersfoort
email: Results4Care@cs.com
email: williamtfgoossen@cs.com
telefoon +31 (0)654614458

fax +31 (0)33 2570169
Kamer van Koophandel nummer: 32133713

ian.mcnicoll · 15 March 2010 13:21

Thanks William,

That was a rather obvious omission!!

I will add the Contsys reference - what is the best reference for the HL7 Concern tracking material. I found it quite difficult to establish a definitive location where the various relevant discussions and evolving standard were documented?

Ian