evaluate sport activity

Clinical (archive)
21

Dear all,

There is a work in Sweden for a number of years now, of structuring
medical evidence and details about physical activity as treatment of
some thirty different conditions. I am involved in the informatics
work, preparing some development of the database. The contents could
be interesting to this discussion. Particularly I think many of the
parameters mentioned here, could be detailed with the help of this
work. I would personally be happy to contribute with thoughts
regarding this as the work progresses.

English version:
http://www.fyss.se/wp-content/uploads/2011/02/fyss_2010_english.pdf

Best regards
Rikard Lövström

22

Very interesting, Rikard,

Thanks for posting the link. I'm afraid I won't be able to read it
before Christmas, in fact, I go on holiday until after new year.

But after that, I will possibly come back to you regarding this subject.
The people I work with are very enthousiastic about the document, it
correspondents to what we are busy with.

Thanks again

Bert Verhees

23

Hi Domingo and all

Its really exciting to see people starting to discuss the approach to developing clinical content using archetypes and to see the level of maturity that people like Domingo show in terms of understanding around pulling generic archetypes together to create something more complex like an exercise prescription.

I would encourage you all to try to capture this on the CKM application - probably in the forums so that the discussion here is not lost or separated from the content there.

regards Hugh

24

I don’t know if it is of any use, I am not a medical educated person, I am just a programmer, but with experience in this domain.

The case is, that people ask me sometimes, when I tell them about OpenEHR, trying to get some implementation-opportunities, they ask me who will write their archetypes. They expect more or less that I will do that.
Of course that cannot be the case, but I have to communicate that message carefully.

It is their classical way of application-thinking, single level modeling, in which the programmer needs to understand at least something of the medical domain he is writing for.

So sometimes I have to write archetypes, I feel like a GP without education writing a description, but this is part of the dirty business which often hangs around new concepts.

I think, I have to write archetypes to work with exercise-prescriptions myself, because I cannot simply download them, and my customer needs them.
It is not a very complicated subject and I got some good ideas from this discussion about which entries to use, and how to.

If it is of any use, I can post them in the CKM for others to look at them and possibly improve them. I can write them in two languages, English and Dutch.

Is this possible? Something in this subject is better than nothing. You can see it as my contribution to the community.
(probably as an example how not to do it? …just kidding!)

If this is the case, I can do that next month, when I have to write them.

regards
Bert Verhees

25

I too am very glad to see some activity around modelling. I agree with Hugh’s suggestion that a good place to be able to have a threaded conversation on the specifics is in the CKM itself – in recent updates a General Discussion area has been added (and not yet used) – available after logging in from the ‘General Discussion’ menu.

Another use case around exercise is a summary of physical activity – I did make a first attempt on this and you can find it in the NEHTA CKM – openEHR-EHR-EVALUATION.physical_activity_summary.v1 http://dcm.nehta.org.au/ckm/OKM.html#showarchetype_1013.1.932. It is a start and will need more expert feedback, reflecting the kind of things a primary care physician might want to exchange/store in terms of risk factors/behaviour change. It should complement an exercise ACTION that will record the details about exactly what has been done. This might commonly be something that a patient might record in a Fitness app on their phone etc, these may be without a corresponding INSTRUCTION in this use case.

Ian has outlined that a full exercise program/plan (COMPOSITION) might include multiple INSTRUCTIONs and corresponding ACTIONS. I agree.

And INSTRUCTIONs might also be issued by someone as part of an exercise prescription.

Collecting all the requirements for all these contexts/uses will be needed to work out the types of archetypes and the type of information each will carry – I’d suggest a mindmap eg XMind, might be a useful tool to help make the breakdown into individual archetypes more visually obvious. It is usually not easy to try to devise one archetype in isolation of its environment.

What do you think?

Regards

Heather

26

Hello Bert:

As I mentioned in a previous message regarding the creation of this particular arquetype, I´ll be happy to assist.

I´m a general practitioner but I work in a Cardiac Rehabilitation Service (public hospital) so exercise prescription is also important to me. Of course I´ll be happy to translate to spanish.

Best regards

Domingo

27

Thanks for offering, Domingo. Maybe we can help each other, I’ll come back to that in the next year.

The archetype Heather Leslie showed us very inspiring, it shows that it does not has to be very complicated. But this is an evaluation-archetype. We also need archetypes to prescribe sport-activities.

For Heather: I saw there is a copyright on the archetype. From National E-Health Transition Authority. What is their policy on copyright?

regards
Bert

28

Hi Bert,

See my comment below.

Heather