I reckon openEHR-EHR-OBSERVATION.imaging_exam.v1 archetype has been used to capture results of invasive angiography (on CKM Heart Failure Clinic First Visit Summary template) as well as non-invasive imaging tests. We are modelling for CathLab registry data here in NZ and would like to get your views on how best to represent both angiography and PCI?
To me angiography is an imaging study and PCI is a procedure but they happen simultaneously – I guess I’m asking how best to represent interventional radiology studies? Imaging + procedure together? Has anyone created new/specialised archetypes for these? Many thanks in advance.
Good point Shinji - I think it is a very similar clinical situation...
Unfortunately the way I modelled MST was optimised for GUI generation so I didn't reuse clinical ENTRY type archetypes but created OBSERVATION type for reporting of findings and ACTION type for capturing details of endoscopic procedures. Bulk of content was represented with structural archetypes anyways. I wouldn't have modelled it this way now.
The best option seems to reuse imaging_exam and procedure archetypes separately. The question then is has anyone come up with specialised archetypes for angiography and PCI who might want to share??
I agree with using imaging_report for the angio and procedure to
capture the PCTI.
There are slots in both archetypes to carry specific structures for
particular examinations/ procedures but there is not much to draw on
in terms of standardised content.
This site http://www.radreport.org/ has some attempts to standardise
radiology reporting but there is nothing there for angio.
Ian
Dr Ian McNicoll
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