In terms of clinical modeling (Archetype/Template design), how to return/transfer as much clinical complexity as possible to clinical terminologies/ontologies in order to reduce the complexity (therefore difficulty) of openEHR artefact modeling (Archetype/Template design) and increase reusability (…

It is a really interesting topic @linforest and @mar.perezcolman , @Paulmiller and I are involved in a panel session at the PHCSG conference in the UK on exactly this topic. [image] There have been regular attempts to push the efforts into ‘ontology’ see TermInfo and I have to say it has not been…

Thanks, @ian.mcnicoll . Very glad that you’re addressing this topic. I’m looking forward to further progress. For the topic about virtual clusters, my initial thinking is that data points should be included at first as cluster members to allow for full composability/reusability. Then the others (A…

Consider the representation of anthe daily personal running session data that is used as an example scenario for my recent template design exercises. In the international CKM, the existing published/active Archetypes are apparently not covering my model requirements. Most usable data points relat…

FHIR Observations +LOINC handle very simple key observable elements pretty well but it all starts to get very messy once you add in more ‘supportive’ elements like body position, device location etc. So neither is perfect. Remember too that archetypes carry quite a bit more metadata than LOIN or pla…

@ian.mcnicoll Thank you so much for your insightful, experience-based professional advice and guidance, including the reference.

[image] ian.mcnicoll: It all starts to get very messy once you add in more ‘supportive’ elements like body position, device location etc. Could an organizer/grouper structure such as sections/panels from a terminology used to alleviate this problem?

I suspect we need some way of supporting both. Simple Element ‘independent’ level definitions for observables particularly for easily consuming data from external sources, but the ability to formally define these within the context of a specific archetype, as many of the associated elements are not …

[image] ian.mcnicoll: maximal dataset approach According to my own experience and understanding, the existing Archetypes based on this approach often haven’t reached their max levels, in terms of both data point quantity/diversity and structural flexibility/expressiveness.

Absolutely - the maximal dataset is a journey not a destination but it explicitly scopes the data model of an Observation not just in terms of actual ‘observables’ like ‘systolic’, diastolic’ and ‘MAP’ i.e key datapoints that one would query on adorectly, but along with qualifying datapoints like ‘…

A thought flashed through my head when I was reading your reply above: Dynamic Archetypes. Just like: Object Class 0…n Data Element(s)… I mean Archetypes probably should be given more freedom from their contents.

How to transfer as much clinical complexity as possible to clinical terminologies

Clinical Clinically Relevant RM Discussions

linforest (Forest) 9 September 2024 00:16 13

I think I need more hands-on experiences and more understanding of the specs and models to really get what your replies.

Natural language based FLAT format and long container/element names

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How to transfer as much clinical complexity as possible to clinical terminologies

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