Hi Roger,
Comments inline re your specific issues.
Your difficulties are a perfect example of the confusion that can happen
if we have groups of archetypes scattered here, there and everywhere.
And templates that use archetypes from different sources.
These templates were created at a time when these archetypes were the
only ones available, and there was only one or two places to source them.
This situation is rapidly changing.
In response to this we have been focussing on archetype governance (in
the first instance). Next week we will be opening up the new openEHR
knowledge repository to the list - it will become a central source of
archetypes for download, and be the focus for international review. It
is a complex product in its first release, so further sophistication
will come, but will be a huge step forward in coordinating archetype
development and publication.
Regards
Heather
Roger Erens wrote:
I suggest that you take a look at the template developed for the NHS
around
examination of a patient presenting to the Emergency Department with limb
pain or injury -
http://svn.openehr.org/knowledge/TAGS/dev-uk-nhs/Lorenzo_3.5/pub/ContentRele
ase-1.0.1/templates/gen/html/Emergency-LimbPainOrBoneInjury.v1draft.html.
Each separate archetype is in bold, black text.
Hello Heather,
being very new to archetypes, templates, I had a look anyway at this
link. I have to admit that I cannot map any of the bold, black text
lines to one of the archetypes mentioned in the list below. Probably
this is also due to the fact that I don't know the meaning of the icons
used.
There is no doubt that this format could be refined considerably. There
has been a lot of discussion around the optimal way to display the
templates without the Template Designer. At the time that this work was
done, the HTML view was developed as a tool for us to walk and talk
clinicians through the models in face to face meetings - so with the aid
of some guidance, it filled the gap in the short term.
Is there a legenda somewhere available?
As an aside, maybe a nice
feature of future templates visualized in html might be making the
currently 'bold, black text' :-/ behave as links to the archetypes used.
Understood and agreed that at least it would assist - I'm not sure that
the way forward here has been resolved.
In the meantime I have manually linked the template through to the
current NHS pool of archetypes - see*
http://www.openehr.org/wiki/display/healthmod/HTML+Template+example* .
The match is not exact and I may have picked the wrong version of an
archetype if there were a few to pick from, but I hope it will help give
you more perspective between the template and the archetype:-)
This particular template was one of the first developed early 2007, and the
template comprises 42 separate archetypes to provide the full clinical
context that was required (but not including demographics and provider
details which were regarded as being kept separately and not part of this
clinical modelling task).
Can you explain why some archetypes (e.g. exam-heart, exam-lung,
medication, referral, medication, imaging) are listed multiple times
below? To me it's paradoxical that a maximum-data structure is used more
than once... Maybe it should have been a tree-list instead of a flat list?
And now that I've looked at the html template in detail, I think there
has been some changes to this list anyway. I retrieved this list from a
spreadsheet that was created when the template was first made, but I
think the template has moved on...;-(
But more detail on that list helps - sorry, I tried to keep it simple,
but it only created (quite understandably in retrospect) confusion - see
below, there are clusters and observations with the same/similar names.
CLUSTER exam-abdomen.v2draft
CLUSTER exam_heart.v1
CLUSTER exam_lung.v1
CLUSTER oedema.v2draft
CLUSTER symptom-pain.v3
EVALUATION adverse.v1
EVALUATION check_list-condition-third_party.v2
EVALUATION check_list-condition.v2
EVALUATION check_list-medication.v2
EVALUATION check_list-surgical_procedure.v2
EVALUATION problem-diagnosis.v2
EVALUATION problem.v2
INSTRUCTION disposition.v2draft
INSTRUCTION imaging.v2
INSTRUCTION intravenous_fluid_order.v1draft
INSTRUCTION medication.v2draft
INSTRUCTION non_drug_therapy.v1draft
INSTRUCTION procedure.v2draft
INSTRUCTION referral.v1
ITEM_TREE disposition.v2draft
ITEM_TREE gas_administration.v1draft
ITEM_TREE imaging.v3
ITEM_TREE intravenous_fluids.v1draft
ITEM_TREE medication.v2draft
ITEM_TREE referral.v1
OBSERVATION body_weight.v1
OBSERVATION CNS_exam_brief.v1draft
OBSERVATION exam-heart.v1
OBSERVATION exam-lung.v1
OBSERVATION Musculoskeletal_examination.v1draft
OBSERVATION personal_and_social_history.v3
OBSERVATION placeholder.v1
OBSERVATION pregnancy_test.v1
OBSERVATION story.v2
OBSERVATION substance_use-alcohol.v2
OBSERVATION substance_use-tobacco.v2
OBSERVATION substance_use.v2
SECTION emergency_assessment.v2draft
SECTION general_investigations.v1draft
SECTION review_of_systems.v2
SECTION vital_signs.v2
CLUSTER free_text.v1
