Hi! If I understand things correctly, the old archetypes… Blood glucose: https://ckm.openehr.org/ckm/archetypes/1013.1.564 Blood Glucose Test Result: https://ckm.openehr.org/ckm/archetypes/1013.1.1402 Haemoglobin A1c: https://ckm.openehr.org/ckm/archetypes/1013.1.551 …have been rejected an…

[image] erik.sundvall: Is the above description of the design intentions correct? Don’t you think it would be smart to internationally share a terminology bound glucose template based on Laboratory test result (the OBSERVATION archetype including the CLUSTER, not based on a COMPOSITION) that co…

I have suggested doing just this for (say) the top 20 lab panels used ubiquitously in medicine. This means that OPTs could be obtained very easily for the common biochemistry & blood results with almost no design work. Separate issue: ideally, the lab analyte archetype would have been specialised b…

I support this approach. If the archetypes is made to generic they become more like a reference model. I would like to see more concrete archetypes defining such concepts like the 20 most used lab tests.

I disagree!! It becomes very hard to do lab imports because you have to specifically detect those top 20 archetypes by picking up the incoming lab codes, then specifically map these to different archetypes, but handle all the other gnerically. (and there is no fixed top 20 internationally - every l…

[image] thomas.beale: Separate issue: ideally, the lab analyte archetype would have been specialised based on data type (DvQuantity, DvBoolean etc) as well, because that makes lab modelling easier (this is how Intermountain does it, works very nicely) Could you elaborate please? I don’t under…

It should be fairly easy to create this as templates, loosely based on the one I uploaded today and linked above. I disagree we should specialise archetypes for this purpose, for the reasons pointed out by Ian. Most of the work involved in creating the templates would probably be to identify the cor…

[image] ian.mcnicoll: I disagree!! It becomes very hard to do lab imports because you have to specifically detect those top 20 archetypes by picking up the incoming lab codes, then specifically map these to different archetypes, but handle all the other gnerically. (and there is no fixed top 20 …

Hi! Thanks @siljelb and others for response/discussion. Any thoughts regarding something like this as a basis for self monitoring of blood glucose? Tried to add possibilities for the continuous measurement devices. Glucose test result.oet (18.6 KB) Also available as json in context in the subdir…

That can work for some examples like blood glucose https://ckm.apperta.org/ckm/templates/1051.57.209 but there is still a lot of variability in what you might think are ‘standard panels’ once you get away from a single lab. So yes we are closer!! - for once :slight_smile:

Shared blood glucose (+HbA1c) templates?

Clinical

siljelb (Silje Ljosland Bakke) 18 May 2021 14:23 2

Yes
Sure
Yes
Yes, although details about the challenge (glucose/insulin, dosage, route, etc) might need a CLUSTER archetype which hasn’t been modelled yet
Yes

https://ckm.openehr.org/ckm/templates/1013.26.383

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Shared blood glucose (+HbA1c) templates?

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