Step Count not available in international CKM.

[IgorSchoonbrood]

Yesterday a followed a bootcamp from Medblocks. In this course we had a assignment to model a new archetype StepCount.

Beside it was a good bootcamp and I learned a lot, I was wondering why StepCount was not an existing Archetype. I always understand that a lot of Archetypes are excisting for Revalidation usescases.

Is there in an country allrerady build something for Revalidation and not published yet internationally in CKM?

Thanks,

Igor Schoonbrood

[ian.mcnicoll]

Physical activity archetypes; exercise, steps etc from apps & devices

Below follows a description of modeling alternatives and some questions to discuss, originally posted by Noah Hellman as a Github issue Overview of the issue The primary issue with modelling physical activity is that there is a lot of activities. Some of these activities are similar to each other while some are not. There will therefore unavoidably be overlapping elements between different activities. For example, cycling and running can share a lot of elements. When recording a cycling se…

@vanessap might have something too.

[IgorSchoonbrood]

Wauw nice pice of documentation. A lot of options that can be used.

But if everybody uses another option can we then still exchange data between one cdr and the other without doing a lot of mappings?

Is it not wise that we agree on it, hiw we want to do it together? Or do i leak of understanding openEHR modeling?

[ian.mcnicoll]

Yes, of course, the direction of travel is always towards high-quality archetypes that can be shared internationally.

However, as you can see just from this small part of the overall clinical domain, it is complex and takes time to figure out the best approach and then get consensus/ review and eventually publication. This is not an openEHR issue, it is a digital health issue, and IMO at the heart of the ‘interoperability’ challenge.

So, was well as the internationally-led modelling via CKM, I am pretty sure we are going to have to do better in encouraging more ‘peer publication’ e.g. via Git, as a pre-cursor to more formal CKM activity. The problem space is just too large overall.

[varntzen (Vebjørn Arntzen)]

There is also something else to consider with this, and that’s what is the purpose of the data, why is it recorded in the electronic health record? Are they going to be used outside of the system where the data is recorded?

If not, there is less need to use published archetypes. Local, system-specific archetypes will do.

[IgorSchoonbrood]

I agree. Don’t record data if not needed.

But more and more we are seeing healthcare in a preventive way. We want to monitor patient in an early stage, even if the are not sick at all. In our monitoring project we monitor on 5 levels:

1. On de ICU
2. On the bed ward
3. Patient home who can go home after a treatment
4. Patient home with a chronicle disease
5. Persons who are not sick but wanted to be monitored in a preventive way

Especially for the last 2 levels, monitoring form consumer measurement equipment can be very helpful. We want to combine this data also with the social domain.