Templates and archetype patterns for PVC usage, emergency wards etc?

Clinical (archive)
1

Hi!

Does anybody want to share templates or other documented patterns on how to set up recording of some things useful in emergency wards etc? Some examples:

  1. Peripheral venous catheter (pvc) usage (ordering of insertation, insertation, removal) etc?

From reading archetype metadata in the openEHR CKM one can guess that one way is to use the very general openEHR-EHR-INSTRUCTION.request-procedure combined with openEHR-EHR-ACTION.procedure and create appropriate attribute naming in templates/forms. Is that a commonly used approach?

  1. For ordering and administration of fluids and/or medications both through pvc and other ways I guess this combination could be used:
    openEHR-EHR-INSTRUCTION.medication_order.v0
    openEHR-EHR-ACTION.medication
    Is that correct? Is there anything else that is usually needed for handling this? Any example templates out there?

  2. Are there any documented templates/patterns covering the ordering the sampling of tests (blood tests etc),record actual test sampling, response from lab etc?
    Is it openEHR-EHR-INSTRUCTION.request-lab_test.v1 for the first things and openEHR-EHR-OBSERVATION.laboratory_test.v0 for the results?

The openEHR-EHR-OBSERVATION.lab_test.v1 and its specializations seem older, are they considered legacy or something to use for new environments?

  1. Are there any emergency room/ward templates out there that can be shared?

I have started a wikipage at…
https://openehr.atlassian.net/wiki/x/BAB8Ag

…where example templates and design patterns could be shared informally. If you find it easy to add things in a wiki, then please do, if not then mail examples to me at erik.sundvall@regionostergotland.se and I’ll upload them there. Examples in non-english languages are also useful - I think the patterns are visible anyway.

Best regards,

Erik Sundvall
Ph.D. Medical Informatics. Information Architect. Tel: +46-72-524 54 55 (or 010-1036252 in Sweden)
Region Östergötland: erik.sundvall@regionostergotland.se (previously lio.se) http://www.regionostergotland.se/cmit/
Linköping University: erik.sundvall@liu.se, http://www.imt.liu.se/~erisu/

2

Hi Erik,

Both the Service request archetype and the Laboratory archetype and their associated families of archetypes are currently under review and therefore it is a bit messy at present.

Service request is currently under review and evolving. Request for Procedure has been identified but is currently out of alignment as the parent archetype evolves. Whether other more specific ones for Lab test or imaging is required will be determined based on the final INSTRUCTION.request.v0 pattern and whether there is a need for further specialisations, mainly to support querying, I suspect.

Laboratory test/Lab test archetypes are in flux. They are complicated and the base OBSERVATION for the results needs to go out for review ASAP. The patterns for specialised lab test categories for histopathology, microbiology, immunology, cytology needs special attention – I’m not sure if Ian has a recommendation for how these will evolve yet.

More specific comments inline.

Regards

Heather