Thanks for your replies

Clinical (archive)
1

Hi all, Thank for your replies! I graduated as a nurse in 2007 after
30 years in technology including 15 years in the NSW ambulance as a
rural-remote ambo. I'm working as a nurse in a medical ward. Now is my
time to put health and technology together, YAY!. I'm just starting
out on the road to a PhD and am writing my proposal lit review.
Consequently I am following three threads of enquiry in the review.
Nurse outcome indicators, the nurse practice environment and
electronic reporting systems, primarily openEHR.
I like the object-oriented nature of archetypes and protege
ontologies. I programme in Java as well. The lit review is great fun
and i have learned that:
i) Nurse outcome indicators are an elusive thing especially ones that
measure nurse interventions at the bedside.
ii) An Australian minimum data set is also an elusive thing.
iii) Validation that an outcome indicator is affected by technology is
virtually impossible as there are many other factors involved and each
one would have its own control.
I'm looking at a model in Meyer, R. M., Wang, S., Li, X., Thomson, D.,
& O’Brien-Pallas, L. (2009). Evaluation of a Patient Care Delivery
Model: Patient Outcomes in Acute Cardiac Care. Journal of Nursing
Scholarship, 41(4), 399–410.
That is very good and it may be my basis.
Do archetypes have an input, process and an output or does that happen
at the template level?
I'm thinking like an object has methods and attributes and can inherit
items from a super class above it. Is there a flow chart that shows
information pathways through archetypes in a template? I'm interested
in their environmental behaviour if there is such a thing.
Anyway, thanks for your help.
Phil Shields.

2

Hi Phil,

I suspect you are over-estimating what archetypes can do :wink: To get a techy feel, try downloading the ADL workbench (download and help pages) and looking at a lot of archetypes - the help pages tell you how to do that. I suspect what you are looking for is a way of tracking ‘information flows’. To discuss this properly, obviously we need to know which information and what kind of tracking you want to do, e.g. care pathway management. A key kind of process tracking that is supported by openEHR structures is orders and interventions. The sequence in time of Instruction Entry followed by Action Entries (+/- ongoing Observation entries) provides a basis for modelling a whole care plan. Some wiki pages that might help understand: