Using the RM attribute "participation" to document attendees at MDT meetings

Clinical
1

I am currently creating a template to document both the background information for a multidisciplinary team (MDT) meeting and the decisions regarding the recommended treatment strategy made during the meeting.

It is important to document who participated in the MDT, and the healthcare professionals would like to be able to record this information. I am exploring different options for how to document participation, and I had the idea that there might be an RM attribute suited for this purpose.

When reviewing the specifications and looking in the CKM, I found the RM attribute “participations” under EVENT_CONTEXT in the Composition. However, I cannot find it when looking at my composition archetyp in Archetype Designer (AD).

I would like your thoughts on two things:

  1. Is using “participations” a good approach for capturing information about MDT attendees, or are there better alternatives?
  2. How can I make the “participations” attribute visible in Archetype Designer and eventually in the form, to allow healthcare professionals to document MDT participants?

Thank you in advance for your insights and advice!

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2

Great question Oscar!

You’re pointing out a known flaw in many (most?) openEHR modelling tools; they don’t expose all relevant reference model attributes to the modeller. I think the RM “participations” would be a great way of representing MDT attendees, but unfortunately for now you can’t explicitly include this in your template. Depending on your implementation tools you may still be able to use it though, for example we can make limited use of it in our DIPS tools.

This issue of lacking RM exposure in tools has been mentioned in several other topics:

In another topic, @mar.perezcolman proposed using an interim CLUSTER to mitigate some limitations of the “participation” model: Additional ‘Participations’ metadata item - Specifications / RM - openEHR

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