Poll Results - Top 10 archetypes for use in an Emergency
The Proposal
It was proposed that the priorities and focus of the next openEHR Clinical Knowledge Manager archetype reviews for the remainder of 2009 be on achieving agreement and consensus on the 10 key archetypes that would support healthcare provision in a typical crisis situation. Effectively these archetypes would contain clinical content that the openEHR community regard as the most important components of any Emergency Summary. More colloquially, we could refer to them as '10 archetypes that could save a life'!
The ongoing value of agreeing these archetypes comes from the fact that while they will support emergency care, they will also be re-used as foundation clinical content for many health record summaries (such as ISO/TR 12773 - Business Requirements for Health Summary Records) or typical clinical encounters.
Assumptions:
- The process of creating, publishing, and managing an Emergency Summary; security and privacy; etc are out of scope for this process. The focus of the 10 archetype review is on the clinical content alone.
- Review of the selected archetypes within CKM will be to agree the standard definition of 'maximal data set for a universal use case' for each archetype, not just for the Emergency Summary use-case.
The Poll
An open poll was conducted during the middle of July 2009. Invitations were distributed through the openEHR clinical and technical lists and to all registered users in the openEHR Clinical Knowledge Manager. Participants were asked to register a vote for up to 10 archetypes.
Background information about the Poll
The Results:
Additional suggestions included:
Suggestion |
Comment |
---|---|
Allergy/contraindication |
|
Blood Pressure |
|
Triage level in disaster |
|
Alert/Travel combined |
|
Performed surgical procedure (eg transplant, pacemaker) |
|
Evaluation of Risk Condition |
|
Support Providers/Contact Persons |
|
Background information about the Poll
Next Steps: the archetypes for review...
Concept |
Archetypes |
---|---|
1. Medication |
Medication - Instruction, Actionand common Structure |
2. Problem/Diagnosis |
|
3. Adverse Reaction |
Adverse Reaction - currently under review |
4. Vital Signs group |
Blood Pressure, Respirations(both currently under review), Heart Rate and specialisation Pulse, Body Temperature (completed) and Oximetry |
5. Laboratory test result |
|
6. Alert |
|
7. Blood Group |
|
8. Procedure |
Procedure - Instruction , Actionand common Structure |
9. Admission/Episode |
Admission - needs initial some development work; no draft in CKM yet |
10.Clinical Synopsis |