Procedure archetype for operative notes

Wulff.Antje at mh-hannover.de Wulff.Antje at mh-hannover.de
Tue Feb 9 07:15:21 EST 2016


Hi everyone,
Thanks for sharing your ideas on modelling an operative report. I decided to use the procedure archetype in the way Ian described.  Now I am thinking about how to integrate the different surgery steps, e.g. pre-operative preparation of the room/of the patient, incision to closure, post-operative preparation... for each step there is a specific date/time which has to be represented within  an archetype. Do you think it might be possible to use the PATHWAY  within the ACTION archetypes?
The first idea was to create a CLUSTER archetype called 'surgical times' in which each surgery step is represented by one data element (by using the data type date/time) but it does not feel very comfortable to me.
Thanks for your help
Regards,
Antje

Birger Haarbrandt

Hi all,

I think it would be a good idea to have an example template. It might serve as a good starting point and reference model (not to be confused with the openEHR Reference Model :). However, our current effort is to create a template that mimics two surgery management systems at Hannover Medical School for the purpose of data integration. Therefore, the results might need some additional editing to become a good and generic example.

Cheers,

Birger
Jakob Mathiszig-Lee <jakob at mathisziglee.co.uk<mailto:jakob at mathisziglee.co.uk>> hat am 4. Februar 2016 um 14:50 geschrieben:

It's the WHO safe surgery check list: http://www.who.int/patientsafety/safesurgery/checklist/en/
The completed version (printed if electronically) gets filed as part of the operative record in the theaters i've worked in


Ian McNicoll<mailto:ian at freshehr.com>
04 February 2016 13:43
Hi Jakob

Can you point us to the WHO checklists you had in mind ? It is worth noting that checklists are often orthogonal to operational data capture.

I would be thinking in terms of operative note as a composition , using the procedure archetype with device and detailed method in the slot.

To maximise reuse I would probably put specimen inside the relevant lab request archetype and similarly record meds using a medication order archetype. Prepping diagnosis would use the problem-diagnosis archetype.

Is it worth working this up as an exemplar template to put up on CKM?

Ian
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Jakob Mathiszig-Lee<mailto:jakob at mathisziglee.co.uk>
04 February 2016 10:47
Speaking as an anaesthetist there's enough going on on an anaesthetic chart to warrant its own archetype imo.

Specimens, sets used and local anaesthetic infiltrated by the surgeon are generally recorded in the op note section of an operative booklet. I suspect specimens don't have to be included if they'd be recorded by virtue of electronic requesting.

One other thing is to work out where the WHO checklists fits in around the op note


On 4 Feb 2016, at 10:28, "Wulff.Antje at mh-hannover.de<mailto:Wulff.Antje at mh-hannover.de>" <Wulff.Antje at mh-hannover.de<mailto:Wulff.Antje at mh-hannover.de>> wrote:

Hi everyone,



We’re trying to model an operative note document - therefore we used the procedure archetype openEHR-EHR-ACTION.procedure.v1 and specialised it by adding other archetypes into the procedure details slot. Within the description of the procedure archetype it says

'Additional structured and detailed information about the procedure can be captured using purpose-specific archetypes inserted into the 'Procedure detail' slot'

but

'this archetype will be used to record only what was done during the procedure. Separate archetypes will be used to record the other required components of the Operation Report'.

I am a bit confused - we added something like specimens taken, devices, medication during surgery. Do you think it is valid to add these archetypes into the slot procedure details?

And what about elements like preoperative diagnosis, risks and anesthesia? I think these are detailed information for the surgery but they do not belong to the surgery itself - so they shouldn't be added.

What do you think?





Thanks for your help and ideas.





Kind regards

Antje



Antje Wulff



Peter L. Reichertz Institut für Medizinische Informatik

Technische Universität Braunschweig und

Medizinische Hochschule Hannover

Mühlenpfordtstraße 23

D-38106 Braunschweig


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Wulff.Antje at mh-hannover.de<mailto:Wulff.Antje at mh-hannover.de>
04 February 2016 10:26

Hi everyone,



We’re trying to model an operative note document - therefore we used the procedure archetype openEHR-EHR-ACTION.procedure.v1 and specialised it by adding other archetypes into the procedure details slot. Within the description of the procedure archetype it says

'Additional structured and detailed information about the procedure can be captured using purpose-specific archetypes inserted into the 'Procedure detail' slot'

but

'this archetype will be used to record only what was done during the procedure. Separate archetypes will be used to record the other required components of the Operation Report'.

I am a bit confused - we added something like specimens taken, devices, medication during surgery. Do you think it is valid to add these archetypes into the slot procedure details?

And what about elements like preoperative diagnosis, risks and anesthesia? I think these are detailed information for the surgery but they do not belong to the surgery itself - so they shouldn't be added.

What do you think?





Thanks for your help and ideas.





Kind regards

Antje



Antje Wulff



Peter L. Reichertz Institut für Medizinische Informatik

Technische Universität Braunschweig und

Medizinische Hochschule Hannover

Mühlenpfordtstraße 23

D-38106 Braunschweig


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