Difference between revisions of "Detailed Clinical Model instance construction"
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* [http://wiki.hl7.org/index.php?title=Image:DCMHeartRate_V_06ENG.zip Heart Rate] | * [http://wiki.hl7.org/index.php?title=Image:DCMHeartRate_V_06ENG.zip Heart Rate] | ||
* [http://wiki.hl7.org/index.php?title=Image:DCMRespiration_V_08ENG.zip Respiration] | * [http://wiki.hl7.org/index.php?title=Image:DCMRespiration_V_08ENG.zip Respiration] | ||
| + | |||
| + | =In-Progress DCM (examples)= | ||
| + | *[[DCM_CC|Chief complaint]], presenting problem, and/or reason for visit | ||
| + | *History of [[DCM_HPI|present illness]] | ||
| + | *Review of [[DCM_ROS|systems]] / symptoms | ||
| + | *Prior/past medical [[DCM_PMH|history]] of disease / disorder | ||
| + | **History of specific [[DCM_ID|infectious disease]] | ||
| + | **History of [[DCM_CAD|coronary artery]] disease | ||
| + | **History of [[DCM_RAD|reactive airway]] or other obstructive lung disease (asthma, COPD) | ||
| + | **History of [[DCM_CA|cancer]] | ||
| + | **[[DCM_OB|Obstetric]] and current [[DCM_preg|pregnancy]] history | ||
| + | **History of [[DCM_psych|psychiatric]] disorder | ||
| + | **History of [[DCM_CVA|stroke]] | ||
| + | **History of [[DCM_DM|diabetes]] | ||
| + | **History of drug [[DCM_ADR|allergy or intolerance]] | ||
| + | **[[DCM_birth|Birth]] and gestation history (primarily of interest in pediatrics) | ||
| + | **Clinical [[DCM_sex|sex]] | ||
| + | *History of specific [[DCM_procedure|procedure]] | ||
| + | *Physical [[DCM_PE|exam]] finding | ||
| + | *Current [[DCM_meds|medication use]] | ||
| + | *Entries in a health [[DCM_DX|concern]] tracker / problem list / diagnostic impression / differential diagnosis | ||
| + | *[[DCM_WU|Evaluation]] or [[DCM_TX|treatment]] plan | ||
| + | |||
| + | |||
| + | =In-Progress DCM for e-Diabetes= | ||
| + | |||
| + | Nictiz developed about 25 DCM for diabetes care. These are developed around the e-Diabetes dataset distributed in HL7. However, the DCM are only available in Dutch at this time. | ||
| + | This is available in English upon request, with time permitted. | ||
| + | |||
| + | * list to be completed | ||
| + | |||
| + | = External Links / Internal Links = | ||
| + | Back to: | ||
| + | |||
| + | * [[http://wiki.hl7.org/index.php?title=Detailed_Clinical_Model_instance_construction explanation page]] | ||
| + | * [[http://wiki.hl7.org/index.php?title=Patient_Care_WG Patient Care WG page]] | ||
Revision as of 13:13, 19 October 2009
The HL7 steering committee, domain experts TSC, and the HL7 board approved the Patient Care Proposal
HL7 Project Scope Statement_PatientCare2008DCM-ID320.doc
Work has started in preparation of the Vancouver meeting where on Tuesday Sept 16, examples of the format, the Glasgow Coma Scale and Blood Pressure where presented, consisting of a word document describing the clinical details, a xls spreadsheet holding all data elements, meaning, data type and code from code system / terminology and a UML model.
Generic comment from attendees:
continue the work
we must look at meta information we must look at consistency in UML modelling and harmonising with existing examples. we must look at appropriate coding etc.
ergo: work started and needs to continue, but discussions on all elements will evolve discussing more examples.
William Goossen 17 sept 08
Contents
Open for Comment
Currently we have the following DCM examples:
- Apgar Score
- Barthel Index
- Blood Pressure
- Body Height
- Body Temperature
- Body Weight
- Braden Scale
- Glasgow Coma Scale
- Heart Rate
- Respiration
In-Progress DCM (examples)
- Chief complaint, presenting problem, and/or reason for visit
- History of present illness
- Review of systems / symptoms
- Prior/past medical history of disease / disorder
- History of specific infectious disease
- History of coronary artery disease
- History of reactive airway or other obstructive lung disease (asthma, COPD)
- History of cancer
- Obstetric and current pregnancy history
- History of psychiatric disorder
- History of stroke
- History of diabetes
- History of drug allergy or intolerance
- Birth and gestation history (primarily of interest in pediatrics)
- Clinical sex
- History of specific procedure
- Physical exam finding
- Current medication use
- Entries in a health concern tracker / problem list / diagnostic impression / differential diagnosis
- Evaluation or treatment plan
In-Progress DCM for e-Diabetes
Nictiz developed about 25 DCM for diabetes care. These are developed around the e-Diabetes dataset distributed in HL7. However, the DCM are only available in Dutch at this time. This is available in English upon request, with time permitted.
- list to be completed
External Links / Internal Links
Back to:
