Changes between Version 10 and Version 11 of Archtectural Overview Design of the openEHR EHR

Timestamp:

Sep 16, 2007, 10:27:13 PM (17 years ago)

Author:

KOBAYASHI, Shinji

Comment:

--

Archtectural Overview Design of the openEHR EHR

@@ -87 +87 @@
 All clinical information created in the openEHR EHR is ultimately expressed in "Entries". An Entry is logically a single `clinical statement', and may be a single short narrative phrase, but may also contain a significant amount of data, e.g. an entire microbiology result, a psychiatric examination note, a complex medication order. In terms of actual content, the Entry classes are the most important in the openEHR EHR Information Model, since they define the semantics of all the `hard' information in the record. They are intended to be archetyped, and in fact, archetypes for Entries and sub-parts of Entries make up the vast majority of archetypes defined for the EHR.
 
+openEHRのENTRYクラスは図16に示されている。ADMIN_ENTRY、OBSERVATION、EVALUATION、INSTRUCTION、ACTIONの5つの具象サブタイプがあり，後ろ4つはCARE_ENTRYの種類でもある。
+
 The openEHR ENTRY classes are shown in FIGURE 16. There are five concrete subtypes: ADMIN_ENTRY, OBSERVATION, EVALUATION, INSTRUCTION and ACTION, of which the latter four are kinds of CARE_ENTRY.
 
+[[Image(design_of_ehr4.gif)]]
+
+これらの型は図17に示すように臨床上の問題解決プロセスを元にした選択をベースにしている。
+
 The choice of these types is based on the clinical problem-solving process shown in FIGURE 17.
+
+[[Image(design_of_ehr2.gif)]]
 
 This figure shows the cycle of information creation due to an iterative, problem solving process typical not just of clinical medicine but of science in general. The "system" as a whole is made up of two parts: the "patient system" and the "clinical investigator system". The latter consists of health carers, and may include the patient (at points in time when the patient performs observational or therapeutic activities), and is responsible for understanding the state of the patient system and delivering care to it. A problem is solved by making observations, forming opinions (hypotheses), and prescribing actions (instructions) for next steps, which may be further investigation, or may be interventions designed to resolve the problem, and finally, executing the instructions (actions).