Changes between Version 15 and Version 16 of openEHR Models, Archetypes and Biomedical Ontologies

Timestamp:

Aug 9, 2007, 2:28:19 PM (17 years ago)

Author:

Tatsukawa, Akimichi

Comment:

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openEHR Models, Archetypes and Biomedical Ontologies

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 [[Image(openEHR_info_process.png)]]
 
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+[[Image(openEHR_info_cycle.png)]]
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+我々は、診療情報の配信を2種類のプロセスとしてモデル化する。ひとつは診療に関するプロセス clinical process であり、臨床上の検査を行なうシステム clinical investigator system と患者情報のシステム patient system の相互作用に相当する。このプロセスは管理的な文脈 administrative context のなかにあるビジネスワークフローのプロセス内に位置する。臨床に関するプロセスは、ビジネスワークフローのプロセス内のサブプロセスとして構成される。すなわち、それはビジネスワークフローのプロセスを実行するための主要なメカニズムであり、これによって患者ケアの需要を満すことになる。管理的な文脈はひとつの施設というよりも医療システム全体に相当する。なぜならば、患者の視点から見れば、可動的な医療(訳注:病院を移動しても診療情報に連続性があるということ)は病院施設間のネットワークによって実現するからである。こうしたモデルは図3に示されたのように、同一の2つの視点から図式化される。
 
 We model health care delivery as two kinds of process: a clinical process, corresponding to the interaction between a ‘clinical investigator system’ and a ‘patient system’, situated within a business process, which is owned by an ‘administrative context’. The clinical process constitutes a sub-process of the business process, i.e. it is the main mechanism for the business process to achieve its goal, which is to satisfy a demand for care on the part of the patient. The administrative context corresponds to the health system as a whole, rather than a single enterprise, since from the patient care point of view, the mobilisation of care delivery is carried out by a network of provider organisations. The model can be illustrated in two equivalent ways, as shown in Figure 3 more....
 
-openEHR Entry process   
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+[[Image(openEHR_entry_ontology.png)]]
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 The terms ‘observation’, ‘evaluation’ etc defined above are not themselves the same as information types, since they refer to a variety of phenomena within the process: information from observations, the activity of evaluation, acts of intervention, and goal statements. To be more precise, we are mainly interested in information created by the investigator system, since this notional agent encompasses any person or device who/which performs any healthcare related task, including the patient herself. The investigator system is therefore the creator of all clinical information in the health record, including patient-entered data. A small amount of administrative information may also end up in the EHR, generally created by non-clinical actors in the organisational context.
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 Of the biomedical ontologies mentioned above, the OBI and the OCI appear to be closest in purpose. No proper study of these has yet been made with respect to openEHR.
 
-[[Image(openEHR_info_cycle.png)]]
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-[[Image(openEHR_entry_ontology.png)]]
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