Transcript of Universal Domain Common observation 20080808
2.
- 1. About Storyboard, Application Role, Trigger Event
- 2. Chapter 3.Common Observation Topic
- Storyboards Application Roles Trigger Events Refined Message
Information Models(RMIM) Hierarchical Message Descriptions(HMD)
Interactions
- 3. Chapter 4. CMETs Defined by this Domain
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- - application role Interaction Diagram
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- - a set of communication responsibilities
- - describe system components or sub-components that send and/or
receiveinteractions.
- ( HL7 Interaction ,application role sending Application role
receiving
- .interaction sending receiving Application role .)
- name, Artifact ID, description, Type .
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- covers all interactions related to recording simple measured
clinical
-
- Recording clinical and coded observations for a patient (
)
-
- Retrieving clinical and coded observations recorded against a
patient( )
- Basic Observation :height, weight, blood-pressure,
temperature
- LAB Observation : using the Appropriate messages
- Coded observations : APGAR score, symptom, blood type,
smoker
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- 3.1.1Heart Murmur Assessment(POOB_ST100001UV)
- -collected during a heart murmur assessment.
- Dr. Patricia Primary is doing a cardiac assessment on Patient
Everyman. Mr. Everyman has come to emergency room
- following a syncopal episode and chest pain while running to
catch his bus.The information regarding the syncopal
- episode and chest pain were entered in the EDIS (emergency
department information system).
- On examination Mr. E has a harsh grade III mid-systolic murmur
best appreciated lateral to the left costal margin towards
- the laterally displaced PMI. There is a faint diastolic murmur
intermittently heard over the right 2nd ICS at the right
sternal
- border. The systolic murmur diminishes with Valsalva and
squatting.Upon standing the murmur becomes
- pronounced. Mr. Everyman's assessment findings are entered in
the EDIS, and an Echocardiogram( )is
- Mr. Everyman's assessment findings and an Echocardiogram order
are now present in the EDIS.
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- 3.2.1 Observation Entry System(POOB_AR000001UV)
- Description :Structured Name: Common Observation Event
Placer
- This is a system that iscapable of recording informationabout
simple common observations such as height, weight,
blood-pressure.
- 3.2.2 Observation Querying System(POOB_AR000003UV)
- Description: Structured Name: Common Observation Event
Information Solicitor
- This is a system thatretrieves information a bout about simple
common observations such as height, weight, blood-pressure.
- 3.2.3 Observation EHR Repository(POOB_AR000002UV)
- Description : Structured Name: Common Observation Event
Manager
- This is a system thatstores and exposes measurement
informationabout simple common observations such as height, weight,
blood-pressure.
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- 3.3.1 Request to record clinical
observation(POOB_TE000001UV)
- Description:Structured Name: Common Observation Event Complete
Request
- A user attempts to record a clinical observation in a subject's
record.
- 3.3.2 Decision not to record clinical
observation(POOB_TE000002UV)
- Description :Structured Name: Common Observation Event Complete
Rejection
- A request to record a clinical observation in a subject's
record has been refused.
- 3.3.3 Observation recorded in subject
record(POOB_TE000003UV)
- Description :Structured Name : Common Observation Event
Complete
- Type :State-transition based
- A clinical observation has been recorded in a subject's
record.
- 3.3.4 Subject clinical observation info.
Requested(POOB_TE000007UV)
- Description :Structured Name : Common Observation Event
Query
- A user or system requires information about clinical
observations for a subject.
- 3.3.5 Request for subject. observation info.
Received(POOB_TE000008UV)
- Description :Structured Name : Common Observation Event Query
Response
- An application responds to a request for information about
clinical observations for a subject.
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- 3.4.1 Common Observation (POOB_RM410000UV)
- ResultGroup : the grouping and reporting of multiple
observations in one message.
- - CommonObservationEvent : a single point-in-time
observation
- :code that provides additional detail about the means or
technique used to ascertain the observation.
- Examples :Blood pressure measurement method
- arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting
vs. supine position
- Contraints :Method Act.code methodCode
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- :Information that is assigned or determined by the observation
action.
- The appropriate data type of the Observation.value varies with
the kind of Observation
-
- Quantitative measurement - numeric values
-
- Titer( )- use two integer numbers ex) 1: 64, 1:128
-
- Index values - use a PQ with a dimensionless unit (e.g., 1 or
%).