Bernhard Breil, Benjamin Trinczek, Martin DugasDr. Bernhard Breil
Data models standards to define, exchange and archive data
MedInfo 2013, Copenhagen
Bernhard Breil, Benjamin Trinczek, Martin Dugas
HL7 CDACDA = Clinical Document ArchitectureDefined by HL7Available at http://www.hl7.org/implement/standards/product_brief.cfm?product_id=7 Version 1: November 2000Current version 2: May 2005 (ISO standard „ISO/HL7 27932:2009“)
Specification of structure and semanticsXML basedUsage of HL7 RIM (Reference Implementation Model) data types
Purpose: exchange data between providers and patients
Bernhard Breil, Benjamin Trinczek, Martin Dugas
HL7 CDA - StructureCDA-Header: Meta informationCDA-Body: Document itself
Level 1: textual information (discharge letters)Level 2: separation and annotation of segmentsLevel 3: computable data (lab values)
3Medical Data Models
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ArchetypesMentioned by T. Beale 2002Core part of EN 13606Actively researched and published by D. Kalra [1]Commonly known: openEHR archetypes Definition in Archetype Definition Language (ADL)Available at http://www.openehr.org
Purpose: Definition of small (10-50), domain specific unitRe-usable, combinableBased on reference model
[1] Kalra D, Tapuria A, Austin T, De Moor G. Quality requirements for EHR archetypes. Stud Health Technol Inform. 2012;180:48–52.
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ArchetypesCommonly known: openEHR archetypes
Figure 1: Blood Pressure, Unstructured Figure 2: Blood Pressure, Big Model
Figure 3: Blood Pressure, Generic Model
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ODMODM = Operational Data ModelDefined by CDISCAvailable at http://www.cdisc.org/odm Version 1: October 2000Current version 1.3.1: 2010, only registered users
XML schema definition (ODM1-3-1.xsd and ODM1-3-1-foundation.xsd)
Purpose: clinical studies (Study events + patient data)Study Events (Visit, Follow Up, …): CRFsCRF = medical form + detailed definitionPrinciple: Definitions (“Def”) and References (“Ref”)
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ODM – important elements
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ODM – important elements
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ODM – important elements
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ODM – important elements (2)
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ODM – important elements (3)
Bernhard Breil, Benjamin Trinczek, Martin Dugas
ODM – important elements (3)
Bernhard Breil, Benjamin Trinczek, Martin Dugas
Contact
[email protected]@[email protected]
Institute of Medical InformaticsUniversity Münsterhttp://imi.uni-muenster.de