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Reporting patterns and Questionnaires

Reporting patterns and Questionnaires. Ian McNicoll openEHR Foundation / Ocean Informatics. Do you smoke? Yes/No. If Yes … What do you smoke? Cigarettes | cigar | eCigs | pipe How much? ….. cigs per day When did you start? Dd /mm/ yyyy What triggers you to start smoking?

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Reporting patterns and Questionnaires

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  1. Reporting patterns and Questionnaires Ian McNicoll openEHR Foundation / Ocean Informatics

  2. Do you smoke? Yes/No If Yes … • What do you smoke? Cigarettes | cigar | eCigs | pipe • How much? ….. cigs per day • When did you start? Dd/mm/yyyy • What triggers you to start smoking? • Did you stop after you discovered you were pregnant? Y/N • Did you stop after you were scheduled for surgery? Y/N • Do you use any other forms of tobacco?

  3. Substance use pattern

  4. Tobacco Use Summary

  5. Detailed Tobacco Use (Diary)

  6. Questionnaires are nasty...

  7. Questionnaires What is a Questionnaire? “Did the patient have chest pain?” Where are they found? Data entry forms e.g. Emergency admission with chest pain Structured, efficient layout on screen, paper Act as a protocol Reporting Quality indicators Public health statistics Why are these so hard to model?

  8. Questionnaire - example

  9. FHIR Questionnaire “There is considerable overlap between the information covered by Questionnaires and other Resources (especially FamilyHistory, MedicationStatement, Observation, Procedure, etc.): Questionnaire's flexible structure can easily be misused to capture any data, even data that should be captured as separate Resources.” • http://hl7.org/implement/standards/fhir/questionnaire.html

  10. FHIR Resource

  11. HL7 QRDA

  12. Archetypical • https://omowizard.wordpress.com/2014/02/21/the-questionnaire-challenge/

  13. SHN Heart Failure Summary • http://www.openehr.org/ckm/#showArchetype_1013.1.1416

  14. Open-> Closed questioning? • Tell me about your hair? “Hair is blonde” • What colour is your hair? “Blonde” • What colour is your hair? Blonde|Brown|Black • Are you a blonde? Y/N

  15. Open->Closed • Increasing constraint on the problem space • Moves semantics from the Answer (value) to the Question (name)

  16. More Questions than answers • Do we pay enough attention to the semantics of questionnaires or is this ‘just a UI issue’? • Can we assert • h/o Diabetes = Yes • equivalent to • Past History of diabetes ? • Can we develop a framework of Questionnaire use to guide developers on the ‘Resource’ vs. questionnaire issue?

  17. Questionnaire - example

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