Data models standards to define, exchange and archive data
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1 Data models standards to define, exchange and archive data MedInfo 2013, Copenhagen Dr. Bernhard Breil
2 HL7 CDA CDA = Clinical Document Architecture Defined by HL7 Available at hmp:// Version 1: November 2000 Current version 2: May 2005 (ISO standard ISO/HL :2009 ) Specifica3on of structure and seman3cs XML based Usage of HL7 RIM (Reference Implementa3on Model) data types Purpose: exchange data between providers and pa3ents
3 Medical Data Models 3 HL7 CDA - Structure CDA- Header: Meta informa3on CDA- Body: Document itself Level 1: textual informa3on (discharge lemers) Level 2: separa3on and annota3on of segments Level 3: computable data (lab values)
4 Archetypes Men3oned by T. Beale 2002 Core part of EN Ac3vely researched and published by D. Kalra [1] Commonly known: openehr archetypes Defini3on in Archetype Defini3on Language (ADL) Available at hmp:// Purpose: Defini3on of small (10-50), domain specific unit Re- usable, combinable Based on reference model [1] Kalra D, Tapuria A, Aus3n T, De Moor G. Quality requirements for EHR archetypes. Stud Health Technol Inform. 2012;180:48 52.
5 Archetypes Commonly known: openehr archetypes Figure 1: Blood Pressure, Unstructured Figure 2: Blood Pressure, Big Model Figure 3: Blood Pressure, Generic Model
6 ODM Available Defined by at CDISC Available at hmp:// Current version 1.3.1: 2010, only registered users XML schema defini3on (ODM xsd and ODM founda3on.xsd) Purpose: clinical studies (Study events + pa3ent data) Study Purpose: Events clinical (Visit, studies Follow (Study Up, ): events CRFs + pa3ent data) CRF Study = medical Events (Visit, form Follow + detailed Up, defini3on ): CRFs Principle: CRF = medical Defini3ons form + ( Def ) detailed and defini3on References ( Ref ) Principle: Defini3ons ( Def ) and References ( Ref )
7 ODM important elements = <FormDef OID="F.0000" Name= Medical History" <FormDef OID="F.0000" > Repeating "No" < TranslatedText Medical Name= xml:lang= History" <Description> > <TranslatedText xml:lang Medical History ="en"> </ </ <TranslatedText TranslatedText> xml:lang= </TranslatedText> Anamnese "de"> <ItemGroupRef Description> ItemGroupOID=
8 ODM important elements <FormDef OID="F.0000" Name= Medical History" Repeating="No"> <Description> <TranslatedText xml:lang="en"> Medical History </TranslatedText> <FormDef <TranslatedText OID= "F.0000" Name= Medical History" <Description> < TranslatedText"IG.0000" ItemGroupOID= xml:lang = Mandatory= "Yes" Medical "en"> History </TranslatedText
9 ODM important elements <FormDef OID="F.0000" Name= Medical History" Repeating="No"> <Description> <TranslatedText xml:lang="en"> Medical History </TranslatedText> <TranslatedText xml:lang="de"> Anamnese OID= Repeating="No"> < "F.0000" Name= Medical History" Description> <TranslatedText xml:lang="en">
10 ODM important elements (2) <ItemGroupDef OID="IG.0000" Name= Admin Dates" Repeating="No"> <ItemRef ItemOID="I.0000" Mandatory="Yes" OrderNumber="1"/> < ItemGroupDef <ItemRef ItemOID="I.0001" Mandatory= "Yes" OID="IG.0000" Name = Admin Dates" Repeating = "No"
11 ODM important elements (3) <ItemDef OID="I.0000" Name="Admission Date" DataType="date"> <Question> <TranslatedText xml:lang= </ OID="I.0000" > DataType="date <TranslatedText Name= xml:lang "Admission Date" < "> Question> < > < Alias </TranslatedText xml:lang="en">admission date </ <TranslatedText > xml:lang="de" </Question> <Alias TranslatedText> Context <Alias Context="Code-1" Name="Date of admission"/> ="UMLS CUI-1" Name = "C "
12 ODM important elements (3) <ItemDef OID="I.0000" Name="Admission Date" DataType="date"> <Question> <TranslatedText xml:lang="en">admission date </TranslatedText> <TranslatedText OID ="I.0000" Name= DataType=" "Admission Date" <Question> <TranslatedText date"> </TranslatedText> xml:lang="en">admission date </ <TranslatedText xml:lang="de"> Aufnahmedatum </Question> <Alias TranslatedText> Context ="Code-1" Name = "Date of admission"
13 Contact muenster.de muenster.de muenster.de Ins-tute of Medical Informa-cs University Münster hmp://imi.uni- muenster.de
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