reporting patterns and questionnaires
DESCRIPTION
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? - PowerPoint PPT PresentationTRANSCRIPT
Reporting patterns and Questionnaires
Ian McNicollopenEHR Foundation /
Ocean Informatics
Do you smoke? Yes/NoIf 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?
Substance use pattern
Tobacco Use Summary
Detailed Tobacco Use (Diary)
Questionnaires are nasty...
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?
Questionnaire - example
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
FHIR Resource
HL7 QRDA
Archetypical
• https://omowizard.wordpress.com/2014/02/21/the-questionnaire-challenge/
SHN Heart Failure Summary
• http://www.openehr.org/ckm/#showArchetype_1013.1.1416
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
Open->Closed
• Increasing constraint on the problem space
• Moves semantics from the Answer (value) to the Question (name)
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?
Questionnaire - example