1. An Seong Hyun06/05/09

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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Storyboard

- Story

- .

- .

- application role Interaction Diagram

-

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Application Role

- 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 .)

Trigger Event

system component

name, Artifact ID, description, Type .

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covers all interactions related to recording simple measured clinical

observations

• 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.

Precondition

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).

Activities

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

ordered.

Post-condition

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

Type:User 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

Type:Interaction based

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

Type : User request

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

Type :Interaction based

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)

Focal Act(EventChoice)

ResultGroup : the grouping and reporting of multiple observations in one message.

- CommonObservationEvent : a single point-in-time observation

Observation. methodCode

: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

. methodCode , .

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Observation .value

: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 %).

• Ranges - ex)