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term requests: additional healthcare provider role #50

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mbrochhausen opened this issue Jul 7, 2016 · 23 comments
Open

term requests: additional healthcare provider role #50

mbrochhausen opened this issue Jul 7, 2016 · 23 comments
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new term request use this label for issues that include a new term request for the ontology, i.e., new class or OP

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@mbrochhausen
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As discussed with Amanda I provide a list of terms along that proposed definitions and superclasses that we need for the CAFE project:

  • surgeon role [superclass: physician role; definition: A physician role borne by a human being and that, if realized, is being realized by its bearer using operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, to help improve bodily function or appearance or to repair unwanted ruptured areas.]
  • emergency medicine physician role [superclass: physician role; definition: A physician role that inheres in a human being and that, if realized, is realized by its bearer providing care for undifferentiated and unscheduled patients with illnesses or injuries requiring immediate medical attention. ]
  • neurosurgeon role [superclass: surgeon role; definition: A surgeon role borne by a human being and, that, if realized, is realized by its bearer using operative manual and instrumental techniques on the nervous system of a patient to investigate and/or treat a pathological condition such as disease or injury, to help improve bodily function or appearance or to repair unwanted ruptured areas.]
  • chief medical officer role [superclass: healthcare provider role; definition: A healthcare provider role borne by a physician that is realized by leading the organization and managment of medical services in a healthcare facility.]
  • director of clinical services role [superclass: healthcare provider role; definition: A healthcare provider role borne by human being typically holding a health-related degree and that, if realized, is realized by coordinating patient care activities in a facility to maintain standards of patient care.]
  • occupational therapist role [superclass: healthcare provider role; definition: A healthcare provider role borne by a human being and that, if realized, realized by providing assessment and treatment to develop, recover, or maintain the daily living and work skills of people with a physical, mental, or cognitive disorder.]
  • orthopedic surgeon role [superclass: surgeon; definition: A surgeon role borne by a human being and, that, if realized, is realized by its bearer using operative manual or instrumental techniques on the musculoskeletal system of a patient to investigate and/or treat a pathological condition such as disease or injury, to help improve bodily function or appearance or to repair unwanted ruptured areas.]
  • physical therapist role [superclass: healthcare provider role; definition: A health care provider role borne by a human being and, if realized, is realized by providing assessment and treatment to remediate impairments or promote mobility, function, and quality of by interventions that use mechanical force and movements.]
  • rehabilitation specialist role [superclass: healthcare provider role; definition: A healthcare provider role borne by a human being and if realized, is realized by providing assessment and treatment that follows surgery, or treatment of a disease or of an injury, and which restores a patient's preferable functionality.]

And here is an odd one, that I am not sure whether OMRSE wants to take it:

  • chief executive officer [superclass: role; definition: A role that is borne by a human being and that, if realized, is realized by leading and overseeing the management of an organization.]
@mbrochhausen
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I think we could add 'general surgeon role' as an alternative term to 'surgeon role'?

@dillerm
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dillerm commented Jul 20, 2016

As paradoxical as it sounds, general surgery is actually a surgical specialty; therefore, I believe it wouldn't be appropriate to add 'general surgeon role' as an alternative term to 'surgeon role'.

@mbrochhausen
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Ok, I agree with dillerm.

Based on that, I suggest adding a subclass "general surgeon role" under "surgeon role".
I propose the following definition:
A physician role borne by a human being and that, if realized, is being realized by its bearer using operative manual and instrumental techniques on patients to investigate and/or treat pathological conditions such as diseases or injuries in all of the nine primary components to surgery [a) Alimentary tract, b) Abdomen and its contents, c) Breast, skin, and soft tissue, d) Head and neck, e)
Vascular system, excluding the intracranial vessels and heart, f) Endocrine system, g) Surgical oncology, h) Comprehensive management of trauma, i) Complete care of critically ill patients with underlying surgical conditions, in the emergency room, intensive care unit, and trauma/burn units] , to help improve bodily function or appearance or to repair unwanted ruptured areas.

Definition source is: https://www.facs.org/education/resources/residency-search/specialties/general

@aellenhicks
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aellenhicks commented Jul 27, 2016 •
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Here are a few questions that I have that arise from my unfamiliarity with trauma care.

  1. Surgeon role, neurosurgeon role, and orthopedic surgeon role each have the following phrase in the definition: "to investigate and/or treat a pathological condition such as disease or injury, to help improve bodily function or appearance or to repair unwanted ruptured areas.]

Is repairing an unwanted rupture a special case of treating an injury? If so, can we remove 'repairing unwanted rupture' from the definitions without loss of information?

  1. chief medical officer role [superclass: healthcare provider role; definition: A healthcare provider role borne by a physician that is realized by leading the organization and managment of medical services in a healthcare facility.]
    A healthcare provider role is realized by a process of providing health care services to an organism. Does leading the organization and managment of medical services in a healthcare facility count as providing health care services to an organism? If not, do we need to explicitly say in the definition the CMO need to does both? Does a CMO do both?

Director of clinical services role - the analogous question arises as with CMO.

  1. rehabilitation specialist role - what is preferable functionality?

CEO - We are happy to take this class.

@mbrochhausen
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  1. Given the revised definition of injury that was recently suggested to OGMS ("An information content entity that describes the relation between the arithmetic mean, geometricmean, or median of a measurement of the volume of blood, serum, or plasma from which an active ingredient or a metabolite is completely removed by the liver in a given amount of time in an organism with and without the inhibiting drug present in the organism." The catastrophic event part is still under discussion, but the agreement seems to be that we are talking trauma here), not all ruptures are injuries, since there are non-traumatic ruptures.
  2. Good point. I agree. CMO and Director of Clinical Services role should not be healthcare provider roles. Wondering whether those are human healthcare roles...
  3. I am not sure you mean by "functionality" in this context.

@aellenhicks
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  1. I think the wrong definition was entered into the thread, but I see your point that there can be non-traumatic ruptures. Thanks.
  2. human health care role is defined as "A role in human social processes that is realized by health care processes such as seeking or providing treatment for disease and injury, diagnosing disease and injury, or undergoing diagnosis." and has the retriction 'realized in' some 'health care encounter'
    Health care encounter has the following definition: "A temporally-connected health care process that has as participants an organization or person realizing the health care provider role and a person realizing the patient role. The health care provider role and patient are realized during the health care encounter."
    So it seems to me that this is not the correct superclass.

We have 'human role within an organization'
def: A socio-legal human social role that concretizes a socio-legally generically dependent continuat that was created by a declaration performed by an organization.
Could these go there with some formal connection to healthcare organizations? I'm definitely open to other suggestions.

  1. "rehabilitation specialist role [superclass: healthcare provider role; definition: A healthcare provider role borne by a human being and if realized, is realized by providing assessment and treatment that follows surgery, or treatment of a disease or of an injury, and which restores a patient's preferable functionality.]" I don't know what "preferable functionality" means in this definition.

@dillerm
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dillerm commented Sep 9, 2016 •
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Sorry for the late reply, but Amanda's initial intuition on it seems spot on to me. In addition, there are a lot of problems that would arise from defining an injury as being solely caused by trauma, one being that traumatic brain injuries are conventionally conceptualized as consisting of a primary injury (directly caused by the trauma) and a secondary injury (caused by inflammation and swelling in the brain and NOT trauma). This would also overlook strokes, which are rarely caused by trauma and only in an indirect way (and are also conceptualized as consisting of primary and secondary injury), as well as injuries caused by repetitive use of a particular body part.

That being said, perhaps a better label for the current class with rdfs:label 'injury' would be 'lesion'. I'm also curious as to what the suggestion was for redefining 'injury'.

@mbrochhausen
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  1. Sorry for copy-pasting the wrong definition. Here is the initial proposal by Barry, which was sent through the OGMS discuss mailing list: "A part of an organism that has undergone, in direct relation to a catastrophic event, a sudden change in structural integrity and has a higher chance of dysfunction or causing dysfunction in another structure."
    I am not claiming that OMRSE needs to follow lead by OGMS regarding the definition of injury. That is totally up to the OMRSE curator. As long as the definition of surgeon role (and it subclasses) covers the entities we talk about in the CAFE project, we will re-use the class.
  2. I agree with Amanda's proposal to make CMO and Director of Clinical Services subclasses of human role within an organization' linking them to healthcare organizations.
  3. "preferable functionality's admittedly an ugly term. It refers to the goal of rehabilitation specialists. It would be incorrect to say the goal is full functionality, because this is many cases will not be possible. It would also not be correct to say that functionality needs to be restored, since that would assume that there was no functionality at all, which is not always the case. It means that a level of functionality is restored that is preferable to the level of functionality that existed at the beginning of the treatment. I am not stuck on this term, if someone has a better suggestion that'd be awesome.

@aellenhicks
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Surgeon role is added. It would be nice to write a superclass restriction that says it is realized (if at all) by surgery. OGMS does not currently have this term. @mbrochhausen, from your work on CAFE, do you whether a suitable term exists or is forthcoming?
Thanks.

@aellenhicks aellenhicks mentioned this issue Dec 27, 2016
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@aellenhicks
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Emergency medicine physician role added. Issue logged with OGMS re: definition of ED encounter.
OGMS/ogms#109

@aellenhicks
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occupational therapist role added. It would be nice to write a superclass restriction that says it is realized (if at all) by OT. OGMS does not currently have this term. @mbrochhausen, from your work on CAFE, do you whether a suitable term exists or is forthcoming?

@aellenhicks
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orthopedic surgeon role added.

@mbrochhausen
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OOSTT at this point does not have plans to create the terms "surgery" or "OT".
How do you plan to express the "(if at all)" part in OWL? It seems to me that a adding a necessary restriction to that class contradicts the BFO stance that roles do not have to be realized.

@aellenhicks
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How do you plan to express the "(if at all)" part in OWL? It seems to me that a adding a necessary restriction to that class contradicts the BFO stance that roles do not have to be realized.

I don't plan to represent it in OWL, but had cut and paste from the NL definition. Thanks for clarifying that!

@aellenhicks
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added rehabilitation specialist role

@aellenhicks
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general surgeon role added

@aellenhicks
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added chief medical officer role with the following restriction: 'inheres in' some ('Homo sapiens' and 'bearer of' some 'physician role')

It's not immediate clear to me how to connect this to the organization. @mbrochhausen any ideas?

@aellenhicks
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aellenhicks commented Dec 27, 2016 •
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added director of clinical services role. Still needs to be connected to organizations.

@aellenhicks
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CEO added. Still needs to be connected to organizations.

@mbrochhausen
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"It's not immediate clear to me how to connect this to the organization. @mbrochhausen any ideas?"
We are working on that as part of the CAFE project.

@aellenhicks
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aellenhicks commented Dec 27, 2016 via email

@mbrochhausen
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mbrochhausen commented Dec 27, 2016 via email

@aellenhicks
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In light of issue 56, I will leave this open and move the discussion to the OMRSE email list.

@hoganwr hoganwr added the new term request use this label for issues that include a new term request for the ontology, i.e., new class or OP label Jun 1, 2022
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@hoganwr @aellenhicks @mbrochhausen @dillerm