Friends:
Sounds like somebody, or any of you, might want to step up. This keeps coming back every now and then.
A couple points:
- Put the organisms into the Measurement, not the Meas Value. So, “Streptococcus in blood culture” - “detected”/“not detected”, rather than “Blood culture” - “streptococcus” (which I believe is what you have in mind, @HeideNei). Reason: The analyst should find what’s important in one place and not having to search around.
- Same is true for the antibiotic sensitivity: “Sensitivity to Vancomycin” - “Sensitive”/“Not sensitive”
- There is a question if you even need a negative result, and whether positive blood cultures and sensitivities is sufficient for the use cases. I would always err on the side of simplicity.
- Leaves us with the question of how to combine them, i.e. that the strep is sensitive to vancomycin. One way is to use FACT_RELATIONSHIP to connect the otherwise two independent records. Alternatively, you create all meaningful combinations, like “Streptococcus sensitive to vancomycin”. Shouldn’t be that many. I think @cukarthik might have such a list as a starting point.
Once that is ready, we can add it to the Vocabularies and maybe put some Themis rules in place how to do that.