Dear Sam,

It is very nice for you to float this as a discussion topic before it  
is implemented, so that we can engage with you on the requirements/ 
design aspects in advance.

Since the UML you reference is of the Reference Model, and means much  
to informaticians but not the other clinicians on this list, I wonder  
if it will help engage discussion if we collate a list of a few  
examples of archetype-level participants.

As you say, these are specific kinds of participants as opposed to  
the generic ones of committer, composer, information provider and  
attester.

As a starter, we might wish to discuss these suggestions:

anaesthetist for an operation note (COMPOSITION): mode: must be  
present in person
witness for a consent form (COMPOSITION): mode: must be present in  
person
parent/next-of-kin/carer for administration of a drug to a child  
(ENTRY): mode: must be present or by telephone (not e-mail)
information subject to be mandatory for family history kinds of  
information, and must be a relative (ENTRY): no mode restriction
consultant psychiatrist optional/mandatory for a mental health  
section (COMPOSITION): mode?
verifier/witness for a drug administration on the ward (ENTRY), mode:  
must be present in person

Is this the kind of archetype-level participation you had in mind?

With best wishes,

Dipak
________________________________________________________
Dr Dipak Kalra
Clinical Senior Lecturer in Health Informatics
CHIME, University College London
Holborn Union Building, Highgate Hill, London N19 5LW
Phone: +44-20-7288-5966
Fax: +44-20-7288-3322
Web site: http://www.chime.ucl.ac.uk



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