Dear Ian,

I have not seen any of the editor authors reply to you yet about  
their editor capabilities, but to respond to you on the principle, I  
would favour the use of the Cluster as the starting node to contain  
the three Elements since

a) the Evidence is itself not a complete Entry, but complementary to  
the main data for which it is the evidence
b) it is ideally something that could be used my many different Entry  
archetypes

However, your three Elements might not be enough to be the most  
perfect generic meet-all-needs evidence data structure. Maybe such a  
thing ought not to exist, and several different kinds of evidence  
structure are needed for different scenarios. All this means for now  
is to request that, when you design this Cluster archetype, you are  
as clear as you can be in the description about the kinds of Entry  
for which you believe it is a well-tailored evidence structure (e.g.  
if meant only for lab data). Other potential users can then critique  
it (if you ask them) with that particular scope in mind rather than  
any other scope for evidence, and later down the line others will be  
better able to tell if it might also meet their needs.

More specifically, though, from your e-mail I could not tell if your  
notion of evidence is what I would call the clinical indication,  
other relevant clinical background, or the justification for the test  
(which might be supplementary to the indication). I don't need to  
know, but this is the kind of clarification that will help others to  
critique/reuse it.

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
Direct Line: +44-20-7288-3362
Fax: +44-20-7288-3322
Web site: http://www.chime.ucl.ac.uk



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