Sam,
 
I agree that it is most likely bad archetype design if one reuses a structure 
archetype for various archetypes as 'data'. The editor shouldn't support this 
as it is more likely than not leading to an inferior design. 
I don't see a structure archetype being reused in two data slots.
 
Not sure however if we are sure enough about this yet to change the reference 
model for data not to be a slot. 
While you probably never want to reuse an archetype in two data slots, one 
(probably remote) possibility could be that you want to reuse a structure 
archetype that is used as part of an ACTION and INSTRUCTION archetype also 
within the (one) data slot of an OBSERVATION or EVALUATION archetype? 
 
I know the following is not a 100% correct example, but simply for the sake of 
discussing the possibility of this:
A medication description (which is already used in Action and Instruction 
archetypes) is being reused in the data part of an Observation archetype to 
document the titer/actual amount of medicine found in the patient's blood. 
(It's more likely that - if at all - only part of the data would be the same 
and you would use CLUSTER archetypes rather than structure archetypes to do 
this, but someone else may come up with a better example.)
Or consider an instruction for a patient to regularly use a bike with ~60 
rotations/min and a maximum pulse rate of 150. The related Action/ Observation 
(what of the two would it be...?) could be documented as various between say 
55-65 rotations/min and a constantly changing pulse rate.
 
Cheers
Sebastian

________________________________

From: Sam Heard [mailto:[email protected]]
Sent: Tue 4/09/2007 9:28 PM
To: openEHR-Clinical
Cc: John Arnett
Subject: Embedded archetypes - should there be any tooling constraints?


Dear All

A design issue has arisen from the NHS team as there is a bug in the archetype 
editor when you try and embed an archetype in the data page. You do this by 
clicking the embed archetype check box before you choose the structure type 
(list, tree, table...).

This has traditionally been used to utilise the same structure for ordering as 
for recording the action as in medication or procedure. It is possible that 
archetypes could share the same state information (e.g. pulse and blood 
pressure) and even protocol - but it seems impossible that different archetypes 
could share the same data. I believe such a situation should be dealt with by 
specialisation as the data specification really defines the archetype.

I am interested in other people's views. 

The consequence is that the embedding option will not be available in the 
editor for the data structure. We could put it forward as a change request for 
an invariant in the reference model (data is not a slot) if people strongly 
agree and there is no dissent.

Cheers, Sam



-- 

         Dr Sam Heard
Chief Executive Officer
Ocean Informatics
        
Director, openEHR Foundation
Adj. Professor, Central Queensland University
Senior Visiting Research Fellow, University College London
Aus: +61 4 1783 8808
UK: +44 77 9871 0980 

-- 


Dr. Sam Heard
MBBS, FRACGP, MRCGP, DRCOG, FACHI


CEO and Clinical Director
Ocean Informatics Pty. Ltd.
<http://www.oceaninformatics.biz/> Adjunct Professor, Health Informatics, 
Central Queensland University
Senior Visiting Research Fellow, CHIME, University College London
Chair, Standards Australia, EHR Working Group (IT14-9-2)
Australia

    Ph: +61 (0)4 1783 8808
    Fx: +61(0)8 8948 0215
UK
     Ph: +44 (0)77 9871 0980
    Fx: +44 (0)207 1174610 




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