-1- There is the question. Many clinical models in the Dutch ZIM's and the topics of the DCM's, are they Evaluations based on observations or Observations? It can be argued that they are Observations that are transformed via an algorithm into something else that is an abstraction of reality: the Evaluation. Evaluations are the same, almost. But in this case there is no algorithm, but only the experience and knowledge in the mind of the documenter.
-2- Without any doubt we get archetypes that document the same concept but are different internally. Because other codes are used, other ways of measurements and units, other ways to express (quantitatively, semi-quantitatively, qualitatively), etc, etc. But all document the same concept. This situation calls for a type of 'Archetype Ontology' so we can document that these archetypes documenting the same concept are 'synonyms'. And that when querying we know what archetypes to use in order to collect all documented information about a clinical topic. Gerard On Jun 6, 2008, at 10:24 PM, Thomas Beale wrote: > - all archetypes > + archetypes that are molecules of atoms constructed by archetype > modellers as a way of standardising some aspect of medical data > recording > + archetypes that wrap pre-fabricated molecules already > standardised > by medicine > > There may be a score for urinary incontinence in an ADL score > 'molecule' > and also a separate observation (described by an archetype of the > first > kind) that describes urinary incontinence in some detail. Both of > these > possibilities should clearly exist. The interesting design problem > that > this throws up is how querying should react. -- <private> -- Gerard Freriks, MD Huigsloterdijk 378 2158 LR Buitenkaag The Netherlands T: +31 252544896 M: +31 620347088 E: gfrer at luna.nl Those who would give up essential Liberty, to purchase a little temporary Safety, deserve neither Liberty nor Safety. Benjamin Franklin 11 Nov 1755 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-clinical_lists.openehr.org/attachments/20080607/b2203057/attachment.html>
