It would be much easier to decide whether to use an 'Observation' or an 
'Evaluation' if the word 'Evaluation' was replaced by 'Inference'.

Colin


-----Original Message-----
From: [email protected] on behalf of Gerard Freriks
Sent: Tue 24-Jun-08 5:27 PM
To: For openEHR clinical discussions
Subject: Toughts about archetypes and patient system
 

Dear all,

A few thoughts I wrote down last days but now they are translated into  
a pictures.
It helps me understand when to use what Archetype.

The ZIP-file with PDF's can be downloaded via: http://tinyurl.com/63dfg7

1- EHR's are about the Patient system and document the medical  
treatment process from the healthcare providers perspective.

2- The Patient System consists of:
        a- Inner system (chemistry, physiology, genomics, etc)
        b- Patient as a body
        c- Direct Social Patient System (family, friends, colleagues,  
neighbors, etc)
        d- Extended Social Patient System (society, etc)

3- In each layer of the Patient System there are processes

4- These processes give rise to states in the Patient System

5- Observations: Hearing, seeing, feeling, tasting, smelling, touching  
give information about the states

6- Evaluations: Using expertise and knowledge inferences are made  
about the processes in the Patient System

7- Instructions: are executed (as Actions) in order to get more  
Observations or have the intention to influence processes in the  
Patient System

8- Planned Actions and unplanned Actions: influence the state and/or  
processes in the Patient System



Gerard





-- <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







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