Igor,

I might be talking out of turn here, but an archetype for systemic 
arterial BP is still valid for a person with no arms. The measurement 
just has to be done with a cuff on the leg or in some other way, i.e. 
the protocol of the measurement is different. So if your hospital says 
'there must always be a systolic BP', then for amputees, it is just a 
question of how, not, if, you obtain it. Now, if I read carefully below, 
i think you are saying that there are examination events at which a 
disabled person turns up, and the examining doctor is not equipped to do 
a BP for that kind of person. In that case, you do have a situation 
where the BP data won't be filled out, and instead the 'null-flavour' 
value needs to be set to 'not available' (or maybe some richer value as 
has been suggested recently). Either way, Systolic BP can still be set 
to mandatory, since even an ELEMENT with no value attribute but with a 
null-flavour will satisfy this.

- thomas beale


On 25/06/2010 11:58, ????? ??????? wrote:
> Hi all!
>
> I'm modelling "Blood Circulation System Examination" archetype and 
> it's components like "Arterial Pressure" archetype.
>
> The arterial pressure measurement is required for every examination in 
> my particular hospital.
> So, I need to enforce constraint for this archetype from [0..*] to 
> [1..*] in my template .
> But I have counterargument for this.
>
> Some of the hospital's patients are disabled armless people, so 
> arterial pressure couldn't bee measured at examination. And this must 
> became empty.
>
> There are many examples like this. So my question is: How I can model 
> it with openEHR?
>
> Thank you for answers.
>
> -- 
> Best Regards
> Igor Lizunov*
> * 
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