Ian, This is indeed a very interesting question. I am inclined to think revision based approach seems to be more intuitive here if the update is not due to an obvious dosing error.
Cheers, Rong On 11 December 2011 12:06, Ian McNicoll <Ian.McNicoll at oceaninformatics.com>wrote: > Interesting discussion but so far no-one has addressed my original > question, other than Thomas, and I do not think we can assume that a > Medication list is necessarily modelled as a persistent composition. Even > then I suspect the same issue still arises. We do not want to hide the > previous valid Instruction from normal querying/visibility, just assert > that the revised order is regarded as part of a single clinical continuum > > So I will ask again... If I revise a medication order in a fairly minimal > way e.g. Dosage change from 200mg daily to 250mg daily, should it be > acceptable to revise the original Instruction, or should we create a new > Instruction? > > Ian > > Dr Ian McNicoll > office +44 (0)1536 414 994 > fax +44 (0)1536 516317 > mobile +44 (0)775 209 7859 > skype ianmcnicoll > ian.mcnicoll at oceaninformatics.com > > Clinical Modelling Consultant, Ocean Informatics, UK > Director/Clinical Knowledge Editor openEHR Foundation > www.openehr.org/knowledge > Honorary Senior Research Associate, CHIME, UCL > SCIMP Working Group, NHS Scotland > BCS Primary Health Care www.phcsg.org > > > -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-clinical_lists.openehr.org/attachments/20111212/e534cd96/attachment.html>
