SPECR-72 posted
http://www.openehr.org/issues/browse/SPECPR-72

Dr Ian McNicoll
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Clinical Modelling Consultant,?Ocean Informatics, UK
openEHR Clinical Knowledge Editor www.openehr.org/knowledge
Honorary Senior Research Associate, CHIME, UCL
BCS Primary Health Care ?www.phcsg.org




On 26 September 2011 20:42, Thomas Beale
<thomas.beale at oceaninformatics.com> wrote:
> On 26/09/2011 18:22, Ian McNicoll wrote:
>
> I still cannot find the reference to the VCOV rule in the
> specifications - can someone point this out?
>
> I agree that we seem to be mixing up 2 somewhat different ideas here.
> One is the 'true' ordinal, where there is a set of ordered terms to
> each of which some sort of ordered but otherwise arbitrary integer
> value is assigned. If all we are doing is asserting the correct order
> of the terms then it is questionable whether anything other than the
> index position in the list is necessary e.g 0..n. However there are
> many examples of ordered lists in clinical use which have at least
> some sort of score attached to each list member. As Daniel has pointed
> out, it is somewhat dubious if these really qualify as ordinals and I
> agree with Tom's idea that these are really term->value mappings.
>
> I would vote for taking the simple option of removing the 'uniqueness'
> requirement. I doubt very much if this would cause any downstream
> problems with decision support, in that if unique constraints are
> required, these will be fully defined by the archetyping itself e.g a
> GCS or Apgar score.
>
>
> can someone please put an issue on the SPECPR tracker? It should quote this
> and Daniel's posts.
>
> - thomas
>
>
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