Hi All

The idea of a device as an agent is interesting and at some point 
devices will have features of agents. The use of a re-useable cluster is 
clearly the solution - regardless of which part  of openEHR it belongs.

The problem here is that we have demographic and EHR models - that share 
some classes - and an ID that requires declaration.

Generally, I think the best approach is to think if information might be 
in the EHR - if so, then it needs to use EHR or common classes.

Until we have a commitment to use an authorative source of IDs for 
archetypes regardless of where they are generated, I think we will 
struggle. I will say more in another post.

Cheers, Sam

On 18/06/2012 2:18 AM, pablo pazos wrote:
> Hi Gustavo,
>
> As Heather pointed out, the solution seems to be to reference the 
> internal structure of a device (or any other demographic archetype) 
> through a CLUSTER. But I think those demographic concepts should be 
> also modelled as complete, separate demographic archetypes, 
> referencing the same internal structure (CLUSTER). This allow us 
> (developers) to create functionalities for searching and processing on 
> demographic archetypes.
>
> About the internals of a test, I think most often includes both ACTION 
> and  OBSERVATION, because an ACTION could be used when you need to 
> record information about the execution itself (being or not a clinical 
> intervention on the patient, e.g. the recording of the device used to 
> make the test should be part of the ACTION not of the OBSERVATION), 
> then the OBSERVATION(s) could hold the information about the test 
> result or information about clinical findings during the test. Then 
> the whole record of a test execution should be recorded into a 
> COMPOSITION that references those ACTION(s) and OBSERVATION(s).
>
> The INSTRUCTION of a test could reference to a device that should be 
> used on the test, but during the test maybe another device was used, 
> and that should be part of the ACTION that executes the INSTRUCTION.
>
> Does this makes sense to you? Please correct me if I'm wrong.
>
> My student detected some oftalmologic concepts that are not in the 
> CKM, maybe I can put you both in contact to collaborate on the 
> modelling of those concepts.
>
> -- 
> Kind regards,
> Ing. Pablo Pazos Guti?rrez
> LinkedIn: http://uy.linkedin.com/in/pablopazosgutierrez
> Blog: http://informatica-medica.blogspot.com/
> Twitter: http://twitter.com/ppazos
>
> ------------------------------------------------------------------------
> From: gbacelar at gmail.com
> Date: Sun, 17 Jun 2012 10:03:15 +0100
> Subject: Re: An ACTION or INSTRUCTION referencing an AGENT, is it 
> possible?
> To: openehr-clinical at lists.openehr.org
>
> Hi Pablo,
> I'm an ophthalmologist and would be gladful to help.
>
> There are some issues about the archetype class and the nature of the 
> test. As it is a study test it must be considered the existence  of an 
> intervention. If it does not include, so the most appropriate would be 
> to record as an OBSERVATION archetype for the test. If it includes an 
> intervention, then the most appropriate is to record as ACTION. For 
> both situations use the "Device" CLUSTER on the CKM to record the 
> device, remembering this archetype is not adequate to record a 
> substance (e.g. fluorescein).
>
> To record the device that should be used for the test at an 
> INSTRUCTION archetype, also consider the element "Description of 
> Procedure" of "Procedure Request" archetype on CKM, which could be 
> used to specify the device.
>
> I hope it was helpful.
> -- 
> Gustavo Bacelar
> MD + MBA + Med Informatics
> gustavobacelar.com <http://gustavobacelar.com>
> +351 91 203 2353
> +55 71 8831-2860
> Skype: gustavobacelar
>
>
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