On Tue, Jan 05, 2016 at 07:19:19AM +0000, Heather Leslie wrote:

> The notion of a patient being alive is only possible while they are in the 
> room with you. As soon as they walk out the door they could drop dead.
> 
> So this adds a further complication. From a pure modelling point of view:
> 
> *         the only reliable status is to record if a patient is dead, maybe 
> alongside date of death, cause of death etc - ie the archetype of death that 
> contains clinically relevant data!
> 
> *         for querying  -  if the patient is not recorded as being known as 
> dead or deceased, then we assume either the patient is still alive or that 
> their status is unknown.
> 
> I suspect that the reality is that many current systems do have an alive vs 
> dead  status of some sort - would anyone like to confirm or deny?

GNUmed models

        date-of-birth
        date-of-death

and assums alive while the latter is NULL. Heuristics shows a
warning when the difference goes beyond 130 years.

Karsten
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