In the absence of a documented statement, that de SoC is dead and/or a DoD is 
documented, the SoC is supposed to be not-dead.
And this supposition can lead to a documented statement that the SoC is 
supposed to be alive.

"alive equals not-dead"


Gerard Freriks
+31 620347088
gf...@luna.nl <mailto:gf...@luna.nl>
> On 5 jan. 2016, at 09:16, Gerard Freriks (privé) <gf...@luna.nl> wrote:
> 
> Colleagues,
> 
> I read reactions that indicate that sometimes you seem to model reality from 
> the point of view of the living subject, the Subject of Care.
> And other times you seem to model statements by an author irrespective of the 
> reality the SoC is in.
> 
> In the world of EHR’s I (and the method called SIAMM) take the point of view 
> that the EHR is about documenting statements by an author about a subject of 
> care.
> These statements are subjective and not necessarily represent the real state 
> of the SoC; it is a subjective statement that is real and true for the author 
> only at that point in time.
> 
> The Date of Birth and Date of Death in the demographics are therefor 
> subjective statements documented by an author at that point it time,
> A SoC with a DoB and not a DoD is supposed to be alive.
> 
> 
> You must decide what you are modeling using archetypes.
> 
> 
> Gerard Freriks
> +31 620347088
> gf...@luna.nl <mailto:gf...@luna.nl>
>> On 5 jan. 2016, at 09:03, Karsten Hilbert <karsten.hilb...@gmx.net 
>> <mailto:karsten.hilb...@gmx.net>> wrote:
>> 
>> 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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>> <http://eu.pool.sks-keyservers.net/>
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>> 
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