Hi All

The idea was that the code_phrase was directly entered as part of choosing the 
text from the terminology.
Anywhere where coding is done as a secondary process, the code mappings allow 
multiple codes.

I think this meets all the needs you have specified. Mappings allow each 
terminology to be specified.

It is likely in the future that EHRs will have multiple mappings for different 
purposes and different eras of computing, allowing upgrading of historical data.

Cheers, Sam

Sent from Mail<https://go.microsoft.com/fwlink/?LinkId=550986> for Windows 10

From: Beatriz de Faria Leao<mailto:bfl...@terra.com.br>
Sent: Thursday, 16 March 2017 7:10 AM
To: For openEHR clinical discussions<mailto:openehr-clinical@lists.openehr.org>
Subject: Re: Problem with constraint_binding

Perhaps the best solution for the time being is to add an additional diagnosis 
component with the secondary terminology binding that might be used. This is 
not so common and would need a BR specialization.

Beatriz


On Mar 15, 2017, at 6:31 PM, Bert Verhees 
<bert.verh...@rosa.nl<mailto:bert.verh...@rosa.nl>> wrote:

We are considering that Diego, the fact is that the customer wishes to code the 
name -item two times. Both coding - systems are not easy to map and the mapping 
cannot be calculated easily by software.

So we need two Dv_coded_text's to carry the codes, and only one value to carry 
the name.

The problem with to Dv_coded_text's is however that it offers two value - 
fields and that is not what we want.

It is a pity that a Dv_coded_text only can carry one code. I don't understand 
that restriction but we cannot solve that now, I hope this can be considered in 
a RM change.

So I think, we will have two Dv_coded_text's and from one having the value put 
of in a template if that is possible. I look into that tomorrow.

Best regards
Bert
Op wo 15 mrt. 2017 12:20 schreef Diego Boscá 
<yamp...@gmail.com<mailto:yamp...@gmail.com>>:
What about having two sibling DV_CODED_TEXT nodes as alternatives on the 
parent? (or specialize two different ones from the single parent one). That 
would allow to arbitrarily define constraint binding as needed, and in data 
only one would be correct one

2017-03-15 12:13 GMT+01:00 Ian McNicoll 
<i...@freshehr.com<mailto:i...@freshehr.com>>:
Hi Bert

This is correct. If you were to add those constraints in a specialised 
archetype, at run-time the submitted term in the defining_code attribute would 
have to come from one of the two terminologies specified.

The constraint can define multiple potential terminologies but only one 
defining_code is allowed in the instance data.

Ian
On Wed, 15 Mar 2017 at 10:29, Bert Verhees 
<bert.verh...@rosa.nl<mailto:bert.verh...@rosa.nl>> wrote:
Dear readers,

I have a problem and I want to ask your advise.

The problem is that I want to use openEHR-EHR-EVALUATION.problem_diagnosis.v1 
which is in CKM.

In that archetype is the item "Problem/Diagnosis name", which is of type 
DV_TEXT. We want to use it as DV_CODED_TEXT, because we want to add code to the 
entered name.

In this situation where I work, the customer wants to use 2 different codes, 
one company crerated internal codelist, and ICD10.

It seems easy to arrange in the archetype, I think I need to specialize it, 
because I want to add the constraint-bindings to give room for the codes. The 
archetype-editor from Ocean allows two constraint-bindings on the same node, 
like displayed below. But this seems wrong to me.

In the reference model in the DV_CODED_TEXT is one CODE_PHRASE (1..1). And 
CODE_PHRASE  has terminology_id and code_string also 1..1

So how will the construct below be interpreted following the specs?

constraint_bindings = <
["ETDA"] = <
items = <
["ac0001"] = <terminology:ETDA>
>
>
["ICD10"] = <
items = <
["ac0001"] = <terminology:ICD10>
>
>
>

My second question, if you say this is impossible to add two terminology 
constraints to one data-item, which construct do you advise to make two 
terminology constraints_bindings available to one DV_CODED_TEXT (or maybe 
another datavalue-type)?

Thanks for any help.

Best regards
Bert Verhees

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