Philippe AMELINE wrote:

> Hi to all,
>
> We are currently experiencing such things ; it is not easy to have 
> people understand the difference between description (As accurate as 
> possible), local study (question 5 can be answered 5.1, 5.2...) and 
> studies using classifications such as ICD or ICPC where you just can 
> use concepts inside the classification (and it is sometimes 
> complicated since, for example, "send to the hospital" as no entry 
> inside ICPC).
>
> I don't think you can expect adressing all these issues through 
> Archetypes 

I would not either...we just need some good oontologies...

> Yes, a validated scale on a particular issue around human functioning 
> could be part of an ontology, but perhaps not always. The Barthel 
> index or the APGAR score e.g. have distinct and different variables 
> that probably would not stand beside each other in an ontology. Or, it 
> would be an ontology with many to many parent - child relationships.
>
> The way we solve this kind of problem is that we incorporated inside 
> the ontology concepts as "ICD10 code", "ICPC code" and so on. These 
> ontology concepts are given the code as a "value" in the same way 
> "patient size (cm)" would be given 180 as a value. 

the ADL supports this more or less as well...

- thomas beale


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