Dear Andrew,

Your e-mail, with some thoughtful questions, has generated some  
interesting discussion inputs already.

The relationship between 13606 and openEHR is long-standing, since a  
number of the openEHR family have been involved in this standard's  
development but 13606 does, as you have gathered, have a different  
and narrower scope. The openEHR Foundation is in the process of  
reviewing how best to reflect the relationship as it is now, and if  
you can wait a bit we shall be writing this up more clearly in future  
documents.


You have also raised a couple of technical points. Graham has I think  
responded clearly on the data types - in an ideal world the ISO data  
type standard would be ready to use before 13606 is finalised, but as  
this is not the case we have on a temporary basis referenced the CEN  
TS 14796 (and included some explicit data types as you have seen).  
These will eventually be superseded by the ISO ones). openEHR data  
types are one of the input feeds to ISO.

The example OIDs in the worked sample in Annex C only have  
placeholder illustrative attribute values for the validity, root and  
extension attributes of the II data type. Ideally I should have found  
an expert to give me more plausible values, but the main purpose of  
the example was to show how the clinical hierarchy and revision works  
and many of the attribute values for IDs and codes are very clearly  
made up ones (such as the terminology ones). If you have the time to  
send me some corrections (more plausible values) I can still  
incorporate them. Most readers have accepted that examples such as  
this inevitably have limitations in their completeness, but I agree  
that it's not ideal.


Gerard has also responded to you on archetype specification currency  
within openEHR and 13606. Standards need to be stable, and standards  
organisations assume that this stability is reasonable and desirable  
for the marketplace. A innovative organisation like openEHR has the  
freedom to make changes more rapidly, but it also wishes for them to  
be validated in real implementations. The rapid turn around that you  
describe is for a document change, not for a field-validated  
improvement!

With best wishes,

Dipak
________________________________________________________
Dr Dipak Kalra
Clinical Senior Lecturer in Health Informatics
CHIME, University College London
Holborn Union Building, Highgate Hill, London N19 5LW
Direct Line: +44-20-7288-3362
Fax: +44-20-7288-3322
Web site: http://www.chime.ucl.ac.uk


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