Dear Sam,

Excludes and Includes, open/closed might serve most requirements. We do 
need certain rules as well, e.g. can we set a slot which "excludes all".

Like Gerard and Koray had mentioned, I agree to have a way to categorise 
the archetypes. That would make the includes and excludes lots easier. I 
guess an ontology might play a role here.

Regards,
Chunlan

Sam Heard wrote:

> Dear All (apologies for cross posting)
>
> I have been discussing the slot assertions off line and want to make 
> sure the clinical requirements in this space are understood by the 
> clinical guys. At the moment the Ocean tools work on the same basis as 
> the Apache url include and exclude statements but I won't go into that.
>
> My view on the slots is that they have to be open by default (ie let 
> other archetypes in) as the archetype is an absolute rule which cannot 
> be broken. If we close slots in the usual case then people who 
> specialise archetypes and make new ones will have to negotiate the 
> slot authors in other archetypes. This means that the include 
> statements are generally guidelines and help people compose sensible 
> information structures.
>
> We do, however, want to close some archetype slots - I will give two 
> examples:
>
> SECTION: Vital Signs
>
> It is clear that vital signs section should only contain a limited set 
> of observations - although this might change over many years with the 
> introduction of Oxygen sats for example. Even then, perhaps a 
> specialisation of the archetype is better - or a new one. So here the 
> slot may allow temperature, pulse, blood pressure, respirations and O2 
> sats.
>
> So we may need to say here that no other archetypes are allowed.
>
> CLUSTER: Symptom
> The proposed symptom cluster has a cluster for associated symptoms - 
> and these can only be symptom cluster archetypes. This seems sensible.
>
> There are many examples where we will not want to limit the 
> inclusions, such as the O: heading in SECTION: SOAP where almost any 
> observation might be required, though we might have the most usually 
> used archetypes specifically included (in the archetype or the 
> template). I do not believe that we will know at design time all the 
> suitable archetypes for a slot - but we might know many that are 
> definitely suitable.
>
> BUT, we do need to say when one or more archetypes is not suitable - 
> and we need to say when the set is closed (ie no more).
>
> What do others think about the requirements for slots?
>
> Cheers, Sam
>
>
> -- 
>
>
>     Dr. Sam Heard
>     MBBS, FRACGP, MRCGP, DRCOG, FACHI
>
> CEO and Clinical Director
> Ocean Informatics Pty. Ltd.
> <http://www.oceaninformatics.biz/>Adjunct Professor, Health 
> Informatics, Central Queensland University
> Senior Visiting Research Fellow, CHIME, University College London
> Chair, Standards Australia, EHR Working Group (IT14-9-2)
> /Ph: +61 (0)4 1783 8808/
> /Fx: +61 (0)8 8948 0215/
>
>
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>
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