Graham,

I'm trying to make sense of this discussion around "computability" -- what
are the kinds of things that one wants to "compute" with these kinds of
countable things?

michael

On 18/03/12 10:57 PM, "Grahame Grieve"
<grahame at healthintersections.com.au> wrote:

>Are discrete units only encountered in administrative directives? Do
>you prohibit people from making observations or measurements that
>include discrete units such as puffs, tablets, patches, vials, strips etc?
>
>why?
>
>HL7 does because we claim that you have to have UCUM codes
>so the data can be computable. If people simply want to exchange
>it in a structured but non-computable fashion... they can go to hell.
>And as for computable: we insist on a ucum code, and then say
>that for these discrete unit kind of things, well, you just put "1" for
>countable units, and then put the effective unit somewhere else -
>somewhere that no one can actually pull off in practice - because
>this is more "computable". Huh? We do not make sense on this.
>
>So much for HL7... what's openEHR's excuse?
>
>Grahame
>
>
>On Sun, Mar 18, 2012 at 11:18 PM, Thomas Beale
><thomas.beale at oceaninformatics.com> wrote:
>>
>> As Grahame mentioned on an earlier post, the question of units is
>>thorny.
>> Although we technical people would like to mandate UCUM or some other
>> well-designed computable syntax, on its own, it won't work. There seem
>>to be
>> two reasons for this:
>>
>> it doesn't take care of the need for a displayable form of units, e.g.
>>the
>> computable form 'mcg' or 'ug', where as the displayable is '?g' (Greek
>>mu
>> followed by 'g')
>> it doesn't take care of 'units' like puffs, tablets, patches, vials,
>>strips,
>> and other discrete delivery units
>> it doesn't take care of discrete delivery units per time, e.g. '2 puffs
>>/
>> hour'
>>
>> Grahame and others have already done a lot of thinking on this here -
>>there
>> are a lot of excellent examples from Linda Bird on the Singapore
>>programme.
>>
>> The more I think about the last two above, the more I think it is not
>>about
>> quantities per se but about an administration directive (how the patient
>> should take something). Trying to make Quantity do that kind of stuff
>> doesn't make sense to me - there is obviously a Quantity to indicate the
>> dose in scientific form, but another data element may be needed to
>>indicate
>> how (in what discrete measures) to take the medication.
>>
>> I would therefore expect a distinct data element in the Medication
>>Cluster
>> archetype rather than a re-engineered Quantity type to deal with these
>>last
>> two. For the first one - displayable v computable, we will need a CR to
>> change DV_QUANTITY, and make it work like the FHIR Quantity - i.e. have
>>a
>> second units field.
>>
>> Some of my earlier thoughts are actually on the above wiki page - the
>> concept of a DiscretisedQuantity type inheriting from Quantity, which I
>> think is also a reasonable alternative.
>>
>> what do others think?
>>
>> - thomas
>>
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>> 
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>
>
>
>-- 
>-----
>http://www.healthintersections.com.au /
>grahame at healthintersections.com.au / +61 411 867 065
>
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