I think, we happen to be in full agreement.

Gerard   Freriks
+31 620347088
  gf...@luna.nl

Kattensingel  20
2801 CA Gouda
the Netherlands

> On 2 Apr 2018, at 01:06, Thomas Beale <thomas.be...@openehr.org> wrote:
> 
> 
> In a so-called closed-world system, everything that is stated constitutes the 
> totality of the truths about the world it relates to. In particular, absence 
> of an assertion (such as 'patient X has cancer') means negation, i.e. that 
> patient X doesn't have cancer. But openEHR and 13606 don't work like that; 
> absence of some particular statement about X just means nothing has been said 
> about the relevant issue so far.
> 
> - thomas
> 
> On 01/04/2018 23:35, GF wrote:
>> Thomas,
>> 
>> OpenEHR and 13606 deal with Closed World Assumption systems.
>> And therefor both mean in the case of 'No Cancer' that Cancer was not found 
>> in the database or that No Cancer was the documented result of an evaluation.
>> Both statements are documented things in a Template that according to the 
>> author cancer is not found.
>> But any time in the future it might.
>> 
>> 'No Cancer' as pre-coordinated term in the case of SNOMED means that no 
>> cancer was, is, or will be present.
> 
> 
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