Re: HL7 and negation

2016-06-13 Thread GF
Processes have state models to indicate how they are (are not) executed. When an investigation could not be done there must be an abnormal status indicator and reason explaining why. On other matter is the presence or absence of something. Gerard > On 14 jun. 2016, at 05:56, Heather Leslie

RE: HL7 and negation

2016-06-13 Thread Heather Leslie
@lists.openehr.org Subject: Re: HL7 and negation Silje, very nice analysis. Points 3 and 4 are a 'not applicable' idea, which needs to be catered for as such I think. - thomas On 08/06/2016 14:50, Bakke, Silje Ljosland wrote: Hi Gerard, I don’t have time to look through the use cases right

Re: HL7 and negation

2016-06-12 Thread Jun Li
Mr.beale Please take me off you email list. I have not been this filed for 5 years. Thanks Sent from my iPhone > On Jun 11, 2016, at 6:09 AM, Thomas Beale wrote: > > Let's state the problem as one of associating some sort of absence, presence, > or in-between indicator with some X in a patie

Re: HL7 and negation

2016-06-11 Thread GF
In my system there are more kinds of ‘ENTRY’ than Observation, Evaluation, Ordering and Action. I see the need to have kinds of patterns for processes like: Observing Assessing/Inferencing, Planning, Ordering and Executing. Each of these processes have an associated state model and epistomologica

Re: HL7 and negation

2016-06-11 Thread Thomas Beale
Gerard, in this scheme what does 'status' encode? Actual | future? - thomas On 11/06/2016 14:48, GF wrote: It is for the reasons that Thomas states that I think there are three Modifiers: - Presence - Certainty - Status Gerard ___ openEHR-clinic

Re: HL7 and negation

2016-06-11 Thread GF
It is for the reasons that Thomas states that I think there are three Modifiers: - Presence - Certainty - Status Gerard > On 11 jun. 2016, at 12:09, Thomas Beale wrote: > > Let's state the problem as one of associating some sort of absence, presence, > or in-between indicator with some X in a

Re: HL7 and negation

2016-06-11 Thread Grahame Grieve
>> There is a specific flag on list for noting the clinically meaningful >> statement, but what we've found is that almost all systems treat the >> statement of no allergies in an allergy record as an explicit statement > > that sounds right. > >> Btw, I don't think that the statement of no al

Re: HL7 and negation

2016-06-11 Thread Thomas Beale
On 11/06/2016 11:44, Grahame Grieve wrote: Aside: apparently the FHIR approach to representing things like 'no known allergies' is to infer it by seeing if an allergies list is empty or not. That sounds like a bad idea to me. If 'no known allergies' is understood as a clinically meaningful

Re: HL7 and negation

2016-06-11 Thread Grahame Grieve
> Aside: apparently the FHIR approach to representing things like 'no known > allergies' is to infer it by seeing if an allergies list is empty or not. > That sounds like a bad idea to me. If 'no known allergies' is understood as a > clinically meaningful statement made by e.g. a GP (based on r

Re: HL7 and negation

2016-06-11 Thread Thomas Beale
Silje, very nice analysis. Points 3 and 4 are a 'not applicable' idea, which needs to be catered for as such I think. - thomas On 08/06/2016 14:50, Bakke, Silje Ljosland wrote: Hi Gerard, I don’t have time to look through the use cases right now, but I thought I should give a general out

Re: HL7 and negation

2016-06-11 Thread Thomas Beale
Let's state the problem as one of associating some sort of absence, presence, or in-between indicator with some X in a patient, or some other subject... There is some discussion about this topic in SPECPR-118 , in which Ian McNicoll made the co

RE: HL7 and negation

2016-06-08 Thread Bakke, Silje Ljosland
linical-boun...@lists.openehr.org] On Behalf Of GF Sent: Wednesday, June 8, 2016 8:54 AM To: For openEHR clinical discussions Subject: HL7 and negation Dear Colleagues, HL7 is thinking about the problem of negation. http://wiki.hl7.org/index.php?title=Negation_Requirements The group discussing it create

Re: HL7 and negation

2016-06-08 Thread Colin Sutton
It strikes me that some of those 'use cases' are summaries, so the semantics should take into account the components. For example: 'No known allergy’ has a multiplicity of possible derivations: 'allergy status not tested', ‘never taken penicillin’, 'never eaten peanuts’ , ’allergy status not in

HL7 and negation

2016-06-07 Thread GF
Dear Colleagues,HL7 is thinking about the problem of negation. http://wiki.hl7.org/index.php?title=Negation_RequirementsThe group discussing it created a document with negation use cases.My questions are:- Can you let us know your reaction to this list of use cases?And- How should ‘negation’ be han