Hi Sam,

We have tried, but it is not possible to represent a proper VAS scale in the 
archetype editor. 

What clinicians want is exactly as I said before: being able to score a 5, 7, 
10 for pain. 

This looks like the above instrument in this picture. 



But as you can see in some instance the patient will say, my pain today is 
like a 7.3 or a 3.6 or a 9.9 

The qualified Real does not deal with it. So it appears not possible to 
handle the ISO 21090 PQ datatype which would allow to have a decimal.
Further the qualified real does not allow to set the minimum 0 and maximum 10 
score. 

If we apply the valid and reliable McGrath for pediatrics, we see the five 
level faces, where 5 is obvious the :-( sign (much pain) and the 1 is :-) (no 
pain)

This would really be an ordinal, but stored with a number. For this one the 
qualified real would do.

So we do experience difficulties in using the archetype editor to proper 
represent clinical and scientific knowledge. 

Hope you can find a solution for this. 

Thanks William


In a message dated 8-2-2009 4:47:16 W. Europe Standard Time, 
sam.heard at oceaninformatics.com writes: 
> Hi William
> 
>   
> 
>  I guess the point here is model what clinicians want and understand. I do 
> not think that pain scales have any idea of ?cms? ? so units does not seem 
> appropriate.
> 
>   
> 
>  If you want a real with no units, you can use ?qualified real? property 
> which allows a blank unit.
> 
>   
> 
>  Cheers, Sam
> 
>   
> 
>   
> 
>  From: openehr-clinical-bounces at openehr.org 
> [mailto:openehr-clinical-bounces at openehr.org] On Behalf Of 
> Williamtfgoossen at cs.com
> Sent: Thursday, 5 February 2009 11:38 PM
> To: openehr-clinical at openehr.org
> Subject: how to determine that a variable has PQ according to ISO 21090
> 
>  
> 
>  
> 
>  Dear all,
> 
> We are currently working on several archetypes and encounter difficulties in 
> finding the right approach in the Ocean archetype editor. 
> 
> For instance, a pain scale (VAS type, or numeric 0 -10). According to ISO 
> datatypes 21090 this is a Physical Quantity.
> 
> How can this be determined in the editor? We get the option Q to set that it 
> is a quantity. Then there is a wealth of specific units, but not a simple 
> way of stating this is a PQ.
> 
> Am I missing the point here? 
> 
> Sincerely yours,
> 
> dr. William TF Goossen
> director 
> Results 4 Care b.v.
> De Stinse 15
> 3823 VM Amersfoort
> the Netherlands
> email: Results4Care at cs.com
> phone + 31654614458
> fax +3133 2570169
> www.results4care.nl
> Dutch Chamber of Commerce number: 32133713 
> 
> 
> 
> 
> 

Sincerely yours,

dr. William TF Goossen
director 
Results 4 Care b.v.
De Stinse 15
3823 VM Amersfoort
the Netherlands
emails: 
Results4Care at cs.com
williamtfgoossen at cs.com 
info at results4care.nl 

phone + 31654614458
fax +3133 2570169
www.results4care.nl
Dutch Chamber of Commerce number: 32133713  
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