Am 30.09.17, 10:18 PM, Thomas Beale <thomas.beale@openehr.org> schrieb:
In ADL2 it doesn't really matter. THe only difference is that in an ADL2 template, specialisations are local 'overlays' inside the patient template, rather than distinct archetypes in the archetype library.
In which case, you should specialise with archetypes as long as the archetypes are likely to be reusable; when they are not, it would make sense to further specialise by the use of overlays in a template.
All this is moot for people still using ADL1.4 tools ...
- thomas
On 26/09/2017 02:52, Pablo Pazos wrote:
Hi all,
I'm working with the clinical synopsis archetype, using it to model very open psychotherapy notes. The difference of that archetype from, for instance, blood pressure, triage, problem/diagnosis, is these archetypes are more or less very specific concepts, while synopsis might be used in many contexts, by different specialties, to save different kinds of data. The synopsis itself is a very generic concept.
Considering querying for a synopsis, I think queries should consider the context, not only the archetype id. For instance if I want the psychotherapy notes instead of other kinds of clinical synopsis, some extra data should be given in the query.
I can see two ways of doing this, with more 1. specific archetypes or 2. using templates to filter the query results. 1. means the synopsis archetype might be specialized to synopsis-psychotherapy, so queries can use that new archetype id. 2. at the template level using the synopsis archetype, and the template is for psychotherapy. This implies the template id should be used on the query as context/filter.
What alternative do clinical modelers see as more correct?
I like specializing archetypes because we can keep queries simple, but we might end up with a lot of archetypes. Using templates makes queries more complex, but we don't need more archetypes for specializations.
Thanks!
PS: please let me know if this doesn't make sense :)
--
Ing. Pablo Pazos Gutiérrez
e: pablo.pa...@cabolabs.com
p: +598 99 043 145
skype: cabolabs
http://www.cabolabs.com
https://cloudehrserver.com
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Thomas Beale
Principal, Ars Semantica
Consultant, ABD Team, Intermountain Healthcare
Management Board, Specifications Program Lead, openEHR Foundation
Chartered IT Professional Fellow, BCS, British Computer Society
Health IT blog | Culture blog
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