Mario This may be the case but our subject of care is quite specific - it is the whole person to whom this information relates.
So information about the fetus or donor can be in the person's record. We have family history problem - with a specific subject - that is, the relative. I have modelled relatives to allow each to be adoptive with zero genetic sharing if required. It is true that paternity and adoption are not always disclosed - but we have to go with the patient's belief and test where important. Cheers, Sam > -----Original Message----- > From: Mario Cortolezzis [mailto:mcortolezzis at innovantis.com] > Sent: Monday, 2 December 2002 10:03 PM > To: Sam Heard > Cc: openehr-technical at openehr.org > Subject: Re: Subject of care > > > Hi Sam, > > Is sometimes (from a specialist view) a specific System (liver or > heart) not > treated as a subject of care ? Example SIZE related to > the organ (or other subsystem of the body) rather than applied on > the whole > individual ? > > Cheers, Mario > > ----- Original Message ----- > From: "Sam Heard" <sam.heard at bigpond.com> > To: "Eric Browne" <eric at montagesystems.com.au> > Cc: "Openehr-Technical" <openehr-technical at openehr.org> > Sent: Monday, December 02, 2002 3:09 AM > Subject: RE: Subject of care > > > > Eric > > > > We have fetus and donor as subjects of care also - sorry for omitting > that. > > Cheers, Sam > > > > > -----Original Message----- > > > From: Eric Browne [mailto:eric at montagesystems.com.au] > > > Sent: Monday, 2 December 2002 8:48 AM > > > To: Sam Heard > > > Cc: Openehr-Technical > > > Subject: Re: Subject of care > > > > > > > > > Sam, > > > > > > I'm not sure if you are only considering familial links. If not, > > > then organ donor/donee relationships might give rise to similar > > > (and other) identification requirements. > > > > > > eric > > > > > > -------------------------------------------------------------------- > > > Eric Browne \ phone: +61 8 8331 3022 > > > Montage Systems \ web: http://www.montagesystems.com.au > > > Level 1, 145 The Parade, \ email: eric at montagesystems.com.au > > > Norwood, SA 5067 Australia. > > > -------------------------------------------------------------------- > > > > > > On Mon, 2 Dec 2002, Sam Heard wrote: > > > > > > > Dear all > > > > > > > > I have been reviewing the subject of care - over family > > > history. It is clear > > > > that the following information is potentially useful: > > > > > > > > 1. The name of the person so you can refer to them as so-and-so > > > > > > > > 2. The relationship (father, mother) this might or might not > > > include their > > > > genetic relationship (adoptive) - at present I have this in the > genetic > > > > relationship boolean value of the family history problem. I > > > think this is > > > > the most appropriate as it is the only time when it is essential to > know > > > > it?? > > > > > > > > 3. The ID of the person in the demographic server - allowing > > > contact details > > > > etc. > > > > > > > > Can others think of other issues with identifying the subject > > > of an entry in > > > > the EHR - (not the ehr itself!) Times when this is likely are around > the > > > > birth of a child and for family history problems. > > > > > > > > Cheers, Sam > > > > ____________________________________________ > > > > Dr Sam Heard > > > > Ocean Informatics, openEHR > > > > Co-Chair, EHR-SIG, HL7 > > > > Chair EHR IT-14-2, Standards Australia > > > > Hon. Senior Research Fellow, UCL, London > > > > > > > > 105 Rapid Creek Rd > > > > Rapid Creek NT 0810 > > > > > > > > Ph: +61 417 838 808 > > > > > > > > sam.heard at bigpond.com > > > > > > > > www.openEHR.org > > > > www.HL7.org > > > > __________________________________________ > > > > > > > > > > > > > > > > ____________________________________________ > > > > Dr Sam Heard > > > > Ocean Informatics, openEHR > > > > Co-Chair, EHR-SIG, HL7 > > > > Chair EHR IT-14-2, Standards Australia > > > > Hon. Senior Research Fellow, UCL, London > > > > > > > > 105 Rapid Creek Rd > > > > Rapid Creek NT 0810 > > > > > > > > Ph: +61 417 838 808 > > > > > > > > sam.heard at bigpond.com > > > > > > > > www.openEHR.org > > > > www.HL7.org > > > > __________________________________________ > > > > > > > > - > > > > If you have any questions about using this list, > > > > please send a message to d.lloyd at openehr.org > > > > > > > > > > > > > > - > > If you have any questions about using this list, > > please send a message to d.lloyd at openehr.org > - If you have any questions about using this list, please send a message to d.lloyd at openehr.org

