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
>

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