Eric Browne wrote:
>Sam, > >OK. By extrapolation, then, any documentation of a healthcare event >or non-healthcare event that has occurred in the past, is recorded >as an observation? Any healthcare event that has not >yet occurred, but envisaged, is recorded as an instruction? > >When a patient is discharged from hospital, all actions that were >taken on the patient are recorded as observations. e.g. appendectomy ? > >This means the semantic knowledge of state vs. change_of_state is >buried pretty deep in the record. > I don't think so - it all depends on how one categorises these things in the archetypes. The categories of OBSERVATION, EVALUATION and INSTRUCTION are not what one sees on the screen - what one sees is due to archetypes. If you decide to create archetypes for OBSERVATION whose purpose is to record certain kinds of events, and certain kinds of states, this can be done. It could even be done in such a way that "event" and "state" were recognised as basic categories. Plans in general will be recorded as EVALUATIONs, but scheduled admiinstrations, interventions etc will be recorded as INSTRUCTIONs (which are not just the idea of a general plan, but have the intention of being exectuted, and carry sufficient info to be executed by a human or machine) - thomas beale - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
