Hi,

My thoughts.

If we assume that a code plus description plus coding system, etc as a unit
of information them the coding system and the version plus some more
attributes will indicate the "language".
Equally we can assume that any piece of text (not coded using a
classification or terminology) is coded using a code, descriptive text,
grammar, a coding system and version number plus some more attributes.
I see no difference between the handling of raw text and coding ro
terminological systems.

Handle both in the same generic way.

Gerard


On 2002-12-05 18:59, "Dipak Kalra" <d.kalra at chime.ucl.ac.uk> wrote:

> Dear Tom,
> 
> Sorry for the delay in replying. My remark was describing a situation
> that I believe to be realistic - that a health care session might take
> place in more than one language e.g. via an advocate or a relative.
> 
> If one stipulates that the set of coded terms within a whole
> Transaction must be recorded in one language, then clearly that does
> suggest a different rule needs to be offered for plain text. However, I
> was not necessarily implying that it is right for a whole Transaction
> to be in one language, although I could see Sam's reasons for proposing
> this, merely that this clinical scenario is a complication that needs
> to be considered. I note that Sam has suggested an alternative proposal
> - of linking together two transactions, one in each language. I am not
> sure how this would work for documenting a more interactive situation.
> 
> At this stage, I would prefer us to be exploratory about the various
> scenarios in which language issues arise and then to revisit our model.
> I am suspicious that our present approach might not be sufficient, but
> it may also be that I am being too fanciful in my ideas about how
> multi-lingual consultations might work. I was not at this stage
> intending to imply a particular information modelling approach to
> meeting this requirement.
> 
> With best wishes,
> 
> Dipak
> ________________________________________________________
> Dr Dipak Kalra
> Senior Clinical Lecturer in Health Informatics
> CHIME, University College London
> Holborn Union Building, Highgate Hill, London N19 5LW
> Direct Line: +44-20-7288-3362
> Fax: +44-20-7288-3322
> Web site: http://www.chime.ucl.ac.uk
> 
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