After studying the openEHR demographic model, I am stuck now in the 
section about demographic relationships. Until now my objective for 
incorporating family relationships into the EHR was to add an interface 
at the family history archetype, i.e. in the Evaluation Concept for 
Family History. However it seems to me that I have two possibilities 
representing family relationships, either through the Family History 
archetype (inside the EHR) or through the demographic model (outside the 
EHR). I can see the problem of incorporating relationships into the 
Family History archetype, which is that not all subjects of care will 
have this archetyped information stored in their EHR. For the other 
approach through the demographic model, all subject entities can be 
linked with each other  representing - as you indicate in the section - 
a family network, depending on the implementation of the model.

My question: Do you also see this two possiblities for family 
relationships? How would the reference model being used for interpatient 
relationships? A third way, however would be to create another 
archetype, which supplies the concepts for inter-family relationships, 
even the family members do not yet have a problem....

Any thoughts on thgis topic are highly appreciated.

Thanks,

Andreas Hoeller
Vienna, Austria


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