Dr LONJON Roger wrote:

>hello philippe and thomas,
>excuse me to intervene, in English of bad quality.
>in medicine for me, a result must be validated and must be signed by the
>producer. This result is therefore automatically a total confidence level. It
>is a very important notion on the legal plan when these results are put to
>disposition on a shared medical file (server web)
>
>Inversely if this result is approximate, with a coefficient of mistake
>importing, it is not about a validated data and therefore publishable, because
>consequences in r?ponsabilit? for their author are unforeseeable if the patient
>carries complaint.
>
>I am unaware of this aspect of the problem so enters in your reflection.
>  
>
It is actually quite common: consider that in a differential diagnosis, 
confidences are always expressed in each of the possible diagnosesa, 
e.g. 90%, 9%, 1% for possible reasons for a child's fever. I don't see 
it as being about mistakes, it's about the estimation by a clinical 
professional of the probability of correctness of an opinion. In 
openEHR, confidences always appear in data of the EVALUATION type. There 
is no question of clinician confidence in OBSERVATIONs - they are for 
all intents objective. Of course, machines may have limited accuracy 
(inbuilt error) and numeric results may be reported with limited 
precision; these situations can be archetyped.

- thomas

>Cordially
>
>Dr R LONJON
>france
>  
>


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