Gerard Freriks wrote:

>
>
> Certain archetype fragments will be needed. They are the prototypic 
> ones. The ones I'm calling 'ancestor archetypes' are the standardised 
> starting points we use to derive archetypes of.
> They act as the start of families of archetypes.
> The ones dealing with observations, the ones expressing measurements, etc.
>
>
ah, well, you know my view on that! I beieve that basic categories such 
as Observation, Evaluation, Instruction and Act belong in the reference 
model, for two reasons:
a) it proves possible to devise formal models of such concepts which 
work for all possible specific types of the same concept. This is proven 
by building archeytpes. For example, no matter what kind of clinical 
observation we model with an archetype, the openEHR Observation concept 
still works. In some recent cases described by Grahame Grieve and Sam 
Heard, there may be a small change needed. This is how these classes can 
be evolved into solid, invariant definitions which work for all clinical 
uses.

b) we want to avoid the situation where archetype developers, or even 
develpers of 'proto-archetypes' are arguing about what an Observation, 
Evaluation etc are, and producing competing ancestor archetypes of 
differing versions of the concept. This will not help interoperability, 
and in any case, isn't even an interesting topic for most clinical 
people. They want to model concepts like "Haemaglobin A1c measurement", 
not "Observation". There is already a place for those that do want to 
debate what an Observation is: the reference model - they can always 
review that, and propose changes.

Sam and I have a paper under development which provides what we think is 
a solid theoretical and practical basis for basic types in the reference 
model, and provides a comprehensive typology of Entry subtypes. I think 
this will make the matter of what 'proto-archetypes' should and should 
not be used for clearer.

- thomas

-- 
___________________________________________________________________________________
CTO Ocean Informatics (http://www.OceanInformatics.biz)
Research Fellow, University College London (http://www.chime.ucl.ac.uk)
Chair Architectural Review Board, openEHR (http://www.openEHR.org)

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