Thomas,

read below.

Gerard
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Gerard Freriks, arts
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On 22-aug-2005, at 13:07, Thomas Beale wrote:

> 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.

The items you mention have to be part of a standard. We agree fully.
The reference model or an other place is fine. As long as it is part  
of a standard.

The problem is where? I reserved in my mind part 3 of EHRcom for this.

>
> 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.

Looking forward to an early draft.
It will get my full attention.

GF
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