Gerard Freriks wrote:

> Thomas,
>
> read below.
>
> Gerard
>
> --  <private> --
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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.

Don't forget the new work item - the Archetype Knowledge Framework. In 
this there is the 'Domain Base Concept Model' - it is an agreed UML 
model on which to base interoperable archetypes. We believe it will look 
a lot like openEHR, but my most recent analysis is that it won't be the 
same; openEHR is slightly deficient in places. The needs of the Danish 
G-EPJ would also be directly addressed.

- thomas

>
>>
>> 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



-- 
___________________________________________________________________________________
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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