Hi Philippe,

Well I started in the domain 20 weeks ago and I didn't know anything
back then (in the old days). I'm currently on my way of finishing my
master's thesis, so I cannot say I have the experience to answer your
questions ;-)

PS. Your questions are sensible though, no offense

Cheers,

Mattias

> Hi Mattias,
> 
> The more I work on medical information systems, and the less I 
> believe 
> that the structure is more important than the terminology.
> 
> To be a little bit more accurate, my opinion is that any health 
> information system is there to "tell stories".
> I started in the domain 20 years ago with endoscopy reports : the 
> story 
> to tell was a 10 to 20 minutes medical act. Now, for many reasons 
> (but 
> it would be too long to explain it there), the "big thing" is 
> continuity 
> of care, and the challenge is to be able to tell someone's whole 
> medical 
> journey.
> 
> So, how can we tell these stories (from a 10 minutes encounter to 
> the 
> whole life and the fighting strategies to remain as healthy as 
> possible) ?
> The answer is rather simple (at least to express) : we need to make 
> "sentences". And to make sentences requires a grammar (the 
> discourse 
> structure) and a vocabulary (to populate the discourse structure).
> 
> Is it possible to have a discourse structure that can "host" any 
> terminology ?
> My personal answer is 'no', but maybe I try to tell more complex 
> stories 
> than you intend, or maybe you have a more powerful technological 
> solution.
> At large, I can ask you a question : do you think that you could 
> communicate using the english grammar and let people choose any 
> other 
> language's vocabulary to populate it ?
> You can answer that natural language is more complex that formal 
> language, but I can say that the more complex the story you intend 
> to 
> tell and the closer they need to be.
> 
> Regards,
> 
> Philippe
> 
> > The important thing in openEHR archetypes is the structure of 
> them. As 
> > long as there is a structure that is equal for both "Weight" and 
> > "Bodyweight", it shouldn't be a problem. The allowed information 
> model 
> > structures in archetypes is what really matters and the terms can 
> > always be bound to external terminologies to create a mutual 
> > understanding.
> >
> > Regards,
> >
> > Mattias Forss
> >
> >
> >
> 
> 

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