> Actually the use case is as follows:

We can call it the MD2 use case! :)

> This may not seem idealistic but this the reality of what existing systems
> do and existing users are used to.  If openEHR is to be taken up by existing
> system vendors and accepted by their users, we must support this existing
> non-idealistic paradigm in a way that does not too much overhead on the
> system and its implementers.

I don't understand why this requires anything special at all regarding
archetypes? Surely it is a composition with some sections, and in
those sections might be an uncoded 'story' about the encounter, and
then some other coded archetypes.

If there is duplication of information, then IMHO
they will need to see the duplicate information - once, as you say, they have
copied the structured content into the note as text it has indeed lost its
connection to the original data. I can't see how you could in good
faith then indicate that any of the coded structured data is
'duplicate' information unless you could
actually ensure that the text is also still present in the uncoded
story - and if you can do that strong linking check with
any degree of reliability then the whole problem doesn't really exist?

Andrew

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