On Mon, Jun 2, 2008 at 3:42 PM, Thilo Schuler <thilo.schuler at gmail.com>
wrote:

> Yes, agree on the querying ... and for querying we need structured content!
>
> As Sam and I noticed before this has to be considered when designing
> archetypes. This doesn't mean there shouldn't be free-text fields,
> this is a very valid requirement in clinical medicine!
>
> Thus, when designing archtypes the art is to find the balance between
> free-text (max. flexibility) and structured content. In my mind  we
> often have to offer *both* in an archetype. If I want to create a
> local application with lots of DSS I create a template that uses
> mostly the structured parts of the archetype. If I want maximum
> freedom I use mostly the free-text parts.
>
> Another scenario is that I receive information from another
> archetype-enabled system: The receiving system doesn't know whether
> the sending system had used the archtype in a flexible (free-text) or
> in a structured way. To allow the receiving system to decide whether
> it can use DSS with this information I see two options:
> 1) We have a root archetype that optionally offers both (free-text and
> structured) and we specialise a "DSS optimised" archetype from it. So
> only if the DSS optimised archetype was used, much DSS is can be
> offered.
> 2) Or we create generic archetype design patterns with switch-like
> constructs (i.e. if this option option was chosen I can rely on these
> other attributes to be available as well) so the receiving system's
> DSS engine can do a kind of archetype-introspection to decide what it
> can use and what not.


Interesting thoughts, Thilo.

With well-defined structure and semantics of the models, I see possibilities
to automate conversions between free-text and structured data. From
structured data to free text is probably achievable already. From free text
to structured data (text mining) is harder but with pre-defined context and
the semantics in the archetypes, it is maybe doable. Applications around
this will be very useful add-ons to archetype based systems.
/Rong




>
>
> Just early thoughts. What do others think?
>
>
> On Mon, Jun 2, 2008 at 9:55 AM, Heath Frankel
> <heath.frankel at oceaninformatics.com> wrote:
> > Thilo,
> > I think the key thing that needs to be considered in Archetype design to
> > support Decision Support is querying.
> >
> > Heath
> >
> >> -----Original Message-----
> >> From: openehr-technical-bounces at openehr.org [mailto:openehr-technical-
> >> bounces at openehr.org] On Behalf Of Thilo Schuler
> >> Sent: Saturday, 31 May 2008 8:13 PM
> >> To: timothywayne.cook at gmail.com; For openEHR technical discussions
> >> Subject: Re: Decision Support was: MIE-2008
> >>
> >> I am also interested. I wonder how much decision support has to be
> >> considered when designing archetypes. In the near and midterm future
> >> decision support will probably mostly happen on a local (i.e.
> >> template) level, but I still assume that there should be design
> >> patterns of the underlying archetypes that make local decision support
> >> feasible.
> >>
> >> -Thilo
> >>
> >> On Sat, May 31, 2008 at 1:38 AM, Tim Cook <timothywayne.cook at gmail.com>
> > wrote:
> >> >
> >> > On Fri, 2008-05-30 at 15:19 +0100, Sam Heard wrote:
> >> >> I wonder if we should have a particular list for people who are
> > interested
> >> in working with openEHR from a decision support point of view.
> >> >> This may not be appropriate just yet but I believe it will generate a
> >> considerably different intellectual space. I wonder what others think?
> >> >
> >> > I am certainly interested.  It is the core of my interest semantic
> >> > information management in healthcare and my primary driver for being
> >> > involved in the EGADSS project http://egadss.sourceforge.net/
> >> > Though I was out voted by HL7v3 and Arden Syntax MLM proponents so I
> >> > left the project.
> >> >
> >> >
> >> >
> >> > --
> >> > Timothy Cook, MSc
> >> > Health Informatics Research & Development Services
> >> > LinkedIn Profile:http://www.linkedin.com/in/timothywaynecook
> >> > Skype ID == timothy.cook
> >> > **************************************************************
> >> > *You may get my Public GPG key from  popular keyservers or   *
> >> > *from this link http://timothywayne.cook.googlepages.com/home*
> >> > **************************************************************
> >> >
> >> > _______________________________________________
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> >> >
> >> >
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