In a message dated 7-11-2008 9:24:56 W. Europe Standard Time, 
thomas.beale at oceaninformatics.com writes: 
> William,
> 
> I don't know what DCM is 'using' - is there are new formalism?
> 
> - thomas
> 

Detailed Clinical Modelling is currently using multiple formats:

1.    For legacy systems to extract clinical knowledge, and to come up with 
an expression that 2 and 3 below at least can use: UML

2.    For messaging HL7 v3:  template formalism (i.e. HL7 v3 XML and 
schematron)

3.    For 13606 RIM based archetyping: ADL

4.    For some testing of multiple sets of constraints: OWL (see Rector and 
Marley work on medications).

Purposes of DCM include:
1] to allow quality of clinical content to be discussed and verified by 
clinicians,  
2] setting quality criteria for what should be in an archetype / template / 
DCM (what was discussed in Brisbane meeting last year)
3] making sure that in any transform from one formalism to another the 
robustness of clinical content remains. If we could express all we need in an 
ADL 
editor we would be ready and could step over. But ADL is missing several 
important features at the moment, including process related, decision support 
related 
and message exchange related features. For instance, we cannot include a 
display text if a coded ordinal is required. 
And we do not know how to express the formula, or logic between multiple 
variables in an archetype, e.g. how a total score is obtained. 
4] setting criteria for repositories so that we can share amongst the 
different standards and deploying communities. 

I would like to attach a recent paper on it, but it usually gets stripped of 
when submitting to the list. 

If an ADL editor would allow expressing some additional features, allowing to 
convert ADL to HL7 v3 XML, the discussion would be obsolete for the formalism 
part of things. I have seen the ADL in HL7 v2 messages which looks very 
promising and at least allows us to move further with the definition of 
clinical 
content. 



Sincerely yours,

dr. William TF Goossen
director 
Results 4 Care b.v.
De Stinse 15
3823 VM Amersfoort
the Netherlands
email: Results4Care at cs.com
phone + 31654614458
fax +3133 2570169
www.results4care.nl
Dutch Chamber of Commerce number: 32133713 
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