Hi Olef,

As well as being bound to multiple languages, the at-codes can be bound to
terms from external terminologies such as ICD or SNOMED. It is this sort of
term-binding that I think mirrors what needs to be done in your case.

The issue that I do not fully understand is how this might work with a
locally defined terminolgy like yours, rather than a terminology formally
registered with UMLS.

Ian


Dr Ian McNicoll
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ian at mcmi.co.uk

Clinical Analyst - Ocean Informatics ian.mcnicoll at oceaninformatics.com

Member of BCS Primary Health Care Specialist Group ? www.phcsg.org


2008/11/26 Olof Torgersson <oloft at chalmers.se>

> Hi,
> Thanks for your reply. I'm aware of the at-codes and that archetypes can
> (and do) exist in multiple languages.
>
> However, this means that a term/attribute/variable ( or whatever you call
> the parents of actual data-items) have names like
> /a/b/c/d[at0033]g/h, which are not understandable for clinicians.
>
> Now imagine that you want to analyze some clinical data using Excel, SPSS,
> or some visual data mining tool. Then one does not want to display at-codes,
> and displaying the rather descriptive 'text'-phrases is not optimal either.
> It would be better to have a short agreed upon name.
>
> Regards
>
> Olof
>
> 25 nov 2008 kl. 23.47 skrev Hugh Leslie:
>
> Hi Olof
>
> This is exactly how openEHR works.  If you have a look at the underlying
> adl for the archetype you will see that each semantic element is assigned an
> 'at' code which is your idea of a language independent term.  The text and
> the description that is shown in the tools is actually in a language based
> ontology section in the adl and each archetype can have one or more
> languages in its ontology.  Archetypes themselves have no language primacy
> and there are now many archetypes that have multiple languages.
>
> If you are using the openEHR clinical knowledge manager (at
> www.openehr.org/knowledge) then you can set the language that you want to
> view the archetype in.  The Ocean archetype editor allows you to view
> archetypes in different languages as well and translate the archetypes as I
> assume does the Java AE.  In the Ocean editor, there is a Language menu
> where you can add a new language or select to view one already present.  An
> example to look at is the Blood Pressure archetype that already has a number
> of translations.
>
> regards Hugh
>
> Olof Torgersson wrote:
>
> Hi,
> In openEHR there are two labels 'text' and 'description' used.
>
> For instance
>
> text = "Increased bowel sounds"
> description="Bowel sounds are more intense than normal"
>
> In the tools I have tested 'text' is used as a label to input fields.
>
> To me it would have been more natural to have 3 items, let's say 'term',
> 'text' and 'description' where term could be some agreed
> upon language independent code and text and description are localised into
> different languages.
>
> I guess this has been considered, but my question then is if something like
> this was considered what were the reasons for discarding
> such an approach?
>
> Regards
>
> Olof Torgersson
>
> ---
> Olof Torgersson
>
> Associate Professor
> Department of Computer Science and Engineering
> Chalmers University of Technology and G?teborg University
> SE-412 96 G?teborg, Sweden
>
> email: oloft at chalmers.se
> phone: +46 31 772 54 06
>
>
>
>
>
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> --
> ________________________________________________
> Dr Hugh Leslie MBBS, Dip. Obs. RACOG, FRACGP, FACHI
> Clinical Director
> Ocean Informatics Pty Ltd
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> ---
> Olof Torgersson
>
> Associate Professor
> Department of Computer Science and Engineering
> Chalmers University of Technology and G?teborg University
> SE-412 96 G?teborg, Sweden
>
> email: oloft at chalmers.se
> phone: +46 31 772 54 06
>
>
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