Caution; a bit of a rant ahead.... On Mon, 2009-03-16 at 14:34 +0000, Thomas Beale wrote:
> it already can, regardless of demographics, because such clinically > relevant data as date of birth and sex are recorded in the EHR anyway - > you would not attempt to do a join across EHR and demographic services > to answer that query. Although, if you had a service more oriented to > demographics + admin events, you could potentially satisfy this query on > it; however, in general, clinical queries will refer to a mixture of > basic data like age, sex, maybe occupation (where relevant to health) > etc, as well as the 'hard' clinical data; they would normally be run on > an EHR containing this data. Maybe I should ask a question first. Are we building a model JUST for personal healthcare; or for general healthcare? I ask this because I get the impression from Thomas' statement (and the overall all direction of archetypes. That the mind set is that healthcare information is ONLY personal. In fact healthcare involves us and everything around us. Our living spaces, our working spaces, the people that we come into contact with. We cannot separate our health events from our environment (geographical or social). I thought that I was aware of this when I lived in the US, Canada, Sweden and studied in the UK. However, living and working in a developing country for one year now has made me realize just how industrialized and general practice oriented the archetypes are for openEHR. I sincerely believe that the RM is in good shape (okay we (OSHIP) plan to bring on some bio-informaticians and that may change things in the RM just a bit). While as an American I love the ability built into the openEHR model to separate demographics from clinical; in the real (larger) world, in many cases, that demographic information is CRUCIAL to healthcare systems to see what is happening in a region. I was the first one to complain (to Sergio) that Rigoleta's archetypes didn't comply with the RM (I couldn't implement them). I should have been complaining to the ARB that we were not ISO 22220 compliant???? I am as remiss as everyone else in not filing CR's so that these changes can go through the proper channels and be decided and changed. openEHR has a wonderfully organized change manangement system. We should all use it. <my rant for today> Stay tuned for tomorrow's rant on why climate change is evolutionary. :-) Cheers, Tim ....now back to making the Python archetype builder actually build archetype instances...... -- 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* ************************************************************** -------------- next part -------------- A non-text attachment was scrubbed... Name: signature.asc Type: application/pgp-signature Size: 189 bytes Desc: This is a digitally signed message part URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20090316/7ea59c2d/attachment.asc>
