I have been having an email conversation with Sebastian Iancu of Code24
about some issues concerning the design of the Demographics
PARTY_IDENTITY.person_name.v1

http://www.openehr.org/knowledge/OKM.html#showArchetype_1013.1.477

There were 2 key areas discussed:

1. In 'Person identifier' the concept name of the archetype has a 'run-time
constraint' allowing the archetype concept to be re-defined at
Template/tun-time. e.g the original name of the archetype is 'person
identifier' which may be re-defined i.e.

  *Concept name*
   Person name
Runtime name constraint:
 *Choice of:*

   - Coded Text
      - Reporting name [The subject?s name as it is to be used for
      reporting, when used with a specific identifier.]
      - Newborn name [A type reserved for the identification of unnamed
      newborn babies.]
      - Professional or business name [The name used by the subject for
      business or professional purposes.]
      - Maiden name [The name used by the subject of care prior to
      marriage.]
      - Legal name [Registered name (Legal name).]
      - Other name [Any other name by which the subject is known, or has
      been known by in the past.]
   - Free or coded text

The constraint is deliberately left open (via the 'Free or coded text'
choice) as we felt that we could not be certain that the Code Text options
(derived from ISO) were universally applicable and that other national name
categories are likely to be required in the forseeable future.

The concept name constraint approach for compatibility with the purpose()
function in the RM class:

 purpose() : DV_TEXT<http://_9_0_76d0249_1109068213265_877931_4246report.html/>
    Purpose of identity, e.g. ?legal?, ?stagename?, ?nickname?, ?tribal
name?, ?trading name?. Taken from value of inherited name attribute.


2. A related but broader issue is how/where we should define the terms for
such a constraint - in the openEHR terminology, in the archetype as local
atcodes, or in an external terminology such as Snomed.

I am reasonably confident that we have adopted the correct approach to these
design issues and will post my own thoughts and replies, but I felt that the
topic merited wider discussion, particularly as Sebastian has explained his
concerns so clearly and is happy to move the discussion to the lists.

Sebastian's latest reply to me needs to be in a separate post as the
combined message is too large for the email server.

I hope a lively debate will ensue :-)


Regards,

Ian

Dr Ian McNicoll
office / fax  +44(0)141 560 4657
mobile +44 (0)775 209 7859
skype ianmcnicoll
ian.mcnicoll at oceaninformatics.com
ian at mcmi.co.uk

Clinical Analyst  Ocean Informatics
Honorary Senior Research Associate, CHIME, University College London
openEHR Archetype Editorial Group
Member BCS Primary Health Care SG Group www.phcsg.org / BCS Health Scotland
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