Hi David,

Thanks for the reply.

On Thu, 2010-12-02 at 22:54 +0100, David Moner wrote:
> Maybe I do not have the knowledge to give a valid clinical example but
> it is reasonable to think that constraining an archetype in the way a
> template does can influence the interpretation of the data.

What is reasonable is subjective; but okay.

> Imagine you have a set of archetypes and you define a template
> constraining some items to not allowed. 

Okay. 

> You use that template to fill
> some data and then you require the collaboration of a physician from
> an external organisation. You share the archetypes but not the
> template. And then the other physician fills some more data (including
> the one you marked as not allowed) and returns it to you.

Okay.

>  There is the
> problem, when you revise the data using again your own template you
> will never see part of the new data and that can affect your
> interpretation of it.

It that *is* a problem then ==> Bad application design.

> That's why structural templates must be also shared in some cases.

#1. You do not revise data in a health record.  You version it with
additional information.

#2. Any well designed archetype / template combination is going to use
the same 'data structure'.  Irregardless of the available options.  

#3.  The templates you use should only restrict data entry.  It should
not filter existing data of the same structure.  If it does; there goes
interoperability. Along with the entire premise for the use of and
purpose of archetypes.

--Tim










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