In a separate thread Koray suggested:

"... do you think it would also be a good time to discuss the cases where
some custom defined/non included units need to be added for some properties
in DV_QUANTITY. You may remember our discussions around 'French' as Gauge
unit - which is not allowed currently. Although this may safely be added to
terminology I think many more will follow when people really get into niche
highly structured  clinical modelling."

which raises a more general issue of governance arrangements for the openEHR
terminology and associated Amount properties terminology. There has been
some discussion, and I think consensus about using the Java implementation
terminology definitions as the source of truth, but the issue remains as to
how changes to these definitions and the properties definitions are to be
managed, including translation.

We need to have clear lines of communication and responsibility for acting
on requests to update these terminologies. A number of possibilities exist
but I wonder if this might not be usefully carried out within CKM, which has
high visibility, and mechanisms for editorial control and review. Request's
like Koray's will be reasonably common - we need to establish a reliable
mechanism for handling these, and changes to UCUM etc

I would be interested in other suggestions - the 'delivery' mechanism wiki,
svn , CKM etc is less important than the governance / review process behind
it. I also feel this is primarily a technical activity but will probably
need somre clinical input as a sanity check.

We also need to think about these issues in relation to possible alignment
with IHTSDO e.g should we start to think about using SNOMED-like primary
technical representations.


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 openEHR Archetype Editorial Group
Member BCS Primary Health Care SG Group www.phcsg.org / BCS Health Scotland
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