Hi,

About a year ago Thomas published a draft of some detailed
artefact identification proposals at
http://www.openehr.org/svn/specification/TRUNK/publishing/architecture/am/knowledge_id_system.pdf

to help with the rapidly approaching scenario of having to cope with
similarly named artefacts being published by different authorities. We are
starting to see this scenario emerging  in real-world projects and whilst
potential collisions can be managed informally for now, we will need a
formal mechanism before long.

I would like to raise one aspect which I think might need re-thought on the
basis of recent IHTSDO proposal for SNOMED covering the same ground.

In the pdf Thomas says

" When an archetype is moved from its original PO (e.g. a local health
authority, or a specialist peak
body) to a more central authoring domain (e.g. a national library,
openEHR.org) its namespace will be
changed to the new domain, as part of the review and handover process. The
archetype's semantic
definition may or may not change. In order for tools to know that an
archetype was not created new
locally, but was moved from another PO, an explicit reference statement can
be made in the archetype
in the description section of an archetype as follows:"

id_history = <?se.skl.epj::openEHR-EHR-EVALUATION.problem.v1?

The IHTSDO proposals cover  the same scenario i.e a SNOMED code originally
authored in one namespace subsequently being managed in a new namespace. A
good example might be a SNOMED term which is originally used t a national
level but is then adopted internationally. They suggest that the term keeps
its original authored namespace, and it is the namespace of the managing
entity that changes, arguing that this is much less disruptive to systems
that are using the term concerned.

I think we should consider adopting the same approach for openEHR
archetypes, as otherwise the formal identifier of an archetype will change
if a locally developed archetype becomes promoted to international use, a
relatively common occurrence.

We would then need to record the current publisher so that the agency with
current responsibility could be identified
current_publisher = <?se.skl.epj?>

Thoughts would be welcome as I think we need to start making these (or
alternative) specifications formal to enable tooling and application support
to go ahead.

Ian

Dr Ian McNicoll
office +44 (0)1536 414994
fax +44 (0)1536 516317
mobile +44 (0)775 209 7859
skype ianmcnicoll
ian.mcnicoll at oceaninformatics.com

Clinical analyst, Ocean Informatics, UK
openEHR Clinical Knowledge Editor www.openehr.org/knowledge
Honorary Senior Research Associate, CHIME, UCL
BCS Primary Health Care  www.phcsg.org
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