Sam,

According to me:
- Observations have in reality points in time or ranges attached to it
- As do Evaluations about processes in the patient system they  have in reality 
times attached to them. Inferences are made at a point in time, but relate to 
inferred processes that come and go, or are believed to be present, or not, 
during a period of time.
- As do Instructions
- As do Actions

Time is never is a discriminating factor that sets Observations apart from the 
other Entry types.

Gerard Freriks
+31 620347088
gfrer at luna.nl




On 21 Jun 2012, at 14:21, Sam Heard wrote:

> Hi Diego
> 
> I think David Ingram has made a valuable contribution; these are empirical 
> solutions to real problems in real systems. The reality of OBSERVATION is 
> that it deals with point in times, intervals ( max, min etc) and analogue 
> readings. These need to be handled consistently or we end up with 
> combinatorial explosion - lab glucose in LOINC is over 200 codes.
> 
> Satre said that "belief is confusing things with their names". We need to 
> look at the classes and the utility provided. When we have a small number of 
> archetypes there is no doubt we can manage these things with slots etc. But 
> this requires massive alignment very early in the piece.
> 
> Cheers, Sam
> 

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