On 21/06/2012 17:08, Thomas Beale wrote:
>
> Now consider the diagnosis archetype (an instance of the 'opinion' aka 
> 'description' type)... it contains the main 'proposition' - i.e. the 
> identified index condition, diabetes or whatever - and a bunch of 
> times / dates / durations / other descriptive details. So how is this 
> not time-based? Well we need to consider that what this information is 
> really doing is drawing a picture of temporal disease course, in terms 
> of these dates and times and durations. These are a way of qualifying 
> the main statement of Diabetes - it is recent, severe, intermittant 
> (symptoms) etc?
>
>

one thing I forgot to mention is that obviously the primary recordings 
of the events summarised in the diagnosis will normally have occurred 
previously in time, and be scattered about in the health record, 
although this need not be the case of course - someone can come in one 
day and report headaches for the last 6 months. The point is that the 
date/time information in the diagnosis is a summary of things considered 
salient by the clinician to build up a picture on which the diagnosis is 
based.

- thomas



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