As a point of interest, the "required" narrative section in CCD was an interim 
step because we (US) still have a number of sites that cannot accommodate 
structured data.  In my opinion it does not imply correctness.

Ed

From: openEHR-technical [mailto:[email protected]] On 
Behalf Of Thomas Beale
Sent: Tuesday, October 29, 2013 9:23 AM
To: openehr-technical at lists.openehr.org
Subject: Re: Instruction archetypes and overlaping nodes with 
INSTRUCTION.narrative


Indeed. We were very wary of this CDA style duplication, which from my point of 
view is pretty ambiguous if not downright 
problematic<http://wolandscat.net/2012/01/28/the-cda-dual-content-conundrum/>.

However, unless we develop some new formal relationship between the text and 
the structured part for orders and prescriptions - something which to do 
properly I think is probably a PhD thesis level of work - then for now we have 
to accept this bit of 'duplication' and understand it for what it is. A lot of 
work has been done in the UK in this area, and it may be that there is an 
answer already available - if anyone has information on it, would be useful to 
share.

- thomas

On 29/10/2013 11:48, Diego Bosc? wrote:

The thing is that this reminds me to the CDA narrative part, which is

the only "required" part. If I remember correctly, the only part that

can be assumed right is the narrative. But as openEHR gives a lot of

weight to the structured part, then it could be other way around.



And by the way, I also agree that "none" is a correct answer :)



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