Hi Pablo, Thomas,

The attestation knowledge getting lost except perhaps in Dipak and Sam's minds 
is more often occurring in clinical models.

In the ISO technical specification for detailed clinical models there is an 
option to include such specific information in one of the clinical fields as 
evidence base, instruction or interpretation. Best used it it is a clinical 
mind required. 
Or in traceability to other standards if a specific guideline or protocol is 
used, or issues if it is a Modelling construct deployed in a specific way.

In your case I would complete some instruction how to handle the junior - 
senior clinical situation and to define how that must be expressed in ADL model 
in the issue field.

Of course such issue field would need to become part of ADL. Probably version 
2.2?

Vriendelijke groet,

Dr. William Goossen

Directeur Results 4 Care BV
+31654614458

> Op 15 nov. 2014 om 07:04 heeft openehr-technical-request at lists.openehr.org 
> het volgende geschreven:
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> Today's Topics:
> 
>   1. ORIGINAL_VERSION.attestations is needed in the IM? (pablo pazos)
>   2. Re: ORIGINAL_VERSION.attestations is needed in the IM?
>      (Thomas Beale)
>   3. RE: Postulate: DV_QUANTITY should be modelled with fewest
>      possible    units (Heather Leslie)
>   4. Re: ORIGINAL_VERSION.attestations is needed in the IM?
>      (Kalra, Dipak)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Fri, 14 Nov 2014 16:09:16 -0300
> From: pablo pazos <pazospablo at hotmail.com>
> To: openeh technical <openehr-technical at lists.openehr.org>
> Subject: ORIGINAL_VERSION.attestations is needed in the IM?
> Message-ID: <SNT151-W97F76A167D953EF12DACCC88C0 at phx.gbl>
> Content-Type: text/plain; charset="windows-1252"
> 
> I'm reviewing the versioning aspects of the IM for a new course I'm giving, 
> and I'm not understanding why we need more than one attestation per 
> ORIGINAL_VERSION.
> 
> A composition shouldn't be signed by just one person?
> 
> Also, I found a bug:
> 6.2.5. Contributions (in common_im page 41)
> attestation of item: a new ATTESTATION is added to the attestations list of 
> an existing ORIGINAL_VERSION; the ATTESTATION.commit_audit.change_type is set 
> to the code for ?attestation?.
> Should be VERSION.commit_audit_change_type.
> 
> -- 
> Kind regards,
> Eng. Pablo Pazos Guti?rrez
> http://cabolabs.com                         
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> ------------------------------
> 
> Message: 2
> Date: Fri, 14 Nov 2014 20:14:50 +0000
> From: Thomas Beale <thomas.beale at oceaninformatics.com>
> To: openehr-technical at lists.openehr.org
> Subject: Re: ORIGINAL_VERSION.attestations is needed in the IM?
> Message-ID: <546662BA.8000405 at oceaninformatics.com>
> Content-Type: text/plain; charset="windows-1252"; Format="flowed"
> 
> 
> Hi Pablo,
> 
> yep, it's correct as it is - the model satisfies the use case where 
> there can be more than on attestation. It was designed to deal with 
> things like (from memory) a junior doc attesting, and later a more 
> senior doc. These were clinical expert's requirements at the time, and 
> someone like Dipak Kalra or Sam Heard would remember the exact 
> situations it was designed for.
> 
> On the second one, could you please post a problem here 
> <http://www.openehr.org/issues/issues/?jql=project%20%3D%20SPECPR%20AND%20resolution%20%3D%20Unresolved%20ORDER%20BY%20priority%20DESC>,
>  
> so we don't forget it.
> 
> thanks
> 
> - thomas
> 
> 
>> On 14/11/2014 19:09, pablo pazos wrote:
>> I'm reviewing the versioning aspects of the IM for a new course I'm 
>> giving, and I'm not understanding _why we need more than one 
>> attestation per ORIGINAL_VERSION_.
>> 
>> A composition shouldn't be signed by just one person?
>> 
>> Also, I found a bug:
>> 6.2.5. Contributions (in common_im page 41)
>> attestation of item: a new ATTESTATION is added to the attestations 
>> list of an existing ORIGINAL_VERSION; 
>> theATTESTATION.commit_audit.change_type is set to the code for 
>> ?attestation?.
>> 
>> Should be VERSION.commit_audit_change_type.
> 
> 
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> 
> ------------------------------
> 
> Message: 3
> Date: Sat, 15 Nov 2014 05:03:29 +0000
> From: Heather Leslie <heather.leslie at oceaninformatics.com>
> To: For openEHR technical discussions
>    <openehr-technical at lists.openehr.org>
> Subject: RE: Postulate: DV_QUANTITY should be modelled with fewest
>    possible    units
> Message-ID:
>    <de5380b9c07f405faf552f21cc5a0a62 at 
> SIXPR06MB094.apcprd06.prod.outlook.com>
>    
> Content-Type: text/plain; charset="iso-8859-1"
> 
> Bj?rn, Thomas
> 
> You could potentially create a template for each archetype with this unit 
> issue, if you like, and govern it in the Norwegian CKM. That artefact can 
> then be published as the 'approved' Norwegian version of the international 
> archetype.
> 
> Templates of a single archetype are effectively a profile. We use this in 
> Ocean's implementations where we want consistent archetype constraints used 
> across multiple document templates.
> 
> Templates can then be used in other templates and these Norwegian-specific 
> constraints could be used consistently across templates within a single 
> clinical system and also across multiple clinical systems.
> 
> The only remaining issue would be to indicate that the template is the 
> preferred modelling artefact - not sure how we do that other than 
> notification in CKM. It would not be apparent to modellers deep in the tools, 
> and predominantly working with archetypes. Not sure how we could do that... :(
> 
> Regards
> 
> Heater
> 
> From: openEHR-technical [mailto:openehr-technical-bounces at 
> lists.openehr.org] On Behalf Of Thomas Beale
> Sent: Friday, 14 November 2014 8:04 PM
> To: openehr-technical at lists.openehr.org
> Subject: Re: Postulate: DV_QUANTITY should be modelled with fewest possible 
> units
> 
> On 14/11/2014 08:42, Bj?rn N?ss wrote:
> I have been thinking about profiling. I am not sure if this fix the problem 
> regarding complexity.
> This may be an governance thing. If we define a metric and british imperial 
> profile we may define that in Norway every application MUST use the metric 
> profile and other countries may select "british imperial". This could make it 
> easier to set up validation on entries.
> 
> Is this a usage you were thinking about?
> 
> 
> exactly. It requires defining the profiles in the archetypes as per my last 
> post. I can see that it could work for units, not sure about other things. If 
> such profiles were defined, it would then be possible to make a template tool 
> remove elements you don't want when creating templates. This would be done by 
> the normal means e.g.
> 
> path/to/imperial/quantity occurrences matches {0}
> 
> but it would be done for you, and noone would have to go looking for them.
> 
> - thomas
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> ------------------------------
> 
> Message: 4
> Date: Sat, 15 Nov 2014 06:04:24 +0000
> From: "Kalra, Dipak" <d.kalra at ucl.ac.uk>
> To: For openEHR technical discussions
>    <openehr-technical at lists.openehr.org>
> Subject: Re: ORIGINAL_VERSION.attestations is needed in the IM?
> Message-ID: <F8856553-BCAE-4807-ADD9-A491C8B734CA at ucl.ac.uk>
> Content-Type: text/plain; charset="windows-1252"
> 
> Dear Pablo,
> 
> This function originated from the need to support countersignature. There are 
> a number of clinical documents that need to be signed by more than one 
> person, such as a consent form, the report of an operation, or the 
> authorisation to detain a person in a mental healthcare institution. When 
> evolving to a more electronic solution for capturing consent, and other 
> situations where a legal record of care decisions or actions might need more 
> than one signature, we felt we should provide for the possibility that a 
> composition might need to be attested by more than one person.
> 
> With best wishes,
> 
> Dipak
> ________________________________________________________
> Dipak Kalra
> Clinical Professor of Health Informatics
> Centre for Health Informatics and Multiprofessional Education
> University College London
> 
> President, The EuroRec Institute
> Honorary Consultant, The Whittington Hospital NHS Trust, London
> 
> On 14 Nov 2014, at 21:14, Thomas Beale <thomas.beale at 
> oceaninformatics.com<mailto:thomas.beale at oceaninformatics.com>> wrote:
> 
> 
> Hi Pablo,
> 
> yep, it's correct as it is - the model satisfies the use case where there can 
> be more than on attestation. It was designed to deal with things like (from 
> memory) a junior doc attesting, and later a more senior doc. These were 
> clinical expert's requirements at the time, and someone like Dipak Kalra or 
> Sam Heard would remember the exact situations it was designed for.
> 
> On the second one, could you please post a problem 
> here<http://www.openehr.org/issues/issues/?jql=project%20%3D%20SPECPR%20AND%20resolution%20%3D%20Unresolved%20ORDER%20BY%20priority%20DESC>,
>  so we don't forget it.
> 
> thanks
> 
> - thomas
> 
> 
> On 14/11/2014 19:09, pablo pazos wrote:
> I'm reviewing the versioning aspects of the IM for a new course I'm giving, 
> and I'm not understanding why we need more than one attestation per 
> ORIGINAL_VERSION.
> 
> A composition shouldn't be signed by just one person?
> 
> Also, I found a bug:
> 6.2.5. Contributions (in common_im page 41)
> attestation of item: a new ATTESTATION is added to the attestations list of 
> an existing ORIGINAL_VERSION; the ATTESTATION.commit_audit.change_type is set 
> to the code for ?attestation?.
> 
> Should be VERSION.commit_audit_change_type.
> 
> 
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