Hi David, I haven't been involved in the instruction/action modelling recently but I know that this principle of having the same item structure archetype girl the activity and action was preferred in the early days, it has recently deviated for some archetypes at least as the information requirements didn't align with this principle. I will leave it to the modellers to comment further.
I personally think that there should be more information in the action than the instruction but can also see the efficiencies of having minimal information in the action when an action can occur many times for any particular instruction. I guess it comes down to the the use case but my rule would be that only information that is common to all actions should go in the instruction otherwise you need to update the instruction as you go through the state transitions, which in my view is not desirable. Regards Heath On 7 Apr 2015, at 7:07 pm, "David Moner" <damoca at gmail.com<mailto:damoca at gmail.com>> wrote: The recommendation is to always use the same archetypes you would have used to originally record that information. That is the best way to ensure the systems work when retrieving information. For example if you query about medications taken by the patient you only have to query the ACTION archetype instead of searching information scattered in other archetypes. David 2015-04-07 11:19 GMT+02:00 pazospablo at hotmail.com<mailto:pazospablo at hotmail.com> <pazospablo at hotmail.com<mailto:pazospablo at hotmail.com>>: Hi David. A medication taken should be an action or an observation? What matters more, the event of taking the drug ot yhat thr drug eas taken? I think the latter can occur when a doctor asks the patient for medication taken. I agree the real time record of the event can also occur. Thanks! Sent from my LG Mobile ------ Original message------ From: David Moner Date: Tue, Apr 7, 2015 03:41 To: For openEHR clinical discussions; Cc: openehr-technical at lists.openehr.org<mailto:openehr-technical at lists.openehr.org>; Subject:Re: ACTION just as event trigger Hi Pablo, Think that an ACTION can happen without any previous instruction. For example, a medication taken without a previous prescription. That information has to be stored not just as a log, but as proper clinical data. So it seems OK that ACTION includes part of the clinical record. David 2015-04-07 4<tel:2015-04-07%204>:06 GMT+02:00 pazospablo at hotmail.com<mailto:pazospablo at hotmail.com> <pazospablo at hotmail.com<mailto:pazospablo at hotmail.com>>: A couple of week ago someone mebtioned that ACTION archetypes are not being developed or used a lot, and maybe is because we actually don't need to put data on ACTIONs as part of the clinical record, but maybe only as event trigger and logs of ehat happened. With tgis I mean: ACTION recording might be used ti send notifications to other statems (like whe a lab test is done, the results are sent or queried), or to keep the log of real world events that happened and may change the status of another entity (i.e. INSTRUCTION/ACTIVITY). What is the opinion of the community about the role of the ACTION ENTRY in the openEHR Information Model and as a EHR entity, from the point of view of it's use in current systems? Thanks, Pablo. Sent from my LG Mobile _______________________________________________ openEHR-clinical mailing list openEHR-clinical at lists.openehr.org<mailto:openEHR-clinical at lists.openehr.org> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org<http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists..openehr.org> -- David Moner Cano Grupo de Inform?tica Biom?dica - IBIME Instituto ITACA http://www.ibime.upv.es http://www.linkedin.com/in/davidmoner Universidad Polit?cnica de Valencia (UPV) Camino de Vera, s/n, Edificio G-8, Acceso B, 3? planta Valencia - 46022 (Espa?a) -- David Moner Cano Grupo de Inform?tica Biom?dica - IBIME Instituto ITACA http://www.ibime.upv.es http://www.linkedin.com/in/davidmoner Universidad Polit?cnica de Valencia (UPV) Camino de Vera, s/n, Edificio G-8, Acceso B, 3? planta Valencia - 46022 (Espa?a) _______________________________________________ openEHR-clinical mailing list openEHR-clinical at lists.openehr.org<mailto:openEHR-clinical at lists.openehr.org> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/pipermail/openehr-technical_lists.openehr.org/attachments/20150407/2e90d000/attachment-0001.html>
