2016-12-02 14:22 GMT+01:00 Thomas Beale <[email protected]>: > > > I see the case of Silje from a different perspective. What she is asking > is if we can document the participants of each Element inside the Entry. So > far this is not possible, as Entries have been always seen as a whole > clinical statement, with all participants assigned to that level. > > > From a realist perspective, the phrase 'participants of an Element' > doesn't completely make sense - an Element is just an atom of information > that is part of something else. You can only participate in an 'activity' > (an Activity that has been performed in openEHR is an Action; an activity > that generates information is usually an Observation, with the protocol > part indicating how it was done), and to express the activity generally > takes 1..N Elements in some sort of structure, including timing etc. If two > different activities are being reported inside the same Entry, there are > two possible conclusions: > > 1. it should really be two Entries > 2. they are just considered detailed items within the larger activity > documented by he Entry. > > I think we need to be more careful on the meanings of the primitives in > the RM - in any RM in fact - they are regularly abused within all RMs I > see, including CDA, FHIR, even HL7v2. It always seems OK from a human > perspective, but we say good-bye to computable information when we do that. > > > That was exactly my point ;-)
I was not advocating for including participations at the ELEMENT level. On the contrary, I was remembering that it can only be done at the ENTRY level. In the case of Silje, the histopathology findings archetype that can be found at the CKM is a CLUSTER ( http://www.openehr.org/ckm/#showArchetype_1013.1.2680). So, it is not possible to add there the participation information to inform about who did the macro or micro findings as she wanted. The alternative I proposed without modifying the current RM is, as you also said, to create two different ENTRYs. -- David Moner Cano Grupo de Informática Biomédica - IBIME Instituto ITACA http://www.ibime.upv.es http://www.linkedin.com/in/davidmoner Universidad Politécnica de Valencia (UPV) Camino de Vera, s/n, Edificio G-8, Acceso B, 3ª planta Valencia – 46022 (España)
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