So, if I understand well, the idea is to add an attribute for representing
clinical reasons for a null flavor, maintaining the current null_flavor for
technical reasons only. Is that right?

2017-01-25 13:34 GMT+01:00 Ian McNicoll <[email protected]>:

> Hi Diego,
>
> That's a pretty good suggestion, although in that case we are really
> abandoning the idea of the current fixed base set of 'technical'
> null-flavours and allowing them to be replaced by local terms, while I was
> suggesting something more like the ISM_TRANSITION setup where
> archetype-specific 'clinical overlays' can be provided via the archetyped
> careflow_steps but are always associated with the underlying state_machine
> and current_status attribute.
>
> Ian
>
>
>
> Dr Ian McNicoll
> mobile +44 (0)775 209 7859 <+44%207752%20097859>
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>
> Co-Chair, openEHR Foundation [email protected]
> Director, freshEHR Clinical Informatics Ltd.
> Director, HANDIHealth CIC
> Hon. Senior Research Associate, CHIME, UCL
>
> On 25 January 2017 at 11:54, Diego Boscá <[email protected]> wrote:
>
>> If null_flavour is a DV_CODED_TEXT, what stops anyone to create an
>> specialized archetype (directly from an rm class) that has the texts
>> (+ codes) needed in a given country/use case?
>> This probably should work even if set of null_flavour codes is fixed.
>> I don't know if this would be enough, but in theory it provides a
>> workaround for all issues (except the cluster one)
>>
>> 2017-01-25 12:33 GMT+01:00 Thomas Beale <[email protected]>:
>> >
>> > Silje has just pinged me again on the question of whether we should
>> have an
>> > ELEMENT.null-reason or similar attribute to accommodate specific
>> reasons for
>> > null_flavour being set. There are 3 PRs on this as follows:
>> >
>> > SPECPR-41 - Enable content specific flavours of null to be specified per
>> > archetype
>> > SPECPR-62 - Add a 'reason for null' text attribute in the Reference
>> model
>> > SPECPR-119 - CLUSTER also needs a Null_flavour
>> > SPECPR-151 - Add an attribute to ELEMENT to record 'null reason'
>> >
>> > These are all reporting the same problem. (The last one can probably be
>> > closed as a direct duplicate of SPECPR-62). Having re-read the comments
>> on
>> > all, my inclination is to propose the simple addition of an attribute
>> > null_reason: DV_TEXT[0..1] to the ELEMENT class. This would be optional
>> and
>> > will not invalidate any existing data, but on the downside it will be a
>> data
>> > field that will often be emtpy (i.e. Void, or 'null' in the Java/C
>> sense).
>> >
>> > What would the general reaction to proposing this change be?
>> >
>> > - thomas
>> >
>> >
>> >
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-- 
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)
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