Hi Thomas,

I think I'm missing something:

"...previous measurement is not necessarily in the data set."

>From that ^ I understand the reference value from which the "change" is
measure & recorded is not on the HISTORY time series.

"...one would expect the first value in a HISTORY of EVENTs..."

And that ^ seems to point on the other way. **confused**


I'm inclined to have an initial absolute / reference value, then the
"changes" (deltas, increase, decrease, ...) to be recorded in the same
HISTORY.data time series. IMO this needs clinical validation, but my
assumption os if "reference" and "changes" are not recorded together, there
is missing context for the "change" records that should be resolved in
software (if the specs don't provide a recommendation), and might be an
issue for patient safety (also this needs clinical validation).

If we can validate that, and agree on a criteria, we might need to add a
clarification/recommendation on that area to the specs.


On Wed, Jun 27, 2018 at 7:55 AM, Thomas Beale <thomas.be...@openehr.org>
wrote:

>
>
> On 23/06/2018 21:13, Pablo Pazos wrote:
>
> Hi, another question about interval events.
>
> I'm having issues understanding how to use the "change" math functions.
> From the spec http://www.openehr.org/releases/RM/Release-1.0.2/
> docs/data_structures/data_structures.html#_change_data
>
>    -
>
>    "change": this means that the value recorded is the difference between
>    the value now and the value some time previously. It can be positive or
>    negative;
>    -
>
>    "increase": the value recorded for the change is positive. The name
>    (i.e. ELEMENT.name) chosen for the item in an archetype carries the
>    semantic of positivity e.g. "increase of …​.; rise of…​.; …​.gain" etc;
>    -
>
>    "decrease": the value recorded for the change is positive. But the
>    name chosen for the item carries the semantic of negativity e.g. "decrease
>    of …​.; fall of …​.; …​. loss".
>
>
> Since "change", "increase" or "decrease" are based on a previous value,
> shouldn't the record of the change have a link to the previous value that
> served as reference to record the change?
>
>
> it is based on a previous value of the measured datum, but that previous
> measurement is not necessarily in the data set. The use of these codes
> indicates that the difference is being recorded, not the absolute value.
>
>
> I'm not sure in which context a change or increase on some value would be
> useful without the value that change or increase is compared with.
>
>
> Agree; to make it sensible, one would expect the first value in a HISTORY
> of EVENTs to be an absolute instantaneous value, with some or all of the
> other values being differences.
>
>
>
>
> --
> Thomas Beale
> Principal, Ars Semantica <http://www.arssemantica.com>
> Consultant, ABD Project, Intermountain Healthcare
> <https://intermountainhealthcare.org/>
> Management Board, Specifications Program Lead, openEHR Foundation
> <http://www.openehr.org>
> Chartered IT Professional Fellow, BCS, British Computer Society
> <http://www.bcs.org/category/6044>
> Health IT blog <http://wolandscat.net/> | Culture blog
> <http://wolandsothercat.net/> | The Objective Stance
> <https://theobjectivestance.net/>
>
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>


-- 
*Ing. Pablo Pazos Gutiérrez*
pablo.pa...@cabolabs.com
+598 99 043 145
skype: cabolabs
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