Tom

I think work Unit or Work Group is important as long as it is linked to an
organisation - a person might work on a ward, an outpatient department and
in the cardiology team.

As far as the referral is concerned - it could be to a work unit if that is
available and has a system for dealing with referrals. Clearly an
institution would limit the parties that will accept referrals.

Cheers, Sam

> -----Original Message-----
> From: owner-openehr-technical at openehr.org
> [mailto:owner-openehr-technical at openehr.org]On Behalf Of Thomas Beale
> Sent: Thursday, 28 November 2002 10:34 PM
> To: openehr-technical at openehr.org
> Subject: Re: Archetype rules (invariants) in openEHR RM?
>
>
>
>
> Ahmad Risk wrote:
>
> >
> >Please let me enetr this dialogue.  In the UK, a GP might refer a
> >patient to a named "Cardiologist".  However, that referral, upon arrival
> >at the hospital, might be handled by the "Cardiology Team" of that
> >cardiologist.  One might argue here that the 'team' is really a
> >department, albeit, a unit within the "Cardiology department".
> >
> >Equally, the referral from the originating GP could be directed at the
> >"cardilogy department" without specifying the named provider.
> >
> there are two questions here:
>
> a) who is delivering the care - in this case, it seems to be the team.
> b) who is legally responsible for the care, which as far as I know, must
> always be an individual, or a registered health care provider.
>
> Both of these potentially need to be recorded. If we want to identify
> teams or departments, we may need a new kind of party, or else we
> generalise the notion of ORGANISATION to something like GROUP, where a
> group just means more than 1 person with a common purpose - or something
> in common - what would it be, in general?
>
> thoughts?
>
> - thomas beale
>
>
> -
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