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 Comment from Jobst Landgrebe received via email; and my response:     Dear Heather, 
 
I had some problems with the tool (no intermediate saving of a review session
possible, or I did not understand how it works, maybe Thomas' team can check). 
Therefore, I would like to summarise my findings here: 
 
Overall, the Adverse Reaction archetype is too exclusively focused on primary
and secondary care (for which it is now very good) and does not sufficiently
support requirements for adverse event management as requested by the  FDA
AERS  ( http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/AdverseDrugEffects/default.htm ).
To realise these requirements, s.o. would need to analyse the data fields
requested by the FDA (which is roughly equivalent to EMA and PMDA
requirements). The usability of this architeype would increase beyond the
primary/secondary care into the regulated pharmaceutical space, which feeds on
reports from health care professionals; they need electronic forms to
communicate to the FDA and other regulators ... 
 
Hope you can take the input in this form. 
 
Sincerely, 
 
Jobst      
  
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  Hi Jobst,  

  It is currently possible to save during a review – but you do
need to register a Recommendation on the last tab in order to save it. Thus it
will be counted in reviews and counts of reviewers etc in the same way as a
fully completed review – we can’t differentiate and it will puts the onus on
the user to come back and complete it. Then you can subsequently modify the
review by accessing it from the Completed Reviews list in the CKM dashboard.
 It is a little clunky, but to implement the notion of partial saves is
actually incredibly complex from an admin and  governance point of view,
and so we have implemented the current practice as a starting point, knowing
that at some time we will tackle it better.  



  The review is not aiming at Primary/Secondary care so much as
being a pragmatic core of commonly used data (and this is what makes it seem
focussed on primary and secondary care). To have a full maximal data set would
make it unwieldy and overly complex and so a line was drawn to make explicit in
this core archetype only the common data elements. The intent is to extend the
archetype for the reporting scenario that you are flagging by use of additional
Cluster archetypes in SLOTs that capture additional details for the Reaction,
Exposure and Reporting – as explained in the ‘Use’ area of the metadata.  

  We don’t have those extension archetypes on CKM yet. I have them
scoped out, but haven’t built them. Clearly it will be helpful if I can
scramble the time together to create them as draft candidates – it will make
the design intent more transparent.   



  My scoping for the full model, including the extension
archetypes, did take into account the FDA/ICH requirements, althought it
appears that at least the website has been updated since then. I will revisit
it in detail ready for the next review round to make sure there are no content
changes required.  



  I’m glad this core archetype is looking OK at present. We have
compared it to ones from VA, HL7, Canada Infoway and Intermountain Health and I
was pleased to see it catered for all the usecases they brought up and often
seemed to exceed them. But then I’m biased  J    

  Please keep in touch. I will let you know when the CLUSTERS are
ready and will provide some documentation about the design to make it clearer
to all.  



  I appreciate your efforts and value your input enormously. We
certainly have the same intent for the final output of this family of models.  

  Regards  



  Heather  

  
 
 </description><author>heather.leslie</author><pubDate>Fri, 20 Jan 2012 01:39:00</pubDate></item><item><title>Updated archetype: Poisoning or overdose (openEHR-EHR-CLUSTER.health_event-poisoning.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.26</link><description>An archetype has been updated: Poisoning or overdose (openEHR-EHR-CLUSTER.health_event-poisoning.v1)&lt;br/&gt;Log message: Translated archetype from English to Spanish (Argentina) and Arabic (Syria).</description><author>heather.leslie</author><pubDate>Fri, 20 Jan 2012 12:17:12</pubDate></item><item><title>New comment: Re: Re: Pregnancy Test</title><link>http://openehr.org/knowledge/#showComment_1013.18.305_9999.999.999</link><description>A new comment has been posted by leo.derja:&lt;br/&gt;Re: Re: Pregnancy Test&lt;br/&gt; Hi Heather:     I think what you say is right.     I compared this situation with, by example:  openEHR-EHR-OBSERVATION.lab_test-blood_gases.v1 , that has a slot to  openEHR-EHR-CLUSTER.ambient_oxygen.v1 . This   explicit   reference vía a slot, allows correctly interpret the lab test.     I thought it could be useful to use this attribute [ Date of LMP ] in  openEHR-EHR-OBSERVATION.pregnancy_test.v1 , as it was also used in  openEHR-EHR-EVALUATION.pregnancy.v1      You correctly suggested that an   implicit   reference between archetypes pregnancy-test and menstruation, putting both together in a composition should be the correct way to record the information.     I am comfortable with that. I am just trying to apprehend the logic of this system of archetypes.     Thank you.  Best regards, Leonardo DJ </description><author>leo.derja</author><pubDate>Wed, 18 Jan 2012 04:09:10</pubDate></item><item><title>Updated archetype: Adverse Reaction (openEHR-EHR-EVALUATION.adverse_reaction.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.197</link><description>An archetype has been updated: Adverse Reaction (openEHR-EHR-EVALUATION.adverse_reaction.v1)&lt;br/&gt;Log message: **Major changes** - this archetype has been fundamentally reworked based on previous review comments, research and inclusion of input from HL7, ICH and statutory requirements and feedback from NEHTA CKM reviews. 
In addition, the archetype ID was updated to be clear of intent and follow recent editorial practice.
Changes include:
- Significant enhancement of Concept Description, Purpose, Use, Misuse, Keywords and References.
- 'Agent' is now referred to  'Substance/Agent' throughout
- Addition of Absolute Contraindication; Future Use; Overall Comment; Slots for Additional Reaction Detail, Additional Exposure Detail and Reporting Details; Exposure description; Earliest Exposure; Clinical Management Description; Multimedia; &amp; Reaction Comment
- Addition of Protocol containing Reaction Reported?; Report Comment; Adverse Reaction Report and Supporting Clinical Record Information
- Removal of Agent Category; Reaction Severity
- Modification of "Probability of Causation' to 'Certainty'
- Inclusion of Translation - Arabic (Syrian) and German (Standard) where data elements/descriptions are consistent with original translations.
- Inclusion of NEHTA reviewers as contributors</description><author>heather.leslie</author><pubDate>Mon, 16 Jan 2012 11:03:10</pubDate></item><item><title>New comment: Re: Pregnancy Test</title><link>http://openehr.org/knowledge/#showComment_1013.18.305_9999.999.999</link><description>A new comment has been posted by heather.leslie:&lt;br/&gt;Re: Pregnancy Test&lt;br/&gt;Hi Leonardo,  The translation process that you participated in, using CKM, only allows for upload of translation to the data elements already existing in the archetype. It is not allowed for non-Editors to add new elements or edit the existing ones. Any changes to the scope/details of the archetype is only done with Editorial oversight.  However your issue is noted - that you thought the archetype incomplete. And in isolation there will be many that appear that way. However the intent of the archetype is only to record the result of a commercial pregnancy test and there are a number of other pieces of information that may be useful when interpreting the result, including more details about the woman's menstrual history including LNMP, but also pattern etc which can be captured using the OBSERVATION.menstruation archetype. I think that the two of these together within a COMPOSITION for a specific clinical encounter would provide the information that you are seeking.  Are you comfortable with that?  Regards  Heather </description><author>heather.leslie</author><pubDate>Sun, 15 Jan 2012 11:45:55</pubDate></item><item><title>New comment: Re: Languages / Cultures in translation</title><link>http://openehr.org/knowledge/#showComment_1013.18.304_9999.999.999</link><description>A new comment has been posted by domingo.liotta:&lt;br/&gt;Re: Languages / Cultures in translation&lt;br/&gt;  Hello CKM members:                  The translations of archetypes were part of the final evaluation of Ing. Pablo Pazos first online course of openEHR in Spanish.             I was rather shocked to see so few archetypes in Spanish, so hands on task I´ll translate myself, as many as possible.  So I started with archetypes in English. I found previously David’s translation and I think there is another from Chile.      I looked at both; they look fine to me, so I didn’t make any variations.             I believe Ian´s approach to using a root language is correct. I couldn´t find any impediment to use my es-ar translation for es-es (for the body temperature archetype).             I know a fellow classmate Leonardo will also be translating archetypes, we will work together and not overlap.             I do have a suggestion that may be useful in this discussion:  Our School of Medicine at the  UM  works extensively with a Languages Lab (many languages even oriental), so I can do a small research about the variability in different variations of languages and if it impacts the meaning of a clinical concept.             I hope to be able to tap this resource into the openEHR community somehow too.      Hope this can be helpful      Best regards      (PS: When I´m knowledgeable enough to create archetypes myself they will be done in both Spanish and English)            Dr. Domingo Liotta (h)     Director Cátedra Abierta  de Bienestar Médica, Universidad de Morón      http://argentinawellness.org      My profiles:                   Contact me:    domingo.liotta   dliotta   domingo_liotta@hotmail.com   domingo_liotta@yahoo.com.ar    </description><author>domingo.liotta</author><pubDate>Sat, 14 Jan 2012 05:12:43</pubDate></item><item><title>New comment: Pregnancy Test</title><link>http://openehr.org/knowledge/#showComment_1013.18.305_9999.999.999</link><description>A new comment has been posted by leo.derja:&lt;br/&gt;Pregnancy Test&lt;br/&gt; Hi for all:     In a recent review, I added to archetype [openEHR-EHR-OBSERVATION. pregnancy_test .v1] =&gt; " Last menstruation date " because I think it is needed for correctly interpret the test.     Best regards, Dr. Leonardo Der Jachadurian </description><author>leo.derja</author><pubDate>Sat, 14 Jan 2012 01:34:29</pubDate></item><item><title>Updated archetype: Ambient oxygen (openEHR-EHR-CLUSTER.ambient_oxygen.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.393</link><description>An archetype has been updated: Ambient oxygen (openEHR-EHR-CLUSTER.ambient_oxygen.v1)&lt;br/&gt;Log message: Translated archetype from English to Spanish (Argentina). Google Translate checked</description><author>ian.mcnicoll</author><pubDate>Fri, 13 Jan 2012 04:55:53</pubDate></item><item><title>New comment: Languages / Cultures in translation</title><link>http://openehr.org/knowledge/#showComment_1013.18.304_9999.999.999</link><description>A new comment has been posted by ian.mcnicoll:&lt;br/&gt;Languages / Cultures in translation&lt;br/&gt;Hi all,    It is great to see increasing numbers of translations being offered for archetypes but I have a question for those of us working in languages which have national/cultural variants e.g English, UK English, US English or Spanish , Argentinian Spanish.     Creating and maintaining translations will be quite onerous. At the moment, each translation of every sub-language is separately maintained within ADL, although it is actually quite easy to hack the ADL to copy/paste from a different language variant i.e to create en-us from en-gb.     Although implementations may vary, I suspet most would work similar to the Ocean tools and will look for and make use of a parent or neutral language if possible e.g. if the tools native operating system culture is 'en-gb' it will look for 'en-gb' translation and if not found look for the parent 'en', finally defaulting to the primary archetype language if necessary.      This 'default to parent' mechanism means that we could potentially simplify translation by using the parent/neutral culture if at all possible e.g translate to en rather than en-gb or es rather than es-ar.     This would work pretty well in English where there few examples of clinically important spelling differences which might cause confusion between language variants. I am happy to tolerate a few American 'z' spellings instead of 's', if it reduces the translation burden. If people feel strongly they can always create the sub-language variant.     My question to an international audience is whether this would be equally acceptable for other languages and cultures, appreciating that this can be a touchy subject!!     One thing that might also help is to allow the sub-language variant to be expressed a a differential on the parent language within ADL i.e. rather than the es-ar variant being a complete list of translated terms, just carry those that differ from the parent language terms.      So my suggestion is that when translating we use the parent language, rather than a local variant unless there are compelling reasons, and even then it may make sense to create the parent AND the variant, where the parent does not already exist.     I will copy this to the openEHR clinical list to get a wider spread of opinion.     Ian          </description><author>ian.mcnicoll</author><pubDate>Fri, 13 Jan 2012 11:22:03</pubDate></item><item><title>New comment: Re: Re: Event offset restriction</title><link>http://openehr.org/knowledge/#showComment_1013.18.301_1013.1.172</link><description>A new comment has been posted by diego.bosca:&lt;br/&gt;Re: Re: Event offset restriction&lt;br/&gt;Ok, I will do that right now </description><author>diego.bosca</author><pubDate>Fri, 13 Jan 2012 11:05:10</pubDate></item><item><title>New comment: Re: Event offset restriction</title><link>http://openehr.org/knowledge/#showComment_1013.18.301_1013.1.172</link><description>A new comment has been posted by ian.mcnicoll:&lt;br/&gt;Re: Event offset restriction&lt;br/&gt;Hi Diego,    I know the discussion on constraining functions is ongoing on the lists but it might be worthwhile highlighting the other issue re the syntax of the DV_DURATION constraint on the technical list. I think you will get a better response there.     Ian </description><author>ian.mcnicoll</author><pubDate>Fri, 13 Jan 2012 10:58:51</pubDate></item><item><title>Updated archetype: Blood gas assessment (openEHR-EHR-OBSERVATION.lab_test-blood_gases.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.563</link><description>An archetype has been updated: Blood gas assessment (openEHR-EHR-OBSERVATION.lab_test-blood_gases.v1)&lt;br/&gt;Log message: Translated archetype from English to Spanish (Argentina) by Leonardo Der Jachadurian.
</description><author>sebastian.garde</author><pubDate>Tue, 10 Jan 2012 01:06:53</pubDate></item><item><title>Updated archetype: Follow up action (openEHR-EHR-ACTION.follow_up.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.40</link><description>An archetype has been updated: Follow up action (openEHR-EHR-ACTION.follow_up.v1)&lt;br/&gt;Log message: Translated archetype from English to Arabic (Syria) by Monah Saleh.
Translated archetype from English to Spanish (Argentina) by Leonardo Der Jachadurian.</description><author>sebastian.garde</author><pubDate>Tue, 10 Jan 2012 01:04:16</pubDate></item><item><title>Updated archetype: Height/Length (openEHR-EHR-OBSERVATION.height.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.138</link><description>An archetype has been updated: Height/Length (openEHR-EHR-OBSERVATION.height.v1)&lt;br/&gt;Log message: Translated archetype from English to Farsi, Arabic (Syria) and Spanish (Argentina).</description><author>heather.leslie</author><pubDate>Tue, 10 Jan 2012 03:35:59</pubDate></item><item><title>Updated archetype: Respirations (openEHR-EHR-OBSERVATION.respiration.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.145</link><description>An archetype has been updated: Respirations (openEHR-EHR-OBSERVATION.respiration.v1)&lt;br/&gt;Log message: Translated archetype from English to Farsi, Arabic (Syria) and Spanish (Argentina).</description><author>heather.leslie</author><pubDate>Tue, 10 Jan 2012 12:11:45</pubDate></item><item><title>Updated archetype: Intravenous fluid administration (openEHR-EHR-ACTION.intravenous_fluid_administration.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.179</link><description>An archetype has been updated: Intravenous fluid administration (openEHR-EHR-ACTION.intravenous_fluid_administration.v1)&lt;br/&gt;Log message: Translated archetype from English to Arabic (Syria) and Spanish (Argentina).</description><author>heather.leslie</author><pubDate>Mon, 09 Jan 2012 11:37:15</pubDate></item><item><title>New comment: Event offset restriction</title><link>http://openehr.org/knowledge/#showComment_1013.18.301_1013.1.172</link><description>A new comment has been posted by diego.bosca:&lt;br/&gt;Event offset restriction&lt;br/&gt;I have started also a discussion on the mailing list about this topic. Offset is not an attribute in the reference model an thus shouldn't be restricted as it is now on this archetype. It should be an assertion.  While we decide if we change this or not, there is another error regarding offsets. Durations are described as ranges, not as a default values.  so all the restrictions as this:   offset existence matches {1..1} matches {                             DV_DURATION[at0040] occurrences matches {0..1} matches {  --                                  value existence matches {1..1} matches {|PT10M|}                             }                         }  should be changed to this:   offset existence matches {1..1} matches {                             DV_DURATION[at0040] occurrences matches {0..1} matches {  --                                  value existence matches {1..1} matches {PT10M}                             }                         } </description><author>diego.bosca</author><pubDate>Mon, 09 Jan 2012 11:51:43</pubDate></item><item><title>Updated archetype: Body temperature (openEHR-EHR-OBSERVATION.body_temperature.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.49</link><description>An archetype has been updated: Body temperature (openEHR-EHR-OBSERVATION.body_temperature.v1)&lt;br/&gt;Log message: Translated archetype from English to Spanish (Spain).</description><author>heather.leslie</author><pubDate>Fri, 06 Jan 2012 06:11:35</pubDate></item><item><title>Updated archetype: Clinical Synopsis (openEHR-EHR-EVALUATION.clinical_synopsis.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.409</link><description>An archetype has been updated: Clinical Synopsis (openEHR-EHR-EVALUATION.clinical_synopsis.v1)&lt;br/&gt;Log message: Translated archetype from English to Arabic (Syria), Syrian and Spanish (Argentina).</description><author>heather.leslie</author><pubDate>Fri, 06 Jan 2012 05:14:22</pubDate></item><item><title>New comment: Pulmonary Function Archetype</title><link>http://openehr.org/knowledge/#showComment_1013.18.300_9999.999.999</link><description>A new comment has been posted by domingo.liotta:&lt;br/&gt;Pulmonary Function Archetype&lt;br/&gt;Dear Ian: 
 
Sorry it took me some days to get back to you. I´m also sending this 
mail to the Clinical Discussion List as it may benefit others.  
 
The proposed pulmonary function archetype is also adequate for adult 
use, I took some extra time to have it checked by the Chief of Intensive
 Care at my Hospital. The archetype is detailed enough for international
 use. 
 
Your assumption is correct  VO2max  does merit a  separate archetype  included as a subset of a more detailed "  Exercise Stress Testing  " arquetype.  
The VO2max has its clinical fundamentals for assessment of 
cardiovascular function which may or may not have a pulmonary component.
  
 
So the pulmonary function test archetype could take the value from the 
Exercise Stress Test arquetype  and also if a cardiac patient also have a
 Lung impairment the Exercise Stress Testing should read the values pre 
&amp; post bronchodilation. 
 
The reason for showing the archetypes at my Hospital (and it worked as 
planned) was to get more Clinical experts into the Clinical Modelling 
process. I will be meeting next week the Chief of Acute Coronary Unit to
 discuss the modelling of the more General "Stress Exercise Testing" 
I´ll keep the list informed. 
 
Wow! For me an excellent way to finish 2011 :) 
 
Happy new years to all :=) 
 
Domingo 
 
 
Hi Domingo, 
 
Thanks for offering to have a look at this archetype. It was 
developed 
for use in a Paediatric EMR in Slovenia but very much as a 
candidate 
for international use. 
 
One of the issues I suspect you might 
challenge is whether V02max 
merits a separate archetype. 
 
Ian 
 
Dr 
Ian McNicoll 
office +44 (0)1536 414 994 
fax +44 (0)1536 516317 
mobile 
+44 (0)775 209 7859 
skype ianmcnicoll 
 ian.mcnicoll@oceaninformatics.com  
 
Clinical 
Modelling Consultant, Ocean Informatics, UK 
Director/Clinical Knowledge 
Editor openEHR Foundation   www.openehr.org/knowledge  
Honorary 
Senior Research Associate, CHIME, UCL 
SCIMP Working Group, NHS 
Scotland 
BCS Primary Health Care   www.phcsg.org </description><author>domingo.liotta</author><pubDate>Sat, 31 Dec 2011 01:41:31</pubDate></item><item><title>New comment: Re: Re: Translated Body Temperature to Spanish AR</title><link>http://openehr.org/knowledge/#showComment_1013.18.297_1013.1.1148</link><description>A new comment has been posted by domingo.liotta:&lt;br/&gt;Re: Re: Translated Body Temperature to Spanish AR&lt;br/&gt;Hello Ian:  How are you doing, as 2011 is ending... :)  Oh! The Archetype can perfectly go as a generic "es" translation. The are no variants in the Argentinian version. I´ll edit the (es) tags off the keywords and it will be good to go.   Have a very Happy New Year!  Domingo </description><author>domingo.liotta</author><pubDate>Fri, 30 Dec 2011 06:34:53</pubDate></item><item><title>New comment: Re: Translated Body Temperature to Spanish AR</title><link>http://openehr.org/knowledge/#showComment_1013.18.297_1013.1.1148</link><description>A new comment has been posted by ian.mcnicoll:&lt;br/&gt;Re: Translated Body Temperature to Spanish AR&lt;br/&gt;Hi Domingo,    Thanks for this. It looks good to me (as far as any reverse translation with Google Translate goes).  You do not need the (es) tags on the keywords as these are language specific - these could be removed.  To what extent would the Argentinian variant of Spanish vary for this archetype - would it be possible to use this for a generic "es" translation?     Ian </description><author>ian.mcnicoll</author><pubDate>Fri, 30 Dec 2011 01:56:38</pubDate></item><item><title>New comment: Translated Body Temperature to Spanish AR</title><link>http://openehr.org/knowledge/#showComment_1013.18.297_1013.1.1148</link><description>A new comment has been posted by domingo.liotta:&lt;br/&gt;Translated Body Temperature to Spanish AR&lt;br/&gt;Dear Editors:    How did the translation go? Does it need any uptate or editing in your opinion?     Best regards     Domingo </description><author>domingo.liotta</author><pubDate>Fri, 30 Dec 2011 03:57:55</pubDate></item><item><title>New comment: Exercise Presciption Arquetype</title><link>http://openehr.org/knowledge/#showComment_1013.18.296_9999.999.999</link><description>A new comment has been posted by domingo.liotta:&lt;br/&gt;Exercise Presciption Arquetype&lt;br/&gt; Hello Community:  There is an ongoing discussion on the email list but I´ll post it here too,  I hope the community may find it interesting.   I work as a general practitioner and medical informatics at a public hospital in Argentina, in a Cardiology Service. Specifically in Cardiac Rehabilitation.   Physical Activity is very important as the means to reinsert our patients into society after a cardiovascular  event.   A very quick database search revealed that the Arquetype: Level of exertion to be useful as you will need to  register the patients “level of fitness” pre and post training.  Also the related clinical observations: blood pressure, heart rate, ECG recording  It would be useful to create a Borg perception of exercise (subjective) as it correlates well with level of exertion.  I can be bold and try to make an Arquetype for: VO2max Testing which is my expertise but I´m a real newbie  in clinical modelling.  I didn’t find any “exercise prescription” Arquetype. ( I´d like to see that too).  I´ll re post some very helpful suggestions from the mailing list members.  Be well  Domingo Liotta </description><author>domingo.liotta</author><pubDate>Fri, 23 Dec 2011 01:45:09</pubDate></item><item><title>Updated archetype: Body mass index (openEHR-EHR-OBSERVATION.body_mass_index.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.131</link><description>An archetype has been updated: Body mass index (openEHR-EHR-OBSERVATION.body_mass_index.v1)&lt;br/&gt;Log message: Added translation from English to Spanish (Argentina).
Added translation from English to Arabic (Syria).
Updated translation from English to Farsi.</description><author>heather.leslie</author><pubDate>Tue, 20 Dec 2011 01:49:39</pubDate></item><item><title>Updated archetype: Blood Pressure (openEHR-EHR-OBSERVATION.blood_pressure.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.130</link><description>An archetype has been updated: Blood Pressure (openEHR-EHR-OBSERVATION.blood_pressure.v1)&lt;br/&gt;Log message: Translated archetype from English to Spanish (Argentina). Traducción del arquetipo del Inglés al Español</description><author>heather.leslie</author><pubDate>Mon, 19 Dec 2011 05:07:09</pubDate></item><item><title>New comment: Re: Re: Error in "braden scale" total score</title><link>http://openehr.org/knowledge/#showComment_1013.18.293_1013.1.1014</link><description>A new comment has been posted by rui.coutinho:&lt;br/&gt;Re: Re: Error in "braden scale" total score&lt;br/&gt;Thank you</description><author>rui.coutinho</author><pubDate>Wed, 07 Dec 2011 12:21:12</pubDate></item><item><title>New comment: Re: Error in "braden scale" total score</title><link>http://openehr.org/knowledge/#showComment_1013.18.293_1013.1.1014</link><description>A new comment has been posted by heather.leslie:&lt;br/&gt;Re: Error in "braden scale" total score&lt;br/&gt;Thanks for pointing this out. I've corrected it and uploaded the latest revision  Regards  Heather </description><author>heather.leslie</author><pubDate>Wed, 07 Dec 2011 02:50:56</pubDate></item><item><title>Updated archetype: Braden Scale (openEHR-EHR-OBSERVATION.braden_scale.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.1014</link><description>An archetype has been updated: Braden Scale (openEHR-EHR-OBSERVATION.braden_scale.v1)&lt;br/&gt;Log message: Correct Total Score to max of 23.
Minor changes to Use, Misuse</description><author>heather.leslie</author><pubDate>Wed, 07 Dec 2011 02:50:13</pubDate></item><item><title>New comment: Error in "braden scale" total score</title><link>http://openehr.org/knowledge/#showComment_1013.18.293_1013.1.1014</link><description>A new comment has been posted by rui.coutinho:&lt;br/&gt;Error in "braden scale" total score&lt;br/&gt; Please review the maximum tota score for the braden scale. As you can easily notice, the possible maximum score is 23 not 20.     </description><author>rui.coutinho</author><pubDate>Wed, 07 Dec 2011 12:25:55</pubDate></item><item><title>New comment: Re: Re: Re: wrong regular expression?</title><link>http://openehr.org/knowledge/#showComment_1013.18.289_1013.1.479</link><description>A new comment has been posted by ian.mcnicoll:&lt;br/&gt;Re: Re: Re: wrong regular expression?&lt;br/&gt;Thanks. I am hoping Sergio Friere might respond as he is the main author and might have a different perspective but here is my view.    As I understand the original slot constraint it means     "Use any archetype which is an address.v1 archetype or any specialisation thereof."      What is the purpse of your prefixed regex? What does that add?     Also regarding the fixed v1 suffix, I would probably agree that in the context of EHR content, we would probably leave the structural version identifier open, but Sergio may argue that in the much slower-moving world of Demographics models, that it is reasonable to require any slotted archetypes to be fixed to a particular version, so that the query semantics are closely defined. I suppose it comes down to the tightness of the binding/coupling between the 2 archetypes. This is generally a bad idea in clinical content because it enforces too much inter-locked dependency, but might not be a bad strategy in Demographic models where the main purpose of slotting out e.g Address cluster, is to allow some limited local specialisation.     Definitely worth discussion  .. any other views?     Ian  </description><author>ian.mcnicoll</author><pubDate>Fri, 02 Dec 2011 03:20:24</pubDate></item><item><title>New comment: Re: Re: wrong regular expression?</title><link>http://openehr.org/knowledge/#showComment_1013.18.289_1013.1.479</link><description>A new comment has been posted by diego.bosca:&lt;br/&gt;Re: Re: wrong regular expression?&lt;br/&gt;well, this kind of expressions     		  archetype_id/value matches {/(address)([a-zA-Z0-9_-]+)*\.v1/}                   archetype_id/value matches {/(electronic_communication)[a-zA-Z0-9_-]*\.v1/}      would change to something like this       		  archetype_id/value matches {/([a-zA-Z0-9_-]+)(address)([a-zA-Z0-9_-]+)*\.v1/}                   archetype_id/value matches {/([a-zA-Z0-9_-]+)(electronic_communication)[a-zA-Z0-9_-]*\.v1/}       and I believe that ([a-zA-Z0-9_-]+)* is equivalent to this ([a-zA-Z0-9_-]*)  version shouldn't be fixed to 'v1' </description><author>diego.bosca</author><pubDate>Fri, 02 Dec 2011 02:50:19</pubDate></item><item><title>New comment: Re: wrong regular expression?</title><link>http://openehr.org/knowledge/#showComment_1013.18.289_1013.1.479</link><description>A new comment has been posted by ian.mcnicoll:&lt;br/&gt;Re: wrong regular expression?&lt;br/&gt;Hi Diego,    I am not sure I understand. Can you give me a specific example of how you think the current slot constraints need to be changed.     Ian </description><author>ian.mcnicoll</author><pubDate>Fri, 02 Dec 2011 02:16:48</pubDate></item><item><title>New comment: wrong regular expression?</title><link>http://openehr.org/knowledge/#showComment_1013.18.289_1013.1.479</link><description>A new comment has been posted by diego.bosca:&lt;br/&gt;wrong regular expression?&lt;br/&gt;Maybe I am wrong, but I think all slot includes need [A-Za-z0-9_-]+ to be added to the start of current regular expression </description><author>diego.bosca</author><pubDate>Wed, 30 Nov 2011 10:00:51</pubDate></item><item><title>New comment: Re: Re: Bad reference model?</title><link>http://openehr.org/knowledge/#showComment_1013.18.286_1013.1.273</link><description>A new comment has been posted by diego.bosca:&lt;br/&gt;Re: Re: Bad reference model?&lt;br/&gt;But nothing is stopping you to make an slot to a cluster of the demographic reference model defining the address (and I am assuming that both clusters are compatible). That would give you two different addresses on the demographic model, which is not a problem 'per-se' but can mislead some people.  Another different discussion would be that if the concept of ADDRESS is really needed on the archetype, then maybe the demographic concepts should be included into the openEHR reference model (or at least a way of doing that)  Just for curiosity, which is that archetype? </description><author>diego.bosca</author><pubDate>Fri, 23 Sep 2011 08:46:26</pubDate></item><item><title>New comment: Re: Bad reference model?</title><link>http://openehr.org/knowledge/#showComment_1013.18.286_1013.1.273</link><description>A new comment has been posted by ian.mcnicoll:&lt;br/&gt;Re: Bad reference model?&lt;br/&gt;Hi Diego,    In theory, yes but in practice we have found a number of circumstances where people need to express some aspects of demographics in the EHR model e.g. 3rd party details where use of a demographics service is limited or unavailable, or use of such a service is disallowed for 3rd parties.     Ian </description><author>ian.mcnicoll</author><pubDate>Fri, 23 Sep 2011 06:48:58</pubDate></item><item><title>New comment: Bad reference model?</title><link>http://openehr.org/knowledge/#showComment_1013.18.286_1013.1.273</link><description>A new comment has been posted by diego.bosca:&lt;br/&gt;Bad reference model?&lt;br/&gt;Shouldn't this concept be in the demographics model? </description><author>diego.bosca</author><pubDate>Thu, 22 Sep 2011 05:25:30</pubDate></item><item><title>New comment: Snomed 2011 changes - need to rethink this query</title><link>http://openehr.org/knowledge/#showComment_1013.18.285_1013.29.3</link><description>A new comment has been posted by sebastian.garde:&lt;br/&gt;Snomed 2011 changes - need to rethink this query&lt;br/&gt;   In 
the Snomed 2011 version the Infectious Agent concept (36272005) has no child 
concepts anymore. The child concepts are all there but they no langer 
have this concept as a parent - for example 'Fungus' in 2009 had parent 
'Microorganism' and 'Infectious Agent'.  In 2011, it's just 
'Microorganism".   Hugh Grady did a quick google and found the following quote from 
Keith Spackman which may explain what's happened: " Infectious agent 
currently subsumes bacterium in SNOMED. The taxonomic constraints suggest this 
is inconsistent and should be changed." Also see http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.71.1992&amp;rep=rep1&amp;type=pdf  This is why this query does not currently return any results - thanks Hugh Grady for discovering this!  Sebastian    </description><author>sebastian.garde</author><pubDate>Fri, 09 Sep 2011 09:26:55</pubDate></item><item><title>New comment: Re: complie error in ADL workbench</title><link>http://openehr.org/knowledge/#showComment_1013.18.280_1013.1.555</link><description>A new comment has been posted by peng.chen:&lt;br/&gt;Re: complie error in ADL workbench&lt;br/&gt; Hi Sebastian,  I've tried your suggestion, but unfortunately I got no luck. The archetype for lipid study is openEHR-EHR-OBSERVATION.lab_test-lipids.v1 and there is no .adls for that archetype, but it still failed. In contrast, the archetype for " fundoscopic_examination " has both .adl and .adls (openEHR-EHR-OBSERVATION.fundoscopic_examination.v1, openEHR-EHR-OBSERVATION.fundoscopic_examination.v1.adls) and it turned out passing the compiler successfully. Does this have something to do with the reference model?   I extracted the archetype model from knowledge manager. In ADL1.4 workbench, we don't really need to worry about the RM configuration as it requires in ADL1.5 workbench. Is there anything I would miss out?  Cheers,   Peng </description><author>peng.chen</author><pubDate>Tue, 30 Aug 2011 02:03:19</pubDate></item><item><title>New comment: Re: Re: complie error in ADL workbench</title><link>http://openehr.org/knowledge/#showComment_1013.18.280_1013.1.555</link><description>A new comment has been posted by sebastian.garde:&lt;br/&gt;Re: Re: complie error in ADL workbench&lt;br/&gt;Hi Peng,  you possibly have some .adls (the differential form of the archetype, which is generated automatically by the Workbench) files flying around. The Workbench is parsing them instead of the .adl it seems.  Try to delete the .adls files (likely generated by the 1.5 Workbench) and try again.  That said, this archetype has some validation errors (see its Validation report), which should be cleaned up. Sebastian </description><author>sebastian.garde</author><pubDate>Mon, 29 Aug 2011 07:13:36</pubDate></item><item><title>New comment: Re: complie error in ADL workbench</title><link>http://openehr.org/knowledge/#showComment_1013.18.280_1013.1.555</link><description>A new comment has been posted by peng.chen:&lt;br/&gt;Re: complie error in ADL workbench&lt;br/&gt; Hi Sam,   Thank you for your reply. I uninstalled ADL1.5 workbench and installed ADL1.4 workbench (v.1.4.1.595), but 'Lipid studies' archetype still failed and other v1.4 arhcetyps failed as well. I copied the compile error message as below:  ------------- compiling openEHR-EHR-OBSERVATION.lab_test.v1 ------------- ERROR - line 1: parse error [last token = V_IDENTIFIER] line 1: In 'archetype' clause; expecting archetype id (model_issuer-ref_model-model_class.concept.version) [last token = V_IDENTIFIER]  (Parse failed) (ARCHETYPE_PARSER.parse_archetype) INFO - Archetype differential form file found; parsing that (ARCHETYPE_PARSER.parse_archetype) ------------- compiling openEHR-EHR-OBSERVATION.lab_test-liver_function.v1 ------------- ERROR - PARSE FAILED DUE TO EXCEPTION; see 'status'; call 'reset' to clear (ARCHETYPE_PARSER.parse_archetype) ERROR - Software Exception 1 caught; stack: ------------------------------------------------------------------------------- Class / Object      Routine                Nature of exception           Effect ------------------------------------------------------------------------------- DIFFERENTIAL_ARCHETYPE                     make_from_flat @15      &lt;00000000030B3468&gt;                         Feature call on void target.  Fail ------------------------------------------------------------------------------- DIFFERENTIAL_ARCHETYPE                     make_from_flat @15      &lt;00000000030B3468&gt;                         Routine failure.              Fail ------------------------------------------------------------------------------- FLAT_ARCHETYPE      to_differential @1                                   &lt;00000000030B30A8&gt;                         Routine failure.              Fail ------------------------------------------------------------------------------- ARCH_REP_ARCHETYPE  set_archetype_flat @3                                &lt;0000000003835080&gt;                         Routine failure.              Fail ------------------------------------------------------------------------------- ARCHETYPE_PARSER    parse_archetype @16                                  &lt;00000000039C4FF0&gt;                         Routine failure.              Rescue -------------------------------------------------------------------------------  (ARCHETYPE_PARSER.parse_archetype) INFO - Archetype openEHR-EHR-OBSERVATION.lab_test-liver_function.v1 semantics VALIDATED (ARCH_REP_ARCHETYPE.set_archetype_flat) INFO - Archetype openEHR-EHR-OBSERVATION.lab_test-liver_function.v1 syntax VALIDATED (ARCHETYPE_PARSER.parse_archetype)   I'm doing my final year computer science master thesis in health informatics. My topic is to capture phenotype data from genetic variant databases. I've finshed my survey on how the phenotype data are stored in genetic variant databases. I'm now learning the openEHR and find out the feasibility to use archetypes to capture the phenotype data.   Cheers, peng </description><author>peng.chen</author><pubDate>Mon, 29 Aug 2011 02:34:05</pubDate></item><item><title>New comment: Re: complie error in ADL workbench</title><link>http://openehr.org/knowledge/#showComment_1013.18.280_1013.1.555</link><description>A new comment has been posted by sam.heard:&lt;br/&gt;Re: complie error in ADL workbench&lt;br/&gt; Hi Chen  The archetypes are in ADL 1.4 - so you need to use a compiler that is compatible. ADL 1.5 is still experimental and has not been stabilised as yet.  Cheers, Sam Heard </description><author>sam.heard</author><pubDate>Sun, 28 Aug 2011 09:44:54</pubDate></item><item><title>New comment: complie error in ADL workbench</title><link>http://openehr.org/knowledge/#showComment_1013.18.280_1013.1.555</link><description>A new comment has been posted by peng.chen:&lt;br/&gt;complie error in ADL workbench&lt;br/&gt;This archetype couldn't pass the compiler in ADL workbench. Its definition couldn't be viewed. I compiled all the archetypes version 1.5 in my ADL workbench, but many of the archetypes failed. As a result, I couldn't view the definition of the archetypes with compile errors.</description><author>peng.chen</author><pubDate>Sat, 27 Aug 2011 10:11:51</pubDate></item><item><title>Updated archetype: Fetal Movement (openEHR-EHR-OBSERVATION.fetal_movement.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.216</link><description>An archetype has been updated: Fetal Movement (openEHR-EHR-OBSERVATION.fetal_movement.v1)&lt;br/&gt;Log message: Partial translation of archetype from English to Arabic (Syria) - translation refers to previous revision of archetype but content is still close. Needs review of translation.</description><author>heather.leslie</author><pubDate>Fri, 19 Aug 2011 06:50:27</pubDate></item><item><title>New archetype: Obstetric summary (openEHR-EHR-EVALUATION.obstetric_summary.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.1093</link><description>A new archetype has been uploaded: Obstetric summary (openEHR-EHR-EVALUATION.obstetric_summary.v1)&lt;br/&gt;Log message: Initial upload; from NEHTA CKM</description><author>heather.leslie</author><pubDate>Wed, 17 Aug 2011 08:11:26</pubDate></item><item><title>Updated archetype: Body weight (openEHR-EHR-OBSERVATION.body_weight.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.132</link><description>An archetype has been updated: Body weight (openEHR-EHR-OBSERVATION.body_weight.v1)&lt;br/&gt;Log message: Translated archetype from English to Farsi.
Translated archetype from English to Arabic (Syria).
Translated archetype from English to Spanish (Spain).
Updated other contributors of the archetype.</description><author>heather.leslie</author><pubDate>Tue, 16 Aug 2011 03:25:46</pubDate></item><item><title>Updated archetype: ECG recording (openEHR-EHR-OBSERVATION.ecg.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.276</link><description>An archetype has been updated: ECG recording (openEHR-EHR-OBSERVATION.ecg.v1)&lt;br/&gt;Log message: Translated archetype from English to Arabic (Syria).
</description><author>heather.leslie</author><pubDate>Mon, 15 Aug 2011 12:44:12</pubDate></item><item><title>Updated archetype: Examination findings (openEHR-EHR-OBSERVATION.exam.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.271</link><description>An archetype has been updated: Examination findings (openEHR-EHR-OBSERVATION.exam.v1)&lt;br/&gt;Log message: Translated archetype from English to Arabic (Syria).</description><author>heather.leslie</author><pubDate>Mon, 15 Aug 2011 12:42:10</pubDate></item><item><title>Updated archetype: Blood matching (openEHR-EHR-OBSERVATION.blood_match.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.47</link><description>An archetype has been updated: Blood matching (openEHR-EHR-OBSERVATION.blood_match.v1)&lt;br/&gt;Log message: Translated archetype from English to Arabic (Syria).</description><author>heather.leslie</author><pubDate>Mon, 15 Aug 2011 12:41:10</pubDate></item><item><title>Updated archetype: Barthel Index (openEHR-EHR-OBSERVATION.barthel.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.128</link><description>An archetype has been updated: Barthel Index (openEHR-EHR-OBSERVATION.barthel.v1)&lt;br/&gt;Log message: Translated archetype from Dutch to Arabic (Syria).</description><author>heather.leslie</author><pubDate>Mon, 15 Aug 2011 12:38:20</pubDate></item><item><title>Updated archetype: Audiogram result (openEHR-EHR-OBSERVATION.audiogram.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.44</link><description>An archetype has been updated: Audiogram result (openEHR-EHR-OBSERVATION.audiogram.v1)&lt;br/&gt;Log message: Translated archetype from English to Arabic (Syria).</description><author>heather.leslie</author><pubDate>Mon, 15 Aug 2011 12:36:37</pubDate></item><item><title>New archetype: Waterlow score (openEHR-EHR-OBSERVATION.waterlow_score.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.1036</link><description>A new archetype has been uploaded: Waterlow score (openEHR-EHR-OBSERVATION.waterlow_score.v1)&lt;br/&gt;Log message: Initial upload.</description><author>ian.mcnicoll</author><pubDate>Mon, 08 Aug 2011 03:25:18</pubDate></item><item><title>New archetype: Neonatal Braden scale (NSRAS) (openEHR-EHR-OBSERVATION.braden_scale_neonate.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.1035</link><description>A new archetype has been uploaded: Neonatal Braden scale (NSRAS) (openEHR-EHR-OBSERVATION.braden_scale_neonate.v1)&lt;br/&gt;Log message: Initial upload</description><author>ian.mcnicoll</author><pubDate>Mon, 08 Aug 2011 03:00:22</pubDate></item><item><title>New archetype: Modified Braden Q Scale (openEHR-EHR-OBSERVATION.braden_scale-child.v1)</title><link>http://openehr.org/knowledge/#showArchetype_1013.1.1034</link><description>A new archetype has been uploaded: Modified Braden Q Scale (openEHR-EHR-OBSERVATION.braden_scale-child.v1)&lt;br/&gt;Log message: Initial upload.</description><author>ian.mcnicoll</author><pubDate>Mon, 08 Aug 2011 02:55:31</pubDate></item></channel></rss>
