Instruction archetypes and overlaping nodes with INSTRUCTION.narrative

domingo_liotta domingo_liotta at
Tue Oct 29 02:59:36 EDT 2013

Hi Pablo:

We usually write a presuntive diagnosis (reason) and then clarify it more in an observations (narrative) field.
So redundancy y quite used in medicine

Hope that clarifies for you

Dr. Domingo Liotta (h)
Enviado desde Samsung Mobile

-------- Mensaje original --------
De: pablo pazos <pazospablo at> 
Fecha: 28/10/2013  23:50  (GMT-03:00) 
A: openEHR Clinical <openehr-clinical at>,openeh technical <openehr-technical at> 
Asunto: Instruction archetypes and overlaping nodes with INSTRUCTION.narrative 
Hi, I'm reviewing archetypes for a project. Looking at referral request archetype on the CKM, there are some nodes (Reason for request & Reason description) that seems to match the semantics of INSTRUCTION.narrative property.

Using that archetype to generate the UI in EHRGen, the overlaping was clear (I though if a doctor records the reason, he/she will have no information to record on narrative). The problem is that narrative is mandatory on the IM, and I doubt what to do in cases like this one. 

See the generated UI here:

Is there a real overlaping from the clinical point of view?

If an archetype has nodes that represents the same semantics as narrative instruction, is there a need to record narrative anyway? (Even though the narrative is mandatory by the IM)


Kind regards,
Eng. Pablo Pazos Gutiérrez
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