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  • added annotations / meta-data: likely to be a need for adding annotations or other meta-data to the reference or citation within any of the above content types.

  • owning context: access to the owning context(s) of the cited content item(s), e.g. an Observation for an Element, and the Composition, providing the event context.

Further, there is a need to be able to ‘see’ and specify content inclusion / citation / linking in archetypes and templates, which is not possible today.

Previous discussions

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  • virtual content: the user wants to include some pre-existing content within a new Composition, instead of creating the content from scratch;

    • the ‘virtual content’ item(s) fit inline in the RM structures.

    • e.g. BMI height and weight ELEMENTs virtually included in BMI data structure

    • e.g. prescription INSTRUCTIONs included in Care Plan, Medication list

    • the virtual content should appear inline for the purposes of querying execution

    • the virtual content should be included (somehow) when the data are shared outside the EHR, i.e. in serialised / transmitted form;

  • citation: a ‘see’ reference is made to some previous content, from within newly authored content, e.g. a reference to previous lab result Compositions are included within an Evaluation representing an assessment or plan;

    • the cited content is never included inline in the citing location

    • the cited content is not included when querying the citing content;

    • however the content should potentially be resolved when sharing the citing content e.g. in an EHR Extract or as a document or report;

      • resolve just the cited items, or the whole containing Compositions?

  • query result snapshot: possibly represented as a list of citation references pointing to the query result; needs to be inside some special container that includes query-related meta-data (e.g. query, date-time executed etc)

Archetyping

TBD

Design Assumptions

It seems fairly clear that one technical representation will not cater for both virtual content and citations - they are semantically different. We therefore treat virtual content and citation as separate design questions.

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Citation - Design Concepts

TBD

ADL/AOM - Design Concepts

TBD