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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
https://discourse.openehr.org/t/linking-in-openehr-goals-and-problems/1032
https://discourse.openehr.org/t/care-plans-in-the-real-world/2601/5
https://discourse.openehr.org/t/cross-reference-citations-and-a-solution-for-managed-lists/1355
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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