Vital signs template includes “openEHR-EHR-OBSERVATION.pulse.v2.0.4.opt2” with ELEMENT definition that has two attributes: “name” and “value”.
ELEMENT has three optional attributes: “null_flavour”, “value”, “null_reason”.
ELEMENT[id1024] occurrences matches {0..*} matches { -- Clinical interpretation
name matches {
DV_CODED_TEXT[id9015] occurrences matches {0..1} matches {
defining_code matches {[ac9004]} -- Clinical interpretation (synthesised)
}
}
value matches {
DV_TEXT[id9016] occurrences matches {0..1}
}
}
ac9004 can have two values:
- at1059: Rhythm(en); Specific conclusion about the rhythm of the pulse or heartbeat, drawn from a combination of the heart rate, pattern and other characteristics observed on examination.
- at1058: Clinical interpretation(en); Generic label to allow for any or all statements about the pulse or heart beat.
Shouldn’t the above ELEMENT be specified as:
ELEMENT[id1024] occurrences matches {0..*} matches { -- Clinical interpretation
value matches {
DV_CODED_TEXT[id9015] occurrences matches {0..1} matches {
defining_code matches {[ac9004]} -- Clinical interpretation (synthesised)
}
DV_TEXT[id9016] occurrences matches {0..1}
}
}
Or am I missing something?
In case the second example is the solution:
ADL grammar/parser cannot catch ELEMENT with two attributes as error. Should the CKM catch it? Or the OPT validator?