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Revisit definition for 'clinical history' #102

Open alanruttenberg opened 8 years ago

alanruttenberg commented 8 years ago

Current definition seems to limit it to statements about qualities. Should include other kinds of statements, such as about processes (disease processes, for instance) or times (when started losing hair, for instance)

See discussion at: https://groups.google.com/d/msg/bfo-discuss/SPTXWdv3ahU/5TyjawE0CwAJ

alanruttenberg commented 8 years ago

Asiyah says I should offer a definition. The original definition: The main issue in the definition above is that it restricts the subject matter to qualities, so loosening that is a priority. Perhaps 'A series of statements about anything deemed to be of clinical significance in the care of a patient.' For 'anything' you can read 'portion of reality'.

It might be good to add other things that are true, to constrain the interpretation. Such as it being the specified output of a clinical history taking, which will bring in that the information is elicited from the patient, family or guardians.

mark-jensen commented 8 years ago

Currently: clinical history taking = An interview in which a clinician elicits a clinical history from a patient or from a third party who is reporting on behalf of the patient. subclassOf process

clinical history = A series of statements representing health-relevant qualities of a patient and of a patient's family. subclassOf clinical finding

A revision of the process branch of OGMS is under way, where it is being proposed to make the history taking a subclass of OBI planned process

With respect to above, proposed revisions: clinical history taking = a planned process in which a clinician interviews a patient, or a third party who is reporting on behalf of the patient, to produce a clinical history.

clinical history = a clinical finding which is the output of some clinical history taking and represents a series of statements about clinically significant features of a patient.