Intentionality of Act and the Future of Observations
There were discussions at the last few HL7 modeling harmonization events regarding a revision on the way we think about acts.
Discussion and Rationale: Acts are the pivot of the RIM; all domain information and processes are represented primarily in Acts. Any profession or business, including healthcare, is primarily constituted of intentional actions, performed and recorded by responsible actors. An Act-instance is a record of such an intentional action. Intentional actions are distinguished from something that happens by forces of nature (natural events). Such natural events are not Acts by themselves, but may be recorded as observed (Observation).