Tim Churches wrote:

> 
> It is a bootstrapping problem. Relatively few individuals or
> organisations are willing to put time, effort and resources into openEHR
> until they see that the whole thing works as promised, at least for a
> few proof-of-concept examples. Currently, the lack of a publicly
> available (eithe open source or commercial) openEHR storage/retrieval
> engine (aka kernel) is a showstopper - it is the hurdle between openEHR
> and a seeing-is-believing "tipping point". The thing that amazes and
> worries me is that I had exactly this same (email) exchange with Tom
> Beale in 2003. Now it is 2006 and still no generally available
[snip]

The parallels with gnumed are striking, Although OpenEHR is well-planned
(one might say over-planned) it hasn't saved them from the same difficulty
of getting "over the hump", that is, a basic working system that people can look
at, play with, and generates interest which then snowballs into a community and
further development.
Fundamentally the problem is the ratio of development complexity
to programmer resources.
In the medical open-source world developer resources are very limited, so we
need to set our inital sights to a system that can actually get built.

Fortunately end-users are much more forgiving than informatics academics,
as David pointed out at the beginning of this thread: it simply isn't that hard.

Eye on the ball, people.


Ian
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