Hi Grahame,

We very much understand that you are being pulled in gazillions of directions 
at present with the explosion of FHIR on all fronts (excuse the pun - I?m sure 
you?re used to them now) but we are all trying to respond to the needs of our 
respective communities.

I too would be extremely disappointed if this collaboration had to be 
abandoned. We have been so pleased to see this collaboration start off so well, 
and it really is ground breaking for many reasons. However, from a practical 
point of view, our last review was completed at end of November and we have 
been very patient while waiting for your end to be ready to proceed. The 
patience is not so unreasonably now evolving to some impatience, I guess.

We are happy to explore all alternatives to try to progress this in a timely 
manner for all parties ? please suggest an approach and a timeframe. We have 
all our reviewers ready and looking forward to ongoing participation.

If the worst happens and we can?t continue with this particular model, the 
progress that we have made to date will go a long way to ensure that the 
majority of the Adverse Reaction archetype and FHIR resource are well aligned, 
especially in the areas most critical and relevant to support interoperability 
at this time. And of course we can all learn from the experience such that when 
we look to do this next time we might all be wiser and clearer in how to manage 
it for all stakeholders.?

BTW I?m not sure how many openEHR email listers are aware of the HL7 
conversations that you refer to. Ian and I certainly drop in on them on 
occasions, but we don?t regularly monitor them. If you?d like this community to 
participate, perhaps an invitation on behalf would encourage an active joint 
participation.

Kind regards

Heather

From: openEHR-clinical [mailto:openehr-clinical-boun...@lists.openehr.org] On 
Behalf Of Grahame Grieve
Sent: Saturday, 14 March 2015 5:25 PM
To: For openEHR clinical discussions
Subject: Re: openEHR-clinical Digest, Vol 35, Issue 21

hi Heather


We are attempting to work with the FHIR/HL7 patient care team for the Adverse 
Reaction archetype at the moment. At present the review is effectively stalled 
while Grahame is trying to harness a collective response. This has been the 
situation since mid November and unfortunately rapidly becoming an unworkable 
proposition.
There are three different problems here
* I personally overcommitted in this regard. I should have been pro-active in 
this process, and I regret that I didn't
* it's hard to impose arbitrary deadlines on a continuous process
* it's erroneous to think that the communications in a joint process are all 
one way. Ian has been involved in the HL7 discussions, but I have missed you 
from the process

It would be disappointing if we couldn't keep things together from here. Not 
only is it a nice position, the joint work has proven robust against criticism, 
but not beyond change proposals, and there are a few. In particular, I think 
that we need to invest in more work on the way negation works; I have a bunch 
of research on negation in the real world to bring together and contribute, 
hopefully next week.

In terms of rectification, it would certainly help to remove me from the loop  
- to find someone else to catalyse the interaction from the HL7 side.

Grahame

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