In a message dated 25-11-2010 18:00:44 W. Europe Standard Time, 
thomas.beale at oceaninformatics.com writes: 
> I believe that the openEHR methodology provides a pretty good framework 
> for a) safe data, b) interoperable data, c) data reuse, d) implementable 
> software, and e) being domain driven (via archetypes). I just can't use any 
> HL7 models to do anything useful in the EHR space.


Hi Tom,

This can easily be read as:

I believe that the HL7 v3 methodology provides an excellent framework for 
a) safe data, 
b) interoperable data, 
c) data reuse, 
d) implementable software, and 
e) being domain driven (via DCM). 
f) safely exchange data based on different systems that have a complete 
different architecture
g) decision support
h) support of the dynamics in care, e.g. with the most powerfull attribute 
called mood code. The dynamics of care cannot be modeled in the static 13606 
/ OpenEHR RM, which is only a collection of snapshots
I just can't use any archetype models to do anything useful in the HL7 
space.


To Laura,

I agree, that winning is like a football game, one time you loose, the 
other you win, the next you loose, the next you win, loose, win, win, loose 
(oops :-)), with can go on and on.

Point is that I agree on the tools that help doing the job. 

To all: 

I have experience with some: HL7 tools in VISIO are sometimes a bit clumsy, 
but work, OpenEHR archetype editor is unreliable, I have in the creation of 
archetypes lost about a 40 days of work just due to crashing editor. Not a 
helpful tool. 
So yes, please support the creation of a tool (set) that is reliable and 
not too clumsy and that helps me realize the DCM content, check it with 
clinicians and next use it in both HL7 v2, CDA, v3, RIMBAA and services space 
and 
in 13606 ADL 1.2 / ADL 1.4., ADL 1.5 and in ER diagramming, and in user 
interface specifications and in queries and in reportings. 
Because I still believe that the Apgar score in HL7 v3 MUST be 100% 
identical to the Apgar score in archetype. If that is not the case, both 
methods 
fail to do what they are intented for. 


Met vriendelijke groet,

Results 4 Care b.v.

dr. William TF Goossen
directeur

De Stinse 15
3823 VM Amersfoort
email: wgoossen at results4care.nl 
telefoon +31 (0)654614458

fax +31 (0)33 2570169
Kamer van Koophandel nummer: 32133713   
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