Fred,

that's pretty much it. We can disagree whether we should solve the 
sem-interop problem now (us; harder, longer) or later (you; get more 
going faster), but that's not a real debate - in some places our view 
makes more sense, in others yours is the practical sensible approach. 
Our main aim is to enable /intelligent computing/ on health data; doing 
that means semantic interoperability has to be solved. Otherwise, there 
is no BI, CDS or medical research based on data.

My only worry about not taking account of semantic / meaning issues now 
is that it will cost more later, than if it were included now. I still 
think that there is synergy to be explored in the coming 12m-2y between 
the openEHR community and the open source health Apps community (if I 
can call it that).

- thomas


On 18/02/2012 20:55, fred trotter wrote:
>
>
>
>     (please, no flame wars, below I am just trying to explain _my_
>     point of view to Fred;-)
>
>
> There is no need to worry about a flame war. I am certainly dubious, 
> but I take what you guys are doing and saying very seriously.
> It seems like you are taking a totally different approach to semantic 
> interoperability than I generally favor.
>
> My view is that semantic interoperability is simply a problem we do 
> not have yet. It is the problem that we get after we have 
> interoperability of any kind. This is why I focus on things like the 
> Direct Project (http://directproject.org) which solve only the 
> connectivity issues. In my view once data is being exchanged on a 
> massive scale, the political tensions that the absence of "true 
> meaning" creates will quickly lead to the resolution of these types of 
> problems.
>
> The OpenEHR notion, on the other hand, is to create a core substrate 
> within the EHR design itself which facilitates interoperability 
> automatically. (is that right? I am trying to digest what you are 
> saying here). Trying to solve the same problem on the "front side" as 
> it were.
>
> Given that there is no way to tell which approach is right, there is 
> no reason why I should be biased against OpenEHR, which is taking an 
> approach that others generally are not.
>
> If that is the right core value proposition (and for God's sake tell 
> me now if I am getting this wrong) then I can re-write the OpenEHR 
> accordingly.
>
> Regards,
> -FT
> *
> * 
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