On Sun, 24 Nov 2002, Adrian Midgley wrote:
...
> > One difference - Gary reviewed specific existing systems for their
> > utility. He did not just propose to create a laundry list of requirements.
>
> Gary has a nice position in that the requirements in theatre and
> peri-operatively are more clearly specified than in wider areas.

Hi Adrian,
  I feel that it is more accurate to say that Gary put himself in a nice
position by clearly specifying a problem area :-). In fact, there are
numerous examples from various scientific disciplines that support the
importance of defining the problem well.

> Part of the lesson from the Exeter Project in about 1970-80 was that
> different specialties need rather different main views.

This is indeed a very valuable lesson. As I mentioned during the OIO
"future-proof" talk, I chose to define OIO's target problem as supporting
diverse needs and changes-over-time. A "common compromise for expediency",
in my opinion, is a set of pre-defined "main views" and lack of support
for the creation of additional and alternative "views" and data fields. I
believe GnuMed does try to address this - as does the OIO system in a big
way.

However, TkFP, OSCAR, and even VistA are also extensible (in data and
view). In particular, VistA has a modular architecture with a formal
naming convention for locally added/forked modules. Maybe the VistA
experts / Hardhats will tell us more about these features?

...

Best regards,

Andrew
---
Andrew P. Ho, M.D.
OIO: Open Infrastructure for Outcomes
www.TxOutcome.Org

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