Re: [openhealth] Re: OSHCA Membership question

2006-04-23 Thread Tim Churches



David Forslund wrote:
 I don't see that your answer has much to do with my question. It isn't
 about
 where we have been but where we are going and why. I don't doubt the
 need for an international forum but what will be the constraints on
 participation?

If you are a member of OSHCA, you can shape its policy and direction. If
you are not, you are free to observe what OSHCA does, attend meetings
and contribute, but non-members cannot vote on motions in general
meetings. I would encourage you to join.

 I currently don't see any difference in most open source systems as to
 the vendor
 lock-in other than that one can look at the code.

Um, and modify the code, and redistribute it. All of those are pretty
big differences IMHO. Perhaps you mean no difference from a software
engineering or software architecture perspective? That is debatable,
particular since the quality of the software engineering and
architecture of closed source systems is typically rather hard to judge,
since code can't be inspected and the details of underlying technical
architecture is usually regarded as a trade secret by the vendor. Either
way, there is a lot more to health information systems which actually
make a difference to people's health care and lives than just software
engineering and good software interfaces.

 I don't see that
 the proposed fees for OSHCA will do anything other than allow it to
 organize (but not fund) meetings. I'm not sure that that will accomplish
 much without some purpose or goal to the meetings. I need to see the
 value of the organization. People can participate in our project, for
 example, for nothing
 and this includes contributing code, etc. This typically would be a lot
 more participation than might occur in OSHCA itself. Without a strong
 set of goals which might include interoperability, the value of OSHCA is
 unclear to me.

Dave, there is no compulsion to join OSHCA, and you can chose to join
OSHCA later if you think it is worth the time and money, or not. It's up
to you. But if you want to have a significant impact on the agenda and
policies of OSHCA, you'll need to join.

 If OSHCA is non-profit, will it be recognized as such in the US so that
 gifts
 to it would be tax-deductible, or is the membership fee not a charitable
 gift but
 something that you purchase and receive value in return? 

I imagine that country chapters of OSHCA, if/when they are formed, will
be be able to pursue tax-deductible status - the difficulty and rules
for achieving this vary a lot from country to country - it will be up to
the people who are organising each country chapter. For the meantime,
though, you won't be able to claim a tax deduction on your US$10
membership fee, should you chose to join.

Tim C

 Joseph Dal Molin wrote:
  OSHCA meetings have always been open to anyone. While there has been
  much progress without OSHCA and there are other open source working
  groups imbedded in organizations like AMIA etc. there is a need for an
  open international forum whose focus is solely open source in health and
  provides a place both in the form of meetings and online venues for what
  I perceive to be islands of activity to interact and cross pollenate.
  This will evolve into concrete initiatives where there is sufficient
  itch to scratch and motivation to actI would definitely vote for
  promoting open source interoperability as a good starting pointit
  would be truly ironic if open source projects reinvented lock-in.
 
  Where OSHCA goes from here will be up to its membership and the goal
  creating a formal organization will allow the scope of what OSHCA can
  accomplisy, through funding etc. to expand significantly.
 
  Joseph
 
  David Forslund wrote:
   Is OSHCA membership intended to simply be an issue of who can vote on
   decisions by the organization or does it entail other matters? Most
   organizations allow for observers and external contributors, but those
   can't vote on organizational decisions. For example, can anyone
   participate/attend an OSHCA meeting (subject to possible meeting fees
   which are distinct from membership) or only paying members? Will this
   list only be for paying OSHCA members? So far the benefits of this list
   on discussion of technical issues is valuable, but I don't yet see the
   benefits of joining OSHCA. There are other open source organizations
   that are at least as valuable being a member of. I don't know what
   OSHCA will be doing. I would think that promoting interoperability
   amongst open source systems would be a good task to do, but I don't see
   that on the list. We have been fairly successful championing and
   promoting open source in healthcare without OSHCA. I need to
   understand the benefit of joining the organization. The cost isn't the
   issue; the time and effort is.
  
   Thanks,
  
   Dave Forslund
  
  
 
 
 
 
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Re: [openhealth] OSHCA inaugural meeting - important announcement

2006-04-23 Thread Molly Cheah



Will Ross wrote:

Molly,

I'm sorry for failing to review the OSHCA 2.0 release document sooner 
in the quickly moving process that is underway. Let's just replace 
all of my suggestions with the single observation that the Protem 
Committee has assigned itself tremendous authority and is ramming 
things through on such a rapid timeline that those of us in the rank 
and file are being asked to waive all concerns so as not to derail 
the process. 

Will, the community gave a similar mandate end of 2002, in fact a much 
stronger one for OSHCA to be incorporated and one of the reasons given 
by one of the iBOD members is that there was no time frame for OSHCA's 
incorporation even after one year had passed. I took a different 
approach when I offered to get OSHCA registered. I put a time frame to 
it and I would like to think that whoever is interested in the processes 
would monitor the list regularly for updates and respond accordingly. 
I'm sorry to sound that I'm ramming things through but I need to keep to 
timelines for the deliverables that I promise.

I will make no effort to slow the process down, but I 
will observe that software developed under the same conditions is 
generally suboptimal. One of the primary benefits I enjoy from open 
source software is not that it can be assembled hastily against an 
aggressive deadline, without regard to quality, but that it is 
developed under a process that can accommodate rapid corrections and 
constant improvements to achieve a high standard of quality assurance 
and usability. 

The analogy you gave above is, I think, inappropriate here. We're 
assembling a group of interested individuals to agree to a constitution 
for registering an organisation. This is not software development.

I like the early beta version of your 2.0 OSHCA 
project, but I am disappointed in the bugginess of RC1. My 
preference is for an elastic release date combined with very high QA 
standards. Perhaps in the long drought since the demise of OSHCA 
1.0 we have become over eager to reanimate the beast. 

Unfortunately the elasticity of the earlier attempt to register led to 
the resignations of several iBOD members and OSHCA's demise (almost), 
hence its resurrection. I had also made it very clear when I took the 
responsibility for its registration that this is a new initiative and 
not a continuation of the previous effort.

Tim had addressed your points appropriately since.

Since I have 
no real standing in this process I will leave my observation where it 
is.

 

Will, I actually invited you to join the protem in a private e-mail but 
as you're aware I did not get a reply, so I moved on and requested for 
help from someone else. There will be the democratic process of 
elections after OSHCA's registration. I hope you will become a member so 
that you can participate in defining OSHCA's future and not turn it into 
a beast. The constitution is a living document. It will really be a 
marvellous achievemnent for the protem if a sprinkling of individuals 
across the globe agrees to adopt it as a start. I don't expect a 
majority across the globe to agree to all of the articles. The 
variations can be articulated in the chapters, subsequently What the 
protem is doing now is just preparatory work towards getting OSHCA 
registered.

Molly

With best regards,

[wr]

- - - - - - - -

On Apr 22, 2006, at 3:53 PM, Molly Cheah wrote:

 

Hi Will,
Your suggestions below pose a dilemma for me because of the time 
frame.
As you're aware, in preparation for this inaugural meeting in 2 days'
time, the preparatory process to arrive at an acceptable constitution
went through 7 draft revisions, most of the work was done by the 
protem
committee and somewhere along the way, draft4 was uploaded to this 
list
from 7th April announced to the list on the 8th April and made 
available
to everyone for seven (7) days for their input. Procedures were 
laid out
in my e-mail to the list dated April 8th when I announced the 
upload of
the draft constitution. All accetable input and changes made had been
documented in the build status in build history and every draft is
available. As I said repeatedly the constitution is a living document
but somewhere along the line for drafting it, there has to be a cutoff
point for acceptance of input. Can I suggest that these be proposed 
for
amendments after OSHCA's registration i.e. during subsequent AGMs?

Molly
 







  
  
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[openhealth] Re: OSHCA Membership question

2006-04-23 Thread o372primarykey



--- In openhealth@yahoogroups.com, David Forslund [EMAIL PROTECTED] wrote:

 This would be worthwhile. Interoperability is far broader than open 
 source, but FOSS could set the kind of example that is required.
 This may (must?) involve working with those not involved in open source 
 but who may be committed to interoperability.
 
 Thanks,
 
 Dave

--snipped--

Hi Dave,

I found an organisation on google search which might be of interest to
you. They seem to be committed to interoperability issues (see
http://www.nahit.org/cms/index.php?option=com_contenttask=viewid=220Itemid=122
) as you are. 

The following are a couple of links in case you're interested in
joining them:

1) Membership dues
http://www.nahit.org/cms/index.php?option=com_contenttask=viewid=25Itemid=140

2) Value for money considerations 
http://www.nahit.org/cms/index.php?option=com_contenttask=viewid=14Itemid=121


Hope that helps.

Cheers,
Juliana





  




  
  
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Re: [openhealth] Re: OSHCA Membership question

2006-04-23 Thread Thomas Beale




I have to agree with Dave here - I see it as problematic if OSHCA 
doesn't see interoperability as a key issue. FOSS just gets you 
applications and components. Interoperable FOSS gets you integrated, 
componentised systems and environments. This is where the cost advantage 
of FOSS will be shown in the future. It is worth considering the 
ObjectWeb approach (http://www.objectweb.org).

- thomas

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Re: [openhealth] Re: OSHCA Membership question

2006-04-23 Thread Joseph Dal Molin



I do too. so let's all work to make it a key area of focus for OSHCA.

Joseph

Thomas Beale wrote:
 
 I have to agree with Dave here - I see it as problematic if OSHCA
 doesn't see interoperability as a key issue. FOSS just gets you
 applications and components. Interoperable FOSS gets you integrated,
 componentised systems and environments. This is where the cost advantage
 of FOSS will be shown in the future. It is worth considering the
 ObjectWeb approach (http://www.objectweb.org).
 
 - thomas
 
 -- 
 ___
 CTO Ocean Informatics (http://www.OceanInformatics.biz)
 Research Fellow, University College London (http://www.chime.ucl.ac.uk)
 Chair Architectural Review Board, openEHR (http://www.openEHR.org)
 
 
 
 
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Re: [openhealth] Areas for cooperation and collaboration for OpenHealth

2006-04-23 Thread Thomas Beale



Tim.Churches wrote:


 Sure, no argument there - the abstractions are potentially useful.
 However, for a project like, say, CHITS (which is where this thread
 started), considerable extra work involving considerable expertise is
 required to convert the OMG HDTF specs from IDL form into SOAP/WSDL.
 That is yet another reason why these interfaces are hardly ever
 implemented.
it shouldn't be a reason. The effort of converting the _expression_ of a 
well-designed spec to another (reasonable) formalism is 1% of creating 
the spec in the first place (involves lots of requirements and design 
hard work).

- thomas




  




  
  
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Re: [openhealth] Re: OSHCA Membership question

2006-04-23 Thread Joseph Dal Molin



James,

Good ideaas far as VistA-Office is concerned we will be shortly be 
working through the CCHIT/ONCHIT EHR criteria which includes 
interoperabilityonce we have done that we will gladly 
contribute/link to a common reference page.

Joseph

James Busser wrote:
 
 On Apr 23, 2006, at 8:23 AM, Thomas Beale wrote:
 
  I am advocating that a culture of re-use and interoperability be 
  adopted
  in health FOSS.
 
 Would it be worth coaxing health FOSS producers to aggregate their 
 interoperability approaches? Perhaps by getting them to link, from 
 some kind of central and organized reference page, to whatever 
 information the FOSS producers had already compiled and which might 
 exist online? Or if it does not yet exist online, to provide a place 
 in which to post and maintain it?
 



  




  
  
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Re: [openhealth] Re: OSHCA Membership question

2006-04-23 Thread Tim Churches



Thomas Beale wrote:
 Tim Churches wrote:
  Thomas Beale wrote:
   I have to agree with Dave here - I see it as problematic if OSHCA
   doesn't see interoperability as a key issue. FOSS just gets you
   applications and components. Interoperable FOSS gets you integrated,
   componentised systems and environments. This is where the cost advantage
   of FOSS will be shown in the future. It is worth considering the
   ObjectWeb approach (http://www.objectweb.org).
  http://www.objectweb.org%29.
 
  No-one has suggested that interoperability is not an important issue for
  FOSS, although personally I don't regard it as the *only* issue. As with
 I don't think anyone does. Functionality, performance, security, safety,
 economic viability, maintainability etc are things we are already
 interested in.

Indeed, as well as more human aspects of FOSS projects such as
community, training and support resources and so on. But none of these
are mentioned in the current OSHCA constitution. Hence I don't see why
interoperability - which would need to be defined because it means
different things to different people - should get a special mention.

  nearly everything, there are costs as well a benefits associated with
  building interoperability into software, and these have to be weighed
  and judgements made about what to do and when, given the inevitably
  finite resources and time available to any particular project.
 true, to an extent, and yet it is this kind of thinking that I think
 leads too many efforts to make the default position one where
 interoperability is not part of the product, but will be thought about
 later. There are two problems with this. Firstly, interoperability can
 really only be designed in at the beginning. Secondly, if there is no
 interoperability, there is no re-use.

Hmmm, that is not categorically true. The most common mechanism for both
re-use and interoperability between FOSS applications is wrapping the
API of one application or system to make it available for use in
another. That happens all the time for languages such as Python: someone
creates a wrapper around a C library to expose its interfaces to Python.
Typically, the C library was never written with integration in Python in
mind, and oftn the result is an ugly but functional interface, or
sometimes an extra layer is added to make the interface more Pythonic.
But all of this happens as an afterthought - the C libraries are very
rarely written with Python in mind - and they typically are wrapped for
use in Ruby, TCL and other dynamic languages as well.

Take the CHITS example. AFAIK, it was not written with any set of
interoperable interfaces in mind (at least not ones which Dave Forslund
would approve of). It is desirable to make CHITS interoperate with our
NetEpi Analysis (NEA) data analysis tool, which also doesn't have
automated application interfaces. Despite that, we will achieve our
goal, entirely post-hoc, by sitting down for a day or two and writing
some interface code in PHP and Python. Problem will be solved, I get to
meet and work with Alvin and colleagues in Manila and will no doubt
hatch plans for further collaboration, re-use and interoperability.
That's still a valid approach, in my view, as a stepping stone to having
the machines talk amongst themselves entirely automatically.

 What I am really talking about here is not how to better design a
 product, I am talking about engendering a culture of intoperability
 among FOSS producers, with the aim of making sufficient interfaces, data
 specifications, knowledge models etc published so that the default
 decisions when building something new are:
 * re-use existing components (because now I can see the APIs published
 online, I can use them directly)
 * only build things that are not already built (with the existing
 ecosystem of tools and products mapped out, I can see what is missing,
 what is available)
 * use design approaches already in use; try to fit into available paradigms
 
 I am advocating that a culture of re-use and interoperability be adopted
 in health FOSS. 

Sure. But I suspect that there is already much more of that going on
than might first be apparent, particularly re-use of lower-level tools
and components at the software re-engineering level. I can't think of a
single health-related FOSS project that has written its own operating
system, or its own database management system, or its own programming
language and associated libraries, for example.

 A community like OSHCA could help this, in a similar way
 as ObjectWeb does for middleware, by providing the informational and
 collaborative framework of the software ecosystem.

Yes, very useful things for OSHCA to do.

Tim C



  




  
  
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Re: [openhealth] Re: OSHCA Membership question

2006-04-23 Thread Karsten Hilbert



On Mon, Apr 24, 2006 at 07:35:47AM +1000, Tim Churches wrote:

 I can't think of a
 single health-related FOSS project that has written its own operating system,
 or its own database management system
TkFP scores on the latter

 or its own programming language and associated libraries
The initial MUMPS as put forth by the Massachussets General
Hospital, no ? Ah, wait, that wasn't FOSS, though.

Karsten
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[openhealth] New file uploaded to openhealth

2006-04-23 Thread openhealth




Hello,

This email message is a notification to let you know that
a file has been uploaded to the Files area of the openhealth 
group.

 File : /oshca_inaugural-meeting_notice.sxw 
 Uploaded by : drcheah2000 [EMAIL PROTECTED] 
 Description : Notice of OSHCA Inaugural Meeting on 25th April 2006 with Agenda, Procedures for participation, Resolutions to be adopted and Founding Members' Information Form 

You can access this file at the URL:
http://groups.yahoo.com/group/openhealth/files/oshca_inaugural-meeting_notice.sxw 

To learn more about file sharing for your group, please visit:
http://help.yahoo.com/help/us/groups/files

Regards,

drcheah2000 [EMAIL PROTECTED]
 







  




  
  
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Re: [openhealth] OSHCA inaugural meeting - important announcement

2006-04-23 Thread John L. Forman



Dear All,

In the absence of any other, I volunteer to represent Latin America  
Caribbean.

Regards,

John


John L. Forman [EMAIL PROTECTED]
Tecso Informática Ltda www.tecso.com.br
Rua da Gloria 190/1002 Fone: (21) 2224-4643
Rio de Janeiro - Brasil Fax: (21) 2509-0023



Citando Molly Cheah [EMAIL PROTECTED]:

 
 
 
 I'm going to upload the documents for the Inaugural meeting Notice as 
 
 soon as the protem committee had a chance to look at it and give me 
 
 feedback. However, at this point, there is one vacancy for a protem 
 
 member representing Latin America  Caribbean. (By the way most of the 
 
 references and names in lists used are taken from the United Nations) 
 
 The people we source from Argentina, Brazil did not materialize. 
 
 However, if there's anyone on this list from that region who will 
 
 volunteer now, we'll give him/her priority otherwise anyone from any 
 
 other region can volunteer to represent Latin America  Caribbean.
 
 As you've volunteered, I don't think anyone will object to giving you 
 
 preference if there is no Latin American or Caribbean volunteer. The 
 
 other position is the auditor. I had to persuade Jason Tan to fill it as 
 
 I couldn't find an alternative when Wayne Wilson moved to represent 
 
 North America.
 
 
 
 The following volunteers were received for the Protem Committee of the 
 
 organisation:-
 
 /President/ : Molly Cheah
 
 /Deputy President /: Thomas Beale
 
 /Secretary/ : Joseph dal Molin
 
 /Assistant Secretary/ : Juliana Tang
 
 /Treasurer/ : Adrian Midgley
 
 /Ordinary Committee Members/ :
 
 William Lauesen (Africa/Middle East)
 
 Nandalal Gunaratne (Asia)
 
 Katarzyna Heller (Eastern Europe  Central Asia)
 
 Christian Heller (Europe)
 
 ? (Latin America  Caribbean)
 
 Wayne Wilson (North America)
 
 Tim Churches (Oceania)
 
 /Honorary Auditors/ :
 
 K S Bhaskar
 
 Jason Tan Boon Teck
 
 
 
 Will Ross wrote:
 
 
 
 
 
  molly,
 
 
 
  i hope to have the opportunity to join the new entity you are quickly
 
  assembling. is the list of protem members public knowledge or are
 
  we waiting to find out?
 
 
 
  [wr]
 
 
 
  - - - - - - - -
 
 
 
  will ross
 
  project manager
 
  mendocino informatics
 
  216 west perkins street, suite 206
 
  ukiah, california 95482 usa
 
  707.462.6369 [office]
 
  707.462.5015 [fax]
 
  www.minformatics.com
 
 
 
  - - - - - - - -
 
 
 
  Getting people to adopt common standards is impeded by patents.
 
  Sir Tim Berners-Lee, BCS, 2006
 
 
 
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