Quoting Hugh Leslie <[EMAIL PROTECTED]>:

> Dear David,
> 
> Thanks for your comments, but I would just like to make the following
> points:
[snip]

Hugh, no-one denies OpenEHR isn't fundamentally a good idea, nor that 
potentially exciting stuff isn't being done with it.
The question is, it is a suitable basis for the problem at hand?
If your desire is the Ultimate Solution, then, yes, OpenEHR is good,
but it simply isn't feasible for time-poor amateur clinician-programmers
to undertake this task: it needs to be a proper govt funded setup
with fulltime PhDs and BCompSci's on board.

For which we've been waiting a long, long time, as you know.

Should we simply keep waiting? Or try to formulate something achievable?
"achievable" not only means limiting requirements, but also selecting a 
technology that's within our intellectual capacity to actually program.
(which, speaking personally, rules out OpenEHR ;-)

You may ask: well, if you're too busy and simple-minded to do it properly, 
why do it at all?
To which I refer you to the current crop of medical EHR programs: these
guys didn't exactly win Nobel prizes when they designed this stuff.

Could there be middle-road which is both significantly better than current 
offerings, yet accepts being short of theoretical perfection?

Ian

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