Hi Ian,
 
You make a very good point - there are ways of implementing useful records without using openEHR - we need to consider all the options available and the cost / value ratio of each.
 
Cheers
 
David

----
Dr David G More MB, PhD, FACHI
Phone +61-2-9438-2851 Fax +61-2-9906-7038
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On Tue,  3 Jan 2006 16:43:29 +0800, [EMAIL PROTECTED] wrote:
> 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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