On Mon, 28 Feb 2005, Terry wrote:
Why?
I would argue that to have an ongoing data management component for enterprise information architectures used in healthcare enterprise there must be an organizational mechanism to examine, and update the common conventions in the M environment that enable it to interoperate with othe components in an optimally consistent way when building such architectures. Without that capability, regardless of how frequently or infrequently it is invoked, the M environment has no ability to evolve and respond to new situations. That abilty to evolve is critical to its creditability and the present inability to do that and educate the world how the conventions in the M standards make that possible is one of the arguments for "MUMPS is Dead!" attitudes that exist regardless of the performance/scalability and other attributes. That posture must exist in the view of those not technologically masterful of how M works.
To what end?
The component interopreability of the NHII and the NHIN that Brailer is pushing has to be built upon a pyramid of common conventions that are seen to be dynamic, evolving and serve key roles in health information architectures as they are crafted to become an NHIN. They have to be capble of representing every complex concept that may be used in healthcare so that the technologic implementation of those cocepts best serve the practitioner (of all specialty disciplies within healthcare) who utilizes those concept in some aspect of healthcare. The common conventions enable consistent, powerful education that show how informatics ENABLES the other four core competencies (IOM 2003). That education is still embryonic in spite of powerful tools such as the M environment. The MDC will be one of the M (and VistA)community's contribution to sthandards armamentarium meeded for consistent powerful education; and it is key to other contributions. We either got to Fish or Cut Bait! and we must not Wait For Godot. That is the reality from my perpspective.
Terry L. Wiechmann
By now everyone is sick of hearing me harp on this, but this Bostonmeetinghad noand get together with this active group of M programmers seems to me the place to try to get the MDC going again. I trust someone has invited our German friends and British contacts, etc., to the get together. I haveresponse to my email sent to Japan. If anyone has information aboutwho Ithatshould contact at the NEMUG to see if there is and interest among their membership, or if someone who has the experience and knows members ofgroup and could find out who has been invited and if there is anyinterest inreviving the MDC, I would appreciate hearing from you. -- Nancy Anthracite
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Terry L. Wiechmann
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