Please remove me from this list. I have two email
address that forward to this particular box. I am not
certain which of the two is being used in regards to
openEHR. Please remove both.

- mhwiii at yahoo.com
- treswatson at alumni.virginia.edu

Kind Regards,

Tres Watson

--- ns shivam <nsshivam at yahoo.co.uk> wrote:
> kindly remove me from this mailing list
> 
> Thomas Beale <thomas at deepthought.com.au> wrote:
> 
> Tim Churches wrote:
> 
> >On Tue, 2003-08-05 at 07:27, Thomas Beale wrote:
> > 
> >
> >>Not sure what you mean by "inefficient"..
> >> 
> >>
> >
> >Well, I have changed my address several times
> during my life, but not my
> >sex or my name. This can be modelled by either
> keeping an address
> >history within my demographic record (that is,
> explicitly modelling the
> >time domain), or by keeping timestamped versions of
> my entire
> >demographic record. openEHR seems to adopt the
> latter approach. 
> >
> Actually, it doesn't, but it's not obvious I agree.
> If you look at the 
> common RM 
>
(http://www.openehr.org/Doc_html/Model/Reference/common_rm.htm)
> you will 
> see that there is a class VERSION_REPOSITORY and a
> class VERSION. 
> The former is a functional interface to the stack of
> versions for one 
> versioned entity, which might be a PARTY, a
> TRANSACTION of whatever. But 
> it does not say how to implement this. A
> space-inefficient, but simple, 
> implementation would be to just have successive
> complete copies. A more 
> efficient way would be to adopt the algorithm used
> in versioning object 
> databases which only stores new objects in each
> version, and uses 
> special markers for deleted objects. Normally this
> would be done 
> backwards, so that it is always the most recent
> version that is 
> complete, since it is the one most likely to be
> retrieved all the time.
> 
> >That
> >approach is less efficient space-wise, but that
> hardly matters these
> >days. It is more efficient if the (medico-legal)
> query is "what was my
> >demographic record at date yyyy-mm-dd?" Much less
> efficient if the query
> >is "how many times did I change my address?".
> >
> for a single patient, neither of these is much work
> - it's trivial, 
> regardless of the representation of versions
> 
> > Very, very inefficient if
> >the query is "what is the mean number of address
> changes in the entire
> >population?". I am thinking from an aggregate
> epidemiological POV, not a
> >clinical/medico-legal individual patient POV. But
> then, satisfying the
> >former POV is what data warehouses, populated from
> EHRs, are for...
> >
> sure - and I agree - this is what data warehouses
> are for. This kind of 
> querying requires forethought. If you know you are
> going to be 
> collecting say 50 statistica, including "number of
> times change 
> address", then you start designing software agents
> to capture the data 
> as they go into the EHR, e.g. a simple address
> change counter for your 
> query. Then generating the result is trivial.
> 
> - thomas
> 
> 
> -
> If you have any questions about using this list,
> please send a message to d.lloyd at openehr.org
> 
> 
> Dr.N.S.Shivam MS,FRCS,DNB 
> 
> Head Healthcare Business development (Provider) 
> HCL Perot Systems 
> Plot No3, Sector 125, 
> Noida 
> Ph: 09811901903
> 
> 
> ---------------------------------
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