Please remove me from this mailing list.
> Kind Regards,
> 
> Andrej Orel
> 
> --- 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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> 
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