Ian,

I am writing a paper on national mandates for HIT and on nation adoptions
of the EHR.  Can you point me to some documentation on Scotlands plans?

Thanks

Ed Hammond



                                                                                
                                                              
                      Ian McNicoll MMS                                          
                                                              
                      <ian at gpacc.co.uk>               To:       
openehr-technical at openehr.org                                                
 
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                      owner-openehr-technical@        Subject:  Re: 
difficulties starting an implementation                                   
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                      01/18/2006 03:47 PM                                       
                                                              
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Hello again Rong,

Glad to hear things are progressing. Do you have any thoughts about
persistence layer options?

In Scotland there is a hope to move to a single EHR for the whole
country across all specialities. Personally I remain unconvinced that
this is totally achievable, but if it is, it will demand a highly
flexible and extensible architecture, backed by an equally structured
complex persistence layer - the traditional relational DB will simply
not work.

Regards,
Ian


>
> As I promised to reply to your post on the list, here I am. :)
>
> Personally I am convinced it is possible to implement the openEHR
> specification even at this stage. We, at Acode, already proved it by
> building a pilot EHR system which meets real-life requirement. Of
> course, it wasn't easy since we started from scratch with the Java
> implementation (kernel, parser, persistence, GUI), but also the
> specification has been a moving target. After the version 1.0
> specification is released, the situation will be quite different. Since
> then, there won't be any major changes on the reference model which
> really is the foundation of interoperable EHRs. This will hopefully
> encourage more open source or commercial development on openEHR in the
> near future.
>
> Cheers,
>




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