Williamtfgoossen at cs.com schreef:
> Good Point Ed,
>
> Until now the list of actual OpenEHR implementation I have actually 
> seen working is 0
William,

I told before on this list, English is not even my second language, but 
I do what I can to be understandable.
-------
Now to your "Good Point, Ed" (the famous G.P.E.)

I don't think this is fair, I explain why I feel like that.

Release 1.0 is just released this year, I am working with a group of 
people on a commercially implementation. At this moment (for 
business-reasons) I cannot go into further details, but we will within a 
few months.

If you need an implementation, contact me, I will lead you further, I 
can get you to an implementation within a few months..
If you only want information, please wait for more press releases.

The concepts are very new, the learning curve is steep, So don't expect 
a lot of implementations in short time, but, in my experience with 
complex software like this, there is a point of critical mass after 
things will really go fast. Also, I know about other implementations in 
beta phase. When people involved are willing to provide information on 
this, you will learn about it from them.
----------------
I worked on HL7 implementations, I cannot say that it is a pleasure. I 
still work on code to create the messages Nictiz defined. They are very 
complicated, a lot of its complexity cannot be used at all because most 
of the providing GP-applications do not support that kind of 
data-constellations. So lots of definitions just exist in vain, as a 
kind of hobby for the designers.
Also, I guess that the dutch GP-systems will need maybe three to five 
years to get an error-free partially implementation. When you see how 
long they needed to implement the much more simplier Edifact (medeur) 
message from the Erasmus university. They started at that time with 1500 
errors in each Edifact message.
Stupid errors, like sexe: Islam, religion: O-neg Blood type: male. They 
had lots of problems to distinguish the + and ' and other characters 
which have special meanings in Edifact. It took more then three years to 
let them prouce/implement edifact messages of an acceptable level of errors.
I am not a genius, but I wrote a Medeur testing tool, a medeur-readable 
report generator and other medeur tooling in a few months, on my own, 
they are still in use..

Now they have to build a system for HL7, which is much much much more 
complicated as Edifact. (Medeur). I do not expect them to succeed to 
implement the HL7 v3 message on an acceptable level error-free level 
before 2010. Say, it will be 9 years after Nictiz started defining the 
PRICA-DMIM (primary care) (which also took 4 years and 50 million Euro, 
but being fair, it was not only the DMIM, also the SOAP headers and some 
more things had to be done. Maybe there were other DMIM's too they 
defined. I know one more, BEMO (medications)).

So, At this moment there is no application in my knowledge which 
implements a trustworthy HL7 v3 Prica message-generation or -interpretation.

On the other side I am very confident that before 2010 there will be 
also several systems in the Netherlands running OpenEhr.
-------
Politicians and people with not much knowledge of what is really 
happening keep on pointing to the Proof Of Concept which took place last 
summer, and try to gain some good hope from that. Many people have a 
wrong idea of what this PoF really was about (in GP-communications).
The PoF did not test any GP System. It was really only a 
network-service-test, not a GP-information system-test.

I know of a company which name I will not mention, which received, 
really a lot of money (was it 100.000 Euro) to receive a request for a 
HL7 message, and in reply send a message, which was in every detail 
before prepared (a simple Perl script of fifty lines could do the job). 
No life GP-information system was involved in this test, it was only an 
network SOAP test.

OK, the SOAP headers are OK, now the GP systems.

These are things you don't read in the newspapers, you don't hear talk 
about in management-meetings.

Thanks
Bert
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