Hello all, While I recognize the importance of analyzing the differences between openEHR and HL7, I feel that we are wasting our energies as a community in this ongoing debate. I think that our health IT visions are more important than how exactly they are enabled by the various standard specifications.
Let me illustrate this argument through my HL7 Clinical Genomics work. The essence of that effort in my mind is the vision of "encapsulate & bubble-up" and the way it is realized through HL7 is less important. This vision is about enabling personalized medicine where care is given to the patient based among other thing on his/her genetic profile as well as individual variations. Many innovative genetic labs nowadays provide advanced genetic testing like gene expression panels. They run proprietary (sometime patented) algorithms to calculate the raw genomic data and come up with the result. Typically this result is minimal like a single number representing for example the probability of tumor reoccurrence (e.g., the test OncotypeDX). The "encapsulate & bubble-up" vision is about having the genetic lab send the final result *along* with the raw data to be encapsulated in the patient EHR. In this way, when new discoveries become available (and this is a rapid evolving field), the raw data could be parsed again and new results might be "bubbled-up" from the same raw data. Now, back to the data models argument, in my mind it's less important how this vision is enabled. If I had the bandwidth - I guess that I could have modeled it with openEHR as well. What matters in my mind is to have a deep discussion on the vision itself - for example - do you agree with the encapsulation of raw genomic data in the patient EHR? Obviously, it could be that one model is better than the other for specific uses and perhaps the best-of-breed approach (rather than harmonization...) is needed when we come to realize our visions. Just my 2 cents... Thanks, Amnon. ------------------------------------------------------------------------------------------ Amnon Shabo (Shvo), PhD Co-Chair & Facilitator, HL7 Clinical Genomics SIG Co-Editor, CDA R2 (Clinical Document Architecture) Co-Editor, CCD (CDA-based CCR-Continuity of Care Record) Haifa Healthcare & Life Sciences Standards Practice http://www.haifa.il.ibm.com/projects/software/hlss/index.html IBM Research Lab in Haifa Office: +972-4-8296358 Mobile: +972-54-4714070 Williamtfgoossen@ cs.com Sent by: To openehr-technical openehr-technical at openehr.org -bounces at openehr. cc org Subject Antw: Re: Antw: Re: AW: HL7 16/10/06 21:19 templates/archetypes Please respond to For openEHR technical discussions <openehr-technica l at openehr.org> In een bericht met de datum 16-10-2006 13:34:27 West-Europa (zomertijd), schrijft gfrer at luna.nl: William, Since when is it a "lie" when one states his opinion? Read my other e-mail where I state more opinions and provide some arguments. Read in that e-mail also the fact that CEN/tc251 EN13606 and OpenEHR are based on many years of R&D and real implementations. EN13606 EHRcom is factual NOT in its infancy, as you know. Gerard The lie is in the ONLY Simple: OpenEHR works and HL7 v3 works. ONLY is not an argument, it is just an expression of beliefs. William _______________________________________________ openEHR-technical mailing list openEHR-technical at openehr.org http://www.chime.ucl.ac.uk/mailman/listinfo/openehr-technical _______________________________________________ openEHR-technical mailing list openEHR-technical at openehr.org http://www.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
