In een bericht met de datum 15-9-2006 18:56:19 West-Europa (zomertijd), 
schrijft gfrer at luna.nl:


> -7-
> Then the question arises:
> When the world starts to experience the multitude of difficuties with the 
> HL7v3 RIM and message development method what will we do?
> Will we start to patch up something that has intrinsic problems?
> (Do you remember the recent discussion on a HL7 e-mail list. My conclusion 
> was that they don't know the definitions of the major classes of the RIM.
> Luckily HL7v3 is not deployed that widely, so there are not much legacy 
> systems to reckon with?)
> Or will we start from a more sound starting point. One that will become an 
> European standard and is on its way to become an ISO standard as well?
> 


This is reversable: 


When the world starts to experience the multitude of difficuties with the 
OpenEHR and CEN 13606 and archetype development method what will we do?

Will we start to patch up something that has intrinsic problems?

Do you remember the recent discussions on the OpenEHR list. 

My conclusion was that they don't know the definitions of the major classes 
of the RIM and other technicalities.

Luckily OpenEHR / 13606 is not deployed that widely, so there are not much 
legacy systems to reckon with?

Or will we start from a more sound starting point. One that is an 
International standard and is on its way to become an ISO standard as well?


Of course this reversion is just to point to the fact that we are apparently 
back in our corners and have this dispute that is nonsence and not 
contributing. 

I am the last to tell that HL7 v3 is perfect, but will be one of the firsts 
to tell it is working. 

I am the last to believe OpenEHR / 13606 is perfect, and wait till I see it 
work in real practice. 


In the meantime, we have harmonized and differences (few) and commonalties 
(biljons) have been determined. 
In the meantime, we will start working with existing tools, set requirements 
and improve the tools. 

I do not care where the tools come from, I care what they can do for the very 
difficult work of entering, storing and exchanging information about patients 
and care in a intelligent, semantic interoperable way. 

I do like HL7 v3 D-MIMs because I see several good working EHR systems based 
on this. To me, beside philosophical problems (fundamental to limits in human 
thinking), and technical approaches, it really does not make a difference: 
make the clinical materials available electronically and make clinicians not 
have 
to worry about the technology and transformations behind. 

Any discussion in favour of one and against another approach is going back to 
the trenches of WW1 where we would like to work towards the future. 

William 
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