On Tue, 2007-03-20 at 14:27 -0700, Tom Lincoln wrote:
> Thanks for your reply... The situation is certainly more complex as 
> the HL7 Clinical Document Architecture XML framework clearly 
> demonstrates... Just picked the first and simplest examples at hand.
> 
> Tom

[apologies for cross posting but I doubt it'll offend too many]

Hi Tom (and all),

This is certainly true.  

The CDA and the more constrained CCD demonstrate very effectively the
difficulty in transferring health care information along with it's
semantic context.

This is of course the reason for the development of two level modeling
and the maturation of over two decades work into the openEHR Reference
Model and Archetypes as data descriptors.  See: http://www.openehr.org

I hope to (very soon now) introduce a query language based on openEHR
archetypes that will also allow for a certain amount of "possibility and
fuzzy" matching.  This will allow the use of object database storage and
retrieval based on a true data model.  This will avoid the tragic
mismatch and data fragmentation of object - relational mapping and the
horror of SQL masquerading as a true relational model.

The point is though, that the true "killer app" in health care must be
based on a REAL health care data model.

Cheers, 
-- 
Timothy Cook, MSc
Health Informatics Consulting
http://home.comcast.net/~tw_cook/
01-904-322-8582

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