Dear Erik,

The European Institute for Health Records is executing a European  
project: Q-Rec.
Next to quality labelling and certification we have to set up  
registries of approved artefacts like:
- archetypes and templates
- coding systems
- EHR related standards
and
- XML implementable Information definitions.

I hope and expect that these Template Data Schemas can find a place  
there to be  disseminated.

Gerard


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---------------------------
Gerard Freriks, MD
Huigsloterdijk 378
2158LR Buitenkaag
the Netherlands

M:+31 620347088
T: +31 620347088
E:    gf at conexis.nl
KvK  34264021



On Nov 25, 2007, at 9:38 AM, Erik Sundvall wrote:

> Hi!
>
> On Nov 23, 2007 7:17 PM, Thomas Beale <thomas.beale at oceaninformatics.com 
> > wrote:
>> I believe you are referring to what we call Template Data Schemas
>> (TDSs). These are an alternate schema-per-message approach, where one
>> template generates one schema - in such schemas, you find tagnames
>> coming from the archetypes, e.g. "systolic" rather than the generic
>> openEHR tag names.
>
> This seems to be exactly what I was looking for.
>
>> I will find out about example messages.
>
> Wonderful, if it was possible to get it soon that would be helpful.
>
> The reason for asking is that in a context where openEHR/13606 has
> been compared to HL7 (mainly v3 I believe) some parties claimed it
> would be easier for vendors to support HL7 than openEHR. In practice,
> what they mean is probably that they are used to follow (map their
> internal/legacy structures to) specific HL7 xml schemas that come out
> after the long HL7 modeling process. I doubt that the vendors in this
> case internally are using any HL7 v3 models.
>
> This is sometimes forgotten when comparing HL7 and openEHR.
>
> So far we have had a look at some fairly equivalent examples of XML
> instances (e.g. blood pressure) from HL7 CDA (v2) and openEHR RM. Both
> were fairly easy to understand when knowing the underlying models (HL7
> RIM +CDA and openEHR RM+AM) and both were a bit verbose if you were
> just interested in the blood pressure. To be honest if I was a vendor
> not interested in underlying models I'd probably prefer whichever I
> was already used to and had people trained to work with - since none
> of them tries to make life easier to me by being tailored to the
> specific use case.
>
> To validate clinically both were dependent on other artifacts (HL7
> Templates or openEHR archetypes). An information provider not
> interested in the underlying validation mechanisms could easily
> produce data instances that are clinically invalid even though they
> are valid from the perspective of the respective XML schemas. Does the
> TDS-approach produce an XML schema that enforces more or all of the
> specific archetype+template semantics? If not, could it be enhanced to
> do that? If so I believe that some safety would be gained - if data
> providers do not care to learn the full semantics of openEHR then at
> least their schema-based XML-validators would enforce some of the
> semantics.
>
> If we could standardize the TDSs and have accompanying standard
> determinstic transformation mechanism then openEHR would have a
> competitive advantage in the "just give me a simple XML schema and
> instance examlpe" use-case. A use case more important than one might
> think at first...
>
> Sometimes the use case is to decide on an XML format (for data
> exchange) based on one of the following
> 1. HL7 CDA
> 2. 13606/openEHR
> 3. A custom tailored XML schema
>
> Imagine that we using something like TDS could give an easy-to-produce
> alternative to 3 that with some deterministic transformations at the
> receiver also conforms to 2. (An open or free tool to produce the
> schema would be of tremendous help of course.)
>
> Best regards,
> Erik Sundvall
> erisu at imt.liu.se    http://www.imt.liu.se/~erisu/    Tel:  
> +46-13-227579
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> openEHR-technical mailing list
> openEHR-technical at openehr.org
> http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical





-- <private> --
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands

T: +31 252544896
M: +31 620347088
E:     gfrer at luna.nl


Those who would give up essential Liberty, to purchase a little  
temporary
Safety, deserve neither Liberty nor Safety. Benjamin Franklin 11 Nov  
1755





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