On Thu, 2008-04-17 at 18:01 +0200, Gerard Freriks wrote:

> 
> What about ASN.1 isn't that a good alternative?

This brings up a good point.  ASN.1 (much like XML) is a communications 
protocol.

These work well for flat message transactions where there is no need to be 
concerned with temporal or spatial context.

This is not the case with healthcare information as a whole.  
There are exceptions such as a single order sent in a message format.
This is (to my understanding) how HL7 v2.x grew out of EDI standards.  

On ASN.1 (as well as XSD) from an excellent tutorial on the subject at: 
http://asn1.elibel.tm.fr/introduction/index.htm 

"ASN.1 definition can be contrasted to the concept in ABNF of "valid syntax", 
or in XSD of a "valid document", 
where the focus is entirely on what are valid encodings of data, without 
concern with any meaning that might be 
attached to such encodings. That is, without any of the necessary semantic 
linkages."

In the 1980's I created some and worked with many EDI message applications.  
These approaches work great for 
asynchronous, context-free DATA exchange. Thomas made a good point in file size 
as well.  It wasn't only a concern 20 years ago.  
It remains so today and is a primary reason that EDI (esp. X12 in the US) 
remains a major message exchange format.
There are many references available that describe EDI msgs. being 10% of the 
equivalent XML msgs.  This adds up very
quickly in time and space when you are talking about MILLIONS of transactions 
or BILLIONS of records.  

But, IMHO, the bottom line still remains the ability of ADL to represent 
information exchange as archetypes in a compact,
semantically accurate message.  If you study the temporal and spatial aspects 
of clinical information in the context of the
idea that this information should live many years beyond the life of the 
patient in order to inform medicine for generations, 
then you can see where a little inconvenience now can create systems that are 
very valuable far into the future.

Thanks for reading my rant. :-)

Cheers,
Tim




-- 
Timothy Cook, MSc
Health Informatics Research & Development Services
LinkedIn Profile:http://www.linkedin.com/in/timothywaynecook 
Skype ID == timothy.cook 
**************************************************************
*You may get my Public GPG key from  popular keyservers or   *
*from this link http://timothywayne.cook.googlepages.com/home*
**************************************************************
-------------- next part --------------
A non-text attachment was scrubbed...
Name: signature.asc
Type: application/pgp-signature
Size: 189 bytes
Desc: This is a digitally signed message part
URL: 
<http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20080417/73af7f4c/attachment.asc>

Reply via email to