HI,

Via the Url a PDF/presentation with some calculations.
No message standard, any message standard and the two-level-model  
paradigm, are compared.
http://tinyurl.com/26hlch

Gerard



On Feb 6, 2008, at 9:28 PM, Sam Heard wrote:

> Hi Koray
>
> I think we will have to come up with some metrics that are relevant  
> as it has not been done before in the domain space. Clearly  
> modelling at two levels is a common approach - relational databases  
> model the idea of tables with rows and columns, linking keys, data  
> types and indexes. The domain information is expressed in terms of  
> these rows and columns. Many systems driven on metadata do the same  
> thing. What is new about openEHR is a generic approach to allow any   
> base model to be constrained through the use of ADL. The result is  
> that the base model can reflect the general business rules and the   
> fixed information constructs - the archetypes the domain knowledge  
> and how it is represented in terms of the base model. The approach  
> relies only on getting sufficient expressivity at the base level to  
> make the split efficient and safe.
>
> The comparison in health care at present is with HL7 version 3. This  
> has a base model (RIM) from which a new model, an RMIM, is  
> constructed (level 2). The difference is that RMIMs are constructed  
> with alterations to the RIM classes (which are renamed). So we now  
> have a new class based on a pattern. The semantics of the RMIM is a  
> mixture of RIM and RMIM and difficult to untangle. CDA is using  
> templates in the same way as openEHR uses archetypes - to express  
> some domain content. As CDA is already committed to XML, the means  
> of further constraint is limited - hence the use of schematron and  
> other devices.
>
> I guess the first metric that we could consider is the speed at  
> which domain concepts can be modelled and the level of human  
> intervention for documentation and maintenance. The UK NHS, which  
> has the most experience of both, has found openEHR far more  
> efficient to use than MIF template constraints on HL7 CDA. Vendors  
> are cautious and have little experience of openEHR directly as yet.
>
> Clearly archetypes are of great use in systems that use the openEHR  
> Framework and allow use of operability constraints out of the box.  
> What about other vendor systems? Well, Ocean tools are being used to  
> produce inputs for vendors which are formal specifications of data  
> to be stored and communicated. The ability to reuse these artefacts  
> for many purposes - queries, transformations, display and data entry  
> provides another metric that is of use.
>
> We will need some large systems built on openEHR and traditional  
> approaches to compare in the future. For the moment, just having  
> clinical specifications that are computable is the main influence on  
> choosing openEHR - or starting from scratch as new vendors see the  
> benefits (or not).
>
> Cheers, Sam
>
>
>
> Koray Atalag wrote:
>>
>> Hi,
>>
>> I want to learn how we can formally/objectively prove that Archetype
>> based dual level development formalism alleviates problems of
>> interoperability and maintainability. I was wondering if someone  
>> did or
>> know of any such study which applies formal validation methods?
>>
>> Best regards,
>>
>> Koray Atalag, MD, Ph.D.
>>
>> _______________________________________________
>> openEHR-technical mailing list
>> openEHR-technical at openehr.org
>> http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
>>
>>
>>
>
> -- 
> <OceanC_small.png>    Dr Sam Heard
> Chief Executive Officer
> Ocean Informatics
> Director, openEHR Foundation
> Senior Visiting Research Fellow, University College London
> Aus: +61 4 1783 8808
> UK: +44 77 9871 0980
> _______________________________________________
> 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





-------------- next part --------------
An HTML attachment was scrubbed...
URL: 
<http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20080207/9dd4321d/attachment.html>

Reply via email to