Hi Juanita and others,

It would be a great research topic and I think one that is needed very 
badly from openEHR community. If I manage to find an appropriate 
research position, this would definitely fall within scope of my 
research as I already have necessary experience and data in endoscopy as 
explained in my thesis.  I have been  investigating this subject because 
of a paper in progress which summarizes my thesis work and I want to 
inform readers about other studies which claim Archetype bases two-level 
modelling is superior to classical one in terms of maintainability, 
interoperability and domain knowledge governance; preferably with 
objective formal methods. Of course it is hard considering that this is 
a new paradigm and tricky due to the nature of problem. What I saw is 
this: formal methods are negligibly scarce and current data is mostly 
coming from expert opinion. There is a very interesting whitepaper 
(2004) which explains why single level modelling fails in development 
and maintenance. It is not really very scientific(?) but you may find it 
useful anyways:

A Practical Implementation of a Two Level Archetype Based Clinical Model
http://www.meridianhi.com/IDME_Whitepaper.htm

One last thing about HL7: I read that paper by Ceusters & Smith; it is 
interesting though but there is another paper as response from HL7 
rounds and both seem to tell about facts from different perspectives. I 
feel that HL7 is over-criticized here and that this would not increase 
the value of this work for sure. I used v2.4 messages myself and I found 
it very useful like many. Simply their move with v3 to become a content 
standard apart from messaging which is then extended to be an EHR 
standard is not an elegant approach.  Maybe we all criticize about this 
aspect, but then it results in a general dislike about whole HL7. And 
keep in mind that only time will show who will survive; think about 
(annoying) existence of cockroaches appearing many million years before 
elegant species in biologic evolution :D

Best regards,

-koray

Juanita Fernando wrote:
> Hiya,
> I'm thinking of doing some post doc work in this area later on this 
> year. I thought you might find this reference useful too Koray:
>
> Smith B, Ceusters W. HL7 RIM: An incoherent standard. Studies in Health 
> Technology and Informatics. 2006 August 2006(124):133-8.
>
> Cheers
>
> Juanita
>
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