No, go ahead.

----- Original Message -----
From: Ian McNicoll <[email protected]>
Date: Wednesday, April 22, 2009 12:12 pm
Subject: Re: Layers of interoperability, OWL and openEHR
To: For openEHR technical discussions <openehr-technical at openehr.org>

> Can I suggest moving this to the Clinical list? I think it is an
> important subject ,and rather dear to my own interests but, as Thomas
> pointed out, we are in danger of submerging Seref's original more
> technical question.
> 
> Any objections?
> 
> Ian
> 
> Dr Ian McNicoll
> office / fax  +44(0)141 560 4657
> mobile +44 (0)775 209 7859
> skype ianmcnicoll
> ian at mcmi.co.uk
> 
> Clinical Analyst  Ocean Informatics ian.mcnicoll at oceaninformatics.com
> BCS Primary Health Care Specialist Group www.phcsg.org
> 
> 
> 
> 2009/4/22 Gerard Freriks <gfrer at luna.nl>:
> > Dear Seref,
> >
> > Ask yourself the question:
> > How do we, humans, deal with interoperability?
> >
> > Do we humans use formally expressed ontologies using OWL.
> > Do we use rigid formal syntaxes where we use strictly defined formal
> > terms.
> > Do wet have to express a measurement in DV-Quantity as Double or
> > Floating Point with Precision x.
> > All this is the world of zero's and one's, bits and bytes and IT
> > industry.
> >
> > We humans have a vague knowledge of many concepts in our worlds.
> > We have a very flexible syntax and many, many terms. We even invent
> > new ones.
> > It is a chaotic system based on a limited set of rules with emergent
> > behavior.
> > We express what we want to document using documents, chapters,
> > sections, paragraphs, words and characters.
> > This is the world of documentation, concepts, humans.
> > This the magnificent world of language, prose and poetry.
> > Where on the basis of a limited set of rules we can document 
> everything.>
> > It is clear that both worlds (IT and Humans) overlap in certain 
> areas.> But mostly the do not overlap.
> > Do not mix them up and when you do, we get confused and create 
> monsters.> Both worlds have to stay absolutely orthogonal to each 
> other.>
> > Any interoperability solution where notions, ways of thinking and
> > expressing, from the IT world with bits and bytes are enforced on
> > humans, will create problems.
> > Solutions should start at this human documentation/language level.
> >
> > The EHR is about documentation of events/facts/thoughts/ideas for
> > human consumption primarily.
> > IT-systems should support this. That is all we need for now.
> > We can try to model real life using the formal, rigid, technical 
> ways.> And create something that doesn't fit the needs of humans or 
> relates> to this human world.
> > Or we use IT and models to support humans to document what they feel
> > they need to document.
> > Humans are not very precise but language works rather efficiently 
> and> well enough.
> >
> > Modeling knowledge in ontologies is an interesting academic 
> exercise.> Modeling the complex real life is an interesting 
> academic exercise.
> > But...
> > Let humans use words freely, either as free text of better from a
> > common controlled flexible resource (dictionary=coding system/
> > terminology/classification).
> > Let humans use words in a syntax (Reference Model) to create freely
> > all sentences/screens (Templates) they need using agreed 
> documentation> patterns (Archetypes), using tools based on an 
> Archetype Model.
> >
> > And that for the moment is good enough at this point in time looking
> > for the Holy Grail called Semantic Interoperability.
> >
> > Gerard
> >
> >
> > On 21, Apr, 2009, at 12:25 , Seref Arikan wrote:
> >
> >> Dear members of the list,
> >> I'd appreciate your opinions and guidance about a particular topic.
> >> As most of you probably know, the work in the ontology domain has
> >> been the flagship of semantic interoperability for many projects
> >> now, and there is a large amount of researchers active in the 
> field.>> I've been involved in use of ontologies for semantic
> >> interoperability for the first time in 2002, and since then,
> >> ontologies have become a frequently pronounced solution for a large
> >> set of problems.
> >> However, I have a feeling that the nature of this work creates just
> >> a layer in the multilayer interoperability space. Expressing
> >> relationships among different entities and doing this in a formal
> >> way (OWL) is nice. OWL also allows you to do processing, reasoning
> >> on the defined relationships, but unless I'm missing something, 
> this>> is all about relationships, and concepts. I mean the 
> capabilities of
> >> OWL seem to be valid in the relationships is defines.
> >> What about the actual things, data items, entities that OWL links
> >> together? I've been a proponent of well defined type systems and
> >> object hieararchies in healthcare interoperability solutions, since
> >> I've spent years in the software development side of the domain, 
> and>> a huge number of issues arise from the developers interpreting
> >> losely defined types, or inventing their own types.
> >> Now pinning down concepts either by using terminologies or
> >> ontologies is good. It is good to know that two fields on two
> >> different data structures are pointing to the same concept. This
> >> however, is the beginning of the process. Pointing at the same 
> thing>> and processing it in the same way are different things. 
> Just because
> >> we agree that we are pointing to body temperature in two different
> >> documents does not stop us from processing one of them with a
> >> double, and the other one with a float.
> >> There is a great deal of information out there expressed in the 
> form>> of OWL, or other formalisms, but I can't see this covering all
> >> aspects of interoperability, but (no offense) there is a large 
> crowd>> out there who think they have solved the problem of semantic
> >> interoperability. Though it may be an undervaluation of the work,
> >> "mappings" are nice, but they don't ease the rest of the work, 
> where>> mapped items are processed in different domains.
> >> Are there resources or works that you know of, that try to link 
> type>> systems in openEHR or other formalisms like 13606 or HL7 to 
> these>> semantic expressions? How does a DVQuantity instance and an 
> OWL>> expression play together?
> >>
> >> Best Regards
> >> Seref
> >
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> > openEHR-technical at openehr.org
> > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
> >
> >
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