I too are concerned, as you know Isolated 21090 is being balloted now, how
should we recommend our member countries vote given this new viewpoint?  
Should we at least be requesting a name change?
What form would the new spec take, another standard or a profile? 

Heath

> -----Original Message-----
> From: openehr-technical-bounces at openehr.org [mailto:openehr-technical-
> bounces at openehr.org] On Behalf Of Grahame Grieve
> Sent: Tuesday, 23 November 2010 11:54 PM
> To: For openEHR technical discussions
> Cc: Rene Spronk (Ringholm)
> Subject: ISO 21090
> 
> Hi All
> 
> I have been having a long discussion with Tom off the
> list about ISO 21090, and we've come to agreement
> about the general picture.
> 
> When I teach ISO 21090 tutorials, and I get to the
> implementation part, the first thing I say is that the
> data types are completely denormalised, and that
> I would never implement them as is inside my system
> (as anything but an object model for exchange.)
> 
> And Tom says that they are all designed wrong
> to be used as data types inside a system
> 
> We're both saying pretty much the same thing. The
> 21090 data types are designed, as Stef pointed out,
> for *exchange*. Specifically, for exchange between
> systems that are otherwise unconnected in any
> effective way.
> 
> When you use the data types inside a system, then
> they aren't so appropriate. Now we have to be careful
> about using the term "inside a system" because even
> within systems, we have multiple connection/exchange
> points. So by "inside a system" I mean, for exchange
> between different entities that are connected by a
> common architecture that establishes, to a greater
> or lesser degree, common infrastructure that is used
> to normalise the content.
> 
> That normalisation might be
> - the 5 normal forms of classical relational databases
> - moving audit information away from the content to a
>   specialised audit/logging functionality
> - moving constraint information out of the data into the
>   system metadata
> - re-organising content that has been conflated by
>   semantic intent to more clearly draw apart
>   management concerns.
> - moving concerns out of the data into the code
> 
> There's more, but that list will suffice for now. (so it should be
> clear that I am using "normalise" in a somewhat loose
> sense).
> 
> Tom sees these gaps, and responds negatively, whereas
> I just accept them, knowing that they exist, and that I have
> plans to deal with them, plans that vary across my different
> systems as their architectures change.
> 
> But we do both share the concern that the degree to which
> the 21090 data types are designed and optimised for
> exchange is not understood by casual adopters. It's not that
> it's impossible to adapt non-normalised models built for
> exchange to serve as system architectures (there's an
> active group in HL7 - RIMBAA - doing just that), but that
> you need to know that what you are doing is going to
> present certain challenges you will need to prepare for.
> Users could easily start to implement them in systems and
> find themselves later with a series of bad choices that they
> could have avoided earlier, and then they'd blame 21090..
> 
> It appears that Tom and I may jointly develop a variant
> of ISO 21090, that features the same basic semantic
> content, but in a format that is suitable for use in systems
> rather than for exchange. It will describe clearly how to
> interoperate using 21090, but will be suited for system/case
> design.
> 
> I am a little uncertain, because I am concerned that the
> particular normalisations you anticipate will affect the way
> that you design such a variant, and I don't see how to
> pick a particular set - a logical obvious candidate around
> which an implementation community would coalesce. Tom
> and I are still talking about that.
> 
> Tom and I hope that this explanation will bring some clarity
> to any observers who have been left confused by our somewhat
> passionate debate to this point ;-)
> 
> Grahame
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