Hi Seref,

 From what we've seen in HL7 RIMBAA EAV is rarely embraced wholesale - 
in practice people (if they use EAV at all) use a mixed RDBMS - EAV 
approach. RDBMS for its speed and indexing capabilities, EAV for 
blob-type storage of rarely searched/used data. If you don't need the 
ultimate flexibility/extendability of EAV, you probably shouldn't use it 
if only for performance reasons (and as a human it gets hard to 
understand pretty fast).

> In general, I'm trying to not to sing along with the chorus in the
> software domain, getting ever loud and crowd :) Healthcare is a very
> challenging domain, so practices of e-commerce, or advice from books
> written by academics who has never implemented a single production
> system in their lives won't cut it.

Like always, no silver bullits .. I agree one should listen to those 
that have already built systems within healthcare, and not just theorize 
about building such systems. The proof of the pudding is in the eating, 
not in the chewing on the recipe.

TTYL,

-Rene

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