Hi Rene,
I did not mean to suggest that EAV is the only design that one should
use. I guess a better attempt to express what I have in mind is this:
people use relational design too heavily in DB layer, mostly due to
benefit of tooling in other layers.

Good analogy about the pudding :)

On Tue, Jun 7, 2011 at 2:56 PM, Rene Spronk (Ringholm)
<rene.spronk at ringholm.com> wrote:
> 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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