Words of wisdom.  At the risk of repeating myself until I actually am
mumbling, I would like to say that the inventors of Mumps knew they had
to model medicine.  Medicine, to put it mildly, has not changed since
then.  Yes, we have new machines, but we don't have new charts.  Octo
Barnett could pick up a record at my hospital and immediately know what
was going on (to the extent that anyone could know what was going on). 
I submit that a model of medical practice is an extraordinarily
different animal than a model of an operating system.  Which to my mind,
once again, underlines the wisdom of preserving what we have.
I apologize for enabling ad hominum discourse re Freemed, but the fact
that Freemed to some great extent re-capitulates an existing application
in a web-based, open source format does not, to my mind, in any way
detract from its worth.  Jeff used an existing application as a model,
rather than using a model as a model.  To me, that is a practical
strategy.
John Gage

"Gregory J. Woodhouse" wrote:
> 
> On Fri, 31 Dec 1999, John S. Gage wrote:
> 
> > There is a philosophy ("The Philosophy of Unix" Mike Gancarz) that
> > suggests, first, that major software applications (Unix, Apache) were
> > written without much in the way of specifications and, second, that that
> > is the way to do things.  I do not advocate this.
> 
> Part of the problem is that many of us know what an operating system is
> and what a web server is, but EMR systems are another matter. In addition,
> most of have enough experience with EMR systems tht we could do a fairly
> decent job with much of it, but I (at least) am not a physician or
> hospital administrator, so I don't have the expertise to design this kind
> of software on my own. To be honest, I sometimes feel like I've been
> "processed" to death, and I've seen projects stagnate because they were
> too focused on producing process document after process document. But the
> fact remains that EMR systems are not ther kind of thing a degree in
> computer science (actually, mathematics in my case) qualify us to
> design. We need to find a way to bring our various specialties together in
> developing a design, and then implementing that design.
> 
> ---
> Gregory Woodhouse
> [EMAIL PROTECTED]    /    http://www.wnetc.com/home.html
> "An atheist staring from his attic window is often nearer to God than the
> believer caught up in his own false image of God."
> --Martin Buber

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