Nice discussion this. Most users will care little about the "innards" and
much more about the user interface. Indeed, to some extent, "selling" the
system and the move to EMR will depend for a great many users on the
interface (and perhaps the ability to customize it to meet their particular
workflow habits), whilst many of  the real advances that the move to EMR
will allow are contained within the "innards".  I agree with Andrew that
open discussion about the possiblities of moving towards a system which is
future proof should not be ignored out of expedience.
david derauf
----- Original Message -----
From: "Andrew Ho" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Cc: <[EMAIL PROTECTED]>
Sent: Saturday, August 10, 2002 6:27 AM
Subject: Re: Vista Reference Models ; migration; future-proofing


> On Sat, 10 Aug 2002, Adrian Midgley wrote:
>
> > I like the concept of re-factoring, where one takes an existing program
and
> > leaves the user interface essentially the same, retains the API and the
rest
> > of the black box characteristics, but rewrites the innards in whatever
> > fashion is most effective.
>
> Adrian,
>   If the user-interface (and basically the exposed functionalities) remain
> the same, what do we gain from changing the innards?
>   I agree with your recommendation for re-factoring - however, I believe
> it can be far more meaningful. If refactoring the "innards" leads to tools
> that make it easier to change the user-interface and associated "black
> box" characteristics, then there is opportunity to fundamentally change
> how end users interact with these computing machines. The success of HTML
> stems partly from this effect.
>
> ...
> > We appear to have been promised a larger system than has ever been
written,
> > running .Net (which afaik has never run on any major scale) prepared
more
> > quickly than any otehr large public project, and naturally, since it
will be
> > all new technology, both cheaper and more reliable as well as enormous
fun to
> > use.
>
> Down the road, .Net may change how systems are used by everyone.
>
> > Oh, real soon now. Doesn't it make your heart sink.
>
> I wish them every success. It is an ambitious experiment that will move
> the field forward one way or another. We can all learn from their results.
> :-)
>
> Best regards,
>
> Andrew
> ---
> Andrew P. Ho, M.D.
> OIO: Open Infrastructure for Outcomes
> www.TxOutcome.Org
>

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