Dual Model EHR implementation

2011-06-08 Thread Roger Erens
On Wed, Jun 8, 2011 at 04:54, Randolph Neall randy.neall at veriquant.com wrote: ... Some EAV designs are foolish and unusable. But others aren't. Thanks for your interesting explanation, Randy. Do you have some examples or links available that may teach us unusable/usable designs? Roger

Dual Model EHR implementation

2011-06-08 Thread Randolph Neall
Roger, The web site www.veriquant.com gives a few more details, but not the low-level design information you are probably interested in. We can talk more about this privately if you are that interested and I can let you see what we currently have in action along with some low-level detail. There

Dual Model EHR implementation

2011-06-08 Thread Randolph Neall
OK, guys, here's a brand new reference: http://www.springer.com/public+health/book/978-0-85729-509-5 This concerns Prakash Nadkarni, of Yale University, and his new book, to be generally available in a few days, *Metadata-driven Software Systems in Biomedicine*. He just now told me about it. (I

Dual Model EHR implementation

2011-06-07 Thread Erik Sundvall
Hi! When we have approached openEHR storage we have tried to keep use cases separate and not solve everything with only one database structure. A simplified (perhaps naive) version of the reasoning: 1. If you want to access data as big chunks in a certain serialization format (like openEHR

Dual Model EHR implementation

2011-06-07 Thread Seref Arikan
Greetings, Somehow this conversation failed to fall into my primary mail screen, hence the late response and apologies... When I say specialize in the DB layer, I mean do not fall into the trap of delegating managing the DB layer design and use completely to something like Hibernate. There is now

Dual Model EHR implementation

2011-06-07 Thread Rene Spronk (Ringholm)
Hi, Speaking from the HL7 RIMBAA perspective, and echoing a lot of older cross-industry best practices: to create a database solely based on the RM is fine - if your aim is to have a database that's not optimized for any particular purpose, one that can be used for any purpose. In HL7 we've

Dual Model EHR implementation

2011-06-07 Thread Rene Spronk (Ringholm)
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

Dual Model EHR implementation

2011-06-07 Thread Seref Arikan
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,

Dual Model EHR implementation

2011-06-07 Thread pablo pazos
?rrez LinkedIn: http://uy.linkedin.com/in/pablopazosgutierrez Blog: http://informatica-medica.blogspot.com/ Twitter: http://twitter.com/ppazos From: alandma...@gmail.com To: openehr-technical at openehr.org Subject: RE: Dual Model EHR implementation Date: Fri, 3 Jun 2011 11:24:04 -0300 Hi all

Dual Model EHR implementation

2011-06-07 Thread Alan March
databases), I feel it is intrinsically underperformant. From: openehr-technical-boun...@openehr.org [mailto:openehr-technical-bounces at openehr.org] On Behalf Of pablo pazos Sent: Tuesday, June 07, 2011 12:22 PM To: openehr technical Subject: RE: Dual Model EHR implementation I agree with Alan

Dual Model EHR implementation

2011-06-07 Thread Alan March
Regarding content structures, these could be persisted as objects in ad hoc field in the database. What kind of objects? And how would any approach of this sort be much better than XML? You'd still have to retrieve, parse or otherwise deserialize the entire blob before you could productively

Dual Model EHR implementation

2011-06-07 Thread Randolph Neall
Alan, Thanks for clarifying. I thought in your earlier post you had ruled out XML. I was curious what the alternative would be. JSON, as you suggest, would be better. Since writing my post I realized I had not given you credit for one innovation I had not seen before, namely, placing structure

Dual Model EHR implementation

2011-06-07 Thread pablo pazos
(to store documents XML or JSON). Just my 2 cents. -- Kind regards, Ing. Pablo Pazos Guti?rrez LinkedIn: http://uy.linkedin.com/in/pablopazosgutierrez Blog: http://informatica-medica.blogspot.com/ Twitter: http://twitter.com/ppazos Date: Tue, 7 Jun 2011 16:53:10 -0400 Subject: Re: Dual Model EHR

Dual Model EHR implementation

2011-06-07 Thread Alan March
and intelligent as openEHR strikes me to be. Cheers and thanks for listening From: openehr-technical-boun...@openehr.org [mailto:openehr-technical-bounces at openehr.org] On Behalf Of Randolph Neall Sent: Tuesday, June 07, 2011 5:53 PM To: For openEHR technical discussions Subject: Re: Dual Model EHR

Dual Model EHR implementation

2011-06-07 Thread Randolph Neall
Hi Alan and Pablo, You have mitigated some of the problems that emerge from trying to combine relational data with structured document data. I'll be very interested to see your progress. The choices are, as you yourselves have just noted: (1) some sort of object database, (2) regular relational

Dual Model EHR implementation

2011-06-06 Thread Ian McNicoll
Hi Alberto, A few naive comments/questions from a clinical modelling perspective. The granularity of the archetypes is mostly determined by issues of clinical validity and reuseability, rather then performance. We do try to keep archetype tree structures as 'flat' as possible i.e remove

Dual Model EHR implementation

2011-06-05 Thread Randolph Neall
Seref, You make three points, beginnging with specialize in the DB layer. Could you elaborate just a bit more? I understand your second basic point (Do not let domain information to dominate DB design), but lose you beginning where you say, Yes, it would be easy to have a similar/same

Dual Model EHR implementation

2011-06-03 Thread Alberto Moreno Conde
Dear all, Within the Virgen del Rocio University Hospital we are analysing how to implement a EHR based on Dual Model Approach. When we analysed direct implementation a database based on of either OpenEHR Reference Model or ISO 13606, we have detected that it could have slow performance . Given

Dual Model EHR implementation

2011-06-03 Thread Robert Stark
Hi, I'm somewhat new to the group and openEHR (on technical level). So excuse my ignorance. I was wondering about the use of non sql databases. Has anyone tried to see if something like couchDB or MongoDB could be used to store EHR data. I know there are definate performace gains with nonsql

Dual Model EHR implementation

2011-06-03 Thread Alan March
-technical-boun...@openehr.org [mailto:openehr-technical-bounces at openehr.org] On Behalf Of Alberto Moreno Conde Sent: Friday, June 03, 2011 9:28 AM To: For openEHR technical discussions Subject: Dual Model EHR implementation Dear all, Within the Virgen del Rocio University Hospital we

Dual Model EHR implementation

2011-06-03 Thread Seref Arikan
Hi Robert, The kind of systems you mentioned have the main advantage of scaling up without very expensive software licenses. I would not say anything about definite performance gains without having a well defined context though. These persistence mechanisms mainly serve large data processing

Dual Model EHR implementation

2011-06-03 Thread pablo pazos
+Open+EHR-Gen+Framework -- Kind regards, Ing. Pablo Pazos Guti?rrez LinkedIn: http://uy.linkedin.com/in/pablopazosgutierrez Blog: http://informatica-medica.blogspot.com/ Twitter: http://twitter.com/ppazos Date: Fri, 3 Jun 2011 14:27:55 +0200 Subject: Dual Model EHR implementation From