+1 I think you're about to hit the right spot, it seems to be very near to THE
solution for interoperability reuse at a model level.
Learning from the Internet approach (the biggest example of interoperability in
the world, that actualy works) the multi-component or multi-layered idea seems
the right idea: having a common core for layer 1, a bussiness layer with EHRs,
... seems just right.
Another big advantage of this approach is the gradual implementation
capability: I can implement certify a layer 1 implementation, then implement
layer 2, ...
--
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: Wed, 3 Oct 2012 23:19:28 +0100
From: thomas.be...@oceaninformatics.com
To: openehr-technical at lists.openehr.org
Subject: Re: lessons from Intermountain Health, and starting work on openEHR
2.x
On 03/10/2012 23:02, Thomas Beale
wrote:
On 13/09/2012 10:15, David Moner
wrote:
Hi,
2012/9/13 Erik Sundvall erik.sundvall at liu.se
It would
be great if e.g most of the future ISO 13606 version could
be a true subset of openEHR instead of the current confusing
situation.
This is something I discussed with Thomas some time ago, it
would be one of the best harmonisation solutions, but probably
with a slightly different interpretation. Since 13606 has more
generic classes (eg. the generic ENTRY can represent all of
OBSERVATION, EVALUATION, INSTRUCTION, ACTION), instead of 13606
being a subset of openEHR I think that openEHR should be a
specialized model of 13606. Obviously this would require a deep
analysis and changes of the models, but that could be the idea.
I don't care about the linguistics of subset / specialisation etc,
I just care about getting one model
- thomas
although - it will probably come out to have multiple entry points.
The 13606 model is about what makes sense in EHR Extract messages.
We built and implemented a more recent version of that, using
lessons from 13606 - the openEHR EHR Extract. There are undoubtedly
a lot of lessons from 13606 Extract use out there (there must be
because nearly everyone implements the standard by changing, so that
says something!).
However, other parts of openEHR are concerned with the logical
semantics of in situ EHRs, not just messages travelling between
systems. So I think there could be a common core, an EHR part and an
EHR Extract part. Having one standard for that would be hugely
useful for industry.
- thomas
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