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If you have any questions about
and
be
not a part of the kernel.
With regards,
Gerard
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using this list,
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and critical information such as serious
allergies, medication etc)
tony grivell
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a message to d.lloyd at openehr.org
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to another system need to convey also the proof (a paper
decision for now and a long time to come) of the Authority decision that the
record can/shall be deleted.
Best regards
Gunnar Klein
- Original Message -
From: David Guest dguest at bigfoot.com
To: Gerard Freriks gfrer
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If you have any questions
of the requirements, the EHR is nothing but
information written in the sand before a wave of the sea washes it away.
What an application does with the information on a screen and in its
database is much less relevant from a legal perspective.
What is signed is relevant.
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TNO-PG
a perfect screendump.
This is something that can be tested easily.
To proof that in a distributed environment all informationsystems worked
100% is much more difficult?
Right? Or wrong?
Gerard
Karsten Hilbert
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the more detail has to be stored
explicitly.
I agree that 'screenshots', 'pictures' can be engineered in several ways.
The most likely candidate is XML-document and XML-stylesheet. But perhaps
there are others.
Gerard
Ps: sorry for having an extemist view.
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at all over time. Therefore we
can not rely on machines to operate on values judgements (rules) from the
past. But we need judgements made by responsible persons as a reaction to a
request by an other responsible person as much as possible.
Gerard
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archetypes to represent this, just as a I might
use them to represent the min and max of a given quantity. Is the capability
all there already? If not, what's missing?
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If you
model for the much more granular and
often unique process and information models of each local
user-enterprise.
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more easy.
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From: Christopher
On 2003-05-02 19:25, Bill Walton bill.walton at jstats.com wrote:
Hi Gerard,
Gerard Freriks wrote:
/snip/
In other words: the OpenEHR can assume that the Access Control function
operates as if it is a fire wall that executes a set of rules
and that the
Audit trail is the log
are:
1)Data security
2)Data management and
3)Access to storage media-resident data, e.g., somebody's disk drive
You leave out completely the legal, social control and organisational
aspects.
Technology isn't a silver bullet.
Gerard
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%20of%20Standards5.pdf
The perceived need is secure, standard record formats so that information
can be accessed even though it was created under a system using a different
record format.
-Thomas Clark
- Original Message -
From: Gerard Freriks gfrer at luna.nl
To: lakewood
and advice by an expert using the updated measurements in the
database.
Gerard
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From: Thomas Beale thomas at deepthought.com.au
Reply-To: Thomas Beale thomas at deepthought.com.au
Date: Mon, 27 Oct 2003 08:16:55 +1000
To: Openehr-Technical openehr-technical
Hi,
Have a look atL
http://www.centc251.org/
And find the new draft open for comments on the front page.
Gerard
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From: Sebastijan Mrkus sebastijan.mrkus at ericsson.com
Thom,
It seems we are in agreement.
Gerard
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On 04 Dec 2004, at 12:54, Thomas Beale wrote:
Gerard Freriks wrote:
Dear all,
Am I correct to conclude and propose
The disease episode is about the patient and can and will be exchanged.
Other episodes defined on the basis of local business rules will not be
exchanged.
GF
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and can not be specialized?
Or are we more subtle; to what degree? Etc, etc.
Do we need accepted rules that govern the production and usage of
Archetypes?
Gerard
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.
The list of recorded episodes is very valuable to discern important
medical facts from common colds, and bruises.
It is the patients medical history where important medical facts are
grouped.
Do we have a list of use cases for each type of Episode?
Gerard
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wow, wow!
GF
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On 07 Dec 2004, at 06:46, Sam Heard wrote:
Bye the way.
What types of standardized proto-Archetypes will we need?
There are some interesting ones potentially
Hi,
That seems a good suggestion.
Gerard
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On 11 Dec 2004, at 17:20, Thomas Beale wrote:
And our current suggestion (from Dipak Kalra and myself at least
consisting of links pointing to registered information
that is available in the system.
The preferred place to store this list is the Folder.
And then there are our DBC's (DRG's) One DBC is almost the same as an
Episode.
Gerard
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Hi,
An other property of the Archetype is that it is derived from a a model
that models the structure via which information is stored/represented/
retrieved in a system.
GF
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to browse further.
But on the website of NIST more is to be found about Role based Access
published before 1999.
And persons like Bernd Blobel and Ross Anderson wrote about security in
health care
gf
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On 24 Nov 2004, at 17:29, Carl Mattocks wrote:
HI GF :
Do you agree that this can also be true for an Ontology .
carl
quote who=Gerard Freriks
Hi,
An other
Hi,
We, at CEN are devoted to CEN/IEEE/ISO developments and not 'old rusty'
standards.
Gerard
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On 29 Nov 2004, at 20:56, Damon Berry wrote:
Sam,
Thanks
Karsten,
The advantage is that there will be no 3 or 4 competing standards, but
just one.
It seems enough.
Gerard
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On 29 Nov 2004, at 23:44, Karsten Hilbert
that the patient is suffering from this
condition but using treatment as a test procedure. Doing nothing is
such a test procedure.
Eric Wulff (from Danmark) published philisophical texts about health
care and these topics.
gerard
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We must get used to the notion that patients not always have to provide
their real names.
And that in order to provide healthcare we need to know the real
(administrative) identity.
Gerard
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On 20 Apr 2005, at 12:43, Bert Verhees wrote:
Dear Grahame,
For example the CEN GPIC subjectofcare which has a property id
The type is a Set of II
The use is excplained
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On 26 Apr 2005, at 09:56, Bert Verhees wrote:
Op dinsdag 26 april 2005 07:37, schreef Gerard Freriks:
We must get used to the notion that patients not always have to
provide
In order to get proper treatment the identity can stay obscure.
Identification is not a necessary condition for any treatment.
Information is sometimes.
Gerard
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On 27 Apr
Sam,
You mean the 'age of a person' and not 'age'.
Gerard
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On 31 Jan 2005, at 23:30, Sam Heard wrote:
Age is time after birth - we are not going to change that.
We have
Dear Philippe,
Thank you for your reaction.
I'm interested in your model for cyclic events.
Gerard
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On 27 Jan 2005, at 20:15, Philippe AMELINE wrote:
Hi,
In Odyssee, we
to 'age' there will be more notions that warrant the same
discussions we have had.
Gerard
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On 29 Jan 2005, at 02:07, Thomas Beale wrote:
This all suggest strongly to me
Dear all,
It is fine for me when we can agree that we mean by 'Age' time after
birth.
How will we name and define concepts like: youth, post conception, post
gestation, middel aged, elderly?
Gerard
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Life is simple.
Once we physicians know what to ask and why.
Gerard
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On 05 Mar 2005, at 13:22, Bigpond wrote:
And that's the problem that will keep the technical people
persons are recorded in systems using a set of more or less
unique features and since these unique features vary in time, one
person will have many digital identities.
This calls for a mechanism that unites all these variations on one
theme.
Eg the demographic server.
Gerard
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Gerard
Hi,
What is the definition, scope, function of the concept:
demographic server
in the context of OPENEHR?
Thomas, Sam, Dipak: HELP!
Gerard
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On 06 Mar 2005, at 19:50
/library/proceedings/ec98/
full_papers/anderson/anderson.pdf
Gerard
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On 07 Mar 2005, at 02:02, Sebastian Garde wrote:
Hi,
There is another issue
.
Gerard
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On 08 Mar 2005, at 01:58, Carl Mattocks wrote:
I vote for the pragmatic approach when we don't control the reference
model
-- next part
an information
domain model of one sector in Dutch Healthcare: pediatrics.
All the GPICS we needed we available.
One GPIC had to be changed in order to become usable in the
Netherlands: the demographic one!
Gerard
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Dear colleagues,
The CEN standards as told before, are consensus products at an abstract
level.
This implicates that they need an Implementation specification in order
to be usable.
You and others must produce those.
OpenEHR is such a forum.
Gerard
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Extending qualifiers is allowed.
Gerard
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On 11 Mar 2005, at 13:42, Bert Verhees wrote:
Op vrijdag 11 maart 2005 12:36, schreef Karsten Hilbert:
I forgot to mention one
Hi,
I'm only the convenor of the CEN/TC251 wg1.
For more detailed information you need to read the e-mails by Dipak
Kalra, Thomas Beale and Sam Heard.
In the text below soem comments.
--
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Convenor CEN/TC251 WG1
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PostBox 2215
these lists?
Gerard
]
--
--
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Convenor CEN/TC251 WG1
TNO Quality of Life
Wassenaarseweg 56
Leiden
PostBox 2215
22301CE Leiden
The Netherlands
+31 71 5181388
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On 23 May 2005, at 18:21, Tom Marley wrote:
Bert,
?
Although very busy I am looking into this area
On May 7, 2005, at 3:12 PM, Thomas Beale wrote:
...so it seems to me that the indicator of what to do next when a
differential diagnosis is recorded relates strongly to the innate
characteristics of the conditions recorded, not just the doctor's
opinion of how likely it might be. If
a more generic Any-
Report Organiser Archetype.
Gerard
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On May 26, 2005, at 2:48 AM, Andrew Goodchild wrote:
Hi,
I was looking at the composition archetype for ?report
Or only against the meta-Archetype model
Gerard
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On May 26, 2005, at 2:37 AM, Andrew Goodchild wrote:
Hi,
Does anyone know what it actually means to specialize
On Apr 27, 2005, at 8:19 AM, Arild Faxvaag wrote:
We could say that physicians _infer_ diagnostic hypotheses based on
- knowledge of the tentative underlying disease,
- the patients subjective experiences
- phenomena registered in the patients body
In any case it is a subjective statement
information I consider this a
contract as well.
The Template either has an ID or is identified by the tree of
constituting archetypes.
Gerard Freriks
--
--
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Convenor CEN/TC251 WG1
TNO Quality of Life
Wassenaarseweg 56
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PostBox 2215
22301CE Leiden
The Netherlands
T: +31 71
, in the paper world in the Netherlands, we only know
the logical delete.
What has happened, has happened, we can not falsify history, is the
bottom line.
Gerard
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On 21
the Archetype.
Greetings
Gerard
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On 21-apr-2006, at 17:12, Thomas Beale wrote:
this seems pretty close to a correct model. Slight corrections I
would suggest are:
- I am
system, implicating logical delete plus specific
business rules, is the optimal solution.
Gerard
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On 22-apr-2006, at 10:20, Bert Verhees wrote:
Gerard Freriks
Point number, plus truncation)
Archetype, (e.g. Measurement and its interpretation: ~, , ,
, , good, bad, not to be trusted, etc, etc)
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On 22-apr-2006, at 10:13
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On 24-apr-2006, at 9:23, Bert Verhees wrote:
It would be possibe to gather all records (this always confuses me:
an EHR is
something as one single composition?) belonging
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On 26-apr-2006, at 15:24, Karsten Hilbert wrote:
Much to my dismay a quick grep over a couple hundred results
idling in files on my machine doesn't yield a = or =
offhand
trends provide more useful information than single
absolute figures
Gerard
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TNO ICT
Brassersplein 2
Delft, the Netherlands
T: +31 15
are members of
the Q-Rec consortium and EuroRec,
- persons active in EuroRec and OpenEHR take part in worldwide
developments on Archetypes/templates, Semantic Interoperability,
discussions on the deployment of coding systems.
Greetings,
Gerard
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Huigsloterdijk
Thomas,
Thanks.
What you are saying is:
- we have the real and other worlds with objects and our present
understanding of it,
- and we have the world where we document what has happened or will
happen.
Gerard
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What XML DTD's or XML-schema's are for characters/text
are
Archetypes for Information.
Therefore both Information and the Archetype much be stored locally.
Gerard
--
--
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Convenor CEN/TC251 WG1
TNO Quality of Life
Wassenaarseweg 56
Leiden
PostBox 2215
22301CE Leiden
concept models are not owned in a commercial sense.
Gerard
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On 8-jan-2006, at 10:17, Tim Churches wrote:
If the argument above - that there is a need to permanent cache
If enough Archetypes are produced by scientific communities and
associations and published IP free,
then what is the problem?
Gerard
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On 8-jan-2006, at 21:49, Tim
Bert,
ITS = Implementable Technology Specification.
It is an HL7 specific term.
It is the process that translates an hierargical message
specification of a domain information model into: Edifact, HL7v2, XML
(HL7v3), or Java formats.
Gerard
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is 'validated' (better: defined) using the Archetype (the
constraints)
And the archetypes are validated (defined) using the archetype meta-
model.
Gerard
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On 3-jul
in between but not
an exact figure like x=5.1 units of a kind.
Gerard
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On 1-mrt-2006, at 14:10, Thomas Beale wrote:
Gerard's point about 5 etc being an exception
the uncertainty as limits and a
distribution type term (with a default gaussian distribution?)
Gerard Freriks
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On 17-mrt-2006, at 12:42, Thomas Beale wrote:
The real
, the
knowlegde level.
And not the numeric interpretation level.
Gerard
-- CEN/tc251 Convenor --
Gerard Freriks, MD
convenor CEN/tc251 WG1
TNO ICT
Brassersplein 2
Delft
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On 21-mrt-2006, at 17:34, Thomas Beale wrote:
Sam Heard wrote:
It is a flag that says
it was unmeasurable)
Gerard
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On 1-mrt-2006, at 2:41, Sam Heard wrote:
Hi everyone,
We want to report an issue that has arisen in data processing in
Australia
as code in software.
Information must never be exchanged in proprietary ways.
Without this, generic semantic interoperability between computer
systems never will be possible.
Gerard
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proposed pricing scheme SNOMED will ask more money from rich
countries (millions) and very small amounts (ten-hundred Euro;'s)
from poor countries.
The are very sensible and indexed to the Gross National Product.
Gerard
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.
4.3.1 Definition
The basic?generic definition for the EHR is a repository of
information regarding the health status of a subject
of care, in computer processable form.
So what can be the problem?
Gerard
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The EHR contains what needs to be documented, to be said, in view of
the fact that it is the life long record about one patient, isn't it?
GF
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Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 4-mei-2006, at 17:42
become the same
thing. Not only expressing the same thing but being the same thing at
the level of the computer.
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 5-mei-2006, at 8:05, Williamtfgoossen
. The Observation is about a
specific place, using specific methods, by specific person, at a
specific time, etc.
The Plan and Instruction can be more vague about the: where, when,
what, with what, how, by whom, etc.
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
of a regular drug, herbal tea, food additive, smog, self
medicated, prescribed, or taken by an involuntary action
one always want to record the same things.
Isn't it?
So why not a generic Archetypes: Observation: Substance Use
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158
are identical.
Gerard Freriks
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 3-nov-2006, at 10:27, Andrew Patterson wrote:
Apologies that this is perhaps not the right forum, but
I sense there is a fair crossover
see below.
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 3-nov-2006, at 14:02, Andrew Patterson wrote:
So 13606 EHRcom is very much a go-between format - something that
can be used to transfer
.
Is there any real choice?
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 15-okt-2006, at 19:13, Dana Prochazkova wrote:
Hi,
I'm writing my diploma thesis at the Vienna Medical University and
I have
interoperability
possible.
Only EN13606 will enable that conformant systems can be searched
using the same query and expose any information stored in that system
in an uniform interpretable way enabling better easier clinical
decision support.
Greetings,
Gerard
-- private --
Gerard Freriks, arts
Dear William,
You write:
I believe it is very hard to accept the dogmatic approach of Gerard
Freriks once again :-(
My simple dictionary reads:
dogma |?d?gm?| |?d?gm?| |?d?gm?|
noun
a principle or set of principles laid down by an authority as
incontrovertibly true : the Christian dogma
NOT in its infancy, as you know.
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 16-okt-2006, at 8:40, Williamtfgoossen at cs.com wrote:
Only CEN/tc251 EN13606 makes plug-and-play semantic
developer and submitter.
Lets generate a set of research questions that we can write into the
project proposal.
Gerard
-- private --
Gerard Freriks, arts
EuroRec
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 23-okt-2006, at 0:02, Sam Heard
to be provided
by the Observer (e.g. the lab or the physician). Or in the case of
Clinical decision Support the module that handles this type of
clinical knowledge.
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653
.
This line of reasoning of yours makes me feel uneasy because this way
of argumentation is one seen in religious fanatics that don't want
any real discussion.
With regards,
Gerard Freriks
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252
different scopes
and requirements is impossible.
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 19-sep-2006, at 4:30, Grahame Grieve wrote:
This will be hard, and painful. And it must involve compromise,
so
a human reader, and
NOT for computer semantic processing, are: a Flag that a value is out
of range, and a comment/advice/interpretation provided by the lab.
Value is not always a series of digits. It can be an ordinal. It
can be text.
Gerard
-- private --
Gerard Freriks, arts
Huigsloterdijk
control
of the knowledge domain.
In the meantime the tools must be able to support specialization.
Gerard
-- private --
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252544896
M: +31 620347088
E: gfrer at luna.nl
Those who would give up essential Liberty
-use will take place at the Template Level by using Entry
Archetypes. Reflecting interoperability needs
Re-use will take place within the Entry Archetype by means of generic
Proto-Archetypes. Reflecting interoperability needs.
Gerard
-- private --
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR
Sam,
About restricting slots.
It must not be an on/off type of restriction.
Is it possible to have 'types of archetypes'?
And then.
What 'types' are needed?
Isn't there a need for an 'Archetype ontology' that helps provide
'types of archetypes'?
Gerard
-- private --
Gerard Freriks, MD
Sam,
It would be helpful to provide (more) arguments for your opinion.
Gerard
-- private --
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252544896
M: +31 620347088
E: gfrer at luna.nl
Those who would give up essential Liberty, to purchase a little
, my remaining
questions are:
What harm is done?
How can CEN/tc251 EN13606 be aligned, some years from now, with the
forthcoming ISO data type standard?
Can it be aligned? Or can't it?
Gerard
-- private --
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31
in what specific format?
Gerard
-- private --
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252544896
M: +31 620347088
E: gfrer at luna.nl
Those who would give up essential Liberty, to purchase a little
temporary
Safety, deserve neither Liberty nor
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