Re: [openhealth] Re: Hi folks..

2007-02-21 Thread Thomas Beale
Paul wrote: A wise quote that I heard when I started medical informatics training was a lot of what we practice today is wrong. I'm a pediatrician, and I can attest to this... and because of the constant evolution in best practices, there's always a scattergram of practice styles vs. best

Re: [openhealth] Re: Hi folks..

2007-02-21 Thread Thomas Beale
Nandalal Gunaratne wrote: Thank you Thomas. This is not urinalysis but urea and electrolytes! What is the Any Result data type is not set doing here. It is, after all, urea and electrolytes, and the electrolytes are mentioned. Is this to leave room for rare electrolytes like the level of

RE: [openhealth] Re: Hi folks.. OSHCA conference

2007-02-20 Thread Klaus Veil
February 2007 11:03 To: openhealth@yahoogroups.com Subject: Re: [openhealth] Re: Hi folks.. OSHCA conference Thanks for your offer Paul. You've probably missed OSHCA's call for presentation at its coming conference from May 8-11 2007 in Kuala Lumpur. The date had been changed from May 1 to accommodate

[openhealth] Re: Hi folks..

2007-02-20 Thread Paul
Hi Thomas, --- In openhealth@yahoogroups.com, Thomas Beale [EMAIL PROTECTED] wrote: Nandalal Gunaratne wrote: The power of this approach is hard to appreciate until you're in a situation where lots of people have lots of things they want to characterize in a system. It allows

Re: [openhealth] Re: Hi folks..

2007-02-20 Thread Nandalal Gunaratne
Thank you Thomas. This is not urinalysis but urea and electrolytes! What is the Any Result data type is not set doing here. It is, after all, urea and electrolytes, and the electrolytes are mentioned. Is this to leave room for rare electrolytes like the level of copper in the blood or iron?

Re: [openhealth] Re: Hi folks..

2007-02-20 Thread Nandalal Gunaratne
Paul, This is a good explanation of what OpenMRS is about, and I find it quite refreshing. The problem of constraints to allow greater acceptance and accuracy (OpenEHR) against allowing change as you seem to do to allow freedom to improve and grow in new directions, but which can cause confusion

Re: [openhealth] Re: Hi folks..

2007-02-20 Thread Tim Churches
Nandalal Gunaratne wrote: Paul, This is a good explanation of what OpenMRS is about, and I find it quite refreshing. The problem of constraints to allow greater acceptance and accuracy (OpenEHR) against allowing change as you seem to do to allow freedom to improve and grow in new

[openhealth] Re: Hi folks..

2007-02-20 Thread Paul
Heya Tim, --- In openhealth@yahoogroups.com, Tim Churches [EMAIL PROTECTED] wrote: Yes, it seems to me that openEHR as it stands is an interesting and potentially useful technical advance which permits greater semantic precision and thus may ease the valid interchange of health data, but

[openhealth] Re: Hi folks..

2007-02-20 Thread Paul
--- In openhealth@yahoogroups.com, Will Ross [EMAIL PROTECTED] wrote: Paul, See below. - - - - - - - - Can the OCC be accessed by non-OpenMRS sites? And, as a corollary, can non-OpenMRS sites contribute to the concept coop? Thanks! - - - - - - - - Hi Will, We certainly

Re: [openhealth] Re: Hi folks..

2007-02-20 Thread Tim Churches
Paul wrote: Heya Tim, --- In openhealth@yahoogroups.com, Tim Churches [EMAIL PROTECTED] wrote: Yes, it seems to me that openEHR as it stands is an interesting and potentially useful technical advance which permits greater semantic precision and thus may ease the valid interchange of

Re: [openhealth] Re: Hi folks..

2007-02-19 Thread Nandalal Gunaratne
The power of this approach is hard to appreciate until you're in a situation where lots of people have lots of things they want to characterize in a system. It allows non-developers to own and augment their own notions of what data matters to them, without altering the underlying

Re: [openhealth] Re: Hi folks..

2007-02-19 Thread Thomas Beale
Tim Churches wrote: It will be very interesting to see what the UK NHS does with the copyright and licensing of openEHR archetypes and specifications which it creates. It doesn't really have much of a track record for releasing its IP for wider use, does it? (Very few large govt health

Re: Holding the Vision While Achieving Practical Integration/Interoperability Today (was) Re: [openhealth] Re: Hi folks..

2007-02-19 Thread David Forslund
Joseph Dal Molin wrote: Open source efforts/software like OpenMRS, WorldVistA (VistA Office etc.), OSCAR etc. that are focused on diffusion/uptake and continuous improvement. All need to have practical tools methods etc. to work effectively in the heterogeneous health IT ecosystem. Building

Re: [openhealth] Re: Hi folks..

2007-02-19 Thread Karsten Hilbert
On Tue, Feb 20, 2007 at 07:25:28AM +1100, Tim Churches wrote: No, we need the data in computable form OK, that kills the easy solution. Or it might not. If you don't blend both sources of information (background image and user input) but rather keep them separate and blend on

Re: Holding the Vision While Achieving Practical Integration/Interoperability Today (was) Re: [openhealth] Re: Hi folks..

2007-02-19 Thread Tim Churches
David Forslund wrote: Joseph Dal Molin wrote: Open source efforts/software like OpenMRS, WorldVistA (VistA Office etc.), OSCAR etc. that are focused on diffusion/uptake and continuous improvement. All need to have practical tools methods etc. to work effectively in the heterogeneous health

Re: Holding the Vision While Achieving Practical Integration/Interoperability Today (was) Re: [openhealth] Re: Hi folks..

2007-02-19 Thread David Forslund
Tim Churches wrote: David Forslund wrote: Joseph Dal Molin wrote: Open source efforts/software like OpenMRS, WorldVistA (VistA Office etc.), OSCAR etc. that are focused on diffusion/uptake and continuous improvement. All need to have practical tools methods etc. to work

Re: [openhealth] Re: Hi folks..

2007-02-19 Thread Tim Churches
Karsten Hilbert wrote: On Tue, Feb 20, 2007 at 07:25:28AM +1100, Tim Churches wrote: No, we need the data in computable form OK, that kills the easy solution. Or it might not. If you don't blend both sources of information (background image and user input) but rather keep them separate and

Re: Open source OCR (was Re: [openhealth] Re: Hi folks..)

2007-02-19 Thread Tim Churches
ksbhaskar wrote: --- In openhealth@yahoogroups.com, Tim Churches [EMAIL PROTECTED] wrote: [KSB] ...snip... But if anyone can suggest an alternative for turning data recorded on paper forms into data (as opposed to raster image) files, we'd love to hear of it. [KSB] Did you look at

Re: Open source OCR (was [openhealth] Re: Hi folks..)

2007-02-19 Thread Tim Churches
Karsten Hilbert wrote: On Tue, Feb 20, 2007 at 08:16:07AM +1100, Tim Churches wrote: The data retrieved from step 4 will be computable data ! Not particularly well constrained, but not just image data either. Ah, OK. Our problem is that many users only want to record data with a pen, on

Re: [openhealth] Re: Hi folks..

2007-02-19 Thread Thomas Beale
Nandalal Gunaratne wrote: The power of this approach is hard to appreciate until you're in a situation where lots of people have lots of things they want to characterize in a system. It allows non-developers to own and augment their own notions of what data matters to them,

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Thomas Beale
Tim Churches wrote: Paul wrote: We made a fairly conscious decision for example, not to try to represent the HL7 RIM, as it's been our experience that work in that domain is high on promise but lacking in successful, well vetted implementations. If on the other hand, you believe there's

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Nandalal Gunaratne
This is just the type of discussion we should have in the May OSHCA Conference!! FOSS interoperability - from theory to practice Nandalal --- David Forslund [EMAIL PROTECTED] wrote: Tim Churches wrote: Paul wrote: Hi Dave, Our API is built around the standard health objects

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Molly Cheah
You're right, Nandalal. I was given the contact to the OpenMRS to invite them to the OSHCA conference in May by the new director of ICT for IDRC as I understand that the project in Africa is quite exciting. As soon as I get a firm commitment on the funding for scholarships for those outside

[openhealth] Re: Hi folks..

2007-02-18 Thread Paul
Hi Molly, I'm one of the co-founders of OpenMRS. Let me know how I can be helpful to you. Still trying to catch up with the community here, and it seems I need to do some due diligence on OSHCA. Best, -Paul --- In openhealth@yahoogroups.com, Molly Cheah [EMAIL PROTECTED] wrote: You're right,

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Will Ross
What a wonderful discussion. I am so glad to have Regenstrief's OpenMRS at the table! I also know there are other lurkers out there (you know who you are!) who can add to the robust discussion. But my purpose here is to highlight one point. Paul, Dave and Tim have all mentioned not

Holding the Vision While Achieving Practical Integration/Interoperability Today (was) Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Joseph Dal Molin
Open source efforts/software like OpenMRS, WorldVistA (VistA Office etc.), OSCAR etc. that are focused on diffusion/uptake and continuous improvement. All need to have practical tools methods etc. to work effectively in the heterogeneous health IT ecosystem. Building on Tim's view: I

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Thomas Beale
Tim Churches wrote: David Forslund wrote: I was referring to making aspects such as the user interface and business logic as general as possible, while still keeping users happy by providing a slick, fiendly and productive interface and associated conveniences. Inter-system

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Thomas Beale
David Forslund wrote: It does appear that programming languages seem to be the biggest barrier for this particular open source community. Some like Java, some like Python, some like PHP, etc. That was the value of the IDL used in COAS, because it is language independent and really

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Tim Churches
Karsten Hilbert wrote: On Sun, Feb 18, 2007 at 05:32:54PM +1100, Tim Churches wrote: surprisingly tricky and fragile). But it does support dataset versioning, so that the latest version of source data can be loaded into a new dataset in the background while users continue to use an existing

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Tim Churches
Thomas Beale wrote: Tim Churches wrote: The openEHR model is probably relevant - it can be viewed as a more evolved form of the two-level model which OpenEMR (and the Regenstrief Clinic for several decades before that) uses. The openEHR people have put forward their work as the basis for an

Open source OCR (was Re: [openhealth] Re: Hi folks..)

2007-02-18 Thread Tim Churches
Tim Churches wrote: Karsten Hilbert wrote: Well, the path of least resistance here is to scan it and use it as a background image in some text editor or other so that what you type appears to be written into the fields while it is (technically) written on top of the background image. We then

Re: Open source OCR (was Re: [openhealth] Re: Hi folks..)

2007-02-18 Thread Joseph Dal Molin
UCLA had developed a very good scanning OCR solution . but I don't think it was pure FOSS will ask. Joseph Tim Churches wrote: Tim Churches wrote: Karsten Hilbert wrote: Well, the path of least resistance here is to scan it and use it as a background image in some text editor or

[openhealth] Re: Hi folks..

2007-02-18 Thread Paul
Hi Tim, thanks for your interest in investigating collaborating with us. --- In openhealth@yahoogroups.com, Tim Churches [EMAIL PROTECTED] wrote: NetEpi Analysis was designed to deal with the types of data and analyses which you mention - for example, apart from supporting complex cross-tabs

[openhealth] Re: Hi folks..

2007-02-18 Thread Paul
Hi Karsten, --- In openhealth@yahoogroups.com, Karsten Hilbert Agree. I'm reading this thread with interest. I have been interested in the Concept Dictionary approach ever since I learned about OpenMRS a year ago or so. There's a strong camp opposed to EAV-only schemata. I have a nagging

[openhealth] Re: Hi folks.. OSHCA conference

2007-02-18 Thread Paul
Molly, thanks for the information. I've passed this information onto my colleagues and I'll let you know their thoughts soon. Best, -Paul --- In openhealth@yahoogroups.com, Dr Molly Cheah [EMAIL PROTECTED] wrote: Thanks for your offer Paul. You've probably missed OSHCA's call for

Re: [openhealth] Re: Hi folks..

2007-02-18 Thread Tim Churches
Paul wrote: Thanks for this overview. There are so many layers to this whole data analysis aspect of medical record repositories. Thinking from left to right, there's the whole set of challenges around converting stacked database models (where there's one row per clinical observation)

[openhealth] Re: Hi folks..

2007-02-17 Thread Paul
Hi Dave, Our API is built around the standard health objects within the OpenMRS data model (ie, person, encounter, order, observation, etc) , as a way of abstracting out CRUD-type operations to the database. There are layers of API calls on top of this bedrock which provide business type

Re: [openhealth] Re: Hi folks..

2007-02-17 Thread Tim Churches
Paul wrote: Hi Dave, Our API is built around the standard health objects within the OpenMRS data model (ie, person, encounter, order, observation, etc) , as a way of abstracting out CRUD-type operations to the database. There are layers of API calls on top of this bedrock which provide

Re: [openhealth] Re: Hi folks..

2007-02-17 Thread David Forslund
Tim Churches wrote: Paul wrote: Hi Dave, Our API is built around the standard health objects within the OpenMRS data model (ie, person, encounter, order, observation, etc) , as a way of abstracting out CRUD-type operations to the database. There are layers of API calls on top of this

[openhealth] Re: Hi folks..

2007-02-17 Thread Paul
Hi Tim, Part of the challenge our team continually struggles with involves finding that right balance between being pragmatic and creating a framework that's everything to everyone, and potentially smolders under it's own weight. Yes, this is an absolutely central problem, and we also

Re: [openhealth] Re: Hi folks..

2007-02-17 Thread Tim Churches
David Forslund wrote: I've seen no real effort in the open source community to embrace interoperability. Certainly interoperability has been opposed by much of industry until recently, but there is no good reason for the open source community to not embrace it. Dave, interoperability,

[openhealth] Re: Hi folks..

2007-02-17 Thread Paul
--- In openhealth@yahoogroups.com, Tim Churches [EMAIL PROTECTED] wrote: Paul wrote: We would love to hear from folks, in particular who have the following skill sets: 1) database performance optimization 2) OLAP / reporting database design 3) Hibernate ORM With respect to 2),

Re: [openhealth] Re: Hi folks..

2007-02-17 Thread David Forslund
Tim Churches wrote: David Forslund wrote: I've seen no real effort in the open source community to embrace interoperability. Certainly interoperability has been opposed by much of industry until recently, but there is no good reason for the open source community to not embrace it.

Re: [openhealth] Re: Hi folks..

2007-02-17 Thread David Forslund
Paul wrote: Dave, Thanks for your thoughts. These discussions can get religious fairly quickly, so I'll just say that the bottom line for us is a simple one: we're supporting an open-source collaboration less to meet/support longstanding specifications that have fairly low uptake to this