[Gnumed-devel] emr questions

[catmat]

anyone compared the way gnumed captures encounter data with  openehr or hl7?
hl7 is described as a "static model" , which would be in line with 
gnumed, whilst openehr looks
like it's trying to fit the power of design-by-contract eiffel into a 
custom  (?unrealizable) dynamic model language,
possibly hoping to leverage  the programmability of xslt ( or create 
more work for implementors to reach the power of xslt).

Another opinion,

gnumed had a few quirks with  s o a p , is_rfe, is_aoe, ( is_rfe should 
be only available with s , and is_aoe only available
with "a"  ,  ) -  why can't s o a p     be pushed into the heirarchy of 
a clin_root_item

eg.

clin_encounter
 clin_root_item
   - s_item
         - rfe
         - past history
         - social history
         - family history
        
   - o_item
         - lab_result
         - physical_finding

   - a_item
         -aoe
         -diagnostic coding
         -prognostic assessment
 
   - p_item
         -medication
         -lab_request
         -referral
         -monitoring requirement

clin_root_item references clin_health_issue directly, and perhaps a 
sequential attribute / episode_number
classifies the episode of the clin_health_issue it relates to,
instead of having to tag each episode with a string name ( this was an 
annoying requirement when I tested
the schema with the web client).

Also ,  has anyone tried "whiteboard" like communication, with 
hand-drawn  Entity-Relationship diagrams , or
UML diagrams , scanned in ,and posted , since we are liberally posting 
mock UI pictures anyway trying to
describe an agreeable frontend.
( I remember  back several years ago, when this smart computer guy from 
Nepal taught us , a class of 20 er newbies,
how to do ER diagramming, and went through about 10 different 
application domains in one hour, drawing ER diagrams
from requirement statements  ; I thought the hard part was coming up 
with the requirement statements ).