> On 28 Jun 2016, at 04:42, David Booth <[email protected]> wrote:
> 
> Correct.  Again: what harm do you think is caused by that?

People’s Privacy is harmed. Quite a big issue in some countries ;-)

> Giving people a vocabulary for publishing eHealth records is *not* the same 
> as publishing those records.  It simply provides a consistent *vocabulary* 
> for publishing data *when* it is appropriate to do so.

The “when” is the issue. Since schema.org promotes the open HTML page as the 
mechanism to publish schema.org data.
Then FHIR Conformance is completely by-passed [1].

> Teaching someone how to drive a car does not mean that we are encouraging 
> them to drive off of a cliff.

Yes, but those that govern the cliff who *know* it is dangerous will deploy 
mitigation strategies (ie build a rail guard),

> Some common reasons why health data is legitimately published:
> - It is test data.
> - It is de-identified data, for research.
> - The individual it's about wants to publish it.  For example, he/she may 
> have a rare disease and wants others to help seek a cure for it.

And all of these can be achieved with the normative FHIR “ontology”.

>> My point is that you *do not* need to do that. We already have the HL7 FHIR 
>> URIs for the vocab. Use that.
> 
> I will, thank you.  But you are unlikely to get people who *only* use the 
> schema.org vocabulary to use the FHIR vocabulary.  And there are likely to be 
> far more of them than FHIR users.

It is far more likely that a “user" who is publishing FHIR data would have 
intimate knowledge of the vocab from the FHIR specs themselves then from 
schema.org. 

It is scary to think that, for example, a user wrote a CDA document, and never 
referred to the CDA specification  :-)

> No, I don't think that is the purpose in this case.  The purpose is to align 
> *other* vocabularies with the FHIR vocabulary, in this case the schema.org 
> vocabulary.

So that is easily achievable in the FHIR “ontology” with outgoing references to 
the other vocabs to align to
(and/or the other vocabs can refer to FHIR “ontology" URI concepts).

Renato

[1] http://hl7.org/fhir/2016May/conformance-rules.html



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