When we get down to what all geeks know, there are two fundamental ideas that we all get:
- Property Triples
Another person asked why we didn't just use XML and define a schema. OK. Been there, done that. The issue I run into is that people who understand HTML have to be taught new stuff to understand CDA. That translation hurdle creates an extra cognitive step. That extra step means that engineers aren't easily able to apply what they've learned about HTML to CDA because the CDA knowledge is one level (at least) mentally removed from HTML.
This is, in some way, a new paradigm that is being brought to standards. The idea is to make them usable and accessible to as broad an audience as possible. I'm hoping that someday it won't be enough for someone to be an "Expert" in a particular topic to work on standards. Instead, we need more geniuses who can make them accessable.
I recall a great story about Richard Feynman being asked to explain a particular topic in Physics during a meeting. OK, he said, I'll write a freshman lecture on it. He comes back later and says: "I couldn't write a freshman lecture on it. We must not understand the topic well enough." One of the notables at the conference I'm at today tells a story about explaining his PhD thesis about classification to his 7 year-old daughter. She came back with a diagram of her world-view using what she learned. This is what I consider to be the hallmark of well designed standards, that we can easily explain them.
So, to summarized: If I cannot explain the markup so that the common software engineers can understand it, we must not understand it well enough. That's where I think we need to be going, in HL7, IHE, S&I Framework, W3C, you name it.
[By the way, if you haven't read or listened to Six Easy Pieces or the subsequent books, I heartily recommend them.]