Wes Rishel

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Archives for January, 2010


Web Services: What’s In a Name?

by Wes Rishel  |  January 30, 2010  |  4 Comments

If anyone things that nerds are unemotional, they need only go to a standards meeting. The notion of using web services to support reliable computer-to-computer messaging gets as much passion from the partly-informed as did the demotion of Pluto. After looking into this I confess that I have added to the confusion. As I have learned, a [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , ,

Simple Interop: A PowerPoint Presentation

by Wes Rishel  |  January 24, 2010  |  19 Comments

Sir Blogsalot has written quite a bit about the idea of simple interoperation, each post developing some aspect of the idea. Recently I combined all the ideas in a single PPT presentation. You can download it by clicking here to leave the Gartner Blogs web site and then clicking on the link to the presentation. [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , ,

Hope for HL7 Transparency

by Wes Rishel  |  January 22, 2010  |  1 Comment

Kudos to Motorcycle Guy (aka Keith Boone) for Implementation Technology Specifications. It puts in context four separate efforts to simplify the XML representation of clinical information in HL7 Version 3 and CDA and to achieve a RESTful URL. I know I speak for a lot of people that have the greatest respect for the precision [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , ,

More on Humboldt Country EHRs and Interop

by Wes Rishel  |  January 16, 2010  |  Comments Off

After publishing “It Takes a Region:” Progress Without EHRs I received an email from Alan Glaseroff updating me on the current state of the chronic disease efforts and the proliferation of EHRs, which is now up to 41% by physician count. With his permission I am including portions of his email here: We did use [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , , , , , , , ,

“It Takes a Region:” Progress Without EHRs

by Wes Rishel  |  January 15, 2010  |  2 Comments

This is a sermonette on what can be accomplished absent EHRs and an HIE when there is a a strong leader in a leadable community. In It Takes A Region CD-Rom: Improving Chronic Illness Care the Robert Wood Johnson foundation proselytizes work it sponsored on regional approaches to managing chronic disease by the Wagner model. [...]

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Simple Interop: Issues Associated with Automatic Processing

by Wes Rishel  |  January 4, 2010  |  4 Comments

In Simple Interop: Use Cases we have made a somewhat unorthodox proposition, to support mixed communication between people and automatic computer processing programs. We have done so because of the issues raised in Rant on Heath Information Technology Asynchrony . This proposition entails solving some issues. For example, what if The email is never delivered [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , ,

Simple Interop: The Payload

by Wes Rishel  |  January 4, 2010  |  1 Comment

In Simple Interop: Use Cases we set the challenge of communicating among people and Health IT systems in a manner that does not create a “walled community” where all those that practice with EHRs and HIEs have no ability to use the Internet to communicate with those that don’t. The biggest challenge in such a [...]

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Category: Healthcare Providers Uncategorized Vertical Industries     Tags: , , , , , , , , , ,

Simple Interop: Use Cases

by Wes Rishel  |  January 4, 2010  |  4 Comments

This post zeroes in on exactly why the simple interop approach is important. It does so by listing a number of use cases. They illustrate the issues of getting to interoperability while an industry is in transition – and are industries ever not in transition? We are mindful of the specific kinds of interoperability required [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , , , ,

Rant on Heath Information Technology Asynchrony

by Wes Rishel  |  January 2, 2010  |  8 Comments

Here is some pseudo XML. <joke style=”jocular, but with a purpose”>There are these two young fish swimming along and they happen to meet an older fish swimming the other way, who nods at them and says “Morning, boys. How’s the water?” And the two young fish swim on for a bit, and then eventually one [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , ,