Wes Rishel

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Entries Categorized as 'Interoperability'


We Need To Unboggle Health Information Queries

by Wes Rishel  |  February 12, 2013  |  6 Comments

Directed exchange is the model for 97% of HIE traffic. We need better options for query.

6 Comments »

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

A Much-Needed Nudge for Stage 2 Interoperability

by Wes Rishel  |  January 6, 2013  |  3 Comments

HL7 participants have identified a barrier to interoperability in C-CDA and conceived a response. It is urgent that HL7 leadership and ONC ensure that their are ideas are taken up immediately.

3 Comments »

Category: Interoperability Vertical Industries     Tags: , , , , ,

+4 For Micky Tripathi on HIE

by Wes Rishel  |  June 27, 2012  |  1 Comment

+1 fo Micky for calling out the new PPT-ware about a completely architected “eco-system” as wrong-headed at a time when so little is known about the demands of accountable care

1 Comment »

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

The Biggest Healthcare Interop Issue: Frozen Interface Syndrome

by Wes Rishel  |  April 13, 2012  |  7 Comments

ONC and CMS run the risk of creating interoperability mandates that make upgrades nearly impossible. They need to employ bilateral asynchronous cutover to avoid “frozen interface syndrome.”

7 Comments »

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

A New Approach to Clinical Interop in Stage 2 Meaningful Use

by Wes Rishel  |  March 19, 2012  |  4 Comments

The meaningful use stage 2 NPRM standards regulation cites the HL7 Consolidated CDA. The fine points of the citation signals a major shift in interoperability policy.

4 Comments »

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

“Direct” is Much More than Email

by Wes Rishel  |  March 6, 2012  |  1 Comment

Direct is not just email; it supports sending structured data from one system to another. The direct glass may only be half full, but you can die of thirst waiting for half-empty glasses to be filled.

1 Comment »

Category: Interoperability Vertical Industries     Tags: , , , ,

OK, XML Schema Does Earn its Keep in HL7

by Wes Rishel  |  December 31, 2011  |  2 Comments

For the current state of RIM-based HL7 standards XML schema is a necessary ingredient.

2 Comments »

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

Does XML Schema Earn its Keep?

by Wes Rishel  |  December 28, 2011  |  6 Comments

Although some ascribe sainted status to XML schema, it doesn’t provide enough value to compensate for the practical difficulties it creates, not the least of which is blocking an evolution towards JSON.

6 Comments »

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

At Last, Data Molecules! CIMI

by Wes Rishel  |  December 13, 2011  |  3 Comments

The Clinical Information Modeling Initiative (CIMI) is a small group of volunteers that are working to consolidate the detailed clinical models of various groups in a way that could be adapted to meet the needs of health IT standards groups.

3 Comments »

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

ELINCS: Doing Lab Orders Standards Right

by Wes Rishel  |  December 8, 2011  |  3 Comments

On Wednesday the California Healthcare Foundation published Request for Proposals: Using Electronic Data Standards to Communicate Laboratory Orders. CHCF actually lives up to an important but seldom-followed precept of standards: producing a spec is only the start of getting a working standard. Someone has to nurse it through initial implementations, reflect on the lessons learned [...]

3 Comments »

Category: Healthcare Providers Interoperability Uncategorized     Tags: , , , , , ,