Wes Rishel

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HL7′s Position on CIMI

by Wes Rishel  |  December 15, 2011  |  7 Comments

I strongly urge HL7 NOT to take a preemptive, doctrinaire “not invented here” position with respect to CIMI until the actual value of CIMI work product can be evaluated.

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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.

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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 [...]

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Three Steps to US Semantic Interop

by Wes Rishel  |  November 20, 2011  |  Comments Off

What beyond the Consolidated CDA is needed for meaningful use, stage 2?

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Semantic Interop, the C32 and the Consolidated CDA

by Wes Rishel  |  November 17, 2011  |  4 Comments

Early interoperability testing on the C32 (continuity of care document) shows the specs must be refined. The Consolidated CDA is an important step in this direction.

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Occupy Spec Street. Set the Record Straight on NwHIN

by Wes Rishel  |  November 17, 2011  |  Comments Off

Are you tired of government not listening? Here is your chance to set the record straight on the NwHIN. You don’t have to live in a tent or pound a drum. You can sit comfy in a chair and pound a keyboard.

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On The Direct Project, PCAST and Ultra Large Systems

by Wes Rishel  |  February 7, 2011  |  1 Comment

We are pleased that Aneesh Chopra, blogging from the White House, recognized the early contribution of my blog in setting the direction that became the basis for The Direct Project. The Direct Project set a new speed record, going from a basic idea to actual production use for exchanging healthcare information in 11 months.

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NIEM: Be Careful What You Wish For

by Wes Rishel  |  September 22, 2010  |  2 Comments

In a time when “caterwaulablogging” is as routine as waving howdy, I pledge to express my concerns about NIEM with as little verbal plumage as I can muster, in hopes that I am contributing to the evolution of these ideas towards the vision I set out two years ago.

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Regulatory Concerns re Home Medical Devices

by Wes Rishel  |  August 8, 2010  |  Comments Off

Interest in the market for home and remote monitoring rising steeply. For example, in our 2010 Hype Cycle (requires a Gartner log-in) we find the standards in Continua 1.5 to have matured to the point where they can soon begin to be the basis for compatible instruments and patient management systems, operating over an appropriate [...]

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Avoiding “Stupid Questions” in CDS.

by Wes Rishel  |  August 3, 2010  |  1 Comment

I received an email from Jonathan Perlin, commenting on the yesterday’s post on CDS and “Stupid Questions”. It was based on his pioneering experience with CDS, has helped me to better understand ways in which an EHR can assure that CDS does not devolve to being “stupid questions.” I am fatiguing of hearing “alert fatigue” [...]

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