Wes Rishel

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Entries Categorized as 'Uncategorized'


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: , , , , , ,

Mostashari Rant on “Walled Gardens”

by Wes Rishel  |  August 24, 2012  |  1 Comment

In the end, are ONC and CMS trying to stop the tides by fighting walled gardens of interoperability based on vendor products? I don’t think so.

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Category: Healthcare Providers Uncategorized     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.

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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.

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 […]

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

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.

4 Comments »

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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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