by Wes Rishel | February 12, 2013 | 6 Comments
Directed exchange is the model for 97% of HIE traffic. We need better options for query.
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: EHR, Health Information Exchange, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, Meaningful Use
by Wes Rishel | December 31, 2011 | 2 Comments
For the current state of RIM-based HL7 standards XML schema is a necessary ingredient.
Category: Healthcare Providers Interoperability Vertical Industries Tags: Health Information Exchange, Health Internet, HIE, HL7, JSON, XML Schema
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 [...]
Category: Healthcare Providers Interoperability Uncategorized Tags: EHR, ELINCS, Health Internet, Healthcare Interoperability, Healthcare Providers, HIE, HL7
by Wes Rishel | May 27, 2011 | 5 Comments
Ideas about provider directories to support The Direct Project are getting quite complex. Here is an approach that matches Direct itself for simplicity and the potential for rapid completion.
Category: Healthcare Providers Interoperability Tags: Direct Project, EHR, Health Information Exchange, Health Internet, Healthcare Interoperability, HIE, Meaningful Use, NHIN Direct, NwHIN
by Wes Rishel | February 19, 2011 | 2 Comments
The UEL in the PCAST report is a simple metadata wrapper that encompasses the long view of the evolution of standards and technology. I like it.
Category: Healthcare Providers Interoperability Tags: Health Internet, Healthcare Interoperability, PCAST Report, UDDI
by Wes Rishel | February 13, 2011 | 22 Comments
The PCAST report is an opportunity to redirect ONC resources to meets the short term goals associated with the HITECH, support more nimble development of standards for clinical data that are less arcane, and set a long-term direction that enables more innovative use of IT in healthcare. Here is what ONC should do.
Category: Healthcare Providers Tags: Direct Project, EHR, Health Internet, Health IT, Healthcare Interoperability, Meaningful Use, PCAST Report
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.
Category: Healthcare Providers Interoperability Uncategorized Tags: Direct Project, Health Information Exchange, Health Internet, Healthcare Interoperability, Meaningful Use, NHIN Direct, PCAST Report, simple interop, ULS, ultra large systems
by Wes Rishel | October 28, 2010 | Comments Off
Our feeling was that the simple Interop would attract companies that would start up without grants and creatively find value propositions to repay their investment. This notion of enabling free enterprise seems to have paid off.
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Category: Healthcare Providers Interoperability Tags: Health Information Exchange, Health Internet, Health IT, Healthcare Interoperability, HIE, Meaningful Use, NHIN Direct, simple interop
by Wes Rishel | September 24, 2010 | Comments Off
All award programs are hooey — except when something you care about wins the award. I am happy to be associated with NHIN direct and my hat’s off to four key people who are showing us how to use the Internet to advance standards development.
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Category: Healthcare Providers Interoperability Tags: Health Information Exchange, Health Internet, Healthcare Interoperability, HIE, Meaningful Use, NHIN Direct
by Wes Rishel | March 14, 2010 | 12 Comments
Recently a person organizing a state’s HIE effort reported a hospital CIO saying, “why do I need your complex HIE when can have NHIN Direct?” This question gets to the heart of the confusion that some states or stated designated entities are experiencing with the introduction of NHIN Direct into the mix. I wrote this fellow [...]
Category: Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health Internet, HIE, Meaningful Use, NHIN, NHIN Direct
