Wes Rishel

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Entries Tagged as 'Health Internet'


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: , , , , , ,

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: , , , , ,

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: , , , , , ,

Simple Provider Directories for Simple Interop

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.

5 Comments »

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

On Molecules, Buckets and the UEL

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.

2 Comments »

Category: Healthcare Providers Interoperability     Tags: , , ,

PCAST Opportunity: Documents vs. “Atomic Data Elements”

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.

22 Comments »

Category: Healthcare Providers     Tags: , , , , , ,

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.

1 Comment »

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

Surescripts Announcement Confirms Simple Interop Incremental Approach

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: , , , , , , ,

retweet: WOO HOO! #NHINDirect wins @InformationWeek 500 Gov Innovators Award

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: , , , , ,

NHIN Direct v. HIEs: Competitors or Collaborators

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 […]

12 Comments »

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