Wes Rishel

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Entries Tagged as 'Health IT'


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 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: , , , , , , , , , , , , ,

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: , , ,

Can Consumer Friendly Terms Ever be Standardized?

by Wes Rishel  |  September 11, 2011  |  2 Comments

Creating a consumer-friendly taxonomy of the types of services provided by healthcare practices is, at best, expensive and more likely an oxymoronic challenge. Entry Level Provider Directories should solicit plain-English descriptions directly from the practices.

2 Comments »

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

Lessons From the Putative Failure of HL7 V3

by Wes Rishel  |  August 16, 2011  |  4 Comments

Recent blogs to the contrary, HL7 V3 has been a limited success, particularly with CDA documents. In taking up a Fresh Look, HL7 must consider the differences between CDA and V3 messaging and learn some important lessons.

4 Comments »

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

Something Really Different at the HIMSS Interop Showcase

by Wes Rishel  |  February 18, 2011  |  Comments Off

The Direct Project skips the “valley of we could do” to debut in the HIMSS Interoperability Showcase on the “plateau of “we are doing.”

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

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: , , , , , , ,

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.

2 Comments »

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

NHIN Direct and Strange Bedfellows

by Wes Rishel  |  June 13, 2010  |  11 Comments

Sean Nolan’s blog highlights that NHIN Direct has stumbled on a “tough” decision. We didn’t come to agreement on the backbone protocol despite an absolutely outstanding process for increasing understanding as opposed to so many meetings where the opposite of speaking usually is not “listening” but “waiting to speak.” Sean characterized the split in the [...]

11 Comments »

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