Wes Rishel

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Entries Tagged as 'Health IT'


Web Services: What’s In a Name?

by Wes Rishel  |  January 30, 2010  |  4 Comments

If anyone things that nerds are unemotional, they need only go to a standards meeting. The notion of using web services to support reliable computer-to-computer messaging gets as much passion from the partly-informed as did the demotion of Pluto. After looking into this I confess that I have added to the confusion. As I have learned, a [...]

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

Hope for HL7 Transparency

by Wes Rishel  |  January 22, 2010  |  1 Comment

Kudos to Motorcycle Guy (aka Keith Boone) for Implementation Technology Specifications. It puts in context four separate efforts to simplify the XML representation of clinical information in HL7 Version 3 and CDA and to achieve a RESTful URL. I know I speak for a lot of people that have the greatest respect for the precision [...]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , ,

More on Humboldt Country EHRs and Interop

by Wes Rishel  |  January 16, 2010  |  Comments Off

After publishing “It Takes a Region:” Progress Without EHRs I received an email from Alan Glaseroff updating me on the current state of the chronic disease efforts and the proliferation of EHRs, which is now up to 41% by physician count. With his permission I am including portions of his email here: We did use [...]

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Simple Interop: Issues Associated with Automatic Processing

by Wes Rishel  |  January 4, 2010  |  4 Comments

In Simple Interop: Use Cases we have made a somewhat unorthodox proposition, to support mixed communication between people and automatic computer processing programs. We have done so because of the issues raised in Rant on Heath Information Technology Asynchrony . This proposition entails solving some issues. For example, what if The email is never delivered [...]

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

Simple Interop: the PHR

by Wes Rishel  |  December 31, 2009  |  4 Comments

This post seeks not to define the full scope of interactions of a PHR but simply to define a simple connection between PHRs and other health IT systems. We make two claims for this approach. (1) it greatly simplifies the roll-out of connections between PHRs and other healthcare IT systems, thus accelerating the roll-out of [...]

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Simple Interop: Definitions

by Wes Rishel  |  December 30, 2009  |  2 Comments

There are many definitions to certain common terms associated with healthcare information exchange. These are definitions that I am using in preparing the “simple interop” series of posts. These definitions will not necessarily be suitable for other purposes and are not necessarily consistent with the other sources, including Gartner research notes. Health domain name a [...]

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Simple Interop: A Post-Holiday Review

by Wes Rishel  |  December 28, 2009  |  Comments Off

Like most of us, I have been enjoying holidays with family. My computational efforts have been confined to bringing the awesome processing power of a Canon 7D DSLR and Adobe Lightroom to bear on snapshots of grandchildren, ages 3 and 6, opening presents. (Just a hint of grandparental pride: it was a delight to see [...]

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Simple Interop: Why We Don’t Seek a Top Level Domain Name

by Wes Rishel  |  December 20, 2009  |  3 Comments

Since Simple Interop: The Health Internet Node was posted there has been a very thoughtful thread on the notion of having a top level domain (TLD) for healthcare. In the original post I thought I was pretty clear that we did not think this is a good idea, but in a separate posting I can [...]

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

Simple Interop: The Health Internet Node

by Wes Rishel  |  December 15, 2009  |  20 Comments

In Simple Interop: How To Go About It I talked about a simple interop model. Today’ post is a proposal for how to exploit the power of the Internet to the max while adding adequate security. McCallie and I offer it to all those who would listen. The diagram at the end of this post [...]

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

Simple Interop: How To Go About It

by Wes Rishel  |  December 13, 2009  |  4 Comments

Simple Interop: My Boggle-Busting Goal recapped the rationale for this “Simple Interop” thread. In On eBay, the Fax and Healthcare Interop I turned my own attitude around about that oft-deprecated bedrock of healthcare interoperability, the fax machine. Specifically I pointed out fax it is a hard technology to beat when you consider ubiquity and simplicity. [...]

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