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.
Category: Healthcare Providers Interoperability Tags: EHR, Health 2.0, Health Information Exchange, Health IT, Healthcare Interoperability, Healthcare Providers, HL7 Fresh Look, simple interop
by Wes Rishel | July 26, 2011 | 2 Comments
ONC Moves on Sending Questions to the Data
Category: Interoperability Vertical Industries Tags: Direct Project, Health Information Exchange, Healthcare Interoperability, Healthcare Providers, HIE, Meaningful Use, PCAST Report, Query Health
by Wes Rishel | July 7, 2011 | 10 Comments
We all know why distributed query “can’t work.” OTOH, things are only impossible until they’re not. It’s time to decide if we are approaching a cusp of possibility. We have new resources (more EHRS, a fundamental secure communications infrastructure and standard coding systems in support of meaningful use requirements). It is time to assemble a group of users and vendors willing to look at this issue intensely but pragmatically.
Category: Healthcare Providers Interoperability Vertical Industries Tags: Direct Project, distributed query, EHR, Health Information Exchange, Healthcare Interoperability, Healthcare Providers, open source, PCAST Report, public health
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 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: Direct Project, Health IT, Healthcare Interoperability, Healthcare Providers, NHIN Direct, simple interop
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 | December 21, 2010 | 1 Comment
The converse of Clarke’s third Law is also true, “any magic is indistinguishable from sufficiently advanced technology.” … The PCAST Report represents a canny understanding of the ability of the Internet to facilitate disruptive innovation … What evidence can CMS and ONC use to fufill its regulatory duties by balancing new vision with existing initiatives.
Category: Healthcare Providers Interoperability Tags: EHR, Health Information Exchange, Healthcare Interoperability, Meaningful Use, NHIN, NHIN Direct, PCAST Report
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
