Wes Rishel

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Entries Tagged as 'Healthcare Providers'


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

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 [...]

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

Gartner Symposium: 10,000 of My Closest Friends

by Wes Rishel  |  September 26, 2011  |  Comments Off

Recently I have been peer-reviewing my colleagues’ presentations for Gartner Symposium 2011. Those of you who have attended know that it mostly dedicated to IT in general, attended by roughly 10,000 CIOs and their direct reports across all industries and government. Sunday October 16 in Orlando we are doing a track specifically for healthcare providers [...]

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

ONC Moves on Sending Questions to the Data

by Wes Rishel  |  July 26, 2011  |  2 Comments

ONC Moves on Sending Questions to the Data

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

Send the Questions to the Data

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.

10 Comments »

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

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.

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