by Wes Rishel | February 12, 2013 | 6 Comments
Directed exchange is the model for 97% of HIE traffic. We need better options for query.
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: EHR, Health Information Exchange, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, 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.
Category: Healthcare Providers Interoperability Uncategorized Vertical Industries Tags: C32, CCD, CCDA, Consolidated Clinical Document Architecture, Continuity of Care Document, EHR, Health Information Exchange, Health IT, Healthcare Interoperability, Healthcare Providers, HIE, HL7, IHE, Meaningful Use
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 [...]
Category: Healthcare Providers Interoperability Uncategorized Tags: EHR, ELINCS, Health Internet, Healthcare Interoperability, Healthcare Providers, HIE, HL7
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 [...]
Comments Off
Category: Healthcare Providers Interoperability Vertical Industries Tags: analytics, business intelligence, EHR, Health Information Exchange, health plans, Healthcare Interoperability, Healthcare Providers
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.
Category: Healthcare Providers Interoperability Tags: Direct Project, EHR, Health Information Exchange, Health IT, Healthcare Providers, NHIN Direct
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 | 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.”
Comments Off
Category: Healthcare Providers Interoperability Vertical Industries Tags: Direct Project, Health IT, Healthcare Interoperability, Healthcare Providers, NHIN Direct, simple interop
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.
Category: Applications Healthcare Providers Interoperability Uncategorized Tags: ARRA, EHR, Health IT, Healthcare Interoperability, Healthcare Providers, Meaningful Use, NHIN, NHIN Direct, Stimulus
