Wes Rishel

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Entries Tagged as 'Healthcare Providers'


FAQ: NHIN Direct v. Meaningful Use Certification Requirements

by Wes Rishel  |  June 25, 2010  |  1 Comment

Dear Abby, The question is how SMTP as the preferred transport mechanism reconciles with the EHR certification criterion (in the IFR) that requires certified EHRs to use either SOAP or REST for HIE (i.e., §170.202 Transport standards for exchanging electronic health information). Just sign me “Puzzled in Peoria” Dear P in P, First, let’s be [...]

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

NHIN Direct: Response to Comment on Vendor Positions

by Wes Rishel  |  June 17, 2010  |  1 Comment

Today Anand Shroff replied to my prior post with some very provoking questions. I have added emphasis in quoting his reply. Wes – are you detecting a split between EMR vendors and HIE vendors? From where I sit, the HIE vendors should be fairly neutral about what gets picked, as long as there is a single [...]

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

Simple Interop Gets Respectable: More News at HIMSS

by Wes Rishel  |  February 26, 2010  |  1 Comment

Many people have contacted me about getting started with Simple Interop. I have been lining up some Web resources to host a series of “birds of a feather” discussions. The goal was to encourage groups to form up and try it. ONC has followed this topic and offered many favorable comments. As it works out they [...]

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

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: , , , , , , , , ,

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

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 Payload

by Wes Rishel  |  January 4, 2010  |  1 Comment

In Simple Interop: Use Cases we set the challenge of communicating among people and Health IT systems in a manner that does not create a “walled community” where all those that practice with EHRs and HIEs have no ability to use the Internet to communicate with those that don’t. The biggest challenge in such a [...]

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

Simple Interop: Use Cases

by Wes Rishel  |  January 4, 2010  |  4 Comments

This post zeroes in on exactly why the simple interop approach is important. It does so by listing a number of use cases. They illustrate the issues of getting to interoperability while an industry is in transition – and are industries ever not in transition? We are mindful of the specific kinds of interoperability required [...]

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

Rant on Heath Information Technology Asynchrony

by Wes Rishel  |  January 2, 2010  |  8 Comments

Here is some pseudo XML. <joke style=”jocular, but with a purpose”>There are these two young fish swimming along and they happen to meet an older fish swimming the other way, who nods at them and says “Morning, boys. How’s the water?” And the two young fish swim on for a bit, and then eventually one [...]

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

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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Category: Uncategorized     Tags: , , , , , , , , , , ,