by Wes Rishel | August 24, 2012 | 1 Comment
In the end, are ONC and CMS trying to stop the tides by fighting walled gardens of interoperability based on vendor products? I don’t think so.
Category: Healthcare Providers Uncategorized Tags: Health Information Exchange, HIE, Meaningful Use, Stage 2
by Wes Rishel | June 27, 2012 | 1 Comment
+1 fo Micky for calling out the new PPT-ware about a completely architected “eco-system” as wrong-headed at a time when so little is known about the demands of accountable care
Category: Healthcare Providers Interoperability Vertical Industries Tags: accountable care, ACO, Health Information Exchange, Healthcare Interoperability, HIE
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 31, 2011 | 2 Comments
For the current state of RIM-based HL7 standards XML schema is a necessary ingredient.
Category: Healthcare Providers Interoperability Vertical Industries Tags: Health Information Exchange, Health Internet, HIE, HL7, JSON, XML Schema
by Wes Rishel | December 28, 2011 | 6 Comments
Although some ascribe sainted status to XML schema, it doesn’t provide enough value to compensate for the practical difficulties it creates, not the least of which is blocking an evolution towards JSON.
Category: Healthcare Providers Interoperability Vertical Industries Tags: Health Information Exchange, Healthcare Interoperability, HIE, HL7, JSON, XML, XML Schema
by Wes Rishel | December 15, 2011 | 7 Comments
I strongly urge HL7 NOT to take a preemptive, doctrinaire “not invented here” position with respect to CIMI until the actual value of CIMI work product can be evaluated.
Category: Uncategorized Tags: CIMI, Health Information Exchange, Healthcare Interoperability, HIE, HL7, simple interop
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 | 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 | 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 | 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
