Wes Rishel

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Entries Tagged as 'HL7'


A Much-Needed Nudge for Stage 2 Interoperability

by Wes Rishel  |  January 6, 2013  |  3 Comments

HL7 participants have identified a barrier to interoperability in C-CDA and conceived a response. It is urgent that HL7 leadership and ONC ensure that their are ideas are taken up immediately.

3 Comments »

Category: Interoperability 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: , , , , , , , , , , , , ,

OK, XML Schema Does Earn its Keep in HL7

by Wes Rishel  |  December 31, 2011  |  2 Comments

For the current state of RIM-based HL7 standards XML schema is a necessary ingredient.

2 Comments »

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

Does XML Schema Earn its Keep?

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.

6 Comments »

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

HL7’s Position on CIMI

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.

7 Comments »

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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 […]

3 Comments »

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

Hope for HL7 Transparency

by Wes Rishel  |  January 22, 2010  |  1 Comment

Kudos to Motorcycle Guy (aka Keith Boone) for Implementation Technology Specifications. It puts in context four separate efforts to simplify the XML representation of clinical information in HL7 Version 3 and CDA and to achieve a RESTful URL. I know I speak for a lot of people that have the greatest respect for the precision […]

1 Comment »

Category: Healthcare Providers Interoperability Vertical Industries     Tags: , ,

Further on the US Healthcare IT Standards Debate

by Wes Rishel  |  November 9, 2009  |  9 Comments

In A Singular Opportunity for Health Interoperability I summarized a metaphor based on the Web standards HTTP and HTML which was “get HL7 and other SDOs out of the HTTP business.” Metaphors gain their power from poetic ambiguity. One of the great things about a metaphor is that it can rally so many folks to […]

9 Comments »

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

A Singular Opportunity for Health Interoperability

by Wes Rishel  |  November 2, 2009  |  7 Comments

Healthcare SDOs should “get out of the HTTP business, but we still need transport standards.

7 Comments »

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

Healthcare Interop and the ARRA: Hope Happens

by Wes Rishel  |  February 16, 2009  |  18 Comments

For a while, we will all be trying to estimate how the American Recovery and Reinvestment Act of 2009 (ARRA) will impact our bailiwicks. On list servers some writers read the tea leaves to see a much broader and more systematic look at healthcare informatics and interoperability┬áthan has been pursued by the ONCHIT. They argue […]

18 Comments »

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