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 | 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.
Category: Interoperability Vertical Industries Tags: C-CDA, EHR, Health Information Exchange, Healthcare Interoperability, HL7, Meaningful Use
by Wes Rishel | October 2, 2012 | 1 Comment
EHRs have had a bad week. DHHS Secretary Sebelius and Attorney General Holder sent a letter to the major hospital provider organizations threatening to crack down on EHR fraud. A New York Times editorial decried the EHR abuse. A full hour on National Public Radio was devoted to this problem.
Category: Healthcare Providers Tags: EHR, healthcare fraud, Meaningful Use
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 | April 13, 2012 | 7 Comments
ONC and CMS run the risk of creating interoperability mandates that make upgrades nearly impossible. They need to employ bilateral asynchronous cutover to avoid “frozen interface syndrome.”
Category: Healthcare Providers Interoperability Vertical Industries Tags: Direct Project, EHR, Health Information Exchange, Healthcare Interoperability, 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 | March 6, 2012 | 1 Comment
Direct is not just email; it supports sending structured data from one system to another. The direct glass may only be half full, but you can die of thirst waiting for half-empty glasses to be filled.
Category: Interoperability Vertical Industries Tags: ARRA, EHR, Healthcare Interoperability, Meaningful Use, simple interop
by Wes Rishel | November 20, 2011 | Comments Off
What beyond the Consolidated CDA is needed for meaningful use, stage 2?
Comments Off
Category: Uncategorized Tags: EHR, Health Information Exchange, Healthcare Interoperability, Meaningful Use
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
