Gartner Blog Network

Wes Rishel
VP Distinguished Analyst
12 years at Gartner
45 years IT industry

Wes Rishel is a vice president and distinguished analyst in Gartner's healthcare provider research practice. He covers electronic medical records, interoperability, health information exchanges and the underlying technologies of healthcare IT, including application integration and standards. Read Full Bio

Does XML Schema Earn its Keep?

by Wes Rishel  |  December 28, 2011

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.

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HL7’s Position on CIMI

by Wes Rishel  |  December 15, 2011

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.

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At Last, Data Molecules! CIMI

by Wes Rishel  |  December 13, 2011

The Clinical Information Modeling Initiative (CIMI) is a small group of volunteers that are working to consolidate the detailed clinical models of various groups in a way that could be adapted to meet the needs of health IT standards groups.

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ELINCS: Doing Lab Orders Standards Right

by Wes Rishel  |  December 8, 2011

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 […]

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Three Steps to US Semantic Interop

by Wes Rishel  |  November 20, 2011

What beyond the Consolidated CDA is needed for meaningful use, stage 2?

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Semantic Interop, the C32 and the Consolidated CDA

by Wes Rishel  |  November 17, 2011

Early interoperability testing on the C32 (continuity of care document) shows the specs must be refined. The Consolidated CDA is an important step in this direction.

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Occupy Spec Street. Set the Record Straight on NwHIN

by Wes Rishel  |  November 17, 2011

Are you tired of government not listening? Here is your chance to set the record straight on the NwHIN. You don’t have to live in a tent or pound a drum. You can sit comfy in a chair and pound a keyboard.

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Gartner Symposium: 10,000 of My Closest Friends

by Wes Rishel  |  September 26, 2011

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 […]

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Can Consumer Friendly Terms Ever be Standardized?

by Wes Rishel  |  September 11, 2011

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.

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Lessons From the Putative Failure of HL7 V3

by Wes Rishel  |  August 16, 2011

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.

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