tag:blogger.com,1999:blog-733074358901582680.post8578435876134705583..comments2024-03-23T05:28:35.472-04:00Comments on Healthcare Standards: My Review of the PCAST Report on HealthITKeith W. Boonehttp://www.blogger.com/profile/16883038460949909300noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-733074358901582680.post-69952605128910312582010-12-18T01:21:49.807-05:002010-12-18T01:21:49.807-05:00Here here John! And thank you for your service :-)...Here here John! And thank you for your service :-)Ahierhttps://www.blogger.com/profile/13398190978662246852noreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-88458148538657891242010-12-14T10:46:35.669-05:002010-12-14T10:46:35.669-05:00Believe it or not, DoD Military Health System RFPs...Believe it or not, DoD Military Health System RFPs are now including requirements for IHE Integration Profile use as a requirement in the PWS and scope of work. I have advocated this for over 10 years whenever I have the opportunity to be heard. IHE has been doing what was needed to solve HIE securely several years back - industry and Government just need to pay a little more attention and pick up the IHE documents and read them. <br /><br />V/R,<br /><br />John Wolf<br />Sr. Director/System Architect<br />DoD MHS and VA Healthcare SystemsJohn Wolfnoreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-68133819270144396542010-12-13T05:29:15.744-05:002010-12-13T05:29:15.744-05:00We are working now since ten years in an internati...We are working now since ten years in an international field. I am pesonally sitting also in some standardization working groups. IHE has done a great job over the last 10 years but it seams that IHE has a problem to sell and explain this value in the right way to the right political people. What we need is a recommendation from the US Government to use IHE as THE methodology for achieving interoperability in the field of healthcare.<br />We have done this together with many other people in many other countries worldwide and it works well. Btw europe IS ALREADY using IHE as base for exchanging clinical content between 9 memberstates. We should try to bring the right political people together. It is for me personally strange that the inventor ( USA ) of all that IHE stuff is not straight following and recommending these specifications.<br /><br />Martin Tiani<br />Tiani "Spirit"Martin Tianihttp://www.tiani-spirit.comnoreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-11512814680383282282010-12-09T23:05:58.297-05:002010-12-09T23:05:58.297-05:00Would that the PCAST report were only ill-informed...Would that the PCAST report were only ill-informed regarding standards. A 100 page report emphasizing the Language of Health not once mentions SNOMED. It totally dismisses current interop standards work, and instead promotoes an unproven, probably unimplementable, and potentially dangerous approach. If they can't even have minimally understood HL7, how can we trust that they even understand the system they are proposing?<br /><br />Let me expound briefly on "potentially dangerous". What we (should) have learned from the aerospace industry is that safety in complex systems is only achieved by rigorous systems analysis involving understanding the complete flow of information and its use in specific task contexts by humans. By promoting an unconstrained infrastructure based on data elements out of context, and with no understanding of the tasks and goals of clinicians in using that data, the proposal creates an <i>inherently unsafe</i> system for which system safety analysis will be difficult, if not intractable. <br /><br />Moreover, in such a wide open ecosystem who would be responsible for analyzing the safety of applications and SOA-enabled mash-ups? The app developers? We can't even get developers of single institution EMR systems to do proper human factors and safety evaluations of their own products.<br /><br />This seems to me like a patient safety disaster from the get-go.Harry Solomonhttps://www.blogger.com/profile/01135539798417593756noreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-59310066905584247672010-12-08T15:44:11.322-05:002010-12-08T15:44:11.322-05:00I suppose that RIM here has nothing to do with Bla...I suppose that RIM here has nothing to do with Blackberry?;-) Although some mobile devices, especially those on Android can profit from ICU4J and the UCUM (used by HL7, DICOM and various others) part of Eclipse UOMo based on ICU and OSGi.Werner Keilhttps://www.blogger.com/profile/00760260299716734104noreply@blogger.com