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Interoperability Nirvana Nowhere In Sight
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kkeirsteadj0p
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kkeirsteadj0p,
User Rank: Apprentice
4/2/2012 | 9:21:23 PM
re: Interoperability Nirvana Nowhere In Sight
Reading the article, its easy to pinpoint the root of the problem.

"Unfortunately, EMRs from one vendor don't always play nicely with EMRs from other vendors or with other hospital information management systems because they speak different languages."

My company manufactures a generic data exchange product that accommodates bi-directional data exchange between any number of publishers and subscribers. Each can use their own native data element naming conventions, so they can "speak" whatever language they like and it does not matter.

The approach used by XML data transport formats (that really is all they are) requires standardization. Who cares really, if I publish "abc" and you insist on reading this as "def" and yet another subscriber to my "abc" insists on reading it as "def" so long as subscribers know what they are getting.

And, the precise format of the data during transport does not have to be fixed, although it becomes very tedious to have to write parsing/formatting utilities for, the worst case, each set of trading partners. Nothing wrong with CCD/CCR formats.

And, whilst we are on the topic, who says all subscribers need all of the information that a publisher has? As a general rule, particularly in healthcare, all information sharing should be on a need to know basis.

I started off years ago in process control where it probably still is the case that you need a special interface to link certain devices.

Try using a charger for your phone that is different from the one that came with the phone and I think it illustrates the point.

It's a complete mystery to me why healthcare cannot exchange health information when out-of-the-box solutions exist.

Karl Walter Keirstead, (www.kwkeirstead.wordpress.com)
BINGE000
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BINGE000,
User Rank: Apprentice
3/28/2012 | 5:18:15 PM
re: Interoperability Nirvana Nowhere In Sight
I look forward to seeing additional partnerships like that of Walgreens and Surescripts.
BINGE000
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BINGE000,
User Rank: Apprentice
3/28/2012 | 5:16:16 PM
re: Interoperability Nirvana Nowhere In Sight
There's a company called ADARA Networks who is bridging the gap on interoperability.


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