EHR Archives

Extreme e-Health – what’s gone wrong?

Oct 23, 2011 | DECISION SUPPORT, EHR, HL7, MESSAGING, SOAP, STANDARDS

Extreme failure in e-Health programs is in the news and Australia, as it usually does, appears destined to repeat the mistakes of others. There is clearly a fundamental error in the approach to the problem and like the global financial crisis, I would postulate the...

Australian eHealth still at the Cross Roads!

Jan 2, 2011 | EHR, HL7, MESSAGING, SNOMED, STANDARDS

It’s interesting that there is such a emphasis on xml as the solution when its just an encoding format. I implemented HL7V2 (classic) <–> HL7V2 (xml) functionality about 7 years ago but have found no real world use cases or demand for it as all it does is bloat...

Why CDA is a poor choice for prescribing

Oct 13, 2010 | DECISION SUPPORT, EHR, HL7, STANDARDS

There are some who feel that a move to CDA for electronic prescribing is a better option than using HL7 V2 messages. I would contend that this is seriously misguided. Prescribing is in effect an ordering activity and orders have line items and are not documents in any...

NASH, Lies and Ideologically Driven Architecture

Sep 25, 2010 | EHR, HL7, MESSAGING, SOAP, STANDARDS

Like many people, the idea of e-Health excited me in the mid 1990’s and I got the bug, and wanted to contribute to it. After 15 years, countless standards meetings and international plane trips to attend meetings I would expect us to be further ahead than we are. In...

PDF Healthcare – A risk to meaningful use?

Sep 13, 2010 | DECISION SUPPORT, EHR, HL7, STANDARDS

We are often faced with organizations wanting to transmit PDF documents. This is superficially attractive as the presentation is usually good and it’s a single file. Is there a problem going down this path? I think it’s a huge dead end. Australia started eHealth with...

e-Health in Australia – Time to actually move forward!

Aug 22, 2010 | EHR, HL7, MESSAGING, SNOMED, STANDARDS

Well we have had the election and there is no clear winner but it appears that the Rudd/Gillard government is the loser. eHealth is up for some reassessment and it certainly needs some. From all reports $5 Billion of taxpayers money has been spent over the last 10...