MESSAGING 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...

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...

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...

HL7 V2 just keeps on keeping on

Aug 1, 2010 | EHR, HL7, MESSAGING, STANDARDS

It is interesting that so many people are keen to rubbish the encoding of HL7 V2 data. “It old and outdated” is a common comment. After a serious amount of time playing with it and experimenting with many encodings I am now convinced its brilliant. The “xml will solve...

NEHTA – On the road to nowhere?

Mar 30, 2010 | DECISION SUPPORT, EHR, HL7, MESSAGING, STANDARDS

National Health IT programs do not have a good record of success in general, and Australia has been a good example of that to date. I don’t think anything is about to change. The reasons for this will no doubt be well understood in time, as history looks back and...