At 7:44 am +1100 11/2/06, David More wrote:
Ian,
I think it is important to remember the lack of terminology was a
key reason for the failure of a number of the HealthConnect trials.
Spending on terminology capability and development may not be a bad
investment at all in my view - it is required if any form of real
inter-operation between systems is to be achieved. Communication 'by
blob' helps - communication of understanding and context is way
better.
Cheers
David
Yes, but terminology is mainly for machine processing.
Detailed comprehensive terminology costs a bomb and leads to enormous
downstream costs.
A limited terminology with classification is probably all one needs
to do most decision support - something closer to 2000 terms,
according to various experts around the traps.
It is likely that yet another tiny little bureaucratic decision will
point us in a less than optimal direction for decades.
Ian.
----
Dr David G More MB, PhD, FACHI
Phone +61-2-9438-2851 Fax +61-2-9906-7038
Skype Username : davidgmore
E-mail: [EMAIL PROTECTED]
On Fri, 10 Feb 2006 20:59:40 +1000, Ian Cheong wrote:
> At 2:21 pm +1100 10/2/06, Horst Herb wrote:
>> On Fri, 10 Feb 2006 08:32, Ken Harvey wrote:
>>>
<http://www.thesundaymail.news.com.au/common/story_page/0,5936,18086337%255E>http://www.thesundaymail.news.com.au/common/story_page/0,5936,18086337%255E
421,00.html
>>>
>>> "The states and the commonwealth are also expected to each
pledge $65 million towards
>>> improving e-health records..."
>>>
>>> We live in hope!
>>>
>> Hope? My crystal ball suggests that half of that money will be
spent on "consultancies" which
>> will invariably just repeat the messages from the past decade,
and the other half will be
>> spread across just enough uncoordinated projects to ensure that
none of them has enough funding
>> to actually succeed.
>>
>> If we'd use the money to buy some collection containers to be
attached to bovine behinds, we
>> could collect a lot more bullshit for the money I reckon.
>>
>> Horst
>>
> Personally, I'd rather spend it on resurrecting MediConnect and
making HealthConnect go in some
> form, but based around generating business value to transacting partners.
>
> But in life a great swathe will probably end up going toward
SNOMED licencing, infrastructure and
> training.
>
>
> Ian.
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Health Informatics Consultant, Brisbane, Australia
Elected Member, GPCG Management Committee
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