David More wrote: > Hi David, > > Have a close look at the Shared EHR report from NEHTA - not more than > a month or two old. The main architectural diagram still has large > repositories (bottom right). I see it as a much less distributed > approach than Toms's - to say the least. > > I must say I am a strong supporter of incremental approaches to > achieving inter-operation and the various (open source and > proprietary) approaches all have something to offer - as does the work > done in the EHR Vendors Association Roadmap that was released a week > or so ago (based on IHE based approaches) (Google EHRVA Roadmap to > find it). The reason I support the incremental is simply that the big > repository based approaches all seem to develop levels of complexity > and user resistance that either dooms them or slows them awfully. > > We need to make headway faster than that - and NEHTA should be leading > that thrust - may be at the Vendor briefings at the end of the month > we will see some clarity. > > Cheers > > David
Thanks David I must admit to not having had a close look at the Shared EHR documents but I am sure your assessment is right. If it's webservices it implies an IT infrastructure beyond the capability of small to medium sized general and specialist practice. Their vision for corporatised medicine is probably a bit naughty since they are reshaping the medical system without really consulting anybody. Ah well, it's great that somebody knows best. David P.S. Has anybody put their hand up for the 10 million to build one of these shared EHRs (http://www.health.gov.au/internet/wcms/publishing.nsf/Content/broadband)? There's a mob in India who are really on top of all this stuff. P.P.S. If anyone wants to trial it in a disseminated Aboriginal population on the North Coast of NSW let me know, since I can probably facilitate that. -- SIP [EMAIL PROTECTED] NodePhone +61 7 31290168 Jabber [EMAIL PROTECTED]
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