Hi David,
Off the list - you really should have a close look...would be curious to know what you think...I can't work out just what the NEHTA plan is?
Also do have a look at the EHRVA stuff - not bad I reckon...Lots would fit here.
Cheers
David
---- 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 Sun, 19 Mar 2006 16:40:46 +1100, David Guest wrote:
> 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.
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