David Guest wrote:
> It will be nice if, at the end of the NEHTA process, that someone
> somewhere has written some software. I don't take that as a given.

David,

I fear that you have correctly divined the cunning plan which a
worldwide cabal of health informaticians is conspiring to foist upon an
unsuspecting world. The first step of the plan involves replacing all
software programming activity which results in actual, executable code
with endless revision and refinement of frameworks and architectures,
and if overly-concrete people really insist, with some high level
logical software design work. But actual cutting of software code will
be strictly forbidden, or at least heavily deprecated and taken as a
sign of backyard amateurism. Good progress is being made towards this
goal. When complete, there will no longer be any role for the computer
as we currently know it in health informatics. Instead, theoretical
packets of synthetic patient information, all perfectly conformant to a
set of standards which will be available from SAI Global for $17,345 for
the complete set (minus federal govt subsidy of $212), will be exchanged
using an oh-so-elegant Service Oriented Architecture through a handful
of theoretically secure messaging service providers which charge just
$0.10 per notional  message. The putative information contained in these
notional messages will be stored, with perfect interoperability, in
provably-correct EHR systems. Storage of actual, real-life health
information in these hyper-rigorous EHRs will no longer be possible as
no human will be capable of generating data of sufficient internal
consistency to be accepted by them. Nirvana!

<wink>

Tim C

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