Hello Tim,

Yes exactly, Medical-Objects has clients running Webservice clients
from behind firewalls now, and the connection is up only when their
internet connection is up. Presumably there is no point in delivering
a message when no one is there to read it. Many of our trial practices
are only up during normal working hours and are working well. Email is
a store and forward system and a well proven one. It lacks sender
authentication which is a big problem as it has caused the spam
problems. The XDS model does not have a well defined security
interface. The standard answer is "Use SSL" which is not really an
answer.

There is very little difference between polling the repository for new
messages and retrying sending to a client that is currently offline,
but the latter is a push model and you only retry when you have
something to send. When it succeeds you know you have delivery. With
store and forward you send successfully but that is no guarantee that
the recipient has collected the message.

It can, and is being done now by your average GP surgery. Its totally
point to point and realtime.

Here is one running on my notebook, as well as SOAP it supports HTTP
so you can see if its running using this URL in a browser.

http://202.44.75.22:2511/NEXUS/AB5A38B7-7372-4BB3-B724-EA8886571336/HL7/ADMIN?METHOD=ALIVE

It also supports SOAP as per our wsdl.

While XDS is being pushed by some, I am not sure that it really solves
any problems that cannot be solved using a push, point to point model.
It has been put up for this years IHE demo but we are yet to see a
working implementation to interact with and the security model is
quite vague. As an internal system, within a large organisation it may
have some uses but what is wanted currently is point to point delivery
with good security and authentication *between* organisations. A
webservice (be it HTTP or LLP or SOAP) model with message level
security is a good fit to this need.

Tuesday, May 9, 2006, 9:07:04 PM, you wrote:

TC> Peter MacIsaac wrote:
TC> ...
>> Under a full web service model the IT systems of small business enterprises
>> (like GPs) would need to have the capacity to be always connected to the
>> internet ...

TC> As discussed previously, I am not at all convinced that this is true.

TC> Why does a Web service running on, say, a GP practice system, always
TC> need to be available, 24x7? Is the practice open 24x7? Nope. So why does
TC> the practice's Web services need to be available all the time? Of
TC> course, other providers wishing to use the practice's Web services to,
TC> say, deliver a report to them need to have robust retry and fallback
TC> mechanisms to cope with a Web service not being available, but they need
TC> those regardless, because no network, including the Internet, is 100%
TC> reliable and to build systems of Web services based on the assumption
TC> that everything will always be available is asking for trouble. For
TC> further elaboration on these ideas, see
TC> http://ozdocit.org/pipermail/gpcg_talk/2006-April/002906.html

TC> Tim C
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-- 
Best regards,
 Andrew                            mailto:[EMAIL PROTECTED]

Andrew McIntyre
Buderim Gastroenterology Centre
www.buderimgastro.com.au
PH: 07 54455055 FAX: 54455047

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