Hi Ian

I like the idea of a web service - this fits very nicely with the idea of a
service oriented architecture where you can pick and choose what services
that you want to use.  A smart service like this would cache on the local
machine or server so that only updates/or new interactions would pause the
system (although with enough grunt at the other end you might not notice the
pause - done a google search lately!?).  

Broadband internet is going to become a necessity and not a luxury at some
stage and failover support for these kind of services will also become a
necessity.

Regards Hugh

Dr Hugh Leslie
Ocean Informatics Pty Ltd
M: 0404 033 767       E: [EMAIL PROTECTED]

> -----Original Message-----
> From: [EMAIL PROTECTED] 
> [mailto:[EMAIL PROTECTED] On Behalf Of Ian Haywood
> Sent: Monday, 19 June 2006 6:48 PM
> To: General Practice Computing Group Talk
> Subject: Re: [GPCG_TALK] NPS drug interaction project
> 
> 
> 
> James Reeve wrote:
> > NPS is convening an expert panel to review existing drug 
> interaction 
> > decision support in prescribing and dispensing software in 
> Australia. 
> > If shortcomings are identified, the panel will review a range of 
> > reference sources to identify the most appropriate one for 
> use in the 
> > Australian setting. NPS is not developing drug interaction 
> information 
> > knowledge bases - there are a number of quality information 
> resources 
> > already available in Australia and overseas.
> thanks for that clarification.
> 
> > NPS is also investigating the feasibility of offering drug 
> interaction 
> > decision support via a Web service, using the drug interaction 
> > reference
> This presents the same usability problem: double entry of 
> drugs, which will slow your uptake severely, people will 
> always use the interaction data built into the EHR where they 
> have already entered drugs.
> 
> > source identified by the expert panel. The Web service would be 
> > maintained by NPS, while the drug interaction information would 
> > continue to be maintained by the developers of the information. By 
> > offering drug interaction information as a Web service, NPS 
> hopes to 
> > create an opportunity for interested vendors to link prescribing or 
> > dispensing software directly to a single source of quality drug 
> > interaction information. Users can then choose whether they use 
> > existing drug interaction decision support, or use the 
> content delivered by NPS (or both).
> Ok, I see what you are getting at. However I fear few GPs 
> would have internet access fast and reliable enough for this 
> to be popular.
> They would find their computer pauses for every script as it 
> checks with the NPS server, you'll find most people won't accept this.
> And they especially won't accept not being able to prescribe 
> when their connection goes down, so they'll turn it off the 
> first time that happens, and probably won't turn it on again.
> 
> FWIW I would suggest blessing a datasource, [a very useful 
> excerise in and of itself] and then negotiating a nationwide 
> licence for it, for vendors to incorporate the data into 
> their programs.
> 
> Ian
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