All,

I disagree its a commercial impossibility.

As an interim we could always adopt HL7 CDA R2 or the newer CCD as an 
data-interchange and
sharing format and insist all providers could read and write records in that 
form
reliably.

For those who don't follow such stuff the CCD was balloted as an approved as a 
US standard
a week or so ago and has the support of both HL7 and ASTM.

The possible nirvana of deployment of openEHR compliant systems (even CEN/ISO 
13606
Extract Compliant systems) is probably a way off yet and requires some 
infrastructure we
don't yet have. Tim C can explain if needed.

This, of course, assumes there is leadership in the e-health space - as we see 
with the
CCHIT (just Google it) in the US - NEHTA - being focussed on the concerns of 
its board
members ie CEOs of the Hospital delivery systems etc - has no real interest 
here I know of
- but I am sure someone can tell me I have that wrong.

Having a basic core shareable record would be a boon in all sorts of contexts 
until we can
sort out the final standards - not perfect but better than the Babel we have 
now I reckon.

There is a usable standard - what's the betting the commercial competitors 
would ever
agree to implement unless they were told to?

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]
 HealthIT Blog - www.aushealthit.blogspot.com


On Mon, 19 Feb 2007 16:31:23 +1100, Simon James wrote:
>> It's a commercial impossibility, however, that any company would refuse to 
>> make a
practices data available in some form of unencrypted format (raw tables,
>> XML etc) if requested. Potential customers don't like hearing these sorts of 
>> things.
>>
>
> It's a commercial impossibility, however I doubt that any company would 
> refuse to make a
practices data available in some form of unencrypted format (raw
> tables, XML etc) if requested. Potential customers don't like hearing these 
> sorts of
things.
>
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