Greg Twyford wrote:
> Ian Cheong wrote:
>>
>>  From what I can see, the UZI register
>> http://www.uziregister.nl/english/ (high resolution version of the
>> video is via the links towards the bottom of the page) is their
>> equivalent of our HESA.

No. They use commodity X.509 technologies for their PKI (allows lots of
choice/competition between vendors, and allows use of open source). Teh
UZI is equivalent to a PKI wrapped around a unique Health Provider
Identifier as is supposedly to be implemented by NEHTA. It is not like
HESA because a) it iincludes all health providers and b) it is used for
authentication and access control, not just encryption and signing.

>> Remember that Australia substantially wrote
>> the ISO healthcare PKI standard and was a global leader in
>> implementation through HIC/HESA.

The Dutch have gone quite a way beyond that, it would seem.

>> The video is similar to what MediConnect/HealthConnect probably had -
>> I have seen the MediConnect video. I presume a similar PR tool was
>> used in HealthConnect as part of the trial recruitment/enrolment
>> marketing.

Except that the Dutch are actually implementing this, instead of
throwing it all in the Too Hard Basket, as has been done with
HealthConnect and MediConnect.

>> To me we are promoting the Not Invented Here Syndrome.
> 
> No, it is promoting Look They're Getting On With It Elsewhere, Unlike Us.

I agree with Greg. The Netherlands aren't plagued by Federalism as we
are, but otherwise they are a country of the same order of magnitude
population with a not entirely dissimilar mixed public- and
private-sector health care system, with similar national health
insurance plus private insurance and so on. If they can do it, and the
Danes, then why can't we?

>> Australia is still a global leader in health informatics but the USA
>> will probably trample us with their well resourced effort to implement
>> the EHR thing.
> 
> Ah, jingoism, enjoy it while it lasts.
> 
> We have a great track record of becoming 'world's best', then running
> away and hiding. Take the Ozzie film industry of the late 70s and early
> 80s. Gone.

How about the space industry? We were set to be a major player in the
late 50s and early 60s, but Menzies thought that such stuff was better
left to the Brits. Likewise computers.
> 
> The usual reason is a government without commitment to the public good
> or imagination.

Yup. Sigh.

Tim C

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