The separate raft of messaging providers we have now only exist because
there are no annointed standards for secure health messaging, IMHO -
they are a temporary phase (so is life...).

... and a dominant clinical application vendor
seemingly completely uninterested in this area.. this too shall
pass (fingers crossed)

Sure, but where is the best place to build in such alerts - in the
clinical application, which has access to all the necessary data, or in
the secure messaging conduit software like, say, Argus Connect or the
Healthlink client application? I would suggest that the former is the
sensible place, along with all the other decision support and quality
assurance tools that good clinical software ought to have.

Exactly - I'm not reassured particularly that my pathology results
are arriving in healthlink or medical-objects (whether they ACK or
not), anymore than I am reassured by a transport level ack.
For all I know, noone is looking at the medical objects
document store? Maybe the message is going to get mangled
in the hand off from message provider to clinical app - the place
for ACK'ing messages is in the clinical app where the doctor
is dealing with correspondance, managing recalls and reviewing
notes. Healthlink and medical-objects should be licensing their
message layers to clinical app vendors to integrate fully into
their programs.

The current situation (of separation) is a strange confluence
of events and surely will pass?

Which clinical vendor will lead the way (and step up to the
plate - to horribly mix metaphors)?

Andrew
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