Hi David,

I think there are some groups doing pretty smart decision support and doing it 
pretty
well. Certainly the literature on CPOE shows the better implementations of that 
are making
a difference.

Medical Object has some really fantastic standardized stuff in the Cancer 
Domain also.

Don't be quite so despondent - there are islands of hope out there!

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, 23 Apr 2007 09:35:43 +1000, David Guest wrote:
> David More wrote:
>> Hi David,
>>
>> I don't - but would want to want the decision support / knowledge management 
>> axis to
the other capabilities.
>>
> DS is nice but nobody has shown you can do that yet. It might be feasible 
> with data
codification but there are lots of implementation issues before even that
> happens. I'd go for the low hanging fruit.
>
>
>> The worry, as always, is finding the sponsor / funder for such a project be 
>> it
Government or a Commercial Provider prepared to use the Open Source Model.
>>
> There is market failure, the open source community failed and the Feds find it
politically unacceptable, which is why I suggest we all forget about the EHR|F
> for the foreseeable future and let Greg get some sleep at night.
>
> David
>
>
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