Yes, There has been some useful work done around primary health standards-based Electronic Clinical Decision Support that is a little unheralded. The Integrated Care program started this (DoHa and its Joint Venture partners) and the IP from that is destined for "general market use" although an Open Source Model may not be appropriate. Flowing from that there are other initiatives in progress now, and coincidentally the underpinning architectures for it are HL7 v3 structures that are starting to find national support as indicated by NEHTA's recent "edicts". Regards John Johnston BSc DipSci AIMM Managing Director Pen Computer Systems Pty Ltd 0408 276 742
_____ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of David More Sent: Monday, 23 April 2007 10:27 AM To: General Practice Computing Group Talk; General Practice Computing Group Talk Subject: Re: [GPCG_TALK] E-Health and the Transformation of Healthcare 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 > > > _______________________________________________ > Gpcg_talk mailing list > [email protected] > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > > __________ NOD32 2210 (20070422) Information __________ > > This message was checked by NOD32 antivirus system. > http://www.eset.com John Johnston Pen Computer Systems Pty Ltd Level 6, The Barrington 10-14 Smith Street Parramatta NSW 2150 Ph: (02) 9635 8955 Fax: (02) 9635 8966
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