Geoff Sayer wrote: > Hi all > > Andrew wrote: > > I am surprised that you do not have more knowledge on this area. An ORU > message can be made to go into Results/letters or documents using > undocumented mechanisms and at times non-standard message types which I > think originated with healthlink (The RSA tab)... > > > Geoff wrote: > > So rather than work with Vendors in complying with the standards with end to > end responsibility you would rather wait and hope to see them comply... but > in the mean time jury rig systems around them based on undocumented and most > likely unsupported mechanisms. > > What will the insurers and lawyers say if you relied on back door > undocumented mechanisms and it became unstuck in terms of corrupted, lost > data or patient harm? >
Geoff we are following documentation produced by HCN here so calling it "jury rigged" is a bit harsh on your previous employer. The solution is to have a code of practice that PMS vendors agree to become AHML compliant and produce compliant messages as well as reliably consume them. This is what the code of compliance needs to be about, that all players interoperate using standards. After all we have widespread pathology delivery happening now without contracts between the pathology companies and every software vendor. The contract needs to be that people, in the interests of patient safety actually start supporting standards. Medical-Objects is primarily involved with integration to allow interoperability rather than just messaging. We have ample examples to prove that just messaging without standards compliance does not work. The way we achieve that is to make the messages we carry and produce standards compliant. We have worked with many other organisations to achieve that and it then works. We do work with vendors to achieve this and can demonstrate this working in places where "just Messaging" has previously failed. Your code of conduct is about forcing Healthlinks Business model on everyone, for instance it excludes Argus automatically. For any code of conduct to work it needs to be extended to the MSIA in general, as rubbish = rubbish out. Andrew McIntyre _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
