Tom Bowden wrote:
> 
> Andrew,
> 
> I think its time we called a halt to the polemics, or we'll get
> ourselves biffed off this list.  BTW For the record, HealthLink does
> have AHML accreditation for our AS4700.2 - HL7 v2.3 (lab messaging)
> validation system and we are currently upgrading that accreditation to
> accommodate changes to the lab standard with the move to HL7 v2.4.  We
> are also working with them on the REF messaging. It needs to be
> understood that we do not create messages, we just check them for
> structure. So can we let that whole argument drop for now please??

I think letting it drop is the best idea, as you continue to make false
claims that you have AHML accreditation for your validation system and
AHML assure us that this is not the case. The validation system you have
may prevent you from sending your shopping list but that's about it.

All this talk of healthlink validating messages is an obstacle in the
road to standards based interoperability. As I have asserted what we
need is independent accreditation of messages produced and an
expectation that systems will reliably import valid messages and deal
with them appropriately. A messaging system with a standard open
interface would also good protection from monopolistic cartels
developing. PMS vendors have an obligation to their customers and in
turn to the Customers patients to improve their ability to consume and
produce valid messages, Its a quality issue that I cannot believe is
left to so much chance.

This may not fit well with your vision of an Australian monopoly but the
fact remains that the current crop of messages you are delivering are
non standards compliant and have serious flaws wrt the escaping of HL7
reserved characters that would concern me greatly. A whole pile of
contracts is not going to get us out of this mess, but standards
compliance and open interfaces just might.

What we do now really mirrors what the pathology labs do now, they have
extensive interface engine abilities etc etc and I am yet to here of
successful wide scale successes using healthlink for provider to
provider messaging. I suggest talking about that rather than attacking
other peoples success stories.



Andrew McIntyre

> 
> I have given some thought as to how we might debate what I still think
> is quite a serious issue in a more dignified manner.  I am starting the
> ball rolling by outlining the issue a bit more objectively.  Please do
> feel free to modify what I have written below if you believe it is
> factually incorrect or incomplete or if you'd like to add anything.
> 
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