Tom Bowden <[EMAIL PROTECTED]> wrote:
> Model 1.  Messages are created to a defined
> specification/standard/implementation by the originating practice
> management system.  They are then sent by a messaging system that (prior
> to signing and sending them), checks them (for structural conformance
> only) against the published standard. Messages are not changed by the
> intermediate system.  The  proponent of this system argues that the task
> of ensuring that the message structure is correct and complete belongs
> to the originating system and that most of the originating systems are
> now capable of sending appropriately structured messages and thus are
> capable of being used for this purpose.
> 
> Model 2.  The second option includes a messaging system that
> incorporates an interface engine capable of transforming messages.   The
> proponent argues that end point systems are not capable of sending or
> receiving standardised messages and therefore a message transformation
> service is needed in the middle.  Due to perceived deficiencies in the
> end-point-systems the original messages are transformed by the
> intermediate system to remedy the perceived deficiencies.

I'm at an open-source in health conference in Kuala Lumpur right now and have 
seen MIRTH in action and have to say it is the ant's pants and can handle both 
of the above with ease and elegance. All free, open-source, well supported (by 
the vendor in the US, but it's well written open-source so no reason why it 
can't be supported locally if a support company wanted to pick it up), and they 
have a nifty "appliance" version the size of a hardback novel which just plugs 
in to your network, draws about 5 watts of power and handles all messaging.  
See http://www.mirthproject.org

Also got to play with a OLPC (One Laptop Per Child) - draws a huge crowd and 
everyone breaks out in spontaneous smiles and giggles when they see it, but it 
is a thing of design beauty and potentially very useful as a mobile health 
worker device - especially in developing countries and nursing homes.

Tim C
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