All you hard working standards people, please do not take my complaints 
personally, but ...

It may be a messaging standard, but it seems planning to export that data 
would do a great deal to moving VistA toward interoperability, so it seems 
frankly nuts to work on anything that does not specifically work toward what 
is in development now.  So if this is confidential, can I be justified, even 
if I do join this committee,  in telling my team what is in it so they can 
prepare for it?  I think not.  

Frankly, joining this committee is not what I seek (I have more than enough on 
my plate already), whereas openly getting the information is.  

Too bad I can't make a FOIA request!


Thursday 14 October 2004 12:34 pm, A. Forrey wrote:
> Nancy:
> For the information of the hardhats (and Joseph's separate comment), I'll
> just mention that the Standards Industry is not all that exclusive but
> there are processes that keep inputs during the developement stage
> balanced. We had that during the MDC 1972-1999. Each Standards Developer
> Organization (SDO) has their own processes approved by ANSI in the US as
> proper for "Voluntary Consensus". Nancy is a member of E-31 Technical
> Committee and the Technical Subcommittee E-31.19 on EHR Structure and
> Content. The CCR is being developed by E-31.28 on the Electronic Health
> Record (confusing due to other issues). We can get her on that SC and we
> are working to get the E-31.19 SC Chair to the WV meeting so he can
> explain how the two activities will be coordinated. This should help the
> WV and Hardhats be able to keep informed about the CCR (really a
> messaging standard) and how it will be coordinated to achieve exchange of
> EHR informtion in a common fashion. This should help ensure that the
> various re-configurations of VistA can be described in working detail with
> respect to how they can meet the Requirements of the VistA-Office being
> presented at the high level at the CMS meeting and other WV projects such
> as ObGyn/Peds. Steve Wagner, who is communication with Nancy, will be at
> the meeting and is in communication with VA folks here in Seattle with
> regard to VistA reconfigurations and documentation and relationship to
> standards (which are related to conceptual content as much as to
> implementing technology-though folks get mesmerized by technolog). For
> VistA and its adaptation to the non-VA world, a unified approach is key
> and is complementary to work with the non-VistA Suppliers who must use the
> same common conceptual content and available technology. The WV focus and
> challenge is how to do this productively. So keep posted.
>
> On Wed, 13 Oct 2004, Nancy E. Anthracite wrote:
> > Why is the proposed CCR not available for all to see?  It seems if these
> > standards are so important, they shouldn't be hidden away for only those
> > who want to pay to join the committee to look at.  This is but one
> > example of the standards that VistA should endeavor to meet, but I find
> > this whole secrecy business a bit counterintuitive.  Heck, I paid my $75
> > and I can't seem to look at it until it is released either even though it
> > is under the same section I paid to join.  Am I looking in the wrong
> > places, or am I right about this being hidden away from public view?
> >
> > On Wednesday 13 October 2004 06:45 pm, A. Forrey wrote:
> >> On Tue, 12 Oct 2004, Nancy E. Anthracite wrote:
> >>> Should I buy my EMR now?
> >>> http://www.ama-assn.org/amednews/2004/10/11/bisa1011.htm
> >>> --
> >>> Nancy Anthracite
> >>> [EMAIL PROTECTED]
> >>
> >> When you look at all of the links in this reference, it is clear that
> >> potential buyers will be much more receptive to candidates such as VistA
> >> (e. g. VistA Office) if it can be shown how the recommended standard
> >> vocabularies and other informatics  standards given in the target
> >> aources are incorporated and used in the VistA architecture. We've
> >> started (but not yet completed such and explanation in the VistA Intro
> >> document. We need to begin telling the VistA story in those terms and
> >> put the reference documents up on the web  and point the press and the
> >> policy report writers  to them. This information will also help this
> >> discussion about CHINs Community Health Information Networks and other
> >> regional information architectures; VistA has capabilities that
> >> contribute to that effort also.
> >>
> >>
> >>
> >>
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-- 
Nancy Anthracite


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