Maybe a good way to approach the subject is with a (not so)
hypothetical question: Imagine two communities, each with its own set
of interests (say, CPOE and practice management) and each using its
own basic technology (say MUMPS/Fileman in one case, and Java/MySQL
in the other), and platform (say Linux on a Pentium or Solaris on an
UltraSPARC). What will it take for them to successfully coordinate
their efforts? How about develop product that can be used side by
side in the same practice?
===
Gregory Woodhouse
[EMAIL PROTECTED]
"The whole of science is nothing more than a refinement
of everyday thinking." -- Albert Einstein
On Sep 13, 2005, at 11:18 AM, A. Forrey wrote:
Greg;
Not to quarrel with what youve said but my point is (and has been)
that that Common conventions (standards) are needed at all levels
and if they are relavant and are to be referenced then the they
need to exist and be current. We need standards about all of these
compoents of a health information architecture. M is a key
infrastructure convention for Vista and it needs to be kept current
if its is to be referenced. There are many other standards that
complement M, including those for conceptual contant (e.g.
termiunilogy, models, etc). Elements of the VistA Community need to
be active in these efforts which include messaging, technical
infrastructure etc. The notice about the ONCHIT effort is just a
reminder about the scope of waht will be needed to keep VistA
current and relevant. To the extent that we can benefit from what
the VA, IHS and DoD are doing, fine, but if they are not doing what
will be needed for the general constituents of VistA then we need
to work at that. The MDC is just one building block that has been
neglected, I am sure that there are others but all will be needed.
We just need to talk about who is doing what and keep working.
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