Dear all,

The EHR is about documenting and archiving data and information  from  
a health/care process.
There are good well developed standards from the Documenters/archivers  
domain.
http://www.interpares.org/

Many requirements are defined that most messages do not address.
And most systems that rely on messages for communication do conform to  
the requirements from Interpares.
Requirements for messages that update data bases are never completely  
the same as those for ICT-systems that document data and information.
Data and information that is searchable, usable correctly  and safely  
after 20 years and surviving many changes in society and IT  
technologies.

Gerard




On 18, Apr, 2008, at 14:21 , Tim Cook wrote:

> I agree with your format vs. design comments there.  But, your  
> examples
> lead me to believe that you are still focusing on sending messages  
> with
> limited context and have not considered implications regarding storage
> and retrieval of healthcare information for decision support, public
> health analysis, etc.



-- <private> --
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands

T: +31 252544896
M: +31 620347088
E:     gfrer at luna.nl


Those who would give up essential Liberty, to purchase a little  
temporary
Safety, deserve neither Liberty nor Safety. Benjamin Franklin 11 Nov  
1755





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