Hi I found Dr. Halamka's blog (http://geekdoctor.blogspot.com) a good resource for US health IT related topics. He seems to be an influential person and shares his views openly.
If you search his blog with ?meaningful? ( http://geekdoctor.blogspot.com/search?q=meaningful) there are many posts showing how this topic evolved. In the most recent post he shares his view on the requirements for meaningful use in the form of a presentation naming standards and metrics from 25 projects. -Thilo On Fri, Jan 15, 2010 at 11:34 AM, Ian McNicoll < Ian.McNicoll at oceaninformatics.com> wrote: > I haven't read any of this in detail but I would agree with Erik. If > openEHR/EN13606 is to get any traction on the US this is likely to come from > individual vendor interest rather than at govt level. We already have > several professional bodies in the US using openEHR to model their > professional standards and there are vendors / local providers such as VA, > Kaiser and Intermountain who have a much better understanding of the > challenges of growing and maintaining semantic coherence. We are just > starting to be able to demonstrate that the archetype based approach has > significant advantages in this highly complex area and is probably the only > really scalable and controllable mechanism. The big interoperability success > in the UK (GP2GP project) arose from close and continued vendor involvement > with a very 'maximal dataset' like approach to the harmonisation of > information structures. > > Ian > > > Dr Ian McNicoll > office / fax +44(0)141 560 4657 > mobile +44 (0)775 209 7859 > skype ianmcnicoll > ian.mcnicoll at oceaninformatics.com > ian at mcmi.co.uk > > Clinical Analyst Ocean Informatics openEHR Archetype Editorial Group > Member BCS Primary Health Care SG Group www.phcsg.org / BCS Health > Scotland > > > > 2010/1/15 Erik Sundvall <erik.sundvall at liu.se> > > Hi! >> >> I read at >> http://www.ehealtheurope.net/news/5531/va_and_kaiser_pilot_record_sharing >> that VA and Kaiser are looking at sharing parts (or summaries) of >> EHRs. A quote from the link: >> >> ...Dr Robert M. Smith, chief of staff of the VA San Diego Healthcare >> System, >> as comparing the importance of the electronic health information program >> to the first moon landing, "much like President Kennedy's charge, we're >> going to take President Obama's charge [to create a nationwide EHR >> system] and move forward quickly."... >> >> If they move past summaries and are serious about sharing complete >> records later they will sooner or later (probably) come to the >> conclusion that one needs to agree on semantics at the point of data >> entry instead of only at the point of exchange if one wants to avoid >> the need for manual reinterpretation for every record exchange. (The >> conversion task of complete EHRs will in many cases not have an >> algorithmic solution, and thus no matter the number or quality of >> standards they choose/create for exchange, a computer system won't be >> able to solve it safely.) >> >> When they the conclusion above, then openEHRs approach to the "moon >> landing" of components, tools and processes for agreeing on semantics >> at the point of data entry might become interesting. That might become >> a time for increased openEHR interest in the US. >> >> Best regards, >> Erik Sundvall >> erik.sundvall at liu.se >> http://www.imt.liu.se/~erisu/<http://www.imt.liu.se/%7Eerisu/> Tel: >> +46-13-286733 >> (Mail & tel. recently changed, so please update your contact lists.) >> >> On Thu, Jan 14, 2010 at 17:52, Thomas Beale >> <thomas.beale at oceaninformatics.com> wrote: >> > On 14/01/2010 11:31, Stef Verlinden wrote: >> > >> > Is anybody following the current discussion in the US about the >> meaningful >> > use citeri and/or is anybody actively involved? >> > The published criteria can be found here: >> > >> http://frwebgate5.access.gpo.gov/cgi-bin/PDFgate.cgi?WAISdocID=467405454267+0+2+0&WAISaction=retrieve >> > Is just scanned it very quickly and one thing stroke me, this is just a >> > pre-definition.: 'In order for an EHR technology to be eligible for >> > certification it must first >> > meet the definition of a qualified electronic health record. This term >> will >> > be defined by ONC in its upcoming interim final rule, and we propose to >> use >> > the definition of qualified electronic health record adopted by ONC.' >> > So it appears that the ONC final rule will set an important road ahead >> for >> > the coming decades. Is anybody promoting the benifits of the 13606 >> standard >> > and if not shouldn't we do that? >> > >> > >> > >> > well before we do that, someone at ISO/CEN needs to think about a >> profile >> > for 21090 data types (in reality HL7v3 data types tidied up and enhanced >> > somewhat) that can work for 13606 or indeed anyone not using HL7v3 >> messages. >> > See >> > >> http://www.openehr.org/wiki/display/stds/openEHR+to+ISO+13606-1%2C+ISO+21090+mapping >> > for details. >> > >> > - thomas beale >> _______________________________________________ >> openEHR-technical mailing list >> openEHR-technical at openehr.org >> http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical >> > > > _______________________________________________ > openEHR-technical mailing list > openEHR-technical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical > > -- Thilo Schuler Morgenrainstrasse 9 CH-8620 Wetzikon Festnetz: +41 (0) 43 49 707 85 Mobil: +41 (0) 79 547 76 48 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20100117/9e447fe4/attachment.html>
