On Fri, 12 Sep 2003, Thomas Beale wrote:
...
> >>  In that case, do you think HL7 v3 is sufficient to support portable
> >>medical records between EMR systems? Could it prevent the
> >>same barriers that HL7 implementions ran into?
> >>
> the problem with this is that a) the HL7 RIM is not a particularly good
> model of the content in an EHR, so using a (necessarily RIM-based) HL7
> message between EHR systems is going to require transforms at either
> end, where errors can obviously occur. Sending EHR Extracts or using
> published EHR APIs to communicate is likely to be much safer.

Thomas,

  Obvously you have put much deep thought into comparing these
approaches. Many projects, especially the OIO project, will greatly
benefit from your knowledge.

  Could you kindly educate us on the foundamental differences between
"HL7 RIM" vs. "EHR Extract" vs. "EHR API" ?

Thanks in advance,

Andrew
---
Andrew P. Ho, M.D.
OIO: Open Infrastructure for Outcomes
www.TxOutcome.Org

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