in these standards efforts. There was a lot of work done on a RLS a number of years ago by the OMG and we need to ensure that this RLS service be
interoperable as it develops. I couldn't find any significant specification for the RLS in the references you gave.
Dave Will Ross wrote:
On 23 Apr 2005, at 3:25 AM, Adrian Midgley wrote:
I am not convinced we always address the collection of problems and opportunities from the right aspect.
I prefer to think about _automation_ rather than just an EMR, and about tools for tasks rather than a whole system. I know that re-usable code and integration of different pieces is harder in practice than in theory, but ...
I also believe we have not considered the use of the computer and network as a Knowledge Source for medical/healthcare practice sufficiently, and some distance remains, in England although it is decreasing, to the establishment of an ecology of people making a living, and technical resources aligned to FLOSS.
Looking at the opinions published by the US Leapfrog Consortium, and reviewing my memories of the development of UK General Practice software over some decades, the prescribing system seems to be the first clinical tool to be of obvious value.
This implies the presence of a register - a list of who is a patient/was a patient (but does not absolutely _require_ it, or require it to be complete).
The Connecting for Health group (a fellow traveller to the Leapfrog group) is working as we speak to deliver just this type of index. They call it the "Record Locator Service". Their most recent technical overview ("Linking Healthcare Information" published in February) is available in pdf on the project home page at:
http://www.connectingforhealth.org/
The RLS observes a distinction between "knowing where a record is located" and "knowing what is in the record".
The OpenHRE project is following the RLS specification.
[wr]
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