On Sat, Jan 17, 2009 at 9:17 PM, Dan Connelly <[email protected] > wrote:
> Balu: > > What problems do you have connecting OpenEHR to VITL's HIEN (Health > Information Exchange Network)? > So far I don't see any foreseeable problem, connecting, whatever open protocol they come up with. Any proof of concept project from FOSS's side is a worthwhile project. > > > As I understand it, VITL's protocols are open standards > (HITSP/HIE/CDA/ebXML/HL7), except maybe the vocabulary isn't open. Is CPT > required? Is the cost of translation so prohibitive? > > In theory, VITL should not care what vendor a practice uses. A FOSS system > should be just as good as one from one of their preferred vendors. A RHIO > regulate only the "wire". > There is a second project within VITL in addition to HIEN, that is , EMRs in physicians' offices which are needed if the HIEN is to succeed. That seem to be the motivation for that Technical Document they produced and that's where I am raising issues for no mention of FOSS.This is the first version I am talking about, they may have updated it since then. They were funded for producing this document. My question was that other states have already done all the study, why not just adopt instead of claiming Vermont should do their own. The second issue is that they hand picked a few commercial vendors for EMRs and funded a few practices, to implement EMRs and they are now studying the success of those fundings. I also applied for funding during that time for the OpenEMR in our office , highlighting Open Source and even if it did not have everything on their laundry list, they will be implemented. I also conveyed the advantages of Open Source and how the system will be freely available for other practices. My intentions were that it could be grown organically bottom up. I spent quite sometime talking to Farnum, TWO people from VITL showed up at our office and I demoed our system. They were much more talking and taking notes but did not show any interest in the system. There is a gulf of difference between FAHC and practices. I have mixed feelings about this HIEN, I have read that some of them have failed out on the west coast. I see MA talking about the success they are having. There are other privacy issues, read an item on Slashdot today. I am much mmore focussed on individual practtices and EMRs in those offices. There is a huge cost there which physicians cannot afford. With my tunnel vision with FOSS, I see this as a huge advantage, especially the cost involved in too many rules and regulations coming down the line, CCR etc.etc. ePrescription is another big issue. I almost think that another entity, VIOTL ( Vermont Institute of Open Technology Institute) should be started, and leave VITL alone. They just don't get it. My personality and my current situation doesn't lend itself to do this. I am looking forward to some you, younger folks, would do that. > And, they should not require you to use the GE data center assuming your > own data center is accessible to standard queries. Have a look a the Mirth > Project. Its FOSS and I will bet it can provide an interface acceptable to > VITL. (And, if not, I am curious why.) > I have looked at Mirth and hope to use it soon to get lab data from our local hospital whenever they are ready. Sorry for the random ramblings from Thompson Flour Shop in downtown Morrisville, typed on a EeePC running EasyPeasy :-) - balu
