Comments on: HealthVault: Abusing vs Implementing Standards. http://www.fredtrotter.com/2007/10/21/healthvault-abusing-vs-implementing-standards/ Hacktivist, coding for social change Tue, 02 Mar 2010 12:19:13 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: S Silverstein http://www.fredtrotter.com/2007/10/21/healthvault-abusing-vs-implementing-standards/comment-page-1/#comment-13 S Silverstein Tue, 23 Oct 2007 19:08:45 +0000 http://www.fredtrotter.com/2007/10/21/healthvault-abusing-vs-implementing-standards/#comment-13 Microsoft even getting involved in biomedical ontologies and standards? HA! Good luck with that. Anyone looked at the complexity medical data standards recently? "Abuse" is not the term I'd use. "Botch" is better. Microsoft and PHRs? HA! One of the many "false assumptions" about PHRs is that the lay public has the ability to interact with complex medical data in a meaningful manner and can help steward that information when people often don't do it well with old-fashioned pencil and paper. The companies like MS that are looking for "an easy next big thing may have been "had" -- by people with great ideas, presentation skills and the ability to start fads but who lack depth in understanding social issues in informatics. Microsoft's core competence is not medicine, nor biomedical informatics, as far as I recall. Microsoft and EHRs? HA! Most of the EHR market is mismanaged due to the "religion of technologic determinism" and the related phenomenon of "computer idolatry." Computer + MBA + software engineer does not produce products that turn doctors into Marcus Welby. Far from it. Metaphors aside, see "Sociotechnologic Issues in Clinical Computing: Common Examples of Healthcare IT Difficulties" at http://www.ischool.drexel.edu/faculty/ssilverstein/medinfo.htm . You will be reading that which the HIT industry doesn't want you to know - and which companies like Microsoft ignore thinking that if they can write an OS, then how hard could an electronic medical record be? After all, if you have the right tools, how hard could it be to generate nuclear fission at home? (After all, if you understand nuclear fission, Microsoft even getting involved in biomedical ontologies and standards? HA! Good luck with that. Anyone looked at the complexity medical data standards recently? “Abuse” is not the term I’d use. “Botch” is better.

Microsoft and PHRs? HA! One of the many “false assumptions” about PHRs is that the lay public has the ability to interact with complex medical data in a meaningful manner and can help steward that information when people often don’t do it well with old-fashioned pencil and paper. The companies like MS that are looking for “an easy next big thing may have been “had” — by people with great ideas, presentation skills and the ability to start fads but who lack depth in understanding social issues in informatics. Microsoft’s core competence is not medicine, nor biomedical informatics, as far as I recall.

Microsoft and EHRs? HA! Most of the EHR market is mismanaged due to the “religion of technologic determinism” and the related phenomenon of “computer idolatry.” Computer + MBA + software engineer does not produce products that turn doctors into Marcus Welby. Far from it.

Metaphors aside, see “Sociotechnologic Issues in Clinical Computing: Common Examples of Healthcare IT Difficulties” at http://www.ischool.drexel.edu/faculty/ssilverstein/medinfo.htm .

You will be reading that which the HIT industry doesn’t want you to know – and which companies like Microsoft ignore thinking that if they can write an OS, then how hard could an electronic medical record be? After all, if you have the right tools, how hard could it be to generate nuclear fission at home?

(After all, if you understand nuclear fission,

]]> By: Fred Trotter http://www.fredtrotter.com/2007/10/21/healthvault-abusing-vs-implementing-standards/comment-page-1/#comment-11 Fred Trotter Tue, 23 Oct 2007 14:09:54 +0000 http://www.fredtrotter.com/2007/10/21/healthvault-abusing-vs-implementing-standards/#comment-11 Someone left an excellent comment that attacked my conclusion that Microsoft abused standards. They indicated that Microsoft was innocent in the cases of Java, Kerberos and Javascript. However the commentor posted this anonymously. I would like to invite that person to repost the comment with his/her real email or to email me and I will add their real email to their previous post. I do not mind people disagreeing but I will not reply to "anonymous cowards". Someone left an excellent comment that attacked my conclusion that Microsoft abused standards. They indicated that Microsoft was innocent in the cases of Java, Kerberos and Javascript. However the commentor posted this anonymously. I would like to invite that person to repost the comment with his/her real email or to email me and I will add their real email to their previous post. I do not mind people disagreeing but I will not reply to “anonymous cowards”.

]]> By: John Norris http://www.fredtrotter.com/2007/10/21/healthvault-abusing-vs-implementing-standards/comment-page-1/#comment-9 John Norris Mon, 22 Oct 2007 05:51:02 +0000 http://www.fredtrotter.com/2007/10/21/healthvault-abusing-vs-implementing-standards/#comment-9 Yes, it is a worry and something to be carefully watched. Besides regulation, or getting the word out, I'm not sure there is any other way to preventing MS, or another large company, from controlling the situation. I had thought a FOSS community that out innovates proprietary systems would be a solution, but I am not sure. Yes, it is a worry and something to be carefully watched. Besides regulation, or getting the word out, I’m not sure there is any other way to preventing MS, or another large company, from controlling the situation.

I had thought a FOSS community that out innovates proprietary systems would be a solution, but I am not sure.

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