Novice EHR Development is now unethical

The original Hipoocratic Oath states: I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work. One modern version reads: I will not be ashamed to say … Continued

Using HTML5 as the basis for HL7 CDA v3

Keith Boone, well known and liked Health IT standards geek has written up a proposal that would make the next release of HL7 CDA based on HTML5 rather than XHTML. I have just become more deeply familiar with this set … Continued

Unethical Blue Button Contest

This contest is deeply problematic. The blue button initiative was a good initiative because it allowed greater access. It made that possible by ensuring that access to patient data did not have to wait for the VA/DOD/Whatever to create a … Continued

Google Health: influential, controversial and gone.

Google Health is no more. Thats a shame, because I am writing a book on Health IT for O’Reilly and before this announcement, my rough draft featured Google Health extensively. I guess this is better, though, than having Google Health … Continued

Medsphere OpenVistA meaningful use certified

I am happy to mention that Medsphere has received certification for their OpenVistA EHR system. As far as I know, this is the only meaningful use certification for Open Source software, for the in-patient setting. All of the other certifications … Continued

Direct gathers steam

Recently, the AAFP and Surescripts announced Physicians Direct, a secure messaging service for providers.  But neither the article nor the signup page for Physicians Direct detail the most critical single issue regarding the service. This is a very large deployment … Continued

Kaiser Ontology Interview

To the novice, the term “interoperability” means that two systems can talk. To the expert, it means that they can understand each other. To much of our current data interchange is “meaning poor”. To get past that problem, we need … Continued

Health Internet

For whatever reason people simply do not get what the NHIN is and what its implications are. This feels like a repeat of what happened to me more than a year ago. The NHIN (which has been rebranded the “Nationwide … Continued