tag:blogger.com,1999:blog-3503957686158274288.post6648648422996126347..comments2024-03-12T12:32:15.598-05:00Comments on On Health Care Tech & Policy: A Proposal for Disruptive Regulation of EHRsMargalit Gur-Ariehttp://www.blogger.com/profile/08777722834145614546noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-3503957686158274288.post-53130641455788436772015-07-03T09:58:40.432-05:002015-07-03T09:58:40.432-05:00> everything done and said nowadays
> is not...> everything done and said nowadays<br />> is not intended to benefit the people<br /><br />But Margalit! What are you, a Communist or something? You know as well as I that selfishness is the ultimate virtue, and if only everyone were selfish enough the people would benefit immensely from surfeit of selfishness. It is those pesky women at "woman owned" companies that treat their employees as colleagues and build systems that are first of all useful that get in the way of selfish plenty.<br /><br />I lay all the dysfunction in medical IT at the feet of hospital CIOs. I am convinced the HL7 RIM is the most important product of HL7, and I can imagine an RFP that specifies delivery as a part of the PROPOSAL of a "map" between whatever database tables a vendor vends and the HL7 RIM. Since every hospital system (especially) should have very robust HL7 interfaces, I'd also require a list of "system events" and HL7 Messages emitted, and a list of HL7 Messages the system will respond to, and how the internal state of the system shall change. Yes, yes, I know the complaint is that HL7 does not specify workflows and so-forth. Still, if CIOs would start demanding these things (or they won't buy) we'd start making some headway against openness and interoperability.Tom Leithhttps://www.blogger.com/profile/07787957132459123765noreply@blogger.comtag:blogger.com,1999:blog-3503957686158274288.post-49176204800014505882015-06-22T16:07:47.017-05:002015-06-22T16:07:47.017-05:00Not that hard to tell.... for me that is :-)Not that hard to tell.... for me that is :-)Margalit Gur-Ariehttps://www.blogger.com/profile/08777722834145614546noreply@blogger.comtag:blogger.com,1999:blog-3503957686158274288.post-38197601335836629362015-06-22T15:27:53.552-05:002015-06-22T15:27:53.552-05:00It's hard to tell whether you're being sar...It's hard to tell whether you're being sarcastic or serious.. ;-)Thomas Lukasikhttps://twitter.com/Sparkensteinnoreply@blogger.comtag:blogger.com,1999:blog-3503957686158274288.post-6924165474417686642015-06-22T13:14:19.269-05:002015-06-22T13:14:19.269-05:00Yikes. Yet another 5-star post. :)Yikes. Yet another 5-star post. :)BobbyGhttps://www.blogger.com/profile/03807934795994985233noreply@blogger.com