> I would like to add another point > that might be worth discussing: the interoperability between openEHR > based systems and those of the Really Big Companies (Microsoft's > HealthVault & RelayHealth, Google's Health). They're gaining momentum, > and maybe we can ride on the wave along with them. Probably it's time >
http://www.ictzorg.com/home/id101-49805/nictiz_persoonlijk_zorgdossier_nuttige_aanvulling_op_epd.html The Dutch ICT in health care organization (NICTIZ) is saying that the mentioned systems from Microsoft and Google are useful add-ons to the system Nictiz is defining (for more than 7 years by now, about gaining momentum). Nictiz is saying that those systems can be part of national EPD (electronic patient dossier), but they should never replace the national EPD. http://www.ictzorg.com/home/id101-46903/kedzierski_van_mca_vws_kan_wel_stoppen_met_landelijk_epd.html http://www.ictzorg.com/home/id101-42405/mca_onderzoekt_mogelijkheden_google_health.html Kedzierski, member of the board of a big hospital (Alkmaar) is saying that the personal health dossiers from Google and Microsoft can replace the national EPD system from Nictiz. He is saying that in the USA Kaiser Permanente, with 9 million patients has chosen for both the MS and the Google system, and Cleveland Clinic chooses for the Google system only. The Alkmaar hospital will make its choice after the summer, he says.

