Hi Roger > 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 > for openEHR to gear up some PR-machinery. The propaganda should be > backed up by tutorials, screencasts, lectures, workshops, flyers, > working demos, etc. > I see the advent of personal health records in the Web 2/3 environment as encouraging but all the more reason to have a standard EHR that meets the needs of clinicians and people wanting to contribute to their own records. Everyone is interested in Health, but it is the power of reuse and ability to consolidate information in an environment where it can be queried etc that will be most important. By way of example, we have been working on the idea of distributed work flow for the past few years. The idea being if a test is due every year then when it is carried out, the original site of the order will get notified that it has been done (+/- result depending on access). This sort of capability is the basis of the Instruction and Action classes in openEHR.
Semantics, currency of information, support for decision support are all important. It may be that the Google idea of health records is sufficient for some purposes but it will soon require a major upgrade to make it really robust. Cheers, Sam

