What I meant was that it can't be deployed as separate instances in 
multiple places (e.g. hospital, GPs, clinics) and then have content 
merged on request. Using it reqires either a) convincing the providers 
that HV or Google's version are safe & useful places to put the patient 
data and/or b) that their existing systems can be made to communicate 
some of its health data to the healthvault. We are some way away from 
either of these at the moment.

- thomas


Roger Erens wrote:
> on 10-9-2008 23:30 Ian McNicoll wrote:
>   
>> Hi Roger,
>>
>>   
>>     
>>> I don't understand the latter. A patient can access Health Vault with
>>> his/her browser from anywhere? So it doesn't matter where 'in the cloud'
>>> the system is deployed?
>>>     
>>>       
>> Whilst web-based Health Vault style patient records will bring many
>> advantages, in terms of human accessibility, unless this is
>> underpinned by strong semantic precision we will gain none of the
>> advantages of computerisation around decision support and particularly
>> workflow support.
>>     
> I agree. This clarifies Thomas' former remark.
>   
>>  Additionally, whilst I strongly support the concept
>> of a patient authored/controlled record, IMO there must also be a
>> place for a clinical record,
>>     
> not necessarily being in a Health Vault style system, right? I imagine 
> that's what Thomas intended with his latter "distributed deployment 
> capability" remark. Looking at Google's Health Data API page
> http://code.google.com/apis/health/ though, it seems that Google made 
> some start already with this capability by inviting Third-party Services 
> providers and Data Providers to implement their API.
>
> Speaking of Google, a thought that struck me: maybe one day we'll let 
> their search engine do the querying of archetyped objects. Then AQL will 
> not be necessary anymore?
>
> Roger
> _______________________________________________
> openEHR-clinical mailing list
> openEHR-clinical at openehr.org
> http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical
>
>
>   


-- 
        *Thomas Beale
Chief Technology Officer, Ocean Informatics 
<http://www.oceaninformatics.com/>*

Chair Architectural Review Board, /open/EHR Foundation 
<http://www.openehr.org/>
Honorary Research Fellow, University College London 
<http://www.chime.ucl.ac.uk/>


*
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