Communication between HIS isn't specifically a need of a citizen, just 
the results of it.   It has been
almost impossible for a patient to be able to see or possess a record of 
their healthcare which is
being done by a variety of organizations and providers.   This need for 
a "virtual healthcare record" is
very real and something we've argued for for almost a decade in print.   
To the end user, how it is
done is irrelevant.   It's need isn't.   Continuity of care is gaining 
in its recognized importance in the US
these days as being critical for the improvement of patient health.   
The flow of data between healthcare
organizations is critical for this.  It is probably the main focus of 
the US NHIN effort.

Dave
Philippe AMELINE wrote:
>> Any opinion on YAWL ( http://www.yawl.fit.qut.edu.au/ )?
>>
>> Tim C
>>  
>>
>>     
> Hi guys,
>
> I very much like the way Wayne Wilson explicated the Big problem :
>
> "The very first thing to do is to build a believable (to doctors and 
> patients) scenario for needing to get information from one system to the 
> next, preferably in real time. IF you don't lead with that from a 
> demonstrably practical point of view and just assume a generic need 
> justifies all (interchange is good and will save the world, etc.), then 
> I suggest that this interoperability demo is no different than a vendor 
> plug fest designed to show managers why they should keep buying the same 
> stuff they have already bought."
>
> And how funny it was to see that 6 posts after, all this vanished into a 
> workflow engines comparison (very interesting, by the way).
>
>  From my point of view, Wayne is very right to ask for a scenario "for 
> needing to get information from one system to the next". And I think 
> that such a scenario will be pretty much artificial if these systems are 
> HIS since the genuine main reason to communicate is continuity of care, 
> and that it is the very issue that hospitals don't address at all - and 
> even rarely understand.
>
> This "generic need" that would justify a "need for communication" 
> between HIS is a myth that became a religion when a sufficient number of 
> people started to make a living by building standards for it. This is 
> not an issue for the citizen.
>
> My 2 € ;-)
>
> Philippe
>
>
>
>   




 
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