Thomas, Can you elaborate on the design flaw you see in a message based National e-Health Grid? Is a message based grid inherently flawed? Or is the design flaw contained in the CFH implementation of a message based e-Health Grid? That is, can a message based grid be implemented correctly?
With best regards, [wr] - - - - - - - - On Nov 23, 2006, at 9:46 AM, Thomas Beale wrote: > Adrian Midgley wrote: >> >> The driving force for the programme was, so far as I can tell, a >> pitch >> by Sir William Gates 3 over lunch at number 10 to the outgoing prime >> minister, and therefore, in the nature of these things, as The Rt >> Hon Mr >> Anthony Blair MP steps back to being a back bench MP, the plan is >> likely >> to fall apart. >> >> > just based on what we read in the Guardian, it appears to be on a > knife-edge anyway. But there has been substantive spending - CFH has > already spent many millions (I would think many times £100m) on > message > development and other work that blithely assumes the central message > bank idea, without taking any account of how health record systems > work, > where they might be and how they should be integrated with each other. > Some extremely competent people working in CFH today are living > with the > terrible choices of a few years ago (a message-based design conception > of a national e-Health grid), and are trying to do their best in those > circumstances. > > - thomas beale > > > -- > ______________________________________________________________________ > _____________ > CTO Ocean Informatics (http://www.OceanInformatics.biz) > Research Fellow, University College London (http:// > www.chime.ucl.ac.uk) > Chair Architectural Review Board, openEHR (http://www.openEHR.org) > > > > > > Yahoo! Groups Links > > > > > [wr] - - - - - - - - will ross project manager mendocino informatics 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.minformatics.com - - - - - - - - "Getting people to adopt common standards is impeded by patents." Sir Tim Berners-Lee, BCS, 2006 - - - - - - - -