Since the term Open-edi has been used on numerous occasions I felt it
important that it be put into the appropriate context of the ISO model and
ebXML. Use of the term Open-edi when you actually mean something else can
only serve to confuse rather than clarify. Whether one chooses to review the
earlier version of the Open-edi Reference Model or the current one being
ballotted is irrelevant to having a conceptual understanding of what
Open-edi is and how it fits into an overall electronic business framework,
including ebXML, from which the CPP/A is drawn. It's also important to know
that the CPP/A as presently spec's expects that specific business process
scenarios, etc. that each of the trading partner's support be identified.
The use of process analysis resulting in business scenarios is a critical
and essential concept to Open-edi, ebXML and CPP/A.

Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in EDI & Electronic Commerce
39432 North Avenue
Beach Park, IL 60099
Phone: 847-872-8070
Fax: 847-872-6860
http://www.rfa-edi.com


-----Original Message-----
From: William J. Kammerer [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, July 03, 2002 3:12 PM
To: WEDi/SNIP ID & Routing
Subject: Re: Open-edi, Health Care, ebXML and CPP/A


True "Open-edi" is far off in the future, and I think it is out of scope
for this project.  Completely re-architecting business processes for a
future HIPAA will have to wait awhile. There's a possibility I have
misused the term "Open-EDI" before, when I simply meant that the current
HIPAA law - along with a little bit of additional technology
implementing our recommendations - would provide the infrastructure for
providers, payers, Clearinghouses, TPAs, employers and other healthcare
players to exchange data without onerous preparation and "enrollment."

Today we must assume we'll be dealing with the old message-centric
"legacy" HIPAA standard X12 and NCPDP transactions.   Any discussion of
their replacement by ebXML Business Processes, XML or Web Services is
premature and unproductive.

We have clearly outlined our near and far term goals for this project.
It is not inconceivable that we will have a usable CPP electronic
partner profile available before H-day;  the CPP is nothing but an XML
document which describes a partner's capabilities, EDI addresses and
party identifiers, among other things.  And it's not quixotic to believe
we could even have a workable prototype of the Healthcare CPP Registry
before H-day either - especially with the help of our friends from the
US NIST.

The standard transactions (which we almost have in the form of the HIPAA
IGs), the CPP (near-term deliverable of this project) and the Registry
(a little bit further out) are necessary and sufficient for eliminating
many of the major friction points impeding the ubiquitous electronic
exchange of healthcare administrative data.

I believe that "full blown" Open-Edi currently has little to offer us,
considering our relatively modest goals.  But those "brave souls" who
actually will attempt to read the Open-Edi Reference Model might want
the newest draft now being balloted: ISO/IEC FCD 14662 Information
technology - Open-Edi Reference Model 2nd Edition (2002-05-16), at the
ISO/IEC JTC 1/SC 32 site via the pointer at
http://www.novannet.com/wedi/32N0830T.PDF.url.  If your browser doesn't
support IE shortcuts,  then manually access document 830 from
http://www.jtc1sc32.org/.

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: "Rachel Foerster" <[EMAIL PROTECTED]>
To: "WEDi SNIP 4 (E-mail 3)" <[EMAIL PROTECTED]>
Sent: Monday, 01 July, 2002 03:57 PM
Subject: Open-edi, Health Care, ebXML and CPP/A

It seems to me based on the discussions here over the past several weeks
that a basic assumption can be made about the focus of this group's
efforts. Generally, I would characterize that assumption as being that
the focus here is on a future vision of how electronic information
exchanges within health care can take place seamlessly and dynamically
rather than as a rigid, pre-determined and pre-established exchange. If
this is accurate, then it also means that the focus of our efforts is
not going to be directed to the challenges and issues facing health care
today as it continues its painful march towards HIPAA's requirements for
standard electronic transactions.

Assuming this is our strategic direction, it occurred to me that while
we been talking about CPPA this and CPPA that, the CPP/A can better be
understood in the context of the ebXML Framework and the earlier
Open-edi work done under ISO.

The vision I mentioned above is also set forth in the Open-edi Reference
Model, an ISO document: IS14662. Here's the introductory paragraphs from
ISO14662:

"The economic advantages of Electronic Data Interchange (EDI) are widely
recognised. However, the cost of setting up an EDI relationship is still
very high due to the need for a detailed bilateral business and
technical agreement between the involved business partners. The initial
high cost of establishing such an agreement does not justify short term
partnerships. It has also been found that implementations involving the
management of a large number of partners and their associated agreements

are not productive. Consequently, most EDI implementations have been
successful only:

- in long term partnerships;
- between a limited number of partners.

Open-edi lowers these barriers by introducing standard business
scenarios and the necessary services to support them. Once a business
scenario is agreed upon, and the implementations conform to the Open-edi
standards, there is no need for prior agreement among trading partners,
other than the decision to engage in the Open-edi transaction in
compliance with the business scenario. Since Open-edi takes a generic
approach, it enables organisations to establish short term relationships
quickly and cost effectively. Business scenarios and the necessary
supporting services will be available to all who wish to use them, thus
providing the necessary means for implementing Open-edi."

For the brave souls here who would like to read this ISO document, it
can be downloaded from my web site at http://www.rfa-edi.com/OO-edi.htm.

This vision was also carried forward in the work of the ebXML
Initiative. The CPP/A is a key component of the ebXML architecture,
which enables just such a vision to be realized. Some ebXML FAQs and
other information about the ebXML Initiative is also available at
http://www.rfa-edi.com/ebxml_initiative.htm.

Now, you might ask, why on earth am I posting all of this information
here? Well....the latest electronic business buzz is "web services", the
Internet, and XML. And quite frankly, I believe that some flavor of
ebXML, Web Services, EDI, Open-edi, etc., is the future, not only
globally, but for health care as well. My experience has been is that
having a foundational knowledge base of the various technologies and
where they (may) fit into a strategic vision is essential for
successfully exploiting those technologies. Thus, I think it's important
that we here have a view of CPP/A, not in isolation, but as part of a
framework that can enable health care to achieve a new future and
vision.

A debate of ebXML versus Web Services has been under way on the ebXML
Development list. Alan Kotok, who has also been directly involved in the
ebXML Initiative and is a co-author of a book on ebXML (ebXML: The New
Global Standard for Doing Business Over the Internet, ISBN
0-7357-1117-8), authored what I think is a nicely informative article
describing how all of this fits together to form a more complete puzzle.
A link to Alan's article is below.

I think the article below contains a fine plain-language discussion of
the connection and reasoning between Open-edi and ebXML. Jamie

http://www.webservices.org/index.php/article/articleview/479/1/1/

My hope is that by becoming more knowledgeable on Open-edi, ebXML, etc.,
we here will be better armed with knowledge to carry forward the work of
this group in developing requirements and identifying solutions that
will achieve our vision of the future for health information exchanges.

Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in EDI & Electronic Commerce
39432 North Avenue
Beach Park, IL 60099
Phone: 847-872-8070
Fax: 847-872-6860
http://www.rfa-edi.com



discussions on this listserv therefore represent the views of the individual
participants, and do not necessarily represent the views of the WEDI Board
of
Directors nor WEDI SNIP.  If you wish to receive an official opinion, post
your question to the WEDI SNIP Issues Database at
http://snip.wedi.org/tracking/.
Posting of advertisements or other commercial use of this listserv is
specifically prohibited.


discussions on this listserv therefore represent the views of the individual
participants, and do not necessarily represent the views of the WEDI Board of
Directors nor WEDI SNIP.  If you wish to receive an official opinion, post
your question to the WEDI SNIP Issues Database at
http://snip.wedi.org/tracking/.
Posting of advertisements or other commercial use of this listserv is
specifically prohibited.

Reply via email to