HL7 RIM has done its job on HL7 V3. Now it’s time to undermine the V2 standard
I am noticing changes introduced in V2.7 of the HL7 standard – described by one Asian HL7 expert as ‘subtle, insidious and dangerous’ – which consist in the insertion of failed RIM strategies into the...
View ArticleDeath by HIPAA
From INFO/LAWhttp://blogs.law.harvard.edu/infolaw/2012/06/22/death-by-hipaa/:Vioxx, the non-steroidal anti-inflammatory drug once prescribed for arthritis, was on the market for over five years before...
View ArticleRe-fur-bish (verb): To bish, again, with fur
Rene Spronk, in his new proposal to "Renovate HL7 version 3" recognizes that HL7 v3 has failed. As he points out, almost all implementations of v3 today are not in keeping with the original intentions...
View ArticleHL7 To Make Intellectual Property Available at No Cost
On Tuesday, HL7 International announced that, beginning in 2013, it will make most of its intellectual property, including standards, available at no cost under licensing agreements. For more details,...
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CDISC Discovers "Concept Maps"
My attention was drawn to interesting developments on the CDISC front by the following, from Kerstin Forsberg of AstraZeneca:Checkout "mind maps" slide 13-15, 27 for#CDISC SHARE http://ow.ly/dHfy5...
View ArticleThe RIM of Despond
Looking BackIn the more than 7 years since HL7 Watch was founded in 2005, we have drawn attention to a number of deep flaws in the structure of the RIM. Examples of such flaws are:1. No coherent...
View ArticleAn Ontologist's Guide to HL7
A talk under this heading was presented as part of the National Center for Biomedical Ontology seminar series. Slides and a recording of the talk are available...
View ArticleAmerican Cardiology Society Makes Ontological Errors
See new post by Bill Hogan to The Ontology Blog here.
View ArticleThe Weight of the Baby After 5 Years
Fans of “The Weight of the Baby”, which is certainly the funniest of all postings to the HL7 Watch blog, may be interested to note that our loyal friend Anonymous has posted a new comment:Anonymous...
View ArticleHuman Action in the Healthcare Domain
An essay by Barry Smith, Lowell Vizenor and Werner Ceusters on the current state of the RIM, entitled “Human Action in the Healthcare Domain: A Critical Analysis of HL7’s Reference Information Model”...
View ArticleImplementing Obamacare? “Impossible endeavor”
By Michael Barone March 18, 2013 | 3:51 pmWill the government be able to implement Obamacare smoothly? An “impossible endeavor,” writes a reader who describes himself as “83 years young, married to a...
View ArticleWhy FHIR will burn CDA
An interesting post with this title from Eliot Muir a friend of this blog. (See, for example, "The Rise and Fall of the RIM" from 2011.)As Eliot points out:CDA/CCD documents amalgamate lots of data...
View ArticleFor people outside of healthcare what HL7 does with your data seems quite...
Eliot Muir, responding to a comment to a recent post on his own Interfaceware blog, makes a number of interesting points on the difference between what you can do with a database, and what you are...
View ArticleFHIR: Let's Make Things Difficult Again
More interesting material on Eliot Muir's Interfaceware blog, in a thread on the topic of FIHR integration. Here Eliot proposes a strategy to counteract the looming redifficultization of FIHR, by...
View ArticleCecil: FIHR will be fine with PHIN VADS VASC; no need to worry at all
To: HL7 Vocabulary ListCc: fhir <fhir@lists.hl7.org>Subject: (FHIR) Value Set -> Code SethiAt present, FHIR has a "value set" resource that is a simple representation of what the core...
View ArticleMeaningful Use of CDA When Medication Code is Unknown
What follows is a brief guide to those using CDA to address Meaningful Use Stage 2 requirements and who need to code information pertaining to use of a medication that is not included in any existing...
View ArticleHL7 V3 Makes Great Strides in Providing a Clear Representation of Body Weight
BodyWeight has DeviceDevice is a coded description Clothing is a coded description BodyWeight has Clothing BodyWeight is a physical quantity BodyWeight has BodyWeight From:V3_DCM...
View ArticleWhy do HL7's Attempts to Create a Structured Clinical Document So...
I estimate the total number of words posted to HL7's STRUCDOC (structured documents) listserv for the single day of June 18, 2013 to be in the order of 8,000. The Digest of these postings is provided...
View ArticleCritical Safety Issue for HL7 CDA
We have addressed (for example here and here) a number of what seem to be astonishingly difficult problems which face those who attempt to use HL7 CDA for coherent coding of clinical information. In...
View ArticleWhy Old Issues Regarding CDA Are Once Again New
In two posts from the last few days (here and here) I comment on recent intense exchanges within the HL7 CDA community concerning proper coding of clinical data using CDA. The reader is invited to...
View ArticleOntology for General Medical Science vs. HL7 RIM
The Ontology for General Medical Science (OGMS) is intended to provide a very simple framework for representing the entities involved in a clinical encounter. It starts out from what the supporters of...
View ArticleAn OGMS-Based Model for Clinical Information
In a paper presented at the International Conference on Biomedical Ontology (ICBO) in Montreal, Heiner Oberkampf and colleagues from Siemens Corporate Technology and the Universities of Augsburg and...
View ArticleBreath of Fresh Air for FIHR
From Clinical Statements Task Force On Fri, Oct 4, 2013 at 9:05 AM, Lloyd McKenzie wrote:... While you *could* pursue a RIM-based repository for FHIR, it's hard to imagine why you'd want to and the...
View ArticleOn the Future of CDA
Another interesting post from Graham Grieve "On the Future of CDA". Graham argues that the current RIM-based strategy is over-complicated and that the CDA R3 team should focus on FHIR as vehicle in the...
View ArticleAdministrative Gender Code System: The Never Ending Story
*Subject:* Re: [vocab] Administrative Gender code systemOn Tue, Jan 30, 2018 at 9:35 AM, Flores, FinnieHi John,Thanks for questions. At this point, we plan to publish this for our reference data...
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