Re: HL7 too expensive, too complex and inconsistent
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Dear Ed, I think Bert referred to the text below, but that’s not the point. (p.21) "High adoption costs in SMEs: Small or medium-sized ICT manufacturers may not be willing to adopt commonly used standards because these are very complex and thus difficult and expensive to implement. This applies for example to HL7 version 3. It may be less costly to develop proprietary standards on their own." The point is that this is an official EU report, which will influence governments in (at least) the national EU states as well as the EU government themselves. Although I agree with many of the comments of the other responders, this report is a 'fact' for those decision makers, at least until some new 'official' report show up that states something different. In my opinion the follow passage is important for the people on this list: "Nearly all interviewees agreed that there is a lack of widely used e-health standards. There was also agreement that there is a lack of sufficiently developed e-health standards, a lack of e-health standards harmonisation activities, and that there are too many conflicting e-health standards." The message I read is that we have to harmonize quickly between those standards that are conflicting. Only then the 'market' can reach it's full potential. Personally I think DCM could play a role to speed up this process. For 'us' the following recommendation in the report is a big plus: (p.65) 'Consider open standards: Use of open standards may further strengthen collaboration and adoption. For example, in the SeBW e-health expert survey, 64% of the respondents were of the opinion that openEHR should be important in the future (see section 3.2.2 for survey results and section 2.3.8 for details about openEHR). Moving towards open standards in e-health may gain more support in the foreseeable future due to the increasing demands of participation and support in the standards development process. It can be considered as one possible model for sustainable international standards development.' To become an even stronger open standard organization 'we' have to work on the perception that the outside world has about openEHR. As a member I know that we fulfill to all the requirements listed in this report (see below), but for one or another reason we haven't been able to bring this across to the outside world. So please, besides all the excellent work we're doing on open standards, let's work on that too (the PR thing J ). "… for (openEHR) to become a success model, several issues have to be addressed, for example to assure that all members are trustworthy and participate without hidden agendas or that committee leaders are appointed in an open process reflecting the interests of all stakeholders. Objectives that need to be fulfilled include verifiable results, i.e. solutions that do not discriminate any player. Furthermore, sustainable management models must be established to assure the survival of such activities." Cheers, Op 3-dec-2008, om 4:30 heeft William E Hammond het volgende geschreven:
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