Tag: IHE

IHE International meeting in Toronto

Keith Boone presented about CDA and CCD history at the IHE dinner in Toronto last night.

Highlights from Keith’s presentation:

– Interesting to know that CCD came from Vancouver Island Health Authority Electronic Medical Summaries project.

– Schematron for message conformance over XSD and it’s an ISO standard. Good to know.

– What is the difference between a document and a message?

Whenever you go back and ask for Information and if you get the same thing back then it’s a document. It is persistent compared to a message, if you are caught up in document vs messages.

– Where in the world is XDS ?

– Checkout CDA Tools

– Keith also has a new book coming out in May 2011 on CDA.

And here is Keith’s post on his speech if you are looking for meat.



Great to hang out with the standards geeks from IHE and meet great people and catch with up with old friends who are involved in improving healthcare and healthcare standards.

Thanks to HIMSS for the wine.

Saravana Rajan

Healthcare IT Vendors News!

1. IBM inks 3.3 million$ eHealth deal

Here is some niche business that IBM is starting to execute enabling sharing of diagnostic images across jurisdictions using a registry framework based on IHE XDS (Cross Enterprise Document Sharing) framework. Kudos to Quebec to act on it quickly before the Canada Health Infoway money runs out.

2. Cerner has launched healthcare development community

Here is what the PR claims,  “The uDevelop platform, modeled on the principle of open source software development, will allow the more than 2.5 million healthcare professionals who engage with Cerner® solutions to provide direct feedback on solution enhancements and to have a hands-on role in customizing and developing Cerner solutions”

In fine print, you have to be a Cerner client to be part of this community.

Web Services and Healthcare!

HisTalk blog had an article submitted (by Mark Moffitt) on web services and healthcare and how it can bring change to the healthcare industry, although slowly.

Here are few highlights, where Mark was right on about the healthcare lay of the land dominated by heavyweights like GE, Epic, Siemens, Cerner, McKesson, Meditech etc.,

1. Sunk costs of single vendor poses a significant barrier to change for providers who follow a single vendor approach in their IT strategy.

2. That tax is much higher in the US than in other countries (Chart 2). Healthcare cost as a percent of GDP cannot continue at current levels if the USA is to compete against other global economic powerhouses in the 21st century.

3. Agreed,  webservices is better integration approach compared to point to point integration provided by HL7 (V2.X)

All other sections, I have a different opinion and here are my comments below.

1. The article claims that there is not enough competition between healthcare IT vendors. When are major 8 vendors like GE, Epic, Siemens, Meditech, McKesson, Cerner, Eclipsys, Healthland controlling the market share to the tunes of around 80%, I think the competition is healthy.

2. Though best of breed might be a better approach to healthcare, significant integration costs and numerous failed approach to integrations makes single vendor approach attractive from a Total cost of Ownership

3. The big vendors are taking step towards web services in their own product portfolio or through partnerships. GE recently partnerd with InterComponentWare(ICW), a really niche eHealth vendor who has all componets in their eHealth framework to enable interoperability at all levels from with in a provider’s infrastructure to across providers in a jurisdiction.