tag:blogger.com,1999:blog-23447705.post1954515588559725695..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: NEHTA Has Just Published a Swag of Detailed Clinical Specifications - There Are A Few Questions That Arise.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-23447705.post-33457968848289428532011-09-11T09:21:32.045+10:002011-09-11T09:21:32.045+10:00This - AU extension is a big con job - all amendme...This - AU extension is a big con job - all amendments should be made to one International version. Another example of the result of a major brain-fart by the PhD idiots at NEHTA.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-25680127712186686362011-09-10T15:39:26.173+10:002011-09-10T15:39:26.173+10:00#Larry
You asked " In particular, are there a...#Larry<br />You asked " In particular, are there any implications from choosing SMOMED codes from the AU extensions rather than from the international version?"<br /><br />Beyond the Australian Medicines Terminology, I don't think NEHTA has 'extended' SNOMED CT in any significant way to produce the SNOMED CT-AU 'extension'. Of the 1,167,656 terms in the most recent (Eric Brownehttp://www.healthbase.infonoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45880663746599935682011-09-10T13:33:19.964+10:002011-09-10T13:33:19.964+10:00#Larry
There's small questions, and there'...#Larry<br /><br />There's small questions, and there's large questions. And then there's your question. I'm not sure how you'd judge their interoperability. They're consistent with models from other countries and other contexts - but they're also different, based on consultation within Australia, and based on their purpose, which is a little more ethereal than many. Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91626351681875552052011-09-10T08:25:11.694+10:002011-09-10T08:25:11.694+10:00Was/Is RXNorm being considered by NEHTA?Was/Is RXNorm being considered by NEHTA?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-69169897858081310412011-09-09T13:10:24.161+10:002011-09-09T13:10:24.161+10:00Grahame,
Do you know how interoperable these mode...Grahame,<br /><br />Do you know how interoperable these models are with other models internationally? In particular, are there any implications from choosing SMOMED codes from the AU extensions rather than from the international version?Larry Singernoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-24776971769345185302011-09-08T16:32:28.317+10:002011-09-08T16:32:28.317+10:00Will such efforts at standardisation stifle innova...Will such efforts at standardisation stifle innovation?<br /><br />I really would rather the Govt play a supporting role and let private enterprise sort it out.<br /><br />Rather than large investments, how about the Govt foregoing tax inputs for companies/entities that meet certain levels of basic infrastructure.<br /><br />Where the Govt does intervene, let i be where the standardisation is Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-36782198394316911282011-09-08T09:21:04.390+10:002011-09-08T09:21:04.390+10:00Researchers the world over have been wrestling wit...Researchers the world over have been wrestling with these issues since computers and their fervent advocates entered the realm of healthcare as far back as 1970 in the northern hemisphere. <br /><br />Notable early project leaders and sites at the time were St Thomas' Hospital (Barry Barber), King's College Hospital (Professor John Anderson), University College Hospital (Professor FreddieAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57919882319786772442011-09-07T21:41:50.019+10:002011-09-07T21:41:50.019+10:00Grahame,
Sorry the 'community' was not as...Grahame,<br /><br />Sorry the 'community' was not asked and was not told what the risks were and was not told the available options. Neither was either the Health IT Community or the Clinical Community.<br /><br />Just like the super profits tax, the MRRT, the carbon tax, the Malaysian solution and so much else it was just dropped on an unsuspecting public. My sense is they are pissed. <Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9588354374307093332011-09-07T21:25:27.193+10:002011-09-07T21:25:27.193+10:00David, there's a tension here. You can continu...David, there's a tension here. You can continue working in a linear fashion, chipping away at the edges. And there's certainly a lot to be said for that. But eventually you come to the point where you're stuck because you actually need to rework the infrastructure. And you can't do that very simple and very basic. <br /><br />This applies to all IT projects, of course. We can Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71850538798672360272011-09-07T21:07:14.236+10:002011-09-07T21:07:14.236+10:00Grahame - hence all the discussion on complexity a...Grahame - hence all the discussion on complexity and my suggestions to really start very simple and very basic..but that is no fun I realise!<br /><br />Sad thing is I have watched this since 1978 and have not actually been convinced we have seen much get better. Some interoperation but little that might be called semantic!<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-86443378546218081552011-09-07T20:41:12.641+10:002011-09-07T20:41:12.641+10:00> In summary still a work in progress with no c...> In summary still a work in progress with no clearly defined end point<br /><br />welcome to interoperability!Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-73805836122109228442011-09-07T20:35:51.287+10:002011-09-07T20:35:51.287+10:00Thanks Grahame,
In summary still a work in progre...Thanks Grahame,<br /><br />In summary still a work in progress with no clearly defined end point.<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-3577970843105361732011-09-07T19:57:20.327+10:002011-09-07T19:57:20.327+10:00hi David
Some answers to your questions:
> I ...hi David<br /><br />Some answers to your questions:<br /><br />> I wonder if this is the National Information Component Library <br />> the data model that seems to be missing to underpin all this<br /><br />yes, this is what this intends to be - the underlying formal definitions that underpin the rest of the actual exchange specifications.<br /><br />> Who is actually using and Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.com