tag:blogger.com,1999:blog-23447705.post6224290817824890109..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: NEHTA Is Now Failing In Its Core Task. They Are Withdrawing Issue Ridden Specifications After Announcing Them As Final Ages Ago!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger17125tag:blogger.com,1999:blog-23447705.post-1082222070685575292012-03-02T09:50:48.416+11:002012-03-02T09:50:48.416+11:00Well, I read the spec when it first came out, and ...Well, I read the spec when it first came out, and even spent a few days implementing the server side interface (the store/fetch of script docs). It didn't seem "unimplementable", though I certainly only did a very cursory implementation.<br /><br />I mean, all it does is encrypt a document, store it on a server, and let someone fetch it later. It isn't really rocket science - Andrew Pattersonnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-41262145381482721352012-03-02T09:31:24.050+11:002012-03-02T09:31:24.050+11:00"So to be charitable to NEHTA - they released..."So to be charitable to NEHTA - they released a "final/draft for trial" spec - they tried to get it rubber stamped through Standards Australia (for more than a year) - met a lot of resistance and have now blinked and withdrawn it. But that is all kind of political, and is different from it having massive "technical" issues that were undiagnosed for 14 months."<br /><Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59413908789148577362012-03-02T09:18:20.727+11:002012-03-02T09:18:20.727+11:00Surely the problem that the ETP spec has run into ...Surely the problem that the ETP spec has run into is that<br /><br />a) not the same as the implementation of either of the two existing vendors (i.e. requires them to do work)<br />b) perhaps conflicts with the business models of the two existing vendors (i.e no reason for them to do the work)<br />c) is not HL7v2 and some people fervently believe that it should be<br /><br />So of course none Andrew Pattersonnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-83616146337411629002012-03-01T23:51:39.694+11:002012-03-01T23:51:39.694+11:00Being critical of the Nehta specs is not welcomed ...Being critical of the Nehta specs is not welcomed in any way, they want IT-14-xx to rubber stamp their proposals and simply reject critical comments.<br /><br />Creating standard straight from the white board of an ivory tower architect is the worst possible way to create a standard. Standards should be created from working examples, that have been validated by real use. The CDA prescribing is a Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90767854884289520112012-03-01T21:10:46.993+11:002012-03-01T21:10:46.993+11:00Look,
The spec has gone from being FINAL to being...Look,<br /><br />The spec has gone from being FINAL to being open to review after 14 months.<br /><br />I know what has gone on behind the scenes and many in IT-14 and the MSIA see this spec as symptomatic of systemic failure.<br /><br />Having talked to them I agree.<br /><br />If you think it is all fine - go spend the money and implement a dud spec that it has taken 14 months to be Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-1175776570634956902012-03-01T20:41:31.832+11:002012-03-01T20:41:31.832+11:00I was under the impression that IT-014 has had own...I was under the impression that IT-014 has had ownership of these specs for close to a year now?<br /><br /><i>"Take it from me many in MSIA and IT-14 noticed and have expressed concern for months and months."</i><br />"Expressing concern" is somewhat different to ringing up, say, a helpdesk, and logging an error in a spec.<br /><br /><i>”I doubt you have actually attempted toAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-66344921661747778852012-03-01T20:09:41.600+11:002012-03-01T20:09:41.600+11:00Take it from me many in MSIA and IT-14 noticed and...Take it from me many in MSIA and IT-14 noticed and have expressed concern for months and months.<br /><br />I doubt you have actually attempted to implement any of this - as others have - and found the problems.<br /><br />This should have all been sorted ages ago. <br /><br />The FINAL is just a symptom of a deeper malaise according to those I chat with.<br /><br />The overall delay just reeks Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90750217401542694372012-03-01T19:58:16.851+11:002012-03-01T19:58:16.851+11:00If the fact that NEHTA labelled a set of documents...If the fact that NEHTA labelled a set of documents "Final" when some of them weren't (and were clearly labelled as draft) is the whole story here are we not making mountains out of molehills?<br /><br />I would suspect that the reason it wasn't fixed was that no one noticed it and brought it to their attention.<br /><br />Did you?<br /><br />As an implementer I'd pretty muchAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-15255177202312374362012-03-01T19:46:26.705+11:002012-03-01T19:46:26.705+11:00The Exec Summary said the release was final. You a...The Exec Summary said the release was final. You are right they messed up!<br /><br />So why 14 months till this was corrected?<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-6882124597365454912012-03-01T19:43:27.644+11:002012-03-01T19:43:27.644+11:00Here is the heading of the Summary of the Whole Re...Here is the heading of the Summary of the Whole Release 14 months ago.<br /><br /><b>Executive Summary<br />Electronic Transfer of Prescription 1.1<br />Final</b><br /><br />As per the main document.<br /><br />DavidDr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71206419301199982772012-03-01T19:42:50.820+11:002012-03-01T19:42:50.820+11:00Ah, I see now - I've downloaded a few more of ...Ah, I see now - I've downloaded a few more of the documents. Some are marked "Final". But they are things like the requirements documents and the Structured Document Template (essentially a logical data model). The CDA Implementation Guide, which is what is to be implemented, was clearly marked as "Draft for Trial Implementation".<br /><br />So, clearly the whole suite Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64422163936882711232012-03-01T19:32:38.134+11:002012-03-01T19:32:38.134+11:00Where does it say on the ETP specs that they are f...Where does it say on the ETP specs that they are final? I just downloaded a random one from here: http://www.nehta.gov.au/e-communications-in-practice/emedication-management and it says the following on the title page: e-Prescription CDA Implementation Guide<br />Version 2.1 — 17 Dec 2010 <b>Draft for Trial Implementation</b> (my emphasis).<br /><br />Maybe I'm looking in the wrong place?<Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65876716994624929362012-03-01T18:21:56.420+11:002012-03-01T18:21:56.420+11:00Having declared the spec. Final 14 months ago - su...Having declared the spec. Final 14 months ago - suddenly it is back in draft again essentially and may be sorted by mid year with luck. Maybe they could have noticed a bit earlier that it was not OK?<br /><br />ETP has been underway since version 1.0 since a release (30/10/2009) and has been a NEHTA deliverable essentially from its inception.<br /><br />My problem is that this is all taking Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12575061631531303982012-03-01T18:02:20.985+11:002012-03-01T18:02:20.985+11:00reading the document from NEHTA, it basically stat...reading the document from NEHTA, it basically states that as the documents are entering into Standards Australia's ownership the original NEHTA documents should not be considered current.<br /><br />Seems fair enough to me, not sure why you would have an issue with this?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-88203106098346060452012-03-01T13:59:52.558+11:002012-03-01T13:59:52.558+11:00Perhaps the Victorian Coroner's Recommendation...Perhaps the Victorian Coroner's Recommendations on 15 February has focussed their attention on ETP.<br /><br /> * 518109 James (PDF 1.05MB)<br /><br />http://www.coronerscourt.vic.gov.au/home/case+findings/coroners2+-+findings+-+inquest+into+the+death+of+jamesAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91015541308470946822012-02-29T20:36:20.505+11:002012-02-29T20:36:20.505+11:00I wondered that myself. They are obviously referr...I wondered that myself. They are obviously referring to early implementers for the Electronic Transfer of Prescriptions. <br /><br />But surely that is not the Wave 1 or Wave 2 sites unless they have had their project scope and focus changed all of a sudden. <br /><br />Perhaps these early implementers have yet to be identified. That leads one to ask are these early implementers Software Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-43945666624127012492012-02-29T19:50:18.628+11:002012-02-29T19:50:18.628+11:00…….. early implementers … is mentioned three times...…….. early implementers … is mentioned three times. I find that very very interesting indeed.<br /><br />The most important question arising from the following Three statements that must be answered unambiguously and immediately if the statements are to have any credibility whatsoever is:<br />EXACTLY WHO ARE THESE EARLY IMPLEMENTERS?<br /><br />1. The documents numbered 10 to 13 in the above Anonymousnoreply@blogger.com