3 ms·

Antiquated? but HL7 is XML!!! ;) The barriers to entry are pretty high just to have a baseline solution, and then you have to figure out how to reach the few pe

Antiquated? but HL7 is XML!!! ;) The barriers to entry are pretty high just to have a baseline solution, and then you have to figure out how to reach the few people that have decision making authority to implement this kind of system. A lot of interesting things were discussed at HIMSS, very exciting things are happening in this space.

rdl 17y ago
I work with DICOM more than HL7. DICOM is very frustrating, especially because the task it tries to solve could be so easily done. I think DICOM-related products (an open stack for equipment vendors, various PACS and other tools, etc.) would be easy projects to get to baseline.
nradov 17y ago
In particular, anyone who wants to sell a complete EHR product will generally need CCHIT certification. That isn't easy or cheap even if you have smart developers and good tools. http://www.cchit.org/certify/2011/cchit-certified-2011-ambulatory-ehr http://www.cchit.org/certify/2011/cchit-certified-2011-ambul...
- rdl 17y ago
  I heard this was about $500k in additional cost and maybe +6mo, starting from a reasonable technical basis, which doesn't seem that bad. There's also the "sell it outside the USA, then sell inside the USA" model.
  - iends 17y ago
    I don't think this is true. The initial certification is ~$28k and the auditors just watch you demonstrate the list of criteria. Sure, there are interoperability requirements (and other requirements such as drug interactions) that may take some time to implement, but all of these requirements are simply features that many of your competitors have anyway.
- iends 17y ago
  Hopefully this is not the case. With the interim final rule all but ignoring CCHIT (http://edocket.access.gpo.gov/2010/E9-31216.htm http://edocket.access.gpo.gov/2010/E9-31216.htm) there is hope that somebody comes up with a real certification rather than a list of functional requirements for EHRs.
  - nradov 17y ago
    The regulation can't specifically delegate certification authority to a single private organization, but it is highly likely that CCHIT will end up being one of the certifying bodies. HHS may include other organizations as certifying bodies but I don't think anyone has really stepped forward yet with a complete proposal.

rdl 17y ago

I work with DICOM more than HL7. DICOM is very frustrating, especially because the task it tries to solve could be so easily done. I think DICOM-related products (an open stack for equipment vendors, various PACS and other tools, etc.) would be easy projects to get to baseline.

nradov 17y ago

In particular, anyone who wants to sell a complete EHR product will generally need CCHIT certification. That isn't easy or cheap even if you have smart developers and good tools. http://www.cchit.org/certify/2011/cchit-certified-2011-ambulatory-ehr http://www.cchit.org/certify/2011/cchit-certified-2011-ambul...

rdl 17y ago
I heard this was about $500k in additional cost and maybe +6mo, starting from a reasonable technical basis, which doesn't seem that bad. There's also the "sell it outside the USA, then sell inside the USA" model.
- iends 17y ago
  I don't think this is true. The initial certification is ~$28k and the auditors just watch you demonstrate the list of criteria. Sure, there are interoperability requirements (and other requirements such as drug interactions) that may take some time to implement, but all of these requirements are simply features that many of your competitors have anyway.
iends 17y ago
Hopefully this is not the case. With the interim final rule all but ignoring CCHIT (http://edocket.access.gpo.gov/2010/E9-31216.htm http://edocket.access.gpo.gov/2010/E9-31216.htm) there is hope that somebody comes up with a real certification rather than a list of functional requirements for EHRs.
- nradov 17y ago
  The regulation can't specifically delegate certification authority to a single private organization, but it is highly likely that CCHIT will end up being one of the certifying bodies. HHS may include other organizations as certifying bodies but I don't think anyone has really stepped forward yet with a complete proposal.