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They're not entirely tolerated fortunately. The US government has been taking action to tear down EHR walled gardens via the Cures Act[1] which is manifesting i
by warent 7y ago
They're not entirely tolerated fortunately. The US government has been taking action to tear down EHR walled gardens via the Cures Act[1] which is manifesting in public access APIs called FHIR.
[1] https://en.wikipedia.org/wiki/21st_Century_Cures_Act https://en.wikipedia.org/wiki/21st_Century_Cures_Act
- parasubvert 7y agoFHIR is nice but doesn’t completely reduce the complexity of integrating the underlying data itself considering the mess that is HL7 and mess that occurred with v3. The situation is sort of like moving from SOAP+XML Schemas to REST/JSON. Easier to develop, but the underlying data structures are still extremely complicated and tricky to get right. This is especially true when dealing with ancient systems written in niche languages/database hybrids (MUMPS comes to mind): https://en.m.wikipedia.org/wiki/MUMPS https://en.m.wikipedia.org/wiki/MUMPS
- tomrod 7y agoDo you feel OMOP helps to resolve this?
- parasubvert 7y agoYES! If only people in healthcare IT would adopt things in years rather than decades...
- warent 7y agoJust a small correction my original post (better late than never). It's also (perhaps to a larger extent) due to the HITECH Act: https://en.wikipedia.org/wiki/Health_Information_Technology_for_Economic_and_Clinical_Health_Act https://en.wikipedia.org/wiki/Health_Information_Technology_...