By Keith Boone – I often hear the complaint (about CDA documents) that: I just want to see … At the ONC meeting recently, a provider remarked that in order to understand what was happening for a patient a provider read through 18 hundred pages of CCDA documents.
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By Keith Boone – One of the challenges for any organization when working with standards is that there are so many to choose from. For many years I had the luxury of being in a position that was nearly entirely devoted to the creation, tracking, management and leadership in standards development.
By Keith Boone – This question comes up from time to time. For a given patient, how is there a unique identifier which uniquely identifies the CCD for the patient as it evolves over time. The answer is no, but to understand that, we need to talk a little bit about identifiers in CDA and how they were intended to be used.
By Keith Boone – I had a recent experience where I saw a feature one team was demonstrating in which I could actually integrate one of my interop components to supply additional functionality.
By Keith Boone – One of the challenges of meaningful use is in how it has diverted attention from other uses of standards that could have value. Use of the Unstructured Document template provides one such example.
By Keith Boone – This is definitely one of those cases that most people will likely miss unless it is explicitly called out, so here I go. Within the recently released MIPS/MACRA proposed regulations (which I call NuMu for reasons that should be readily apparent), CMS indicates that the legislation (law not regulation!) says:
By Keith Boone – One recent concern about FHIR that has crossed several different list servers recently is that of making patient health data more readily hackable. In one scenario, the concern goes: If we make patient data more accessible via FHIR, that will also make it more likely to be hacked. Another scenario goes:
By Keith Boone – You can find many different versions of five rights in healthcare. What are the five rights for interoperability? I would argue for these five:
By Keith Boone – Definitions of interoperability surround us, but all the attention in the world to definitions make very little difference in the end. I have a theory that people will believe two systems are interoperable when they can observe that the systems work together in simple ways with little to no effort, and in complex ways with some effort.