Nashville Medical Trade Center and the Proposed Nashville Entrepreneur Center

Milt Capps reported on the Nashville Medical Trade Center and the proposed Nashville Entrepreneur Center here. Given today's technology I'd like to suggest that instead of building a PLACE it would be more strategic to offer a slate of SERVICES; specifically, those which would concentrate on the nexus of bioinformatics, cloud computing and distributed computing. With the recent gains in virtualization, the global build out of broadband, and the Obama Administration emphasis on healthcare, eHealth, medical devices and sensors, both the figurative and literal medical home, it seems there's an awful lot of emphasis on the part of executives to re-create an 1980 business model instead of looking ahead at the healthcare horizon. Nashville already has plenty of data centers to throw at this problem; a voucher system to pay for a computing services testbed while companies are bootstrapped is a more prudent first step — not to mention, tremendously less expensive to capitalize. Graduate studies at local higher education institutions, Internet2 and extant supercomputing capabilites at Oak Ridge should all be tapped first before other steps are taken.</ed.note>

Ken Rubin on Practical Guide to SOA in Healthcare

From SOA Consortium

The Practical Guide to SOA in Healthcare, an output of the Healthcare Services Specification Project (HSSP), is a collaborative work of the OMG Healthcare Task Force & Health Level 7 (HL7).
The goal of HSSP is to develop SOA specifications for health,
specifically defining healthcare business services to enable
interoperability between organizations across the health domain.

not a standard, the practical guide provides context and guidance for
healthcare IT organizations and professionals considering SOA. Using a
fictitious example, the practical guide presents an 8-step process to
establish a healthcare SOA, from enterprise architecture through
sustainment, and includes valuable lessons learned.

During his
talk, Rubin spoke of the current state of global healthcare, and
anticipated changes with the new U.S. administration and Health IT
programs. Walking through the practical guide, meeting attendees were
keenly interested in the healthcare function to service mapping and the
reference architecture. Rubin emphasized that the reference
architecture is a starting point for people to think about the problem,
and extend and amend for their own situations.

IHE IT Infrastructure Domain 2007-2008 Profiles Public Comment

John Moehrke, Principal Engineer: Interoperability and Security, GE Healthcare, writes:

The IHE IT Infrastructure domain has released for public comment their 2007-2008 profiles and white papers. This comment period closes July 13th. …Please feel free to comment to IHE.

You can find them at the IHE web site.

  • Web Services for IHE Transactions (Appendix V)
  • Retrieve Form for Data Capture (RFD)
  • Cross-Enterprise User Assertion (XUA)
  • Cross-Enterprise Document Sharing – b (XDS.b)
  • Cross Community Access (XCA)
  • Cross-Enterprise Document Sharing (XDS) Patient Identity Merge
  • XDS Affinity Domain Checklist White Paper
  • Can Medical Banking Connect the Healthcare IT Dots for Politicians?

    <ed.note>John Casillas testified today before the Office of the National Coordinator for Health Information Technology (ONC) American Health Information Community concerning the medical banking vision of a unified view and unified platform to connect EHR|PHR, real-time adjudication, Healthcare Savings Accounts, High Deductible Health Plans, Consumer Driven Healthcare. AHIC decided at its November 29, 2005 meeting to form workgroups in the following areas: biosurveillance, consumer empowerment, chronic care, and electronic health records. Subsequently, at the May 16, 2006 Community meeting, two additional groups were formed: the Biosurveillance Data Steering Group as a sub-workgroup within the Biosurveillance Workgroup (renamed Population Health and Clinical Care Connections Workgroup), and the Confidentiality, Privacy & Security Workgroup, which was created as a cross-cutting workgroup responsible for an issue relevant to all the workgroups. More recent, at the August 1, 2006, meeting, the Community formed the Quality Workgroup to address the need for the development of quality measures; and at the October 31, 2006, meeting, the Personalized Healthcare Workgroup was formed to develop and make recommendations on standards for interoperable integration of genomic test information into personal e-health records.</ed.note>

    Continue reading →