By Keith Boone – As I think about various models for communicating data to public health agencies, I keep thinking about a federated model, where hospitals push to their local public health network, and the local public health authorities then push data upwards to state and federal agencies.Read More
By Keith Boone – A very long time ago (at the beginning of my career in HealthIT), I got to do some really cool work on the front end and processing infrastructure for a set of machine learning and linguistic services that would automatically extract problems…
By Keith Boone – A dozen years ago, there were 200 people deeply involved in Interoperability programs in the US. I recently attended the third annual Interoperability Forum hosted by ONC, and I can safely say that there are at least 1000 people deeply involved in Interoperability programs.
By Keith Boone – Most of the interoperability problems we have today can be readily solved. All we have to do is replace the systems we already have in place with newer better technology. Does that sound like a familiar strategy?
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.
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 – 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: