tag:blogger.com,1999:blog-4384692836709903146.post6853660825834008764..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: The September HIT Standards Committee MeetingJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4384692836709903146.post-47119291676547914182011-09-29T12:15:01.107-07:002011-09-29T12:15:01.107-07:00It is great to see a recommendation coming from Di...It is great to see a recommendation coming from Dixie Baker regarding the necessity of creating a REST/OAuth/TLS exchange pattern. For this, I would like to bring your attention to hData, which has been pioneering the application of common web technologies and architectures (including REST & OAuth) to the health IT domain. <br /><br />The two component hData specifications (HRF and REST Binding) and recently passed HL7 DSTU ballot/OMG DTC vote, and are currently available as peer-reviewed draft standards <a href="http://www.hl7.org/v3ballot/html/infrastructure/hdata/hdatadf.html" rel="nofollow">here</a> and <a href="http://doc.omg.org/health/11-09-04/" rel="nofollow">here</a>. <br /><br />Shameless plug: Note that these specs have not been finalized, and that - right now - would be a great time to engage in a discussion. In fact, any help is always appreciated.Gerald Beuchelthttp://projecthdata.org/noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-35460060972607659082011-09-29T07:31:32.975-07:002011-09-29T07:31:32.975-07:00I always look forward to your summaries of these m...I always look forward to your summaries of these meetings, you and Jonathan had a huge task to control this meeting. <br /><br />I think you have underreported the vigorous discussion around the assessment on NwHIN-Exchange. There was strong positive support voiced by many members of the committee. Jamie Furgenson (Kaiser), Chris Chute (Mayo), and Tim Cronwall (VA). All pointing out that they are going forward with Exchange, and that it is not hard. They use available tools such as CONNECT and OHT. Note that Stan Huff(Inter-Mountain) and James Walker (Geisenger) could have said the same, but I think they simply were not present. This is 5 members of the committee that are committed to using Exchange; clear support.<br /><br />The only detractors I have heard are the immaturity of ONE specification that uses XACML. This one specification is not a formal specification. It is a first draft. It is not implemented. It is not critical. It should not have been included in the assessment.<br /><br />The discussion about layers during the power team meeting was seen as a positive. The use of layers is a design principle used to deal with complex problems. Yet during the HITSC meeting, layers were presented as a bad thing. <br /><br />Direct has few layers, because they have pushed the hard problems into policy/process - meaning humans must handle the hard things. Exchange has provided technical solutions, and this is somehow seen as bad. <br /><br />Please see many positive and constructive comments placed on twitter by a large community including myself http://twitter.com/#!/search/realtime/%23HITSCJohn Moehrkehttps://www.blogger.com/profile/04526719420117446030noreply@blogger.com