What is so interesting about this podcast is the way that fundamental technology and architecture decisions are determined by political and medical culture.
Federated trust relationships; SOA. 'In New England it is illegal for a clinician to gather information from other systems even if the patient has given consent.'
Opt-in - Patients are asked if they want to opt -in to data sharing. 96% of patients have agreed to share data within their local community. 40,000 patients; 10 patients a month run a security sudit on their data. Idea of patient as steward of their own data - very new in the US. (and the UK).
Continuity of Care Document - basic information in a transportable way. Commission for Certification of Healthcare Technology.
Outcomes measurement is an opportunity.
Semantic agreements work going on. Avoiding getting bogged down in taxonomy perfection.
ahic in google
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