This is the second in a series of posts (first, next, previous) in which I am exploring five key technology themes which will shape our work in the coming decade: The Emergence of the Individual Narrative;The Increasing Perfection of Information;The Primacy of Decision Contexts;The Realization of Rapid Solution Development;The Right-Sizing of Information Tools. In today's … Continue reading Five Key Technology Themes Which Will Shape the Coming Decade, Part 2: Emergence of the Individual Narrative
Category: On Interoperability
CONQUER Part 3: Flames from Agile Burning in the Back Office Light the Way
This is the third part of a series describing the Command, Notify, Query (CONQUER) distributed systems architecture: distributed systems are information tools enabling volitional entities in relationships of permission and obligation to achieve their ends via purposeful dialogs, communicated among software components proxying their wills, consisting of imperative, declarative, and interrogative sentences: commands, notifications, and … Continue reading CONQUER Part 3: Flames from Agile Burning in the Back Office Light the Way
CONQUER Part 2: The Will that Powers
This is the second part of a series describing the Command, Notify, Query (CONQUER) distributed systems architecture: distributed systems are information tools enabling volitional entities in relationships of permission and obligation to achieve their ends via purposeful dialogs, communicated among software components proxying their wills, consisting of imperative, declarative, and interrogative sentences: commands, notifications, and … Continue reading CONQUER Part 2: The Will that Powers
The CONQUER Architecture for Distributed Systems, Part 1 of Probably Too Many but Hopefully Just Enough
Some time between 2010 and 2013 I began thinking differently about integration, both among components of distributed applications and among distributed applications per se. I know the rough time span because I published an integration reference architecture here in 2010 that did not feature the new ideas, and one in 2013 that did - well, … Continue reading The CONQUER Architecture for Distributed Systems, Part 1 of Probably Too Many but Hopefully Just Enough
A Brief History of Healthcare Interoperabilty (with some thoughts on the future)
The word 'interoperability' as used the current national healthcare dialog has a nuanced meaning. Interoperability is generally defined as the ability of computer systems to readily exchange information. In health care today, however, Interoperability (capitalized hereafter when I am trying to distinguish it from the general sense of the word) more closely means something like … Continue reading A Brief History of Healthcare Interoperabilty (with some thoughts on the future)
Trusted Applications: an Interoperability Parable
Imagine you have to go to the Florida Blues Deerwood campus to pick up a copy of your significant other Sam's claims history. (I am picking on Florida Blues because Deerwood is a compound, you pretty much have to drive there, and there is an only-friendly-to-cars guard gate. What follows is fiction, not what actually … Continue reading Trusted Applications: an Interoperability Parable
Interoperability is Not About Moving Data Around
The national dialog about Interoperability is currently based on a shared conceptualization of interoperability as 'moving data around'. This is common across the standard definitions of interoperability from ONC, HIMSS, CMS and other authoritative sources. The original Blue Button was - is - about moving your entire health record from their computer to your computer. … Continue reading Interoperability is Not About Moving Data Around
Join a Trusted Payer Exchange Network Framework. What?
CMS has inadvertently sown some confusion around what are now in my experience mostly being called 'Trusted Payer Exchanges' – the things that MA plans, Medicaid managed care plans, CHIP managed care entities, and QHPs in the FFEs will be required to join. (‘QHPs in the FFEs’ begs to be rapped – somebody give me … Continue reading Join a Trusted Payer Exchange Network Framework. What?
Health IT Architect 