Sphere: Related Content
The discussion centered around the fact that it is very difficult to move information between systems. The challenge is the lack of standards. The various PHR and EMR systems don't talk to one another. This got me thinking. The health care industry needs to take some lessons from the library community and establish some data standards.
Libraries got over the hump from a paper-based to an electronic catalog in part since we had two tools to work from; AACR and MARC. AACR covers the description of, and the provision of access points for, all library materials. MARC provides the protocol by which computers exchange, use, and interpret bibliographic information and is responsible for the foundation of the online catalogs we have today. Add on top of this Z39.50 like functionality and we have a basis for a PHR system which could do what it is envisioned to do; harvest and syndicate content between other records systems.
There is, however, a bigger challenge. As I bounced this concept off of a CIO of a major academic medical center, they said those standards are in place. They have SNOMED.
The librarians out there will immediately see the problem with the response. For the CIOs out there, well, please have your librarian explain it to you.