There Was A Webinar On The Specification Problems With the PCEHR Today. Some Interesting Things Emerged.

The webinar ran between 8:30 and about 9:30. If things follow the usual pattern there will be audio and slides available from this link in due course.
I will let people listen for themselves if they want to understand all the details.
At a high level I came away with the following impressions from the reports I have heard.
1. The key issue is around 5 CDA Implementation Guides for such clinical documents as clinical letters, referrals and so on which are faulty and need to be revised and made ‘error free’.
2. There are some major issues between NEHTA and DoHA which are causing all sorts of problems and it is felt that unless things are got back on track fast there is an existential threat to the whole program.
3. Those who were building to the (old) specifications are pretty grumpy.
4. Astonishingly the CDA specifications were not tested via a ‘CDA Validation Program’ to ensure it was correct. Pretty basic stuff. The suggestion was made was that this was all due to the haste to meet various political deadlines
5. The documentation that shows what has been done to attest to the clinical safety of the specification releases is just not available. It has been developed but no one can know what is says. Struth!
6. There is a lot of unhappiness about the way the press knew what was going on with the problems before those actually involved in the program. NEHTA's media management really messed this up it would seem!
I leave it to readers to assess the chances of anything good coming from this program anytime soon!
David.

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