David Kelton pointed me to this new open source HL7 processing framework called Mirth. I haven’t tried it out yet but it’s pedigree, design, platform, and architecture looks really good at first glance. Here’s how they describe the tool: Mirth is an open source cross-platform HL7 interface engine that enables bi-directional sending of HL7 messages between systems and applications over multiple transports. By utilizing an enterprise service bus framework and a channel-based architecture, Mirth allows messages to be filtered, transformed, and routed based on user-defined rules.

Over the past few months I’ve been approached by many startups to comment on their ideas and products. I love doing product reviews, especially for startups, because I’ve been an entrepreneur for years and I can’t help but offer advice (even when I’m not asked). Some of the common themes I’ve shared are listed here. Many of you are potential buyers of health IT startup products — what would you tell them?

Check out the latest Axure RP prototyping software. Here’s what they claim you can do with it (from their website): Rapidly create wireframes in a drag and drop environment with easy to use, time-saving features. Generate HTML prototypes that clearly demonstrate the design and function in popular browsers. Generate specifications documenting the design in a professional, easy to read Word format.

I attended the Certifcation Commission for Healthcare Information Technology (CCHIT) Town Call for IT folks today and it was pretty useful. I’m still not convinced that CCHIT Certification will be truly useful for end users for some years, but I do think it is a good start to do something others aren’t doing yet to establish a “minimum standard” that vendors need to meet. Just as an FDA certification of a medical device doesn’t always mean that a device is suitable for all purposes, a CCHIT certification won’t always say whether something is the right product for a particular purpose, just that it meets minimum requirements.

A virtual machine with pre-installed healthcare IT software/systems is something I’ve been looking forward to for a while. Closed source as well as open-source software based on technology from VMWare, Inc. would allow saving hours or even days of effort often required in installing healthcare IT software. Healthcare IT vendors should use VMware’s new virtual appliance software to create free downloadable zip files that contains a virtual machine (VM) with pre-installed software like MedSphere, VISTA, and similar software.

I recently came across the Dabble DB Web 2.0 service and feel it’s a great replacement for all those MS Excel, MS Access, and FileMaker databases we have sitting around our hospitals and offices. They say: Dabble DB combines the best of group spreadsheets, custom databases, and intranet web applications into a new way to manage and share your information on the web. But, that description doesn’t really do it justice.

I started the HITSphere health IT blog aggregation engine and community with about 8 feeds just six months ago. It all started as my personal “dynamic blogroll” because I wanted to have a single page where I could scan what was going on in the health IT blogosphere. Throughout the past couple of months many more blogs have been nominated and accepted for display on the main page and even more inside the Community pages.

I just received an invitiation to the 2006 Systems Engineering Initiative in Patient Safety (SEIPS) Short Course on Human Factors Engineering (HFE) and Patient Safety. They could use a shorter name but it seems the course should be pretty interesting and I may try and attend if time permits. Here are the topics that will be covered: Human Factors Engineering Sociotechnical Systems and Macgroergonomics Design of the Physical Environment and Ergonomics Cognitive Ergonomics Usability of Technology Impact of HIT on Patient Care Process They describe the course as:

In case you haven’t seen it already, the OMB’s new Federal Transition Framework (FTF) is an excellent approach to creating architecture governance documentation. I’ve been working with federal agencies on various enterprrise architecture (EA) initiatives for several years now and one of the problems we’ve always had has been communicating what the initiatives are, why they are important, how strategic or tactical they are, how they should be scheduled, etc.

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