We recently posted a slide show with mobile applications CIOs have told us they find useful and, in some cases, effective stress relievers.  I want to make the slide show a living document, so I’m asking you to let me know what applications you’re using for business and pleasure. You can e-mail me at greg.gillespie@sourcemedia.com and I’ll add them to our list.

The first iteration of the slide show focused on iPhone and iPad apps, but feel free to send me mobile software you’re using on the other platforms on the market. 


I’m not surprised Rob Tholemeier’s recent blog post on XML generated a lot of discussion. Those in the data exchange trenches are pretty passionate about that topic, and this is a time to show some passion. The President’s Council of Advisors on Science and Technology has thrown the industry a curveball by recommending a “universal exchange” language be developed for health care, and National HIT Coordinator David Blumenthal, M.D., indicated the advice is being taken seriously.

I recently interviewed John Mattison, M.D., CMIO at Kaiser Permanente, to profile him for being one of six recipients of our EHR Game Changers Awards. One topic that gets John’s motor running is clinical documentation architecture and the need for semantic interoperability of health data.

He says a big concern of his is that many health I.T. leaders have seen the profound success of HTML and the Internet and have the misconception that health data exchange should be conducted using the relatively flat semantic representations that HTML offers.

And that’s way off base, in his opinion. “That line of thinking is dangerous because it doesn’t take into account the precision and granularity needed for health data. We have to have 100 percent confidence that the data we send is being interpreted exactly as we intended. A confidence level of 98 percent is simply not good enough in so many care scenarios.”

The solution, John says, is the development of an XML-based clinical documentation architecture. He considers Kaiser’s Convergent Medical Terminology, built on those principles, as one of the health system’s crowning achievements. Kaiser has donated CMT to the International Healthcare Terminology Standards Development Organization in Copenhagen, which owns SNOMED and will distribute CMT for free across the United States through the Department of Health and Human Services.



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