From: Graham Balin <[log in to unmask]>
>On Wed, 30 Dec 1998 13:03:35 -0000
>[log in to unmask] (Adrian Midgley) wrote:
>
>> In establishing an information economy in the NHS
>> THis is a recurring discussion and I think that one must go ahead
>> and put in the hardware layer.
>
>Sorry Midge, but am I missing a vital point here? When you say put in
>the hardware layer, are you assuming that there is going to be a
>software layer that is national, uniform and system independent? If such
>a system is in the offing, I agree with your premise.
NHS Electronic library.
Open.Gov
NIH Medline
WWW
email
ePACT as Java in Web browser
TextBase EMR
PCG administrative messaging and publishing on intranet/extranet/GP Net
Schedule+/Exchange/Outlook/Netscape Calendar/Lotus Notes groupworking tool
selected by PCG.
... more?
er, and I dare say there will be some proprietary clinical record database
engines presenting stuff as well, but that is a problem for individuals.
>Indeed. So if the software layer is not developed, does it make sense
>trying to train people to use a system with which they are not familiar,
>and which with past experience they think will probably change, and thus
>will not be conducive to motivation?
The software _standards_ are developed, and are essentially those of the
WWW. Plus a few renegade reference interfaces like eBNF and Oxford
Textbooks and so on, but these are expected to converge onto it.
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