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<< start of forwarded material >> Date: Wed, 9 Oct 1996 23:02:49 +0100 To: [log in to unmask] From: Gerard Freriks <[log in to unmask]> Subject: Re: Internet-based medical records Cc: Bcc: X-Attachments: At 13:44 +0000 on 09-10-1996, Pete Mitchell wrote: > In message <[log in to unmask]> Rob Tweed writes: > >On Wed, 09 Oct 1996 09:49:15 +0100, you wrote: > > > >>> What I would need to be able to do is submit a request to the > >>> directory service with some reasonably uniquely identifying attribute > >>> of my patient (New NHS Number ?), and receive back a list of the > >>> locations where record fragments for that individual are stored > >> > >Strikes me, therefore, the technology is here to support this kind of > >approach, and is in line with your overall thinking, not at odds > >unless there's something I'm missing or you have a better underlying > >technical approach/solution/model to suggest..... ? > > > > The Americans have been wrestling with this problem for some time, as > you might expect given their highly fragmented healthcare system. > The health IT industry has set up an alliance to develop what they > call a 'virtual master patient index' using distributed CORBA > techniques (yes folks it's OAT - obscure acronym time). CORBA: Common Object Request Broker Architecture It is a piece of system level software which plays a part in futuristic things like: Writing a objectoriented piece of software in language a, using an other piece written and compiled using language B, all written for operating system XX and then using a program written for operating system YY and running on a computer on an other continent and at the same time giving the inpression to the user that he is using one machine/system. It is a fantastic piece of transparant glue-software to be found underneath OpenDoc from Apple and eventaly OLE by Microsoft. Bye the way it is not futuristic it is real. But not so many software applications are using it. Perhaps my explanation is 100% correct but this is how I visualise it since 1993. << end of forwarded material >> Gerard Freriks,huisarts, MD C. Sterrenburgstr 54 3151JG Hoek van Holland the Netherlands (31) 174-384296/ Fax: -386249 ARS LONGA, VITA BREVIS %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%