But what about the other servers the emails pass through on the way to the destination? I don't think TLS will apply to those servers so the email isn't secured?
I agree. Unfortunately, most people don't like pointing sticks... strange, once you get used to it its SOOO much faster than a touch pad (which I still can't use well)
Just small correction. I would say that if Android is an open system, you don't hack it:) iPhone related might qualify as hacking, but Android is not being *hacked* it is being used in the open design as Google intended.
I'm very happy for you, that you've never made a single careless mistake in your life. However, please do try to have a little mercy on those of us who are merely human, especially when we're honest enough to admit it.
Thanks! It took barely any amount of work and effort, but I have not made one stupid careless mistake in my life!
Ars technica just dropped in my book. The writer couldn't pay enough attention to avoid a phishing scam?? Wonder how much attention he gives to his reviews and news items...
Correct, it is not really an encounter, but it is not the entire medical record. CCR was designed as a way for clinicians to share information about a specific incident/episode of care and not the entire medical record. I sort of think of it as a new "medical document" (i.e. just as problem list is another document type), rather than a real data exchange mechanism.
"The CCD is in effect a CCR implementation within HL7's Clinical Document Architecture. The CCD was approved by HL7 in January. HL7 has since dropped work on its own Care Record Summary."
You should also check out this critical review of the CCR and CDA. They authors claim that the CCR v1a (which I called v2 in my prior post) is very complicated and not at all a step in the right direction. Interesting read:
One big problem is the VA system is designed for and by the VA. I went to the VA Vista booth at HIMSS and asked the attendant what they did to fix or handle the single payer mechanism in VA Vista, he said "uh, what's a single payer system?"
That's the problem. It is built for a military hospital, not a real world hospital, and shows in all aspects of the system (not just it's severely limited billing module).
My understanding is that the first version of CCR was easy to use and wonderfully focused on the needs of clinicians wanting to exchange data for the CURRENT encounter. The second version where they tried to make it as powerful as CDA made it a royal pain in the ass to use.
In any case, thankfully the powers that be (i.e. the two separate groups making CDA and CCR) came up with a new combined standard called CCD which is essentially the CCR record packaged into a format that the CDA carries.
I am surprised you're not moving to use the new CCD rather than the soon to be defunct CCR.
Mac for the desktop and Linux for the server room.
I remember reading on slashdot several years ago about a network security idea to scrap all this firewall gateway etc stuff and just implement a secure desktop (i.e. with almost no open ports other than 80 and 443).
I believe that x86 already has many of the benefits of RISC chips incorporated into them. Way back in 1995 http://en.wikipedia.org/wiki/X86#Chronology.Intel added to the Pentium Pro a RISC core. From the Wiki article, "During execution, current x86 processors employ a few extra decoding steps to split most instructions into smaller pieces, micro-ops, which are readily executed by a micro-architecture that could be (simplistically) described as a RISC-machine without the usual load/store limitations."
As for PowerPC Macs, I doubt it. The switch to Intel is what made most new Mac users switch because there was no longer a risk of not being able to run the one Windoze program they might need. If Mac ever went to a non-mainstream CPU again it would be a big big mistake.
A refurb Mac can be purchased (depending on model) for as little as $489.
A license for VMWare Workstation is $189 A license for OS X could be $129
Total License Cost Estimate = $318
Difference = $129
A company can't afford $129??
Hardware cost is not an issue. It is the work involved with moving the application to OS X, that's the problem. I see little reason to support a virtual environment based on your reasoning. I do have other ideas as to why to support virtualization, but I won't go into it in this post.
so I change "nvidia" to "ati" in xorg.conf, type: startx,
And that is the problem with Linux. What non-nerd user wants to do or even would know how to do this sort of thing? Heck, I am a nerd and if I switch my desktop to a Unix OS I am going to just get a Mac.
I ride Acela (amtrak's NE corridor service) ALL the time between Boston-NYC-DC. I have NEVER seen bench seating in 8 years of travel. I have never seen bench style seating in any Amtrak car ever...
The cars on Acela are really nice, clean, have plenty of room, and even real electric sockets for laptops.
Cell phone use is not bad. I rarely get someone rude. AND if i don't like cell phone noise there are QUIET CARS available where cell phone use is not allowed.
Amtrak does have frequent problems with staying on schedule
So, with that said, I don't believe you travel Acela .
Exactly. You're not a complainer. But look at the rest of the comments here...i was addressing those people. I actually think there should be two types of planes, one for super cheap and the other that are more (not crazy different in pricing the way business class tickets are for NO reason other than airlines can get the $3000 RT) and have better service.
Well, people who complain about how awful it is to fly should look into the mirror (and maybe Jimmy Carter for deregulating the airline industry) for the cause. When was the last time you shopped for an airline ticket where the cost was not the main driver in your selection? Even if it is $5 less, most people will select the $5 cheaper carrier.
If you want things to change, support the airlines that are providing higher quality service for a bit more money. For example:
1)Are you supporting the new Economy Plus section offered by some airlines? Usually these are only $100-200 more than a normal economy ticket.
2)Are you trying the new low-cost business-class only airlines? Some are about $1600 round trip to Europe.
You want things to get better stop complaining and put your money where your mouth is and don't support the cheap crappy carriers (I am looking at you Southwest).
Slashdot Mirror
But what about the other servers the emails pass through on the way to the destination? I don't think TLS will apply to those servers so the email isn't secured?
I agree. Unfortunately, most people don't like pointing sticks... strange, once you get used to it its SOOO much faster than a touch pad (which I still can't use well)
Just small correction. I would say that if Android is an open system, you don't hack it :) iPhone related might qualify as hacking, but Android is not being *hacked* it is being used in the open design as Google intended.
Thanks! It took barely any amount of work and effort, but I have not made one stupid careless mistake in my life!
Wait, shoot... there goes that streak...
I actually responded to your post.Shlt!
Ars technica just dropped in my book. The writer couldn't pay enough attention to avoid a phishing scam?? Wonder how much attention he gives to his reviews and news items...
So what you're suggesting is that Microsoft tools are so good they are addictive! :)
They are switching to Macs over Linux because:
1) Most of the apps they use on Windoze now exist on the Mac -- Office, Photoshop, etc
2) Macs are easier to use than Linux desktops. And they have incredible support via applecare.
Correct, it is not really an encounter, but it is not the entire medical record. CCR was designed as a way for clinicians to share information about a specific incident/episode of care and not the entire medical record. I sort of think of it as a new "medical document" (i.e. just as problem list is another document type), rather than a real data exchange mechanism.
As for CCD being an abysmal failure, I think you may be incorrect. CCD was just approved by HITSP and is moving forward. From article http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20071023/FREE/310230003/0/FRONTPAGE
"The CCD is in effect a CCR implementation within HL7's Clinical Document Architecture. The CCD was approved by HL7 in January. HL7 has since dropped work on its own Care Record Summary."
Check john halamka's blog reviews HITSP approval for CCD:
http://geekdoctor.blogspot.com/2007/12/standards-for-personal-health-records.html
You should also check out this critical review of the CCR and CDA. They authors claim that the CCR v1a (which I called v2 in my prior post) is very complicated and not at all a step in the right direction. Interesting read:
http://www.jamia.org/cgi/content/full/13/3/245?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&author1=Hammond&andorexacttitle=and&titleabstract=ccr&andorexacttitleabs=and&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&fdate=1/1/1997&tdate=1/31/2007&resourcetype=HWCIT,HWELTR
One big problem is the VA system is designed for and by the VA. I went to the VA Vista booth at HIMSS and asked the attendant what they did to fix or handle the single payer mechanism in VA Vista, he said "uh, what's a single payer system?"
That's the problem. It is built for a military hospital, not a real world hospital, and shows in all aspects of the system (not just it's severely limited billing module).
My understanding is that the first version of CCR was easy to use and wonderfully focused on the needs of clinicians wanting to exchange data for the CURRENT encounter. The second version where they tried to make it as powerful as CDA made it a royal pain in the ass to use.
In any case, thankfully the powers that be (i.e. the two separate groups making CDA and CCR) came up with a new combined standard called CCD which is essentially the CCR record packaged into a format that the CDA carries.
I am surprised you're not moving to use the new CCD rather than the soon to be defunct CCR.
Did you actually think that was a funny comment?
Ah, you are an AC post... likely not.
Are you implying Bill Gates et al. are supermen?
No matter how much you polish a turd, it's still a turd..
Mac for the desktop and Linux for the server room.
I remember reading on slashdot several years ago about a network security idea to scrap all this firewall gateway etc stuff and just implement a secure desktop (i.e. with almost no open ports other than 80 and 443).
In many ways, it makes sense to me.
I believe that x86 already has many of the benefits of RISC chips incorporated into them. Way back in 1995 http://en.wikipedia.org/wiki/X86#Chronology.Intel added to the Pentium Pro a RISC core. From the Wiki article, "During execution, current x86 processors employ a few extra decoding steps to split most instructions into smaller pieces, micro-ops, which are readily executed by a micro-architecture that could be (simplistically) described as a RISC-machine without the usual load/store limitations."
As for PowerPC Macs, I doubt it. The switch to Intel is what made most new Mac users switch because there was no longer a risk of not being able to run the one Windoze program they might need. If Mac ever went to a non-mainstream CPU again it would be a big big mistake.
As subject says, MS announced their HealthVault which isn't even built yet!!
A refurb Mac can be purchased (depending on model) for as little as $489.
A license for VMWare Workstation is $189
A license for OS X could be $129
Total License Cost Estimate = $318
Difference = $129
A company can't afford $129??
Hardware cost is not an issue. It is the work involved with moving the application to OS X, that's the problem. I see little reason to support a virtual environment based on your reasoning. I do have other ideas as to why to support virtualization, but I won't go into it in this post.
Well put. You're about to get slashdot slammed now of course :)
And that is the problem with Linux. What non-nerd user wants to do or even would know how to do this sort of thing?
Heck, I am a nerd and if I switch my desktop to a Unix OS I am going to just get a Mac.
And you sound like someone who isn't successful enough to own a Z8 and is bitter. lol. :D
Yes. That is the Economy Plus service I referred to in my original post.
Huh? I call shenangens.
I ride Acela (amtrak's NE corridor service) ALL the time between Boston-NYC-DC. I have NEVER seen bench seating in 8 years of travel. I have never seen bench style seating in any Amtrak car ever...
The cars on Acela are really nice, clean, have plenty of room, and even real electric sockets for laptops.
Cell phone use is not bad. I rarely get someone rude. AND if i don't like cell phone noise there are QUIET CARS available where cell phone use is not allowed.
Amtrak does have frequent problems with staying on schedule
So, with that said, I don't believe you travel Acela .
Exactly. You're not a complainer. But look at the rest of the comments here...i was addressing those people. I actually think there should be two types of planes, one for super cheap and the other that are more (not crazy different in pricing the way business class tickets are for NO reason other than airlines can get the $3000 RT) and have better service.
actually, I think two weeks is the best range. I have found tickets more expensive 3+ weeks out than 2 weeks out.
Well, people who complain about how awful it is to fly should look into the mirror (and maybe Jimmy Carter for deregulating the airline industry) for the cause. When was the last time you shopped for an airline ticket where the cost was not the main driver in your selection? Even if it is $5 less, most people will select the $5 cheaper carrier.
If you want things to change, support the airlines that are providing higher quality service for a bit more money. For example:
1)Are you supporting the new Economy Plus section offered by some airlines? Usually these are only $100-200 more than a normal economy ticket.
2)Are you trying the new low-cost business-class only airlines? Some are about $1600 round trip to Europe.
You want things to get better stop complaining and put your money where your mouth is and don't support the cheap crappy carriers (I am looking at you Southwest).