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Re:Epic Tells Customers It Will Stop Google Cloud Integrations by warent on Tuesday January 21, 2020 @04:23AM (#22105427)
They're not entirely tolerated fortunately. The US government has been taking action to tear down EHR walled gardens via the Cures Act[1] which is manifesting in public access APIs called FHIR.

[1] https://en.wikipedia.org/wiki/21st_Century_Cures_Act

Re:Epic Tells Customers It Will Stop Google Cloud Integrations by parasubvert on Tuesday January 21, 2020 @06:22AM (#22105946)
FHIR is nice but doesn’t completely reduce the complexity of integrating the underlying data itself considering the mess that is HL7 and mess that occurred with v3.

The situation is sort of like moving from SOAP+XML Schemas to REST/JSON. Easier to develop, but the underlying data structures are still extremely complicated and tricky to get right.

This is especially true when dealing with ancient systems written in niche languages/database hybrids (MUMPS comes to mind): https://en.m.wikipedia.org/wiki/MUMPS

Re:Epic Tells Customers It Will Stop Google Cloud Integrations by tomrod on Tuesday January 21, 2020 @09:07AM (#22106962)
Do you feel OMOP helps to resolve this?
Re:Epic Tells Customers It Will Stop Google Cloud Integrations by parasubvert on Tuesday January 21, 2020 @10:14AM (#22107593)
YES! If only people in healthcare IT would adopt things in years rather than decades...
Re:Epic Tells Customers It Will Stop Google Cloud Integrations by warent on Tuesday January 21, 2020 @03:53PM (#22111425)
Just a small correction my original post (better late than never). It's also (perhaps to a larger extent) due to the HITECH Act: https://en.wikipedia.org/wiki/Health_Information_Technology_...