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| HealthVault: Abusing vs Implementing Standards |
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 Posted by Ignacio H. Valdes, MD, MS on Sunday October 21, 2007 @ 10:40 PM
from the interesting-developments dept.
Fred Trotter has a critique of HealthVault: '...Microsoft is famous for incorrectly implementing standards and creating new incompatible dialects. Microsoft has done this even when it goes in the face of a previously strong standard. Then they use their monopoly position to push adoption of their own dialect of a standard. Adoption of the Microsoft dialect then increases the reach and influence of the Microsoft monopoly, which increases Microsoft’s ability to enforce their own dialects, etc etc. If you have no idea what I am talking about then Google for the history of Microsoft’s implementations of Java, Kerberos and Javascript.
Not only has Microsoft not committed to implementing and not abusing a standard import and export format, it is making moves to create a proprietary standard in the place of CCR. HealthVault already has a MSDN page where you can learn how to “interface” with the Microsoft PHR. Microsoft intends to create a community of “Programs” within Healthvault by which third parties can further process medical data. Those programs will interface with Healthvault in a fashion that will create a “de facto standard” that Microsoft will abuse...'
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Re: HealthVault: Abusing vs Implementing Standards
by John Norris on Monday October 22, 2007 @ 12:42 AM
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| I think we need to be on the look-out for MS perchance to embrace and extend...taking a standard and adding their own proprietary bits.
This caution should be true of developer not obliged by a license to share. I'll leave the counter-argument concerning the protection of innovation as an exercise for the reader :-)
Embrace and Extend on Wikipedia.
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Re: HealthVault: Abusing vs Implementing Standards
by Dr. Sanjay M. Udoshi on Monday October 22, 2007 @ 09:04 AM
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I agree completely. I am very surprised that MS has launched this ahead of Google's efforts in the same space. Google has been working on a truly standards compliant (CCR based) PHR for the last three years, and I think that MS (in light of recent consumer failures to thrive - like the Zune, Vista, and a multitude of others) wanted to be the "first out the gate" with something! This was their chance, and I strongly feel that it will fail. In a recent post on LMN, the concept of the lifetime personal health record by Dossia was elucidated, and at first glance, it seems they already have traction based on the support of very large employers in the corporate world. The PHR is here, it has been in development for at least the last 5 years as an adjunct to the EHR, and yet again MS has misjudged the market. MS is increasingly becoming irrelevant to the innovative edge of technology. Everywhere you look, in both pro-sumer and consumer markets, MS is being trumped. Instead of examining their failures (IMHO, a direct result of 2 decade old thinking on proprietary technology), the continue to employ the same insular tactics. With Google, JBoss, RedHat, Sun, and a myriad of others flourishing on OSS, it seems their scotoma is leading to complete and utter blindness. The light of hope comes from the fact that they have failed in so many other market realms over the last decade, and so I feel they will fail at this as well...
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Re: HealthVault: Abusing vs Implementing Standards
by Paul Biondich on Saturday October 27, 2007 @ 05:20 AM
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It's a misnomer to say that Google Health adopted the CCR.
They had to modify it for the same reasons that HL7 suggested the CCR work within the auspices of the CDA.
The hybrid CCR is called the CCR-G.
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