For discussion on algebra behind Universal healthcare Interoperability :- Discussion by Dr. Barry Robson who has pioneered in computational biology; developed Quantitative Semantic Algebra to realize Probabilistic Ontology to solve large systems riddled by complexity and afflicted by uncertainties.
On Tom Munnecke’s blog discussion
Dear Chuck I’m using this informal salutation in honor of your status as one of the fathers of VistA, I was impressed with your concise and accurate
Extract from Tom Munnecke’s blog below observation vital to achieve universal healthcare interoperability; such that they eventually enable Evidence Based Medicine (EBM) and Pharmacogenomics which transform the healthcare to evidence based and into personalized healthcare delivery. The mechanism of interoperability across the heathcare actors:- providers, payers, pharma etc and also working across numerous data standards is achieved by weaving together probabilistic inference, linguistic semantics, inference engine, machine learning etc driven by algebric mathematical underpinning. Most importantly the probabilistic ontology achieved by algebriac mathematics developing capabilities beyond RDF / OWL creates opportunities for studies such as Complex Adaptive System, which together with EBM allows for systemic studies ensuring efficiency in healthcare management and efficacy in healthcare delivery.
From Tom’s Munnecke’s posting:-
<. This is equivalent to building a ladder, rather than trying to get out of a hole by digging deeper. The current approach throws away the conceptual integrity that made VistA such a success, replacing it with an “aircraft carrier” mentality that obliterates the ethos that drove VistA’s success. The President’s Council of Advisors on Science and Technology published a health IT study that a great job of describing some of the foundations of this metadata approach, and treating Health IT as a “language” problem, not an “interface.” This is a very nuanced difference, but think of how easy it is to link an Amazon.com book reference to a Twitter post: you simply drag the URL of the book to Twitter, and press send. You do not need to interface Twitter to Amazon, or use the “Book reference nomenclature standard,” etc. It is simply an intrinsic property of the information space. Similarly, we could build a healthinformation space that that allowed this kind of sharing ( with enhanced patient privacy and security), as an intrinsic of being part of the common information space. This move to a higher level of abstraction is a bit like thinking of things in terms of algebra, instead of arithmetic. Algebra gives us computational abilities far beyond what we can do with arithmetic. Yet, those who are entrenched in grinding through arithmetic problems have a disdain for the abstract facilities of algebra. The DoD is rejecting the Uplift model, instead succumbing to the “Humpty Dumpty Syndrome” – breaking things into pieces, and then trying to integrate them again. This is great work for “all the Kings men” as long as the King has the resources to pay them to try to put Humpty together again. But sooner or later (and I had hoped you would have chosen the “sooner” option) the King needs to cut off this funding.>>>