“Some of these decisions are made locally by the provider, based on their organizations policies and workflows. Others are negotiated with someone else. Some are made by the supplier. You cannot order something from a supplier that they don’t provide.
Not all of this is about interoperability standards and technology. Some of it has to do with making business practices work seamlessly as well. While people complain about all of the optionality in HL7, some of it (not all of it mind you, but a good portion of it) is there because these business processes exist and need to be supported in some part of the world.”
Article
Keith W. Boone, Healthcare Standards, 24 May 2011
