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HL7 RIM: an incoherent standard.
1Department of Philosophy, University at Buffalo, Buffalo NY, USA. phismith@buffalo.edu
Studies in Health Technology and Informatics
|November 17, 2006
Summary
The Health Level 7 Reference Information Model (HL7 RIM), intended for healthcare interoperability, contains significant flaws. These issues are insurmountable, suggesting the paradigm should be abandoned.
Area of Science:
- Health informatics
- Information systems in healthcare
- Ontology engineering
Background:
- The Health Level 7 Reference Information Model (HL7 RIM) is a foundational standard for healthcare interoperability.
- Despite extensive development, the RIM faces persistent logical and ontological challenges.
- These challenges hinder the successful implementation of healthcare information systems.
Purpose of the Study:
- To critically evaluate the Health Level 7 Reference Information Model (HL7 RIM).
- To identify and present evidence of insurmountable flaws within the HL7 RIM.
- To advocate for the abandonment of the current HL7 RIM paradigm due to its unworkability.
Main Methods:
- Analysis of the logical and ontological structure of the HL7 RIM.
- Review of documented implementation challenges and failures.
- Evidence-based critique of the HL7 RIM's foundational principles.
Main Results:
- The study provides evidence of inherent logical and ontological flaws in the HL7 RIM.
- These flaws create insurmountable obstacles for developers creating healthcare interoperability solutions.
- The current paradigm, despite its long development, is deemed unworkable.
Conclusions:
- The Health Level 7 Reference Information Model (HL7 RIM) is fundamentally flawed.
- The obstacles presented by these flaws are insurmountable.
- Abandoning the current HL7 RIM paradigm is necessary for advancing healthcare interoperability.
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