FireLy has looked at #FHIR use, and came to the conclusion "Too many profiles, not enough reuse...". I agree and find this trend very troubling.
IHE started the concept of Profiling 25 years ago. An joint effort of Vendors and Users. The Users would collaborate on use-case based needs, needs fully focused on outcomes and overcoming problems. The Users tempted the Vendors with a promise to "buy" if the Vendors agreed to One solution. Economics drove this to succeed.
Lately neither of these parties are leading, rather it is Governments and Consultants (yes I am now a consultant). This not only doesn't have the right Market forces, but is not done globally. with no global focus the solutions are regional.. all different.
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