good work, for me interesting tooo!
--
此致
easy
在2009-04-09?16:33:59，"Mark?Alan"?<va...@e-healthexpert.org>?写道：
>Interesting...
>
>
>From:? John?Halamka?<jhala...@caregroup.harvard.edu>
>
>I've?recently?been?asked?to?provide?a?list?of?the?data?elements?of?an
>EHR?which?might?be?used?as?part?of?the?ARRA?mandate?to?exchange?data?as
>part?of?meaningful?use.?There?are?a?nearly?infinite?number?of?actors,
>actions?and?events?for?data?exchange,?but?in?the?interest?of?getting
>"data?liquidity"?in?healthcare,?here?are?the?elements?that?are?most
>commonly?used?and?represent?a?great?starting?point?for?healthcare
>information?exchange.?I?always?strive?for?parsimony?of?standards?-?the
>fewest?that?we?need?for?the?purpose.?Below?you'll?see?that?I've?included
>the?standards?that?support?the?systems?we?have?in?place?today?as?well?as
>the?XML/Web-based?standards?that?support?newer?web-centric?systems?and
>healthcare?information?exchanges.
>
>Demographics
>Content:?HL7?2.x?for?messaging,?CCD?for?document?summaries
>Vocabulary:?HITSP?Harmonized?codesets?for?gender,?marital?status
>
>Problem?List
>Content:?HL7?2.x?for?messaging,?CCD?for?document?summaries
>Vocabulary:?SNOMED-CT
>
>Medications
>Content:?NCPDP?script?for?messaging,?CCD?for?document?summaries
>Vocabulary:?RxNorm?and?Structured?SIG
>
>Allergies
>Content:?HL7?2.x?for?messaging,?CCD?for?document?summaries
>Vocabulary:?UNII?for?foods?and?substances,?NDC-RT?for?medication?class,
>RxNorm?for?Medications
>
>Progress?Notes?and?Other?Narrative?Documents?(History?and?Physical,
>Operative?Notes,?Discharge?Summary)
>Content:?HL7?2.x?for?messaging,?CCD?for?document?summaries
>Vocabulary:?CDA?Templates
>
>Departmental?Reports?(Pathology/Cytology,?GI,?Pulmonary,?Cardiology?etc.)
>Content:?HL7?2.x?for?messaging,?CCD?for?document?summaries
>Vocabulary:?SNOMED-CT
>
>Laboratory?Results
>Content:?HL7?2.x?for?messaging,?CCD?for?document?summaries
>Vocabulary:?LOINC?for?lab?name,?UCUM?for?units?of?measure,?SNOMED-CT?for
>test?ordering?reason
>
>Microbiology
>Content:?HL7?2.x?for?messaging,?CCD?for?document?summaries
>Vocabulary:?LOINC?for?lab?name/observation
>
>Images
>Content:?DICOM
>
>Administrative?Transactions?(Benefits/Eligibility,
>Referral/Authorization,?Claims/Remittance)
>Content:?X12
>Vocabulary:?CAQH?CORE
>
>Quality?Measures
>Content:?Derived?from?all?the?data?elements?above
>Vocabulary:?Derived?from?all?the?data?elements?above
>
>Privacy?and?Security
>Transport:?HTTPS,?SOAP/REST
>Transport?Orchestration:?WS*
>Authorization/Access?Control:?XACML
>
>Given?that?meaningful?use?needs?to?be?achieved?by?2011-2012,?it's?clear
>that?we?cannot?rip?and?replace?existing?hospital?information?systems?and
>EHRs.?We?need?to?leverage?them,?upgrade?them?over?time,?and?install?new
>systems?in?an?incremental?fashion.?This?is?really?true?of?any?change?in
>healthcare.?If?we?had?a?greenfield,?we?would?design?healthcare?delivery,
>payment,?and?infrastructure?entirely?differently.?Unfortunately,?we?do
>not?have?a?greenfield,?we?have?limited?resources,?and?limited?time?to
>achieve?healthcare?reform,?so?we?need?to?leverage?what?we?have?and
>evolve?it?in?phases.
>
>HITSP?will?be?reformatting?and?streamlining?its?previous?work?over?the
>next?90?days?to?support?ARRA,?the?HIT?Standards?and?Policies?Committees,
>and?ONC.?I?hope?you?agree?that?the?list?of?EHR?data?elements?above?is
>practical,?achievable?now,?and?reasonable.
>
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