I just got off the phone with MinuteClinic. My assumption that their process was "broken" was premature.
In fact this appears to be a more fundamental issue. I will be working off-line with Minuteclinic to get a better picture and possible a resolution. But the basic summary of the problem is this. Google uses the "problem" list in CCR for its "conditions". The problem list in the CCR is the place for ICD. The "diagnosis process" of getting a screening has an ICD code (for billing purposes) The place for ICDs in CCR is the problem list So this appears to be a fundamental problem, not limited to Minuteclinic or Google, but part of the problem of having a "billing ontology" driving a record. A problem that constantly hampers US medical informatics. -FT On Mar 9, 11:56 am, Fred Trotter <[email protected]> wrote: > Hi, > I would like to ask a basic question to the Google Health > team? How do I ensure that information coming into a bunch of Google > Health accounts is reliable? I am responsibly for the technical > strategy for an HIE in Houston, TX. We would like to use Google > Health as an integral component. However, my basic testing with the > service on my own account has a significant problem. I went to CVS > MinuteClinic and got one of their screening services, with the > intention of using it to populate my own Google Health account. > > To an extent it worked. CVS sent the following information into > my profile: > > Conditions > Body Mass Index between 31.0-31.9 Active > Glucose Screening Active > Blood Pressure Screening Active > > I will spare you my cholesterol levels. > > This is completely and utterly wrong! "Glucose Screening" and "Blood > Pressure Screening" are not conditions! They are products that I > ordered from CVS MinuteClinic. My BMI is off, and so it should say > just what it says. So now I have a mix of legit problems with drivel. > > Now on my emergency card (nice new feature BTW) it says "Glucose > Screening". What the h*** does that mean? That is completely extra, > superfluous junk that should not be on my medical record. Of course, I > am quite aware that I can remove that entry from my record! Eventually > I will! But this makes the Google Health connection with CVS virtually > useless for my HIE. > > But errors like this will make Google Health much less useful as a > real component in a healthcare delivery system. The whole reason that > we would be interested in using Google Health is because it gives us > easy integrations with the CVS/Walgreens of our community. But now it > is apparent that the more heavily connected a user is in Google > Health, the more junk will be on the record that does not mean > anything. In short, Google Health is running the risk of being a > Garbage in/Garbage out type system. > > I contacted the customer support at CVS and asked to speak to a > manager about this. I asked that manager to pass my information on to > the developers of the Google Health integration for CVS. I wanted to > get this particular problem fixed and I wanted to ensure that there > was a mechanism by which problems like this could be fixed. I have > still heard nothing from them. > > While I am frustrated at the "smooth wall" the CVS is presenting, I > think this is more of a systemic problem. How does the Google Health > system ensure that the basic quality of the data being sent to real > users. > > -FT --~--~---------~--~----~------------~-------~--~----~ You received this message because you are subscribed to the Google Groups "Google Health Developers" group. To post to this group, send email to [email protected] To unsubscribe from this group, send email to [email protected] For more options, visit this group at http://groups.google.com/group/googlehealthdevelopers?hl=en -~----------~----~----~----~------~----~------~--~---
