This snip from David's earlier post I think sums it up for a lot of us
or me at least, "Translation between the two standards is highly
desirable at this
early stage of health data exchange using XML."

The CCR vs CCD battle is not my battle. I have no doubt there are a
lot of issues within that are important and need to be figured out. As
expressed before, in the meantime I want to be able to move forward
confident that the data that is created or saved doesn't become an
unexchangable island. From a small amount of investigation, the
translation aspect seems like it can be overcome its just really
expensive to do right now. I've received quotes somewhere near $10000
per channel.  I just want to be able to exchange health information
(for our purposes mostly summary information) effectively and provide
it back to consumers in an easily digested form. Oh, and I would also
like to be able to certify my product...it seems as though many of the
opportunities to seek federal funding depends on it.

Michael and David wrote: "[Michael] They idea that I would have to get
my details and type them in is a non-starter. We need a simple method
that is easy to implement that enables a physician to upload a partial
record, like 'todays encounter". "[David] I am very much thinking
about the patient, as well as about the doctor.  The patient needs his
or her health information in summary file format, and his/her personal
physician is the ideal individual to provide that under many
circumstances."

Nathan: We are piloting a web portal that would allow a doctor or care
giver to do just that. They can enter information either driven by
dropdowns supported by a medical language database of their choice or
through open text. They post the summary information to their local
database and the record is synchronized with Google Health. Their data
is held in the local database and the consumer gets the summary of
what took place in their PHR. We actually came at this from the other
end. We are more focused on providing an easy interface for less
technology-oriented consumers to digest the health information
provided by a PHR such as Google Health, but needed an easy and cheap
way for the care providers within the community clinics to get
information into the patient record.

Michael, thanks for sharing the work you are doing it is very
innovative. In regards to your slide 21 I can't tell whether you are
stuck in getting your xml data into MySQL or are you stuck getting
your data from MySQL into Google Health?

Best regards,

Nathan Botts
HealthATM, Inc.

On Nov 12, 5:04 am, Steven Waldren <[email protected]> wrote:
> A CDA of a transcriped document (as Juggy mentioned there are  
> millions) is only marginally more valuable than a fax.
>
> Regarding CDA/RIM is easy, how long did it take your Java SIG to write  
> the Java code to work with CDAs? (including learning the RIM, V3, CDA,  
> and all templates)
>
> Best,
> Steven
> P.S.  How many people are actually producing and consuming level 3 CDAs?
> --
> Steven E. Waldren, MD MS
> Director, Center for Health-IT
> American Academy of Family Physicians
> 11400 Tomahawk Creek Parkway
> Leawood, KS 66211
> Email:  [email protected]
> Office: 1-800-274-AAFP
>                 (913)906-6000 x4100
> Cell:   (913)205-9838
> Skype:  steven.waldrenhttp://www.linkedin.com/in/stevenwaldren
>
> On Nov 12, 2009, at 12:24 AM, Gunther Schadow wrote:
>
>
>
> > Talking about this bank record analogy, I don't need excel
> > either, just fax me my account statement.

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