Hi Joseph, Joseph Dal Molin wrote:
> Thanks Bill...we will add you to the > list of potential volunteers for whatever > emerges in the next few weeks...:-) In all seriousness, if what emerges involves implementing the import / export capability, you can count me in. I'm not an M programmer, but I'll contribute however I can. > VistA has all the architectural prerequisites to > export an emergency health record, continuity > of care record or whatever the latest label > for this is today. The MyHealtheVet demo/ > implementation does this now...perhaps not > the way the community might choose to do it > but it works. Could you elaborate on the MyHealtheVet capabilities please? I have an upcoming meeting with the Director of the NLM and some of his senior staff. He's invited me to Bethesda to propose an open source public-private partnership to extend the capabilities of the ClinicalTrials.gov site. I believe strongly that an extended version of ClinicalTrials.gov could become a key driver for the accelerated adoption of EHR systems by community-based physicians. The import / export capabilities are fundamental requirements for any EHR system in this model though. I would love to be able to say that VistA (in whatever form) had these capabilities and thus would be a viable candidate for those physicians. My current (prior to your comments) understanding of VistA and belief vis-a-vis its viability in the community-based healthcare context is, on both counts, precisely the opposite. I'd love to find out I was wrong. > What would be really helpful would be a > tutorial or white paper comparative analysis > of the various alternatives, their pros and > cons and the various api's and interfaces that > are available. If anyone knows whether this > already exists please let us know. Most helpful, indeed. And an extremely worthwhile undertaking if it does not already exist. > Making it easy to understand how to open > up VistA for other uses etc. would be a > very effective strategy for establishing it as > health computing "platform" much like Linux > is a platform for thousands of applications > today... I think it's safe to make this statement even more strongly. "Making it easy..." is *necessary.* Not sufficient. But definitely necessary. > you cannot hide the value of something > that keeps getting better all the time. "Value" and "better" are very context-sensitive concepts. It's clear that VistA keeps getting better within the context wherein patients receive all their care within a closed system. It's not clear at all that it's even remotely applicable (applicable meaning "could be used") to the community-based healthcare context. It's important, IMO, to get some clarity on this question. Thanks in advance for your help. Best regards, Bill > On Mon, 2004-09-20 at 08:34, Bill Walton wrote: > > Nancy Anthracite wrote: > > > > > > It would seem this might be something we > > > could use to create the equivalent of > > > MyHealtheVet, the code for which is not > > > yet available and from what I was told, > > > will contain proprietary elements when and > > > if it is released. My HealtheVet essentially > > > allows veterans web access to their health > > > records, and with the HHS's firm > > > recommendation that patients be able to > > > access their doctors' electronic medical records, > > > I think EsiObjects could provide one > > > solution. > > > > I've tried to imagine the use of the MyHealtheVet model in the example of > > the little girl with lukemia that the President used in his April speech. > > But every scenerio I've been able to envision that satisfies the requirement > > that every new physician she sees has access to all her existing medical > > records is more complicated, more expensive, less secure, and will take much > > longer to put into actual use than one where her Dad just hands the new doc > > a CD (or whatever). > > > > The ability to export / import patient records in electronic form is a > > fundamental requirement for any EHR system's viability as a solution to the > > problem the President has put before us. A project to give VistA that > > capability would be one I'd want to participate in. Not as cool as the one > > you're talking about, I know. But much more important. > > > > Best regards, > > Bill ------------------------------------------------------- This SF.Net email is sponsored by: YOU BE THE JUDGE. Be one of 170 Project Admins to receive an Apple iPod Mini FREE for your judgement on who ports your project to Linux PPC the best. Sponsored by IBM. Deadline: Sept. 24. Go here: http://sf.net/ppc_contest.php _______________________________________________ Hardhats-members mailing list [EMAIL PROTECTED] https://lists.sourceforge.net/lists/listinfo/hardhats-members
