On Fri, 17 Sep 2004, Bill Walton wrote:
Gordon Moreshead wrote:
There are concepts implemented within RPMS PCC that do allow "foreigndata"to be stored into the record and/or extracted out to another system.These,or similar, concepts could fairly readily be implemented within VistA.
Could you say more about this? In my opinion, the ability to export a patient's medical record in electronic format is a "must have" for VistA to be considered a viable system for use by community-based physicians.
Does anyone know if this capability is something that the VistA Office EHR project is working on?
The issue here, which has been in limbo for ten years, is a common cnvention for the structure of the EHR. ASTM and ADA have standards for such a structure but for 10 years the effort that existed in 1994 among the CDOs of ANSI (at that time HISPP an then in 96 of HISB) to agree on a "common Data Model" has been in limbo, HL7 not recognizing something it didnt invent. Recently, this effort is re-energizing but does not yet have a target in mind. Meanwhile the CCR a text-based condensation of the content is nearing approval as an ASTM standards with HL7 involvement. This will help achievement of the Common data Model and an EHR transfer common format. Hope this helps becuase VistA is as close to its realization as is anyone else and should realize it as soon as anyone. Thus appreciate the value of VistA.
Thanks, Bill
little-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Link, Chuck M Sent: Friday, September 17, 2004 10:40 AM To: [EMAIL PROTECTED] Subject: RE: To GUI or not to GUI? (was)RE: [Hardhats-members] How to accessScreenMan
No, I think you are right. I was part of the smart card group for asynchronizationbit - they had looked placing the patients information on a smart card so that no matter which VA the patient walked into, at any time, that data would always be readily available. But I believe that after further study they concluded that data warehousing was the better way to go.
Bill Walton---------- From: [EMAIL PROTECTED] on behalf ofaccessScreenManReply To: [EMAIL PROTECTED] Sent: Friday, September 17, 2004 10:11 AM To: [EMAIL PROTECTED] Subject: Re: To GUI or not to GUI? (was)RE: [Hardhats-members] How to
Hazami, Raied wrote:
/snip/
anyhow, I had to interface this with the HIS, so, when the card is inserted, the HIS application should automatically pull the patient medical record, this is using CCOW CM. So, ok lets apply this to OpenVistA, CPRS can do the job since it is CCOW compaiable -
This has me confused on a couple of points. I'd appreciate any clarification you (and/or others) could provide.
First, my understanding of CCOW is that it's about contextelectronicbetween applications, not about data transfer. I'm reading "pull the patient medical record" to mean pull it off the card into VistA. Maybe that's wrong. Or maybe I'm wrong about something else. ???
Second, the understanding of VistA I formed about a year ago through interaction here (on the old topica list actually) was that VistA's architecture precluded giving a patient their medical record inform. I assumed that was a bidirectional exclusion (no export = noimport).Was I wrong on one or both counts here?
Thanks, Bill
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