I have been asking questions about this lately because of the Pedi Project, 
and I think an experienced person helping him will be able to input data to 
the database from any template he wishes to design.

On Sunday 05 December 2004 10:15 pm, T Maynard wrote:
> Deepak,
>
>    For following 50 patients for specific features
> that you are defining in a study protocol, I would
> expect you to have many questionnaires where you
> don't want omissions from protocol and only  need
> some free text entry.
>    Keep in mind that a fully developed EMR like
> VistA has an mass of predefined variables that
> have accepted names but many of these may not be
> the same variables that you are wanting to define
> or follow. These only have value when the
> surrounding services gather that data every waking
> hour into those variable names. To do this your
> lab has to input such variable through the proper
> interface for the service which is not like
> generic input into a spreadsheet field.
>    A large part of VistA CPRS is devoted to
> generating the free text of a medical encounter
> within a general outline and with the benefit of
> tools for accessing the predefined variables and
> some tools for pulling some "prescripted" text
> phrases and selected "values" into that
> composition...this leave aside many internal
> communication tools that your lab doesnt need
> unless your study becomes large and distributed.
>
>    If your needs are to constrain an
> interviewer/provider/researcher to a checklist or
> the use of many forms:
>
> Look at EpiINFO - open source from the CDC which
> keeps a database in the same format as Access and
> is also windows based.
>
>   Better yet, if you also want web access for
> filling out forms and your patient encounters do
> not occur at a central location:
>   look at OIO which is based on ZOPE and postgres
> SQL (although I think you can also use MySQL)
> http://sourceforge.net/projects/open-outcomes/
>
>    I fear that VistA would be more than you would
> bargain for in your first step from paper and a
> spreadsheet system. It is good to start with
> examining the default EMR, if any, where most of
> these patients will receive their care. No EMR may
> be acceptable for your study as long as you can
> get your data from  tolerable questionnaires
> including your own staff manually extracting from
> sources.
>   Please post back what you discover and decide on.
>
> Rusty Maynard
>
> Deepak Sreedharan wrote:
> > To Whom it May Concern,
> >
> > My name is Deepak Sreedharan and I work for a research lab at the SUNY
> > Downstate College of Medicine.  As part of our breast studies we
> > collect clinical data from patients.  The data includes demographics
> > [age, sex, race, residence and so forth] as well as clinical data
> > [height, weight, history of illnesses, allergies, medications, lab
> > values, radiologic films, etc.].  We currently keep track of this data
> > using mostly paper and some excel files but we would like to start
> > storing this data in a database using a more friendly user interface.
> > VistA appears useful though I need someone's opinion on if it is
> > suitable for a lab our size.
> >
> > My resources include:
> > 1.) One P4, 2.5Ghz PC with 1GB RAM and I could buy as a large a hard
> > drive as needed.
> > 2.) We are set up on the schools network.  We have little IT support
> > but I used to develop software so I can handle most routine technical
> > problems on my own.
> >
> > My requirements:
> > 1.) I need to track the patient demographics and the clinical data I
> > mentioned above for about 50 patients [hopefully more in the future].
> > 2.) I'm hoping that VistA runs on MySQL [or another database] so that
> > I can have direct access to the tables that store this patient data.
> > If VistA does not run on MySQL or some other database perhaps you know
> > of some open source EMR software that does.  The reason I need access
> > to the underlying database is because there is some other data [data
> > from a medical device we are building] that I need to store on the
> > database.
> >
> > I've used the CPRS demo found on the va's website and that seems
> > perfect for my needs.  If I could set in my lab that up that would be
> > ideal.
> >
> > My questions:
> > 1.) Does VistA seem suited for our purposes given the size of my lab,
> > the resources I have available and the scope of our project?  [I know
> > it is typically used by hospitals not research labs]. If not could you
> > suggest some other open source EMR software?
> > 2.) Does VistA run on a database like MySQL on which I can add my own
> > tables and have direct access to the data?
> > 3.) Do you know of anyone who could set this system up for me?  I'm
> > hoping I could just send my computer to someone and they could install
> > all the software required to run VistA on this machine?  It would be
> > even better if someone could walk me through the installation over the
> > phone or come to my lab in Brooklyn, NY?  I could pay of course.
> > Thank you for your time and help.  I hope to hear from you soon.
> >
> > Sincerely,
> > Deepak Sreedharan
> > [EMAIL PROTECTED]
> >
> >
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Nancy Anthracite


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