IHS is designed to just serve the population of
Native Americans. People who are not Native American are not entitled to
care at an IHS facility except as an emergency usually. There are
exceptions I will not go into. Native American are never charged directly
for the service they receive at an IHS facility. If they have health
insurance the insurer can be billed.
I think that IHS facilites keep track of the next
HRN that is available and when a patient is registered they get assigned an
HRN.
Jim Gray
----- Original Message -----
Sent: Friday, April 22, 2005 1:43
AM
Subject: Re: [Hardhats-members] IHS
system???
how does one usually assign the HRN? Is it
generally a sequence of digits(which is parameterized to incorporate the needs
of different hospitals) that are incremented? That calls for a
routine!
Does the IHS handle differential charging of
patients? I mean do they have different
types of patients like Private, general, free... for whom the same procedure
is charged differently? Or patients who have a specified limit to free care? I
don't think that happens in VistA anyhow - correct me if I'm
wrong!
Anna
----- Original Message -----
Sent: Wednesday, April 20, 2005 9:29
PM
Subject: Re: [Hardhats-members] IHS
system???
I believe the input transform on the HRN field
is for a max of 6 digits. I thought that some version of the AUPNLK*
routines were included in the VistA FOIA. The lastest can be obtained
from the IHS FOIA. It would be possible for a hospital to put their
own patient id's into the HRN field as long as they are numbers no more than
6 digits long.
If you have Cache installed on a Windows
machine you should be able to load it onto Cache. I do not know about
untaring (if that is the right term) without Unix or Linux.
I was trying to say that IHS uses unmodified
versions of VA Fileman and Kernel.
Jim Gray
----- Original Message -----
Sent: Wednesday, April 20, 2005 12:39
AM
Subject: Re: [Hardhats-members] IHS
system???
Sent: Wednesday, April 20, 2005 3:30
AM
Subject: Re: [Hardhats-members] IHS
system???
>I don't either, but I recall some things
about it. If you use the VA FOIA there is cross reference on the SSN
that stuffs the SSN into the HRN. The interesting thing is >that
it violates the input transform on the HRN field.
what is the input
transform on the HRN Field? I mean does it increase/decrease the number of
digits, a specific logical transformation...?
>If you are not going use SSN you need a
different way to keep files 2 and 9000001 in synch. The cross
reference (something like PX09) is how the VA software keeps >the two
files in synch. If you make the SSN optional or do not use it then
the two files will not stay in synch. IHS does it a different
way. They keep the two files in >synch with the file 2 look up
routines (the routines with the names AUPNLK*).
Tried to locate the routine (AUPNLK ) could
not find anything of that sort in the
OpenVista SemiViva 4.0 which we are using. We presume that this contains
all the FOIA routines. In which case the routines are only available
in the IHS system.
So that means that the SSN will have to be
maintained (to play it safe), though it may not be used by a
hospital, which would use the HRN. In such a case, can we generate
the HRN using a M routine (Generally Hospitals like to have their own
sequence for patients numbers with respect to their status i.e. private
patient, general patient, etc.) or are there other criteria for
gernerating the HRN?
>To refer back to an earlier question, if
you do not have Mumps programmers available it will be difficult to
impossible to meld RPMS and Vista. But they are quite similar
>and I do not think the isssue would be very difficult for a Mumps
programmer. I do not know if anyone has gotten RPMS to run on a GT.M
system. RPMS uses >essentially vanilla VA Fileman and
Kernel.
I wish we can have a local implementation of RPMS. I have
tried to look at the page www.ihs.gov/Cio/RPMS/index.cfm provided
by Marc Aylesworth. I have not understood how one can go about the
installation of RPMS? I mean, you can only download the .zip/.tar files as
per your module selection from the site. How do we proceed then?
RPMS apparently has not been implemented on GT.M. How does
one install it on Cache? Does one have to use UNIX (again which flavor of
UNIX) or can it be installed using Cache on Linux or Windows?
What is the meaning of Vanilla VA Fileman and Kernel? This is
apparently needed for RPMS installation. If so how does one get hold of
it?
Is there any way of atleast going thru a demo
of the IHS system if I can't have it setup here locally?
Anna
----- Original Message -----
Sent: Tuesday, April 19, 2005
9:59 AM
Subject: RE: [Hardhats-members]
IHS system???
Unfortunately
I do not work with RPMS anymore. I believe that the record number can
be different from the SSN but am unsure how to achieve it SORRYY
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Thanks,
Marc
Aylesworth
C3I
Associates AFRL/IFSE Joint Battlespace
Infosphere Team
525 Brooks
Rd
Rome, NY
13441-4505
Tel:315.330.2422
Fax:315.330.7009
Email:Marc[EMAIL PROTECTED]
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kevin
Toppenberg Sent:
Tuesday, April 19, 2005 10:46 AM To:
hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members]
IHS system???
I don't know how this system works.
I wonder if Marc A., who I believe works with the IHS system,
could explain this.
Kevin
Anna Joseph
<[EMAIL PROTECTED]> wrote:
That's just the
captioned output of some patients in the implementation we have
here. These patients we had entered (not sasmple
patients).
STANDARD CAPTIONED
OUTPUT? Yes// (Yes) Include COMPUTED fields:
(N/Y/R/B): NO// BOTH Computed Fields and Record
Number (IEN)
NUMBER:
5
NAME: PATIENT,SURGERY HEALTH RECORD FAC: SOFTWARE
SERVICE HEALTH RECORD NO.:
789654123
NUMBER:
3
NAME: TEST PATIENT,PATIENT HEALTH RECORD FAC: SOFTWARE
SERVICE HEALTH RECORD NO.:
000001234
----- Original Message
-----
Sent: Monday, April 18,
2005 6:56 PM
Subject: Re:
[Hardhats-members] IHS system???
Are these patients that you entered, or
are they sample patients? What number do they have
entered? Is it a SSN?
Kevin Yes did just check out the
file. Surprising to find that all patients have a health
record number assigned to them! Does this then mean that to have
an implementation of the IHS software you need to apply their
patches to a VistA core?Can that be done on the GT.M database
itself? Wonder if anyone here has ever tried it or has an
idea of how we can install it and how it
works? Anna
----- Original Message ----- From:
"Kevin Toppenberg" <[EMAIL PROTECTED]>To:
Sent: Monday, April
18, 2005 5:21 PM Subject: Re: [Hardhats-members] IHS
system???
> Anna, > > See if your
system has a file# 9000001 > > This is the
PATIENT/IHS file. Here are the fields as > reported by
VPE's DD > > File: PATIENT/IHS > Branch:
1 > REF NODE;PIECE FLD NUM FIELD
NAME > ============================================================================ === >
1 0;1 .01 NAME > <-Pntr [RP2'X] > 12;0 1201
LOCATION OF HOME > <-WP [9000001.12] > 2 -0;1 .01
-LOCATION OF HOME > [W] > 41;0 4101 HEALTH RECORD
NO. > <-Mult [9000001.41IPA] > 3 -0;1 .01 -HEALTH
RECORD FAC > <-Pntr [P9999999.06'X] > 4 -0;2 .02
-HEALTH RECORD NO. > [RFX] > 5 -0;3 .03
-DATE > INACTIVATED/DELETED [D] > 6 -0;5 .05 -RECORD
STATUS > [S] > 7 -0;6 .06 -STOP INTEGRATION >
[S] > <> <> <> > > I think
it is fairly well integrated into the VA > system. But I
don't know if VistA depends on it. I > don't think CPRS
can use it to look up a patient by > their HEALTH RECORD
NO. however. > > Another option would be to use just
name and DOB. > There is a key that allows entry of
patients WI THOUT a > SSN. Or, you can just enter "P" for
a SSN, and they > will be given a
pseudo-SSN. > > Kevin > > > ---
Anna Joseph <[EMAIL PROTECTED]>wrote: > > > Indian
Health Service runs a system similar to > > VistA..
With the little I > > know about it, seems like they do
not use an SSN > > number to identify the > >
patient but they have record number... which caught > >
my attention! > > Has anyone worked with this system?
Was trying to > > have a local > >
implementation of it to explore it. Any idea of > >
where i can get the sources > > from? how the
installation etc. is to be done? > > Anna >
> > > > > > > >
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