There are ASTM standards on the Structure and Conent of the EHR that are
consistent with ADA standards on the EHR; These are conceptual content
standards that have had historic support of AHIMA. Thye also have some
consistency with HL7 messaaging structures and have been in touch with the
Open EHR folks. Efforts are underway to reactivate a dilaog that began in
1995 on a "Common Data Model" but subsequently many went of to play "king
of the Mountain" in their pigeonholes. A key issue currently is to map the
"Continuity of Care Record - CCR" to the existing EHR models and then to
VistA. VistA has a lot of representing and EHR as a series of text
(date-timed) but the recent Report of the ONCHIT clealry noted to tension
be tween structured models for the EHR and those for structured text(
which is just electronic represntation of paper record notes). WHat is of
interest for VistA is what its eveolutionary trajectory will be with
respect to this conceptual content and how it will fit into the "business
model" of healthcare which ( according to IOM 2003) is patient Centered
care and Multidisciplinary teams; Resource Management is supportive and
enabling but has had prime focus for 40 yrs (at least). economists have
noted that when healthacre recognbizes that the business model for
healthcare in not that of a supermarket it will progress. A key question:
Is the DVA now using a Supermarket Model and worrying about Technology as
prime focus or is it really (as the 2005 Person-Centered heslth record
Book tries to say) looking at the REAL Healthcare business model? Time
will tell.
On Mon, 13 Jun 2005, Joseph Dal Molin wrote:
Greg have you looked into the OpenEHR initiative....it is attempting to
develop a usable EHR standard.
Joseph
Greg Woodhouse wrote:
Of course, if you just dump the progress notes to a file, won't they
still be in a "proprietary" format? It seems that what you need is an
EHR standard that supports interoperability. This is where I hope to go
with Triton and/or Orpheus.
--- Kevin Toppenberg <[EMAIL PROTECTED]> wrote:
I want the practice to be able to say, we don't want
to use VistA anymore, dump all the progress notes to a
DVD so we can import them into another system.
Kevin
--- "Gillon, Joseph" <[EMAIL PROTECTED]> wrote:
I assume you know about the RPC to get notes by
patient/provider for a given
time interval, and you need something else?
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
On Behalf Of Kevin
Toppenberg
Sent: Monday, June 13, 2005 4:13 PM
To: Hardhats Sourceforge
Subject: [Hardhats-members] XML data export
One of my goals for my site has been the ability to
get data back out of VistA in a painless manner. For
me this means XML. And I am rapidly nearing the
point
where I plan on finishing this project.
I have a couple of approaches I could take, and I'd
like input from the list
1. Write a custom program that dumps progress notes
(currently the only unique data being stored in our
VistA) in XML format. I think I could very easily
do
this.
2. Writing an extension to fileman's data export
abilities, to include an option for XML. This would
be the better option in the long run, but probably
would be a good deal more difficult for me. I would
need to fully understand the current system to
decide
how best to integrate. Usha recently posted about
her
difficulty using the export functions. I don't
think
anyone responded with an answer.
What do export templates do? What file are they
stored in?
Has anyone else already done this? Anything I
should
know before I rush off to reinvent the wheel?
Thanks
Kevin
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