Everybody does seem to be getting. I just went to OMG to download the
MOF standard, and notice that on their main page they are talking about
their involvement with EHR standards, too. Of course, there is HL7 who,
in addition to the RIM and CDA has an EHR-S effort underway. I know
about CCR, but it's only a small part of what ASTM is doing. I've been
looking at the OpenEHR web site, but am still trying to digest it at
see if I can get a handle on what is genuinely new about archetypes. I
think the language is a bit confusing, because in mathematical logic,
ontologies typically refer to what is left if you omit contingent
information from your model (actually a model is basically an ontology
+ contingent information).

--- "A. Forrey" <[EMAIL PROTECTED]> wrote:

> 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
> >>>> 
> >>>> 
> >>>> 
> >>>>          __________________________________ Discover Yahoo! Find 
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> >> 
> >> 
> >> 
> >> "The most profound technologies are those that disappear."
> >> --Mark Weiser
> >> 
> >> ====
> >> Greg Woodhouse [EMAIL PROTECTED] [EMAIL PROTECTED] 
> >> 
> >> 
> >> 
> >> 
> >> 
> >> -------------------------------------------------------
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> >> .
> >> 
> >
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"The most profound technologies are those that disappear."
--Mark Weiser

====
Greg Woodhouse 
[EMAIL PROTECTED] 
[EMAIL PROTECTED] 






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