Just to clarify...I didn't mean to imply OpenEHR doesn't contribute
anything new. What I DID mean is that I do not yet see it (after maybe
an hour or two of reading).

--- Greg Woodhouse <[EMAIL PROTECTED]> wrote:

> 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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> > Play to 
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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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> _______________________________________________
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> https://lists.sourceforge.net/lists/listinfo/hardhats-members
> 


"The most profound technologies are those that disappear."
--Mark Weiser

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






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