At one point I think the OpenEHR folks actually met with VA staff... not
sure what the impression was. I have known the OpenEHR gang for years,
quite a smart lot, ever since we started the openhealth list in '99...I
think they are doing good work but I have never been able to really
study it well enough to be able to critique it. I guess I have become
too practical....and believe that it will be easier to evolve from VistA
than to create a totally new VistA....only time will tell. :-)
Joseph
Greg Woodhouse wrote:
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
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