Peter:
Just a note in amplification of Rustry Maynard's comment. The CCR is a standard for composing and echmnaging patient EHR data. One part of the effort to dvelope a "Continuity of Care Record - CCR" component for VistA is based upon ASTM Standard E-1384 Standard Practice for the Structure and Content of the EHR" found in ASTM Book of Standards vol 14.01. There are a whole host of related standards found in that book which gets at the Conceptual content of what is in VistA. There are other complementing standards by SDOs who are members of ANSI HISB which is the US standards coordinating body for healthacre informatics; HL7 is another of the SDOs that are HISB members. The CCR effort (of which Nancy A is a member) is directed at mapping the appropriate VistA data elements to those from E-1384 that comprise particular text segments of the CCR. The CCR is a structured text convention for representing the various types of information that has been traditionally written in a paper patient record for communication among healthcare enterprises not having a standards-based healkth information architecture. The VistA Community is in the process of being intimately involved in documenting how VistA represents the current body of standards and the evolutionary pathway.

Arden W. Forrey PhD
Dept of Restorative Dentistry
University of Washington School of Dentistry

206-616-1875 Phone
206-543-7783 FAX

On Wed, 3 Aug 2005, TyrusMaynard wrote:

Peter,
 Thanks for your introductory post.
I'll just say that the programmers on the list are helpful to non programmers
such as you or I who havent become so nearly native in communicating with heiroglyphics...and there are many facets to a WV meeting.
 A recent thread on the list touched on what I snipped from your interests
http://sourceforge.net/search/?type_of_search=mlists&forum_id=41331&group_id=2386&words=human+factors+20th&imageField.x=11&imageField.y=4

After some meandering on topics of user interface there was mention of
the CCR map for VistA as "the first iteration" in the direction of a larger standardized health record
http://sourceforge.net/mailarchive/message.php?msg_id=12058245
http://sourceforge.net/mailarchive/message.php?msg_id=12055578
 I think you are in the right place.
RustyMaynard

Peter Bodtke wrote:
snip

Alone in the wilds
I realized the obvious, that the adoption of a standardized electronic
health record (schema) can make a host of health oriented initiatives
possible.


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