I suggest that consideration be given to the "National Provider
Identifier" by CMS. This identifier applies to each organizational unit
("Institution"?) as well as to each individual practitioner and is already
scheduled for implementation under HIPAA. Consultation should be made with
the VA as to how they may be handling this and develop a compatible
strategy for healthcare in general with CMS (the non-VOE part that may not
be talking with the VOE part). This can be coordinated with ONCHIT and
the American Health Information Community - AHIC advisory organization to
the new ANSI Health Information Technology Standards Panel - HITSP, both
being organized by ONCHIT. Cameron may be able to help guide such steps.
On Thu, 6 Oct 2005, Frederick D. S. Marshall wrote:
Dear Cameron,
We should talk about this. My initial impulse has been the same as Dr. Z's,
to come up with a generalized system we can use beyond the VA.
Yours truly,
Rick
Cameron Schlehuber wrote:
The STATION NUMBER field should be kept as is for VA and be null for non-VA
sites. There is an IDENTIFIER sub-file field 9999 that uses a CODING
SYSTEM
(the entries to select from are established in collaboration with the VA
HL7
administrator) and an ID unique to that Coding System. What we need to do
with VistA for VOE, OpenVistA, etc, is to identify the places in code where
Institution identification should be based on that Code System-ID pair. I
know the Lab Service package has already had to embark on that effort since
lots of institutions with sharing agreements with VA do not have VA Station
Numbers.
Cameron Schlehuber
---------------------
JohnLeo Zimmer wrote:
Sent: Thursday, October 06, 2005 5:51 AM
Wouldn't it be more appropriate to provide a standard for station
numbers that can be generalized beyond the VA?. I had hoped that world
vista's open forum might serve that function.
Maybe the station number needs to be modified (with a alpha prefix
perhaps) to identify the side as VA vs Private Sector vs testbed, etc.
Robert DeWayne wrote:
Station numbers are a VA issue, we did not have time to eliminate this
code for VOE. This is a known issue. Why do you need a station number
for VOE?
Robert DeWayne
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