You've asked a very broad question; part of the answers are technical and part are social.
Physicians that I've spoken with are very wary of information being imported into their system without their knowledge/approval. If I'm at hospital X in the ER and someone sends me a very long medical record for a patient the last thing that they may want is to import the entire thing. Instead - looking at what has been sent and picking out the relavent pieces is what they need. The CCR (Continuity of Care Record) was designed with this scenerio in mind - it's a (relatively) simple XML schema-based standard that has passed final ballot in the ASTM. It's been endorsed by many physician organizations. You can find out more about the CCR here http://www.centerforhit.org/x201.xml. If you want complete interoperabilty of all medical information then you'll probably want to look at HL7. If you want some type of bilateral exchange of data you can probably just use one of the HL7 2.x versions and agree between the parties on what messages/dictionaries are supported. If you want something more complete you'll want to use HL7 3.0. However - I'm convinced that complete interoperability here is not achievable because the standard is very flexible and there are many opportunties for vendor or institutional extensions. One thing that makes me skeptical about HL7 3.0 is that it's been being worked on for so many years where I've been told that in the next year it will be usable. I know that lots of smart folks are working on it - but to me it feels like one of those software programs that is too complicated to get released or broadly used. On top of this - both standards have the ability to use different vocabularies - so you might need mappings between the different vocabularies (SNOMED, LOINC, ICD-*, ...). The CCR was designed to be a straightforward XML format for exchange of medical information; the design of this format has been largely under the control of physicians and not vendors; it works with standard XML Schema tools. If your use case is individual medical record exchange I'd recommend giving it a very close look. I've been working with it for the last year I think it's simple enough to get broad use much more quickly than anything else I know about. Sean On 12/27/05, jeet chel <[EMAIL PROTECTED]> wrote: > > Hello all, > I am interested in working towards interoperating between > the existing solutions in Healthcare. Does anybody know of any framework > for doing that? . One way I can think of is in identifying an existing open > standard and using that for writing wrappers for the particular softwares. > Can anybody suggest another way of doing that. Has anybody ventured in a > similar area?. What are the possible ways of approaching this problem .I am > looking forward to writing a proposal for the same and your suggestions will > be highly valuable. > Thanking you in advance, > -- > regds > Jeetesh > > --------------------------------- > Yahoo! Shopping > Find Great Deals on Holiday Gifts at Yahoo! Shopping > > [Non-text portions of this message have been removed] > > > ------------------------------ > YAHOO! GROUPS LINKS > > > - Visit your group "openhealth<http://groups.yahoo.com/group/openhealth>" > on the web. > > - To unsubscribe from this group, send an email to: > [EMAIL PROTECTED]<[EMAIL PROTECTED]> > > - Your use of Yahoo! Groups is subject to the Yahoo! Terms of > Service <http://docs.yahoo.com/info/terms/>. > > > ------------------------------ > [Non-text portions of this message have been removed] ------------------------ Yahoo! Groups Sponsor --------------------~--> Most low income homes are not online. Make a difference this holiday season! http://us.click.yahoo.com/5UeCyC/BWHMAA/TtwFAA/W4wwlB/TM --------------------------------------------------------------------~-> Yahoo! Groups Links <*> To visit your group on the web, go to: http://groups.yahoo.com/group/openhealth/ <*> To unsubscribe from this group, send an email to: [EMAIL PROTECTED] <*> Your use of Yahoo! Groups is subject to: http://docs.yahoo.com/info/terms/
