RE: [Hardhats-members] Patient access to medical records.
There is a My HealtheVet pilot program running at several sites. Here's the link http://www.health-evet.va.gov/. The pilot is a prototype. A national version is under development. Here's the link: http://www.myhealth.va.gov. The new version does not yet pull data from VistA, but will in releases slated for later this year, the first being for prescription refill. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Joseph Dal Molin Sent: Monday, February 07, 2005 10:43 AM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] Patient access to medical records. From what I understand MyHealth-e-Vet employs a 3 tier architecture.with Oracle storing the patient's data extracted from VistA. It is not a real time link for updatesit is done by a batch process. I agree with Nancy that it would be best and perhaps easier to replace it. I should add that the functionality of the current system is very good...another kudo to the VA here...while the rest of the world has been talking about patient access to medical records for years the VA is doing it. Joseph Nancy Anthracite wrote: Patients have access to a database that is not directly part of CPRS and is accessed through the Internet called MyHealth-e-Vet . I have asked to get the software from the VA but I don't know the answer yet. It is rather complex, from what I understand, and uses a lot of proprietary programs and special equipment. It really sounds as if the best thing to do is to replace it with something else. On Friday 04 February 2005 07:14 am, Nick James wrote: Was curious! As far as I know only a person from the new patient file (provider...), has access to the patient's medical record. Can a patient access his own medical record? Does he use CPRS? If so, how are the keys to be assigned... security...? Nick __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_id=6595alloc_id=14396op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Patient access to medical records.
Joseph wrote: From what I understand MyHealth-e-Vet employs a 3 tier architecture.with Oracle storing the patient's data extracted from VistA. It is not a real time link for updatesit is done by a batch process. I don't think it is quite as bad as a batch process. I looked at it when this topic first came up some months ago and from what I recall of it, it updates the data for an individual patient record via HL7 on request from the patient while the patient is viewing the record. I didn't actually try the update for the demo patient I was looking at, but I expect that it would update within a few minutes when requested. I agree with Nancy that it would be best and perhaps easier to replace it. Starting with an OpenVistA database and building on M2Web, I think it would be fairly easy (as programming goes ;) ) for someone familiar with the data structure (files and fields) of the medical record to provide a similar view of live data. I expect that the extra layers of isolation and encryption in the current MyHealth-e-Vet could be implemented as well with GT.M and other Open Source tools. I should add that the functionality of the current system is very good...another kudo to the VA here...while the rest of the world has been talking about patient access to medical records for years the VA is doing it. Joseph Nancy Anthracite wrote: Patients have access to a database that is not directly part of CPRS and is accessed through the Internet called MyHealth-e-Vet . I have asked to get the software from the VA but I don't know the answer yet. It is rather complex, from what I understand, and uses a lot of proprietary programs and special equipment. It really sounds as if the best thing to do is to replace it with something else. On Friday 04 February 2005 07:14 am, Nick James wrote: Was curious! As far as I know only a person from the new patient file (provider...), has access to the patient's medical record. Can a patient access his own medical record? Does he use CPRS? If so, how are the keys to be assigned... security...? Nick --- Jim Self Systems Architect, Lead Developer VMTH Computer Services, UC Davis (http://www.vmth.ucdavis.edu/us/jaself) --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_id=6595alloc_id=14396op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
[Hardhats-members] Patient access to medical records.
Was curious! As far as I know only a person from the new patient file (provider...), has access to the patient's medical record. Can a patient access his own medical record? Does he use CPRS? If so, how are the keys to be assigned... security...? Nick __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Patient access to medical records.
Nick, I believe you are correct that only entries to the NEW PERSON file may be users, and only users can log in, so only users can access CPRS. But not all users can use CPRS, only those with OR CPRS CUI as their primary menu (I believe). If a user is also a patient, then they will have a second entry in the PATIENT file (file #2). And as a default, they could view their own record. If you want to limit access, you have two options. 1) mark a patient as sensitive. Then all access to that patient is logged (see other thread). Option 2) is to provide a limited list of patients that the user may see. This is an field in the NEW PERSON file--I can get you details if you need. Hope that helps. Kevin --- Nick James [EMAIL PROTECTED] wrote: Was curious! As far as I know only a person from the new patient file (provider...), has access to the patient's medical record. Can a patient access his own medical record? Does he use CPRS? If so, how are the keys to be assigned... security...? Nick __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members __ Do you Yahoo!? Yahoo! Mail - You care about security. So do we. http://promotions.yahoo.com/new_mail --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Patient access to medical records.
Patients have access to a database that is not directly part of CPRS and is accessed through the Internet called MyHealth-e-Vet . I have asked to get the software from the VA but I don't know the answer yet. It is rather complex, from what I understand, and uses a lot of proprietary programs and special equipment. It really sounds as if the best thing to do is to replace it with something else. On Friday 04 February 2005 07:14 am, Nick James wrote: Was curious! As far as I know only a person from the new patient file (provider...), has access to the patient's medical record. Can a patient access his own medical record? Does he use CPRS? If so, how are the keys to be assigned... security...? Nick __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members -- Nancy Anthracite --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
