Re: [openhealth] Open Source (and available for download) CPOE system?
What about VISTA/CPRS? try windows demo at http://www1.va.gov/cprsdemo/. The VistA system is public domain software, available through the Freedom of Information act on the VA website. Not sure if there are any others out there that are freely available.. Cheers Jubal -- Dr Jubal John, MBChB, PGDipBus (Health Informatics) On 12/9/06, szegedportland <[EMAIL PROTECTED]> wrote: > > Hello Group, > > I will need open source and readily downloadable (with registration or > without) CPOE system for academic research purposes. > > I would appreciate if you can point me to a download link or a contact > person's email. For this project the type of OSS license is not really > important but the code should be available for free (and legal) > customization (particularly the user interface). It will be an > academic research project. > > Thank you for your help in advance! > > Imre Solti, MD, PhD > > > [Non-text portions of this message have been removed]
[openhealth] Open Source (and available for download) CPOE system?
Hello Group, I will need open source and readily downloadable (with registration or without) CPOE system for academic research purposes. I would appreciate if you can point me to a download link or a contact person's email. For this project the type of OSS license is not really important but the code should be available for free (and legal) customization (particularly the user interface). It will be an academic research project. Thank you for your help in advance! Imre Solti, MD, PhD
[openhealth] Re: list of diagnoses and procedures
--- In openhealth@yahoogroups.com, Tim Cook <[EMAIL PROTECTED]> wrote: > > Alex Caldwell wrote: > The way I interpret the agreement on > > the site, I believe it is OK to do this as long as you just do it > > just for yourself for your own internal use, but you are not allowed > > to re-distribute them. So perhaps it would be OK to distribute the > > Open Source EMR minus these codes, but include instructions for the > > user for downloading this file and importing the codes themselves > > into their own personal copy of the EMR: > > DISCLAIMER: IANAL but > > "Grant and Limitations. You, as an individual, are authorized to use > CPT only as contained in the CPT®/Medicare Relative Value Payment File > (the "File") solely for your own personal information and only within > the United States." > > specifically EXCLUDES any use outside of the (Excel) file and any use > outside the US. It goes on to say that you are prohibited for using > them in place of purchasing the CPT book or creating any derivative > work. > > When we licensed CPTs for use in FreePM the AMA was very attentive to > the distribution and we had to submit quarterly audits to them. I > suggest you ensure you adhere to their licensing restrictions I > understand they are very aggressive in pursuing their copyright on > their government granted monopoly. > > Cheers, > -- > Timothy (Tim) Cook, MSc Thanks Tim, I was going by the agreement on this page on the CMS site which links to the download for the Excel file: http://www.cms.hhs.gov/apps/ama/license.asp?file=http://new.cms.hhs.gov/apps/ama/report_xyz.pdf It did not seem to me as restrictive as what you are quoting there. I notice many doctors do things with CPT, such as having them printed by a local printing house on their own customized superbills. I've never heard of anyone being pursued for that. It would seem that if you included a subset of the CPT codes that you use in your own practice in order to interact with Medicare for billing transactions in the course of your own business, and you get them yourself for your own personal use, not distributed with the EMR, but just loaded into it by yourself, it would not violate the conditions. I cannot see that loading a subset of CPT codes into your EMR would be any different than printing them on a superbill or having your coder enter then into your claims. But that's just the way I look at it, which may not hold up. I imagine CMS and other 3rd party payors and clearinghouses must have agreements with AMA to use CPT. Do their agreements extend in any way to cover individual providers that do business with these 3rd party payors that use CPT? Alex
Re: [openhealth] [Fwd: HSSP Passes Major Milestone Today!]
(I forgot that you can't forward an email as an attachment. Here is the announcement I was referring to:) All: I would like to take a moment to pause and acknowledge a significant event that occurred this morning. At about 11:30am EST, the OMG Domain Task Force voted to issue Requests for Proposals for both the Entity Identification Service (EIS) and Retrieve, Locate, Update Service (RLUS) specifications. Until today, the notion of developing Service Functional Models in HL7 and transforming them into technical RFP's to be issued to industry was just a destination to which we have been diligently working towards for a year (with prework having begun far before then). On March 31st, 2007, "Letters of Intent" are due to the OMG indicating companies and product vendors that will develop both technical specifications and ultimately implementations of software (either open source, reference implementations, or products). [We're planning to have one quarter dedicated to each RFP and how you may participate in a submission at HL7 in San Diego in January]. I'm already aware of companies that are exploring joining forces to collaborate as part of a joint submission team. I'd like to take a moment in particular to thank and congratulate Alan Honey and John Koisch, whom have been championing these specifications not only within HL7, but within the OMG community as well. Additional thanks to Barbara Eckman, Scott Robertson, Craig Bennett, Virinder Batra, and all of the other individuals that have contributed their time and efforts in making these quality specifications. Also, our thanks to the countless folks who took time to provide ballot feedback on the Service Functional Models, and those who contributed on teleconferences and the list on these specifications. The OMG RFP documents are publicly available on the OMG website at: EIS: _http://www.omg.org/cgi-bin/doc?health/2006-12-01_ RLUS: _http://www.omg.org/cgi-bin/doc?health/2006-12-02_ In addition, we'll be getting those documents available from our Wiki. Things are shaping up to be a very engaging and busy meeting in San Diego in January. I look forward to seeing you there. - Ken Ken Rubin Chief Healthcare Architect EDS Civilian Government & DoD Healthcare Portfolio 5109 Leesburg Pike, Suite 414 Falls Church, VA 22041 Tel: +1-703-845-3277 Mobile: +1-301-335-0534 + _mailto:[EMAIL PROTECTED] David Forslund wrote: > > Here is an opportunity for the open source community to contribute to a > significant new standard for healthcare. > Anyone willing to participate in a response to these RFPs? > > Dave Forslund > > [Non-text portions of this message have been removed] > >
Re: [openhealth] Re: list of diagnoses and procedures
Alex Caldwell wrote: The way I interpret the agreement on > the site, I believe it is OK to do this as long as you just do it > just for yourself for your own internal use, but you are not allowed > to re-distribute them. So perhaps it would be OK to distribute the > Open Source EMR minus these codes, but include instructions for the > user for downloading this file and importing the codes themselves > into their own personal copy of the EMR: DISCLAIMER: IANAL but "Grant and Limitations. You, as an individual, are authorized to use CPT only as contained in the CPT®/Medicare Relative Value Payment File (the "File") solely for your own personal information and only within the United States." specifically EXCLUDES any use outside of the (Excel) file and any use outside the US. It goes on to say that you are prohibited for using them in place of purchasing the CPT book or creating any derivative work. When we licensed CPTs for use in FreePM the AMA was very attentive to the distribution and we had to submit quarterly audits to them. I suggest you ensure you adhere to their licensing restrictions I understand they are very aggressive in pursuing their copyright on their government granted monopoly. Cheers, -- Timothy (Tim) Cook, MSc Health Informatics Consultant Jacksonville, FL Ph: 904-322-8582 http://home.comcast.net/~tw_cook/ EMAIL: [EMAIL PROTECTED] SKYPE: timothy.cook Yahoo IM: tw_cook [Non-text portions of this message have been removed]
[openhealth] [Fwd: HSSP Passes Major Milestone Today!]
Here is an opportunity for the open source community to contribute to a significant new standard for healthcare. Anyone willing to participate in a response to these RFPs? Dave Forslund [Non-text portions of this message have been removed]
[openhealth] Re: list of diagnoses and procedures
--- In openhealth@yahoogroups.com, Adrian Midgley <[EMAIL PROTECTED]> wrote: > > "a list of diagnoses and procedures > > Does anyone know one which is free to use and edit if needed and in an > easy format to parse into a database" > > Asked a colleague in another place. Do we have a list of such lists? > > What would the panel prefer? > > Thanks. > > -- > Midgley > Adrian, In the US, in order to get paid by Medicare or any other 3rd party payor, we are required to use the following. Of course it's totally different than what the entire rest of the world uses, so probably of no use to your colleague. In the course of developing the billing module for tkFP, I found the following links to be very useful. Anyone desiring to include billing in an EMR in the US would need these: HCPCS (Health Care Common Procedure Coding System) Level I and Level II codes. Level I HCPCS codes are also known as "CPT-4 codes" and are maintained by the American Medical Association, which apparently owns the rights to their distribution. I could not find a site with an authorized FREE download for the level I HCPCS (CTP- 4) codes in a an electronic file. The AMA will sell them to you, however, or you can buy them from some of their authorized distributors. But the AMA does have a site where you can look them up one by one here: https://catalog.ama-assn.org/Catalog/cpt/cpt_search.jsp I did find some files on the CMS (Centers for Medicare & Medicaid Services) web site that do, in fact, have ALL the CPT codes in an electronic format suitable for slurping up into one's EMR. These were not really intended for such use, but were for publishing Medicare's payment schedule. But they do have all the codes in an Excel format. One can export the codes out of Excel, say in a CSV format, and then easily write a little script to slurp up the codes into your open source EMR. The way I interpret the agreement on the site, I believe it is OK to do this as long as you just do it just for yourself for your own internal use, but you are not allowed to re-distribute them. So perhaps it would be OK to distribute the Open Source EMR minus these codes, but include instructions for the user for downloading this file and importing the codes themselves into their own personal copy of the EMR: http://www.cms.hhs.gov/apps/ama/license.asp? file=/physicianfeesched/downloads/pe_townhall_hcpcs_level.zip The level II HCPCS codes, commonly referred to as the "Alpha- numeric" codes because they start with a letter and have 4 numerals, are mostly for supplies used in the course of treatments that 3rd party payors cover, such as chemotherapy medications and "durable medical equipment " i.e. wheelchairs etc. They are also used for a few other odd-ball codes that are not in CPT-4 like Medicare influenza shot administration. Level II HCPCS codes are maintained by CMS (Centers for Medicare & Medicaid Services). Level II codes for 2007 can be downloaded from here: http://www.cms.hhs.gov/HCPCSReleaseCodeSets/downloads/anweb07.zip ICD-9 Codes are used for billing in the U.S. Files with the codes and abbreviated descriptions can be downloaded from here. http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/06_codes.asp Alex Caldwell M.D. Tulare, California, USA
Re: [openhealth] an element of repeat (refill) prescribing
-BEGIN PGP SIGNED MESSAGE- Hash: SHA1 Karsten Hilbert wrote: >> I have assorted bits of SQL and nested If statements, but in principle >> this could be done with system independent code or at least pseudocode. >> >> Do our various evolving systems have the generic capacity to do this, >> cleverly? > GNUmed humbly denies having that ability. But we are > certainly interested in (linking to?) to your "assorted bits > of SQL". We could host a page on our Wiki to make things > more widely available which you might edit if that is useful > to you. > > Karsten SELECT DATEDIFF(LEFT(NOW(),10),NotBefore) AS tDays,PatCode, Entry, RepLeft, RepMax, NotBefore, ReIssue, IF(Entry LIKE '%STATIN%','lipids', IF(Entry LIKE '%FIBRATE%','lipids', IF(Entry LIKE '%THYROXI%','TFT', IF((Entry LIKE '%PRIL%' OR Entry LIKE '%ATENOLOL%' OR Entry LIKE '%DIPINE%'),'BP', '' AS Monitor, IF(Entry LIKE '%(CD)%','CD rules','') AS Special FROM RXRPT WHERE RepLeft =1 AND (DATEDIFF(NotBefore,LEFT(NOW(),10))<2 AND DATEDIFF(NotBefore,LEFT(NOW(),10))>-2) ORDER BY tDays; CD is Controlled Drug, opiates etc. Gives something like this (pardon it wrapping) +---+-++-++++-+-+ | tDays | PatCode | Entry | RepLeft | RepMax | NotBefore | ReIssue| Monitor | Special | +---+-++-++++-+-+ | 0 | x | SOTALOL HCL_TAB 80MG | 1 | 7 | 2006-12-08 | 2006-10-13 | | | | 0 | x | SIMVASTATIN_TAB 40MG | 1 | 7 | 2006-12-08 | 2006-10-13 | lipids | | +---+-++-++++-+-+ This is being done in a very simple fashion, one could have a table of what to do per drug, one could use the exact serial numbers of the preparation in the catalogue rather than going by wild-carded drug names, but it actually releases a little time and adds a little convenience, and looks extendable. -BEGIN PGP SIGNATURE- Version: GnuPG v1.4.1 (GNU/Linux) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org iD8DBQFFeYn/j8Pwy18JDnIRAupLAJ9delm9wwqLcvueYuULBkmgrV0Y8wCg2StN H3u/0tDmrYbZRBQBA02IGvM= =8RTh -END PGP SIGNATURE-
[openhealth] Open adverse drug reaction databases?
Hi, Is it possible to obtain an open adverse drug reaction database? Are there any international standards for listing adverse drug reactions, say on the basis of active substances? I am not familiar with the subject, so I do not know how these databases are constructed, but somehow I feel that they are not as hard as clinical guidelines to contstruct; and they have broader use. An open, international database would make a lot of things easier for healthcare related information systems, beginning with the prevention of adverse reactions. A google search brings this one for example: http://www.cbc.ca/news/adr/database/ . But how applicable this db is for another country, and also is it allowed to be used elsewhere? I'd appreciate your opinions/experiences on this one Regards Seref
