Open Source EHR at the Americal Academy of Family Physicians ...

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Pathology requirements TIMED MEASUREMENTS

One should take care never to obscure the "reality" of the fact that you have two separate test results. That reality needs to be captured somewhere, at some level of the EHR. The algorithm that the clinician or researcher applies to these two results would be another matter. -C At 06:20 AM 1

Pathology requirements CONTRIBUTION - 2 versions at once

Hi Thomas, I'm not sure I like the notion of "superceded". Is the first test an error? If so, the first result should simply be marked "wrong" and voided or removed. If the first result just looked a little goofy to the clinician, but there was nothing to indicate with certainty that it was

Open Source EHR at the America... now about eyeglass coding

is At 01:35 AM 10/2/2003 +1000, Thomas Beale wrote: >Christopher Feahr wrote: > >>My understanding is that the US open-licence period for SNOMED CT begins >>Jan 1, 04. I have also been told that Centers for Medicare and Medicaid >>Services are planning a number of "de

Open Source EHR at the Americal Academy of Family Physicians ...

My understanding is that the US open-licence period for SNOMED CT begins Jan 1, 04. I have also been told that Centers for Medicare and Medicaid Services are planning a number of "demonstration projects" early in 2004, involving EHR systems and SNOMED CT terms. Therefore, I would agree with Ed

What HIPAA means to you - a brief description

s will be a *very* emotional discussion with providers... and possibly with patients. Regards, -Chris At 10:27 AM 9/2/2003 +1000, Thomas Beale wrote: >Christopher Feahr wrote: > >>Tom, >>Are your remarks here concerned only about *privacy* laws with respect to >>EHR... i.e

What HIPAA means to you - a brief description

Tom, Are your remarks here concerned only about *privacy* laws with respect to EHR... i.e., patient and provider rights with respect to access and disclosure? I can't think of any other general aspect of law that would apply to EHR... at least not one that would benefit from the "uniform model

Proposal to strealime voting for providers

ionDataStandard.org - Original Message - From: Ioana Singureanu To: Christopher Feahr ; ehrmodelwg at lists.hl7.org ; ehr at lists.hl7.org ; openehr-technical at openehr.org Cc: HL7_Abdul-Malik Shakir ; HL7-Gartner_Wes Rishel ; Victor Connors ; AAO_Steve Kamenetzki ; viceprez at massmed.o

HL7, SDO operations, and EHR convergence (re-post to openEHR list)

(I did not see this posted to openEHR... trying again. please pardon if duplicate) I am addressing the important issues raised on the openEHR listserve around HL7 membership/participation costs, ability to contribute/comment on standards vs. "vote" on them, license to examine/review vs. "impleme

testing listserve (please ignore)

test - If you have any questions about using this list, please send a message to d.lloyd at openehr.org

Open Source EHR at the Americal Academy of Family Physicians ...

iserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "USM Bish" To: Sent: Tuesday, August 19, 2003 2:30 PM Subject: Re: Open Source EHR at the Americal Academy of Family Physic

Open Source EHR at the Americal Academy of Family Physicians ...

My understanding is that it is evolving from the "CCR" (continuity of care record) project involving the state of Massachusets and the ASTM medical records standards project outlined at: http://www.astm.org/cgi-bin/SoftCart.exe/COMMIT/COMMITTEE/E31.htm?L+mystore+qkvm5991+1061259141 Personally, I w

certification and verification of OpenEHR

this, of course, raises the issue of the certification of the certifiers... i.e., where does the meta-certification-buck stop? In my opinion, certification (that an application, record structure, message, data elements, archetypes, etc. conform to a particular version of "registered" standard) sho

IS Models (was HISTORY DATA SET IN EPR)

c". To keep on with the note-book example, > > I would say that you no longer need forms, you simply have to use the > terms > > of the ontology and make sentences with them. It works because what you > > "write" has a meaning for the system. > > Of cour

HISTORY DATA SET IN EPR

Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Thomas Beale" To: Sent: Tuesday, August 12, 2003 6:20 PM Subject: Re: HISTORY DATA SET IN EPR > Christopher Feahr wrote: > > &

Distributed Records - An approach

- Original Message - From: "Thomas Beale" To: Sent: Tuesday, August 12, 2003 5:58 PM Subject: Re: Distributed Records - An approach > Christopher Feahr wrote: > > >Thomas, > >This sounds workable to me. If I am understanding you correctly, we > >need

HISTORY DATA SET IN EPR

Again... please do not misunderstand my recommendation to give payers direct access to EHR information to be a recommendation of *unrestricted* access. I'm not sure exactly how we will control it, but I would argue for payers having access to no more information than they have access to today. He

HISTORY DATA SET IN EPR

-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Gerard Freriks" To: "Christopher Feahr" ; "Thomas Clark" Cc: "Karsten Hilbert" ; Sent: Monday, August 11, 2003 3:35 PM Subject: Re: HISTORY DATA SET IN EPR > Hi, > > As

HISTORY DATA SET IN EPR

Hi Karsten, please see comments in-line. thanks. Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Karsten Hilbert" To: Sent: Monday, August 11, 200

HISTORY DATA SET IN EPR

ballot. Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Bill Walton" To: Sent: Monday, August 11, 2003 1:53 PM Subject: Re: HISTORY DATA SET

HISTORY DATA SET IN EPR

ds, -Chris Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Thomas Clark" To: "Christopher Feahr" Cc: "Karsten Hil

HISTORY DATA SET IN EPR

Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Thomas Clark" To: "Christopher Feahr" Cc: "Karsten Hilbert" ; Sent: Sunday, August 10, 2003 12:39 PM Subject: Re: HISTORY DATA SET IN EPR > Christopher

HISTORY DATA SET IN EPR

Karsten, I agree that the medical concepts shhould be carefully modeled first... then extract the necessary terminologies... then build the necessary code lists. I have not wanted to pay the $500 licence fee to look at SNOMED CT, as it will be free for all in 3 months... so I apologize for my igno

Distributed Records - (Plus a tale of two HIPAAs)

within HL7... hopefully, out of the flurry of federally-inspired activity that began this spring around the EHR initiative. Hope springs eternal!. With that, I believe it's time to call it a day! Have a great weekend... and thanks for reading. Christopher J. Feahr, O.D. Optiserv Co

Distributed Records - An approach

ydney Area Health Service > > -Original Message- > From: Tim Churches [mailto:tchur at optushome.com.au] > Sent: Friday, 8 August 2003 06:49 > To: Sam Heard > Cc: Christopher Feahr; lakewood at copper.net; openehr-technical at openehr.org > Subject: RE: Distributed Record

Distributed Records - An approach

m not convinced that it knows what it will do with all the leaves! Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message ----- From: "Thomas Clark" To: ; "norbe

Distributed Records - An approach

r effort through WEDI-SNIP. In fact, the regulation itself names WEDI and charges it with this very mission. It's a real party over here! Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStan

Distributed Records - An approach

) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Thomas Clark" To: "norbert Lipszyc" ; "Christopher Feahr" ; Sent: Wednesday, August 06, 2003 10:54 AM Subject: Re: Distributed Records - An approach > Hi Norbert, >

certification and verification of OpenEHR

egards, -Chris Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Thomas Clark" To: "Christopher Feahr" ; "Thomas Beale&qu

certification and verification of OpenEHR

on Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: To: "Christopher Feahr" ; "Thomas Beale" ; Sent: Tuesday, August 05, 2003 9:24 AM Subject: Re: certification and verification of Open

Distributed Records - An approach

Thomas, This sounds workable to me. If I am understanding you correctly, we need one (and only one??) registry in which anyone, anywhere (who is authorized, of course) could look up a patient and determine which "region" had master control at the moment over his record. If I'm a provider living i

versioned parties (was Re: certification and verification ofOpenEHR)

Tim, Data mining and ad hoc queries does not sound out of scope to me. Sounds like a primary use for the EHR-data. Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message -

certification and verification of OpenEHR

tp://VisionDataStandard.org - Original Message - From: "Tim Churches" To: "Christopher Feahr" Cc: "Thomas Clark" ; "Thomas Beale" ; Sent: Monday, August 04, 2003 1:16 PM Subject: Re: certification and verification of OpenEHR On Tue, 2003-08-05 at 03:

certification and verification of OpenEHR

: "Tim Churches" To: "Thomas Clark" Cc: "Christopher Feahr" ; "Thomas Beale" ; Sent: Sunday, August 03, 2003 1:59 PM Subject: Re: certification and verification of OpenEHR - If you have any questions about using this list, please send a message to d.lloyd at openehr.org

certification and verification of OpenEHR

E be the driver to build, purchase, and implement interoperable software. Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Thomas Clark" To: &quo

certification and verification of OpenEHR

Philippe, Thank you for the comments. I believe that we will have "islands" of health information for a very long time... for many reasons, some of which are not technically sound, but more the result of convention. On the other hand, the "islands" do facilitate an inherent security and fault-tole

certification and verification of OpenEHR

models of each local user-enterprise. -Chris Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org - Original Message - From: "Thomas Beale" To: Sent: Sunday, August 03, 2003 5:

certification and verification of OpenEHR

Dear Group, I have just recently joined your listserve, and have been actively participating in the HL7 EHR ballot discussion for only a few weeks. During the four years prior to that, I had been swimming in the HIPAA-EDI ocean, trying to figure out how the operational costs for 450,000 smaller pro