Re: [openhealth] standards vs implementations

2006-12-05 Thread Adrian Midgley
Wayne Wilson wrote: > > > example is > the entire suite of PKI related standards. > > (Yeah, I know that this e-mail is digitally signed using PKI technology. > But how useful is it to nearly anyone who gets it? I was doing > inter-operability tests preparatory to a wide spread Hospital > PKI imple

[openhealth] standards vs implementations

2006-12-04 Thread Wayne Wilson
On Dec 3, 2006, at 5:19 AM, openhealth@yahoogroups.com wrote: > > fostering the development of open standards, not condemning them. I > fully agree that standards must be implemented, even have multiple > interoperable implementations from different code bases. But it would > be illogical to toss

Re: [openhealth] Standards -- more questions

2006-05-20 Thread Thomas Beale
In the end, openEHR and archetypes are just an effort to systematize a solution to some of the many many problems in the e-health domain - that's our offering to this community. We will do everything needed to help people understand and use them. The community here might consider using them

Re: [openhealth] Standards -- more questions

2006-05-20 Thread Thomas Beale
Tim.Churches wrote: > > Sure, I don't have any problem with that - I agree that a mapping > framework is a good idea. However whether the archetypes framework and > ADL is overkill for such a purpose of mapping codes and concept to one > another really depends on additional utility of the archet

Re: [openhealth] Standards -- more questions

2006-05-20 Thread Tim.Churches
Thomas Beale wrote: > Tim.Churches wrote: >  > Thomas Beale wrote: >  > > Alvin B. Marcelo wrote: >  > >  > I agree with Heitzso. ICD-10 suffers from 'usability' issues. Yet >  > >  > unlike the better systems (ie, >  > >  > SNOMED) it is freely accessible. >  > >  > >  > >  > Perhaps OSHCA can

Re: [openhealth] Standards -- more questions

2006-05-20 Thread Thomas Beale
Tim.Churches wrote: > Thomas Beale wrote: > > Alvin B. Marcelo wrote: > >  > I agree with Heitzso. ICD-10 suffers from 'usability' issues. Yet > >  > unlike the better systems (ie, > >  > SNOMED) it is freely accessible. > >  > > >  > Perhaps OSHCA can make a statement making ICD-10 the 'least c

Re: [openhealth] Standards -- more questions

2006-05-20 Thread Tim.Churches
Tim.Churches wrote: > Thomas Beale wrote: >  > Alvin B. Marcelo wrote: >  >  > I agree with Heitzso. ICD-10 suffers from 'usability' issues. Yet >  >  > unlike the better systems (ie, >  >  > SNOMED) it is freely accessible. >  >  > >  >  > Perhaps OSHCA can make a statement making ICD-10 the 'l

Re: [openhealth] Standards -- more questions

2006-05-19 Thread Tim.Churches
Thomas Beale wrote: > Alvin B. Marcelo wrote: >  > I agree with Heitzso. ICD-10 suffers from 'usability' issues. Yet >  > unlike the better systems (ie, >  > SNOMED) it is freely accessible. >  > >  > Perhaps OSHCA can make a statement making ICD-10 the 'least common >  > denominator' together w

Re: [openhealth] Standards -- more questions

2006-05-19 Thread Thomas Beale
In short ICDx is a classification; Snomed-ct is (an attempt at) a descriptive ontology. - thomas beale SPONSORED LINKS Software distribution Salon software

Re: [openhealth] Standards -- more questions

2006-05-19 Thread Thomas Beale
Alvin B. Marcelo wrote: > I agree with Heitzso. ICD-10 suffers from 'usability' issues. Yet > unlike the better systems (ie, > SNOMED) it is freely accessible. > > Perhaps OSHCA can make a statement making ICD-10 the 'least common > denominator' together with the > caveats and recommendations

Re: [openhealth] Standards -- more questions

2006-05-19 Thread Thomas Beale
Joseph Dal Molin wrote: > ...some thoughts... > > What would standardizing on ICD-10 mean in the context of  an > organization such as OSHCA  given the reality the heterogenous landscape > of ICD adoption... what would this mean in real practice? What would > this imply for those systems using I

Re: [openhealth] Standards -- more questions

2006-05-19 Thread Thomas Beale
Alvin B. Marcelo wrote: > First thread: > > I propose we standardize on ICD-10 (as a minimum). It's an > international standard anyway (albeit > difficult to use). This of course does not preclude the others from > using SNOMED if they can > afford to do so. > > That being the case, OSHCA can

Re: RES: [openhealth] Standards -- more questions

2006-05-15 Thread Tim Churches
information systems provide support and > facilities for the use of particular classification systems in > particular circumstances and settings. Perhaps a set of guidelines using > a better developed version of the nascent framework (if you can call it > that) set out above? Anyone want to c

RES: [openhealth] Standards -- more questions

2006-05-15 Thread John
9-0023 ---   _  De: openhealth@yahoogroups.com [mailto:[EMAIL PROTECTED] Em nome de Tim Churches Enviada em: sábado, 13 de maio de 2006 20:44 Para: openhealth@yahoogroups.com Assunto: Re: [openhealth] Standards -- more questions

Re: [openhealth] Standards -- more questions

2006-05-13 Thread Tim Churches
l (see http://www.biomedcentral.com)? Tim C > - Original Message > From: Heitzso <[EMAIL PROTECTED]> > To: openhealth@yahoogroups.com > Sent: Friday, May 12, 2006 10:33:26 AM > Subject: Re: [openhealth] Standards -- more questions > >    I do *strongly* recomm

Re: [openhealth] Standards -- more questions

2006-05-13 Thread Mark Spohr
6 AM Subject: Re: [openhealth] Standards -- more questions    I do *strongly* recommend researching human engineering studies re determine whether a fine granularity such as is provided by ICD-10, which may be very accurate from a technical point of view, does, in practice, provide more accur

Re: [openhealth] Standards -- more questions

2006-05-13 Thread Molly Cheah
Hi Alvin, "Agreeing on common standards" is much more complex than meets the eye. Have you seen this health IT standards directory by the National Alliance for Health Information Technology?  http://www.nahit.org/hitsdir/ The Standards Directory is part of the "Alliance's drive to accelerate

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Nandalal Gunaratne
ICD-10 has tried to be more accurate in making the diagnosis, thereby going into great detail, with the obvious effects of bloat. The ICD-10 -PCS is taking quite the opposite way of doing things, but could be difficult to get people to use it for this reason. They will not have their favorite

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Tim.Churches
Alvin B. Marcelo wrote: > First thread: > > I propose we standardize on ICD-10 (as a minimum). It's an international > standard anyway (albeit > difficult to use). This of course does not preclude the others from using SNOMED > if they can > afford to do so. ICD-10 and SNOMED-CT are differen

Re: [openhealth] Standards

2006-05-12 Thread Tim.Churches
Molly Cheah wrote: > There doesn't seem to be control of its use. Information (unofficial) of > its copy rights by WONCA is here > http://www.ulb.ac.be/esp/wicc/copyright-en.html > > You can download the electronic version of ICPC2 from here. > http://www.ulb.ac.be/esp/wicc/ceo.html > > When w

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Alvin B. Marcelo
>  What would standardizing on ICD-10 mean in the context of  an >  organization such as OSHCA  given the reality the heterogenous landscape >  of ICD adoption... what would this mean in real practice? What would >  this imply for those systems using ICD - 9 for example? Would it be more > 

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Alvin B. Marcelo
Yes, I didn't mean to say OSHCA should go on developing standards. I think the better phrase is 'to implement open standards using open source software'. Proceeding with open source software development without agreements in common standards can even speed up the fragmentation the current infor

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Alvin B. Marcelo
I agree with Heitzso. ICD-10 suffers from 'usability' issues. Yet unlike the better systems (ie, SNOMED) it is freely accessible. Perhaps OSHCA can make a statement making ICD-10 the 'least common denominator' together with the caveats and recommendations as cited by Heitzso? --- Heitzso <[E

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Heitzso
I do *strongly* recommend researching human engineering studies re determine whether a fine granularity such as is provided by ICD-10, which may be very accurate from a technical point of view, does, in practice, provide more accuracy than a lower granularity encoding. If such a study does not e

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Nandalal Gunaratne
David Forslund <[EMAIL PROTECTED]> wrote: Yes. Let us decide which of these nationally decided ones we should support. Regards Nanda Gunaratne It isn't clear to me the role that OSHCA can/should play in the standards world.   It might be useful for the community to agree on th

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Nandalal Gunaratne
This is the ideal. But if the differences between the two are substantial, it could be a lot of work. IDC-9 was never made for electronic medical records - just paper. I am not sure if ICD-10 is, but it is more likely to be electronically usable. ICD-10-PCS on the other hand was made exclusive

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Nandalal Gunaratne
"Alvin B. Marcelo" <[EMAIL PROTECTED]> wrote: Any thoughts about that statement? Can we actually call a standard open if there are limitations to its implementation by FOSS?    No. Unless the limitation is due to the laziness of the FOSS developers ;-)    Nanda Gunaratne alvin

Re: [openhealth] Standards

2006-05-12 Thread Heitzso
>  even more important is to provide mappings between coding systems, since >  not everyone will ever use the >  same coding system. ... rant/ramble follows from an old hot-button,     feel free to discard now and not read ... I agree that everyone will not use the same coding system, and tha

Re: [openhealth] Standards

2006-05-12 Thread Nandalal Gunaratne
James Busser <[EMAIL PROTECTED]> wrote: This is the way it is and multiple licences are necessary depending on the number of users. Maybe things have changed recently? Nanda Gunaratne On May 11, 2006, at 8:23 AM, David Forslund wrote: > In the US  (and UK) SNOMED-CT is freely a

Re: [openhealth] Standards -- more questions

2006-05-12 Thread David Forslund
It isn't clear to me the role that OSHCA can/should play in the standards world.   It might be useful for the community to agree on things that "everyone" will support, but that alone doesn't make it a "standard". Standards my be dictated by national entities or other bodies outside the contr

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Joseph Dal Molin
...some thoughts... What would standardizing on ICD-10 mean in the context of  an organization such as OSHCA  given the reality the heterogenous landscape of ICD adoption... what would this mean in real practice? What would this imply for those systems using ICD - 9 for example? Would it be

Re: [openhealth] Standards -- more questions

2006-05-12 Thread Bhaskar, KS
On Fri, 2006-05-12 at 04:42 -0500, Alvin B. Marcelo wrote: [KSB] <...snip...> > Second thread: > > An interesting insight I got at the last Regional Conference in Open > Standards sponsored by NECTEC > and IOSN in Bangkok (May 2-4) --  an Intel smployee (Danese) > emphasized that open standa

[openhealth] Standards -- more questions

2006-05-12 Thread Alvin B. Marcelo
First thread: I propose we standardize on ICD-10 (as a minimum). It's an international standard anyway (albeit difficult to use). This of course does not preclude the others from using SNOMED if they can afford to do so. That being the case, OSHCA can also 'standardize' on the preferred mappi

Re: [openhealth] Standards

2006-05-11 Thread Molly Cheah
There doesn't seem to be control of its use. Information (unofficial) of its copy rights by WONCA is here http://www.ulb.ac.be/esp/wicc/copyright-en.html You can download the electronic version of ICPC2 from here. http://www.ulb.ac.be/esp/wicc/ceo.html When we started using it 6 years ago, we

Re: [openhealth] Standards

2006-05-11 Thread Alvin B. Marcelo
As far as I know, the 'owners' of ICPC enforce a levy on its use. Is anyone from WONCA in this list? Is it a fact that SNOMED is free for use even in developing countries? --- James Busser <[EMAIL PROTECTED]> wrote: > > On May 11, 2006, at 8:23 AM, David Forslund wrote: > > > In the US 

Re: [openhealth] Standards

2006-05-11 Thread James Busser
On May 11, 2006, at 8:23 AM, David Forslund wrote: > In the US  (and UK) SNOMED-CT is freely available.    Do folks use the > ICPC-2 spec?  If so what do you all think of it? I thought it was only available freely within geographic boundaries  and, within that, possibly only to members of ce

Re: [openhealth] Standards

2006-05-11 Thread David Forslund
In the US  (and UK) SNOMED-CT is freely available.    Do folks use the ICPC-2 spec?  If so what do you all think of it? Dave Nandalal Gunaratne wrote: > > > "Alvin B. Marcelo" <[EMAIL PROTECTED]> wrote: > You are quite right. Interoperability depends in turn on the agreement > on standards. C

Re: [openhealth] Standards

2006-05-11 Thread David Forslund
I like OpenEHR a lot, but it is not a standards body.   ASTM is (in the US anyway).  OpenEHR needs to be able to support the various standards out there.    CCR is rather simple and I'm sure rather trivial for OpenEHR to support.  It is trivial for OpenEMed to support it, for example, with no

Re: [openhealth] Standards

2006-05-11 Thread Nandalal Gunaratne
David Forslund <[EMAIL PROTECTED]> wrote: The coding system standards in the US have been specified by CHI.   We should share coding systems, but even more important is to provide mappings between coding systems, since not everyone will ever use the same coding system.   OSS could lead

Re: [openhealth] Standards

2006-05-11 Thread Nandalal Gunaratne
"Alvin B. Marcelo" <[EMAIL PROTECTED]> wrote: You are quite right. Interoperability depends in turn on the agreement on standards. Coding systems included.    Unfortunately the best nomenclature coding system is SNOMED-CT which is a proprietary product. But I am sure the new versions of the

Re: [openhealth] Standards

2006-05-10 Thread David Forslund
Alvin B. Marcelo wrote: > > Tell me where I can find something of the Phillipine RUV system for > procedures? > > http://www.philhealth.gov.ph/download/RVS2003.pdf What is the meaning of the RVU column in this document? Someone needs to do a mapping of this to one of the other UMLS data models

[openhealth] Standards

2006-05-10 Thread Alvin B. Marcelo
> Tell me where I can find something of the Phillipine RUV system for procedures? http://www.philhealth.gov.ph/download/RVS2003.pdf > If you are using ICD-10 for disease codes you could have used the ICD-10-PCS (Procedure Coding System). I agree, but you see, I do not make the call regardin

Re: [openhealth] Standards for health information systems

2006-05-09 Thread Nandalal Gunaratne
Hi Alvin, Tell me where I can find something of the Phillipine RUV system for procedures? If you are using ICD-10 for disease codes you could have used the ICD-10-PCS (Procedure Coding System). Interoperability is not something to do with just using the same coding systems though... Tha

Re: [openhealth] Standards for health information systems

2006-05-08 Thread David Forslund
As most of you know by now, OpenEMed uses a service oriented architecture based on the OMG  PIDS/COAS/RAD/LQS standards, with PIDS using by default the HL7 2.3 PID segment of patient identification.   COAS uses various HL7 codes for observations (or any other coding system that is available). L

Re: [openhealth] Standards for health information systems

2006-05-08 Thread David Chan
In Canada we are watching closely the development of standards from the Canada Health Infoway. I sit on their Lab Standards group. Messaging standard will most likely be HL7v3 and terminology standard will likely be a combination of LOINC and SNOMED-CT. David --- [EMAIL PROTECTED] wrote: > Hi

[openhealth] Standards for health information systems

2006-05-08 Thread alvin . marcelo
Hi all, I'm collating standards (open or otherwise) that are being used in open source health applications. I'd appreciate if the developers on the list would explicitly publish what standards they base their applications on and perhaps we can establish interoperability from thereon. For CHIT