As practical matter, developing any significant application in less than 3 months is, well, "difficult" (XP, and I don't mean Windows, notwithstanding).
--- Nancy Anthracite <[EMAIL PROTECTED]> wrote: > Whoa! I didn't mean to give the impression that the CCR will be > available for > VO!!! That I would REALLY like to have happen, but VO is supposed to > be out > Aug 1 and I expect the CCR will be released at about the same time. > > > On Tuesday 14 June 2005 12:13 pm, A. Forrey wrote: > > On Mon, 13 Jun 2005, David Sommers wrote: > > > May I suggest (the large) RIM model for HL7 v3. It's XML. > > > > HL7's RIM v3.0 is a start but contary to some views it is not the > answer > > to everything; there is much that can be harmonised to include much > more > > of the conceptual content needed. The CCR, which is the use of XML > for a > > certain part of the needs, can have utility for part of the system > > behavior needed and Nancy's comment that it will be available with > Vista > > Office is most encouraging but it also comes with an evolutionary > > trajectory that must be based on commonly needed capabilities. The > > Relationship of these capabilities to those needed frome the > Zachman > > frameork peprspectiev still needs considerable work; there is > reason to > > hope that RIM 3.0 can be related to this broader perspective. > > > > > > > > http://www.hl7.org/Library/data-model/index.cfm > > > > > > It may not be a simple implementation of what you're looking for > but it > > > is a standard and more than likely has too much. I wish I had a > quick > > > little XML sample to paste in but I couldn't dig up anything > quickly. > > > (I suggest a search of the site). > > > > > > /David. > > > > > > -----Original Message----- > > > From: [EMAIL PROTECTED] > > > [mailto:[EMAIL PROTECTED] On Behalf > Of Kevin > > > Toppenberg > > > Sent: Monday, June 13, 2005 10:23 PM > > > To: hardhats-members@lists.sourceforge.net > > > Subject: Re: [Hardhats-members] XML data export > > > > > > OK. So it would be most helpful to do one's XML > > > export using tags that everyone agrees on. But this > > > is apparently still an evolving area, where consensus > > > has not been reached. > > > > > > So in the mean time, I think I will try to design a my > > > XML export system such that the end user can choose to > > > simply use the data labels for individual fields, or > > > optionally specify different XML tags. > > > > > > Kevin > > > > > > > > > --- Greg Woodhouse <[EMAIL PROTECTED]> > > > > > > wrote: > > >> Everybody does seem to be getting. I just went to > > >> OMG to download the > > >> MOF standard, and notice that on their main page > > >> they are talking about > > >> their involvement with EHR standards, too. Of > > >> course, there is HL7 who, > > >> in addition to the RIM and CDA has an EHR-S effort > > >> underway. I know > > >> about CCR, but it's only a small part of what ASTM > > >> is doing. I've been > > >> looking at the OpenEHR web site, but am still trying > > >> to digest it at > > >> see if I can get a handle on what is genuinely new > > >> about archetypes. I > > >> think the language is a bit confusing, because in > > >> mathematical logic, > > >> ontologies typically refer to what is left if you > > >> omit contingent > > >> information from your model (actually a model is > > >> basically an ontology > > >> + contingent information). > > >> > > >> --- "A. Forrey" <[EMAIL PROTECTED]> wrote: > > >>> There are ASTM standards on the Structure and > > >> > > >> Conent of the EHR that > > >> > > >>> are > > >>> consistent with ADA standards on the EHR; These > > >> > > >> are conceptual > > >> > > >>> content > > >>> standards that have had historic support of AHIMA. > > >> > > >> Thye also have > > >> > > >>> some > > >>> consistency with HL7 messaaging structures and > > >> > > >> have been in touch > > >> > > >>> with the > > >>> Open EHR folks. Efforts are underway to reactivate > > >> > > >> a dilaog that > > >> > > >>> began in > > >>> 1995 on a "Common Data Model" but subsequently > > >> > > >> many went of to play > > >> > > >>> "king > > >>> of the Mountain" in their pigeonholes. A key issue > > >> > > >> currently is to > > >> > > >>> map the > > >>> "Continuity of Care Record - CCR" to the existing > > >> > > >> EHR models and then > > >> > > >>> to > > >>> VistA. VistA has a lot of representing and EHR as > > >> > > >> a series of text > > >> > > >>> (date-timed) but the recent Report of the ONCHIT > > >> > > >> clealry noted to > > >> > > >>> tension > > >>> be tween structured models for the EHR and those > > >> > > >> for structured text( > > >> > > >>> which is just electronic represntation of paper > > >> > > >> record notes). WHat > > >> > > >>> is of > > >>> interest for VistA is what its eveolutionary > > >> > > >> trajectory will be with > > >> > > >>> respect to this conceptual content and how it will > > >> > > >> fit into the > > >> > > >>> "business > > >>> model" of healthcare which ( according to IOM > > >> > > >> 2003) is patient > > >> > > >>> Centered > > >>> care and Multidisciplinary teams; Resource > > >> > > >> Management is supportive > > >> > > >>> and > > >>> enabling but has had prime focus for 40 yrs (at > > >> > > >> least). economists > > >> > > >>> have > > >>> noted that when healthacre recognbizes that the > > >> > > >> business model for > > >> > > >>> healthcare in not that of a supermarket it will > > >> > > >> progress. A key > > >> > > >>> question: > > >>> Is the DVA now using a Supermarket Model and > > >> > > >> worrying about > > >> > > >>> Technology as > > >>> prime focus or is it really (as the 2005 > > >> > > >> Person-Centered heslth > > >> > > >>> record > > >>> Book tries to say) looking at the REAL Healthcare > > >> > > >> business model? > > >> > > >>> Time > > >>> will tell. > > >>> > > >>> On Mon, 13 Jun 2005, Joseph Dal Molin wrote: > > >>>> Greg have you looked into the OpenEHR > > >> > > >> initiative....it is > > >> > > >>> attempting to > > >>> > > >>>> develop a usable EHR standard. > > >>>> > > >>>> Joseph > > >>>> > > >>>> Greg Woodhouse wrote: > > >>>>> Of course, if you just dump the progress notes > > >> > > >> to a file, won't > > >> > > >>> they > > >>> > > >>>>> still be in a "proprietary" format? It seems > > >> > > >> that what you need is > > >> > > >>> an > > >>> > > >>>>> EHR standard that supports interoperability. > > >> > > >> This is where I hope > > >> > > >>> to go > > >>> > > >>>>> with Triton and/or Orpheus. > > >>>>> > > >>>>> --- Kevin Toppenberg <[EMAIL PROTECTED]> wrote: > > >>>>>> I want the practice to be able to say, we > > >> > > >> don't want > > >> > > >>>>>> to use VistA anymore, dump all the progress > > >> > > >> notes to a > > >> > > >>>>>> DVD so we can import them into another system. > > >>>>>> > > >>>>>> Kevin > > >>>>>> > > >>>>>> > > >>>>>> --- "Gillon, Joseph" > > >> > > >> <[EMAIL PROTECTED]> wrote: > > >>>>>>> I assume you know about the RPC to get notes > > >> > > >> by > > >> > > >>>>>>> patient/provider for a given > > >>>>>>> time interval, and you need something else? > > >>>>>>> > > >>>>>>> -----Original Message----- > > >>>>>>> From: > > >> > > >> [EMAIL PROTECTED] > > > > > > [mailto:[EMAIL PROTECTED] > > > > > >>>>>>> On Behalf Of Kevin > > >>>>>>> Toppenberg > > >>>>>>> Sent: Monday, June 13, 2005 4:13 PM > > >>>>>>> To: Hardhats Sourceforge > > >>>>>>> Subject: [Hardhats-members] XML data export > > >>>>>>> > > >>>>>>> One of my goals for my site has been the > > >> > > >> ability to > > >> > > >>>>>>> get data back out of VistA in a painless > > >> > > >> manner. For > > >> > > >>>>>>> me this means XML. And I am rapidly nearing > > >> > > >> the > > >> > > >>>>>>> point > > >>>>>>> where I plan on finishing this project. > > >>>>>>> > > >>>>>>> I have a couple of approaches I could take, > > >> > > >> and I'd > > >> > > >>>>>>> like input from the list > > >>>>>>> > > >>>>>>> 1. Write a custom program that dumps progress > > >> > > >> notes > > >> > > >>>>>>> (currently the only unique data being stored > > >> > > >> in our > > >> > > >>>>>>> VistA) in XML format. I think I could very > > >> > > >> easily > > >> > > >>>>>>> do > > >>>>>>> this. > > >>>>>>> > > >>>>>>> 2. Writing an extension to fileman's data > > >> > > >> export > > >> > > >>>>>>> abilities, to include an option for XML. > > >> > > >> This would > > >> > > >>>>>>> be the better option in the long run, but > > >> > > >> probably > > >> > > >>>>>>> would be a good deal more difficult for me. > > >> > > >> I would > > >> > > >>>>>>> need to fully understand the current system > > >> > > >> to > > >> > > >>>>>>> decide > > >>>>>>> how best to integrate. Usha recently posted > > >> > > >> about > > >> > > >>>>>>> her > > >>>>>>> difficulty using the export functions. I > > >> > > >> don't > > >> > > >>>>>>> think > > >>>>>>> anyone responded with an answer. > > >>>>>>> > > >>>>>>> What do export templates do? What file are > > >> > > >> they > > >> > > >>>>>>> stored in? > > >>>>>>> > > >>>>>>> Has anyone else already done this? Anything > > >> > > >> I > > >> > > >>>>>>> should > > >>>>>>> know before I rush off to reinvent the wheel? > > >>>>>>> > > >>>>>>> Thanks > > >>>>>>> Kevin > > > > > > === message truncated === > > > > > > > > > > > > > > > __________________________________ > > > Discover Yahoo! > > > Get on-the-go sports scores, stock quotes, news and more. Check > it out! > > > http://discover.yahoo.com/mobile.html > > > > > > > > > ------------------------------------------------------- > > > This SF.Net email is sponsored by: NEC IT Guy Games. How far can > you > > > shotput > > > a projector? How fast can you ride your desk chair down the > office luge > > > track? > > > If you want to score the big prize, get to know the little guy. > > > Play to win an NEC 61" plasma display: > http://www.necitguy.com/?r=20 > > > _______________________________________________ > > > Hardhats-members mailing list > > > Hardhats-members@lists.sourceforge.net > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > > > > > ------------------------------------------------------- > > > This SF.Net email is sponsored by: NEC IT Guy Games. How far can > you > > > shotput a projector? How fast can you ride your desk chair down > the > > > office luge track? If you want to score the big prize, get to > know the > > > little guy. > > > Play to win an NEC 61" plasma display: http://www.necitguy.com/?r > > > _______________________________________________ > > > Hardhats-members mailing list > > > Hardhats-members@lists.sourceforge.net > > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > ------------------------------------------------------- > > SF.Net email is sponsored by: Discover Easy Linux Migration > Strategies > > from IBM. Find simple to follow Roadmaps, straightforward articles, > > informative Webcasts and more! Get everything you need to get up to > > speed, fast. > http://ads.osdn.com/?ad_id=7477&alloc_id=16492&op=click > > _______________________________________________ > > Hardhats-members mailing list > > Hardhats-members@lists.sourceforge.net > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > -- > Nancy Anthracite > > > ------------------------------------------------------- > SF.Net email is sponsored by: Discover Easy Linux Migration > Strategies > from IBM. Find simple to follow Roadmaps, straightforward articles, > informative Webcasts and more! Get everything you need to get up to > speed, fast. http://ads.osdn.com/?ad_id=7477&alloc_id=16492&op=click > _______________________________________________ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members > "The most profound technologies are those that disappear." --Mark Weiser ==== Greg Woodhouse [EMAIL PROTECTED] [EMAIL PROTECTED] ------------------------------------------------------- SF.Net email is sponsored by: Discover Easy Linux Migration Strategies from IBM. Find simple to follow Roadmaps, straightforward articles, informative Webcasts and more! Get everything you need to get up to speed, fast. http://ads.osdn.com/?ad_id=7477&alloc_id=16492&op=click _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
