Hi Akhil,

totally agree, too.

In Germany, we have an existing standard, which is followed by all
Lab-data-providers: It is the LDT-Standard (Labor Daten Tr�ger). Basically,
LDT is a defined file- and data-format for transmission of Lab data results.
German usres can find the specification here.
http://www.schenk-ansorge.de/daten/eininfo/ldt1001.01.pdf or here:
http://www.kbv.de/it/1895.htm

Though, LDT was initially made for communication between Lab and general
practitioners (in Germany), not for intra-hospital use. Anyway, most/if not
all providers of lab-management-systems (in Germany, I can not speak for
other countries) support LDT.

Within the next years everybody involved in medical data transmission will
shift to CDA, which is an official ANSI-Standard. CDA means clinical
document architecture. It is completely based on XML, even if it is derived
from HL7.

Here is a very insightful overview on XML in Clinical Research and
Healthcare Industries, linking on standards, bodies and lealth care
initiatives: http://xml.coverpages.org/healthcare.html

German Information about CDA: http://www.sciphox.de/atwork/cda/cda.htm

For standardisation issues, especially universal identifiers for laboratory
and other clinical observations see: http://www.regenstrief.org/loinc/

I am very convinced, that Care2x will only survive and succeed, if existing
standards in health care are included and supported. The implemenatuon of
standards will be the turn-key for acceptance of Care2x through
hospital(-managers).

Some developers complain about problems with intellectual property and/or
copyright and standards. Yes it is (often, but not always) true: Developers
first have to BUY the written, official standard specification (for example,
you have to PAY some 100 Euro, to buy the written HL7-standard in Germany).
After that you can use the standard freely for implementation in your own
(free, OS or commercial) projects. No fees, no license costs. You are simply
not allowed to make copies of the written standard itself and distribute
these copies.

One first step in Care2x could be the generation of CDA conforming
XML-documents for hospital discharge and admission from Care2x. The second
step could be to import information from (external) CDA-documents into
Care2x.

Regards

Alex


----- Original Message ----- 
From: "Akhil Gupta" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Thursday, April 14, 2005 9:38 PM
Subject: [Care2002-developers] Laboratory Module - Needs a total rewrite


Hi,

I have the following issues with the laboratory module due to which I am
planning for a total rewrite of the laboratory module

1. Any test - say Haematogram has a number of test parameters attached to
it - the system at present does not have provisions to define custom test
parameters per test and their normal ranges.

2. All the test names and parameters are bound in a array hash due to which
modifications and additions is a tedious job - shouldn't it be in tables?

3. The lab test list need some standardization in terms of structure and
parameters.

My Question

Has anybody thought on the lines of migrating the lab module on database?

Akhil



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