Hello David,

Monday, February 20, 2006, 10:26:34 AM, you wrote:

DG> Andrew McIntyre wrote:

>>DG> That's the WSDL part. It defines what and how is web accessible. That's
>>DG> never been practical in medicine until now with the "advent" of NEHTA's
>>DG> universal patient and health provider identifier.
>>  
>>
DG> snip

>>The universal Patient and provider identifier on their own won't solve
>>it.
>>  
>>
DG> Thanks Andrew.

DG> Apart from some code and internal policies what else do you need?

Nothing, we are doing it now. Provider numbers are adequate
identifiers to get going. The patient one requires some matching, as
will always be the case.


>>DG> Like you I find these asps worrying but it is no doubt good news for
>>DG> Monet and V-Practice. I think.
>>
>>I think the access needs to be standards based or we have built a 4
>>lane highway leading to the tower of Babbel.
>>  
>>
DG> So what do the standards have for medications, allergies,
DG> investigations? I gather these are not available off the shelf in HL7.
DG> Is this what NEHTA's getting around to and for which the $10 mil is
DG> being made available so that someone can build it?

DG> David

There are HL7 Standards for this and the Australian REF message can
encapsulate them into one message. A common terminology is needed and
Snomed-CT Provides this.

There are whole Australian standards on HL7 based Medication
Messaging.

The interoperability operates on several levels, basic
interoperability with transmission of human readable reports is the
first goal. The second goal is semantic interoperability where the
meaning of what is transmitted is preserved. We need a common
terminology and standards for this. The combination of HL7, Snomed-CT
and probably archetypes can achieve this. There was a standards
meeting on Friday, which I attended where we have pretty much nailed
down transmitting complex structed data in HL7 - ie Archetyped data.

The advantage of using HL7 is that we can transmit text - "Human
Readable" reports and highly structured data in the same message, so
you can progress from one level to the other without redoing the
foundations.



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-- 
Best regards,
 Andrew                            mailto:[EMAIL PROTECTED]

Andrew McIntyre
Buderim Gastroenterology Centre
www.buderimgastro.com.au
PH: 07 54455055 FAX: 54455047


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