Under the Scottish model the summary is created and sent to a central server where it is the only information about the patient.
The IHE X Enterprise Document Share (XDS) model provides for an extensible approach to shared clinical information and would see the GP summary being stored on either their own practice website, a regional (eg GP Division) web server or even a central one ( and a pointer to this on the document register along with pointers to other documents eg hospital discharge summaries, investigation reports etc which would in turn be stored locally most likely.) This approach has been developed using existing standards (including web services, HL7) by the international health IT industry in response to user specifications developed in the US and Europe. I am writing this from the HL7 working group meeting in the US - The XDS model is being looked at in many places (other than UK - where they are building a central EHR, and Canada where they are looking at one along the HealthConnect model but have not committed the funds to build it and run it. This model is no threat to those who want a long term shared EHR - just an affordable component which can be delivered now. NEHTA have released a summary of a discussion paper on Shared EHR models (prepared by DH4 Consulting) which focuses on direction for standards for information interchange and leaves the issue of what type of intrastructure (vis a vis the Scottish or other models pretty open. http://www.nehta.gov.au/component/option,com_docman/task,cat_view/gid,130/It emid,139/ Regards Peter MacIsaac MacIsaac Informatics Consulting in Health Informatics, Terminology & Data management and Health Policy. [EMAIL PROTECTED] 0411403462 (mobile) 61611327 (office) peter_macisaac (skype) 8 Ewart St. Yarralumla 2600 "We trained hard, but it seemed every time we were beginning to form up into teams, we would be reorganised. I was to learn later in life that we tend to meet any new situation by reorganising, and a wonderful method it can be for creation the illusion of progress while producing confusion, inefficiency and demoralisation." - From Pertonii Arbitri AD 66, attributed to Gaius Petronus, a Roman General who later committed suicide. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dr Hugh Nelson Sent: Tuesday, 9 May 2006 8:01 PM To: General Practice Computing Group Talk Subject: Re: [GPCG_TALK] IHE and XDS - sharing of documents and webservicesdiscussion Hi Peter, I was impressed by the report of the Scottish approach to allowing access to an emergency medical summary - this means that the GP still has the patients record, but the summary is created by software and posted somewhere where it is able to be accessed by appropriately authorised entities like A&E medicos etc. Is NEHTA looking at anything like this? cheers, Hugh. Peter MacIsaac wrote: With regard to discussion arising on GPCG list re: recent HL7 workshop on Webservices and SOA. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.392 / Virus Database: 268.5.2/330 - Release Date: 3/05/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.392 / Virus Database: 268.5.2/330 - Release Date: 3/05/2006 _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
