For most of the period from 1997 to mid-2005 I happily imported PIT files into my own software. These files were delivered to an email address by both providers. Whenever results did not arrive or for some other reason went astray, tracking systems in my software alerted me to this fact and I chased. I saw as my responsibility to track pathology ordered for my patients and not the responsibility of the pathology provider. Since we took all our own bloods and other samples - with exception of a few specialised tests - we were always confident that samples had actually been collected.

The changes came when I decided to stop writing my own software for general practice - part of my exodus from general practice - I purchased third party software and suddenly I had a plethora of other third party software inside my network with pathology and radiology providers stating that they had to do it this way because they needed two "ensure delivery" - for whom I wonder - certainly I didn't require it.

If I were ever to own a practice again, I would again insist on limiting the software third party suppliers would want to put on my system.

Alex


Dr Alexander G Bennett
Pomona Qld 4568
Australia

[EMAIL PROTECTED]



On 30/05/2006, at 7:03 AM, Ian Haywood wrote:



john dooley wrote:

2) timeliness is the same with most of the systems regardless of
implementation as propretary or otherwise (sure point to point has some speed advantages over email but on broadband its trivial), and there are
Good point. And point-to-point doesn't really work with dialup, you need store-and-forward
anyway.


7) Of course, I am the kind of person that would like to accomodate as
wide an audience as I can, I would like to use standards and I would
really like to have the whole lot open sourced for the good of the
country, so please tell me specifically what I have to do to come up
with the openpgp easy method you are using! I doubt I can implement it
though...because of issues on my side of the chain.
Can I draw you out on this a little, john?

What sort of interfaces would need to exist at your end? What platforms? Would you have a daemon/service that scans a directory for files dumped by a local app (essentially the reverse of the GP system)? What sort of files? Do local path systems produce PIT directly?
Is the MLLP (simple HL7 over TCP) used at all?
Or would you need some form of GUI for your typist to enter in reports directly?
Or does the typist insist on Word? (as for other specialists)


Ian
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