Hi Tim and all,

Just as the US tootles off in a different direction it seems..

Standards Group To Adopt, Maintain EHR Data Format
Health Level 7, a health standards development organization, will adopt and 
maintain an
electronic health record data format that was funded and developed by the 
California
HealthCare Foundation, Health IT Strategist reports (Robeznieks, Health IT 
Strategist,
12/20).

The EHR data format, called EHR-Lab Interoperability and Connectivity 
Specification,
enables standardized test results reporting between clinician labs and 
physician office
EHR systems. ELINCS also will let providers electronically receive clinical 
data and will
make EHR data searchable, according to a CHCF press
release.

National health IT vendors and California health care organizations in 2006 
were involved
in pilot ELINCS implementation, which determined that the standard would be 
useful and
"widely applicable" for the electronic reporting of lab results, according to 
CHCF. ELINCS
also is expected to reduce expensive redundancies in clinics and connect EHR 
systems with
lab vendor information systems.

After HL7 adopts ELINCS, it will be responsible for maintaining and further 
developing
ELINCS, as it migrates to a new HL7 standard (CHCF press release, 12/19).

Jason DuBois, the American Clinical Laboratory Association vice president for 
government
relations, said the Office of the National Coordinator for Health IT asked CHCF 
to take
responsibility for ELINCS. He added that it makes sense for HL7 to assume 
responsibility
for ELINCS because CHCF is not a standard-setting body and lacks the necessary 
resources
to continue to play long-term role in its development, Health IT Strategist 
reports.

ELINCS was developed by a collaborative of California laboratories, payers and 
providers
organized by CHCF (Health IT Strategist, 12/20).


One difference with ELINCS is that is has had significant implementation and 
testing -
much like Auspath - where as even the NEHTA introduction says what they have is 
"not ready
for implementation"

One oddity I noted was that I could not find a simple Hb - all the exotic 
HbA1C, carboxy
etc where there but not the old Heamoglobin (or Hemoglobin)

The QA on the file is also a bit weak - with both Hb spellings being used - 
seemingly at
random.

Cheers

David

 ----
 Dr David G More MB, PhD, FACHI
 Phone +61-2-9438-2851 Fax +61-2-9906-7038
 Skype Username : davidgmore
 E-mail: [EMAIL PROTECTED]
 HealthIT Blog - www.aushealthit.blogspot.com


On Fri, 22 Dec 2006 06:38:56 +1100, Tim Churches wrote:
> See
>
> http://www.nehta.gov.au/component/option,com_docman/task,cat_view/gid,122/Itemid,139/
>
> Worth scrutinising and commenting upon, in writing, to NEHTA (but perhaps 
> comments can
be CCed to this list to promote discussion firts?). But don't only
> send comments to this list, send them to NEHTA as well as formal responses, 
> for goodness
sake.
>
> and
>
> http://www.nehta.gov.au/component/option,com_docman/task,cat_view/gid,151/Itemid,139/
>
> For path test and result codes, it seems like SNOMED CT is where it is going 
> to be at,
and the Auspath codes (see ), which are based on LOINC codes, are
> deprecated, which makes sense to me since LOINC, although freely available, 
> doesn't
adequately cover all of health and health care, and ultimately it doesn't
> make sense to have to build decision support and other information systems 
> which have to
deal with one terminology and corresponding set of codes for
> pathology, another for procedures, another for more general diagnoses, yet 
> another for
disabilities and so on.
>
> Usual grumbles about the use of Microsoft Excel files as the format used to 
> distribute
the draft code sets, when three more clicks by the
> relevant NEHTA functionary could have rendered the lists as CSV text files, 
> acceptable
to everyone.
>
> Tim C
>
>
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