Hi John,

Thanks for having a look and saying what you think..most grateful..

Cheers

David

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


On Wed, 28 Feb 2007 18:17:23 +1100, John Mackenzie wrote:
>
>> NEHTA have just released the General Practitioner and
>> Specialist/Critical Care Referral Data Content Specifications v1.0. Its a 
>> small
document of some almost 500 pages.  You can find it here.
>> https://www.nehta.gov.au/index.php?option=com_docman&task=cat_view&gid=176&Itemid=139
>> <https://www.nehta.gov.au/index.php?option=com_docman&task=cat_view&gid=176&Itemid=139>
>>
>> I am curious to know from the technical experts among this group.
>> 1. Just how practical, implementable and workable is this specification? 2. 
>> How likely
is it that any system developer will implement it in the forseeable
>> future?
>> 3. Do people think this project is adding anything that will make a 
>> difference to
health service quality and safety anytime soon?
>
>
> OMG  :-o
>
> I have perused the 500 pages, and am agog ...
> - NeHTA state that there is an increase in patients with
> chronic disease requiring multidisciplinary management [agree].
> - NeHTA's vision (I think) is for there to be an EHR which
> can be standardised/formatted so that a referral template will
> contain information for communication to the various health
> care providers [good vision].
> - The problem is that the amount of information (number of fields)
> that NeHTA is proposing is soooo large that the whole schema
> becomes unworkable.  A bit like an episode of Maxwell Smart
> (agent 86) where Smart obtains some information from agent 13
> who is hiding in a cigarette machine, then -
> 86: Thanks. While your there,13, can I have a pack of cigarettes.
> 13: Filtered or non-filtered.
> 86: Filtered.
> 13: Menthol or non-menthol.
> 86: Non-menthol.
> 13: King-size or regular.
> 86: Forget it. I just broke the habit  :-)
>
> My answers to David's 3 specific questions would be:
> 1. I don't think the HeHTA schema is practical/ implementable/ workable. 2. I 
> don't
think that a system developer would be able to implement an EHR with this
> level of complexity in the foreseeable future.
> 3. I don't think this project adds anything that will make a difference to 
> health
service quality and safety anytime soon.
>
> Horst (if he has a moment to just skim the 500 pages) would provide
> a much better opinion.   (I would be better at just pruning the NeHTA 
> extravaganza down
to workable size).
>
> John Mac
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