unfortunately, that's a big if. What's the rate of uptake for
computerized records nowadays : are almost all of the potential emr
converts already converted/locked-in with the current crop of cottage
industry applications ? Maybe someone should try to use some statistical
method (like monte-carlo or bayesian filters) to look at the data
contained generically ( just need to know how to access
4D databases, microsoft SQL, foxpro, and possibly firebird/interbase )
look for common patterns of data layout/ character/word sequences , and
attempt extractions into a common ehr schema format. Doable ? say for
a/some university researcher(s) ? 
On Mon, 2007-04-23 at 11:22 +0800, Richard Hosking wrote:
> Yes after a few months on the Rails thing I have given up for the moment
> Too many other things
> 
> But as you say later an OSS platform that just started with the basics - 
> billing/front desk/basic records EHR would certainly get things going if 
> there was a reasonable number of users and data. You could build all 
> sorts of things on top of it.
> 
> R
> 
> David Guest wrote:
> 
> > David More wrote:
> >
> >> Hi David,
> >>  
> >> I think there are some groups doing pretty smart decision support and 
> >> doing it pretty well. Certainly the literature on CPOE shows the 
> >> better implementations of that are making a difference.
> >>  
> >> Medical Object has some really fantastic standardized stuff in the 
> >> Cancer Domain also.
> >
> > That's good to hear. I wasn't aware how far MO had come since I last 
> > suggested to Andrew that he should be a player in the EHR domain 
> > (since he understood the comms area).
> >
> > However, like Argus eprescribing and JJ's ICP initiative, the limiting 
> > factor is the closed source of the EHR. It basically shuts off DS 
> > experimentation from those who are willing to dabble.
> >
> >
> >> Don't be quite so despondent - there are islands of hope out there!
> >
> > Bored more than despondent, David. There are lots of fascinating 
> > things happening in the world and the gross inefficiencies of the 
> > medical IT industry are a mere triviality.
> >
> > Do you play golf?
> >
> > David
> >
> >
> > _______________________________________________
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> >
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