I have said it before.... Why should this sort of commercial bickering pollute a potentially powerful and productive GP oriented chat environment. Wrong forum for this stuff.
Regards John Johnston BSc DipSci AIMM Managing Director 0408 276 742 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrew McIntyre Sent: Wednesday, 2 May 2007 10:15 AM To: General Practice Computing Group Talk Subject: Re: [GPCG_TALK] If it sounds too good to be true it probably is -REF vs ORU Geoff Sayer wrote: > Geoff Sayer wrote: > > > > What is of concern is the way that the different clinical applications > handle ORU and REF messages. > > Where does an ORU message end up in MD2 for example? > > Unless I am mistaken the ORU ends up in the Results Tab and database > that supports that. > > So if you are using an ORU for a psychiatrist report it will be mixed > in with pathology and imaging results. > > The same with hospital discharge summaries if using ORU as the message > format. > I am surprised that you do not have more knowledge on this area. An ORU message can be made to go into Results/letters or documents using undocumented mechanisms and at times non-standard message types which I think originated with healthlink (The RSA tab) Only if it goes into results can it be onsent in another referral and many users elect to use results because of this. The way it's directed by the PMS system is quite primitive as HL7 provides much better ways of deciding where it fits but these are usually ignored by the application in question. When we tested REF messages with a variety of applications we found that in some cases the doctor was not alerted to the letter at all and in those cases used ORU because it was safer! Obviously its a moving target, but we have no trouble transporting REF messages. You have to look at the end to end use however rather than just the transport. The interface to any PMS system should be open and not morph into another tollgate. The current support for current standards wrt HL7 is less than perfect and It's compliance with standards that is going to fix it, not back room deals. Andrew McIntyre > > > Is this a good thing? > > Will clinicians go looking for that letter from Dr Psychiatrist in > investigations or a discharge summary in investigations? > > > > If a REF message is used it ends up in the letter section of MD2. Is > that where a clinician would expect it to be? > > > > Geoff > _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk John Johnston Pen Computer Systems Pty Ltd Level 6, The Barrington 10-14 Smith Street Parramatta NSW 2150 Ph: (02) 9635 8955 Fax: (02) 9635 8966 _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
