Tim, is there a role/need for developing an open source API for accessing the HCN databases? jon -- Jon Patrick Chair of Language Technology Australian R&D Centre for Health Informatics School of Information Technologies University of Sydney
Quoting Tim Churches <[EMAIL PROTECTED]>: > Andrew Patterson <[EMAIL PROTECTED]> wrote: > > > > > The benefits of participation would need a social marketing > campaign. > > > But GPs agree to participate in the CARDIAB programme, don't > > > they? I think what I had in mind was a next generation platform > > > for CARDIAB or something very like it. > > > > Tim, > > > > Sorry, I wasn't really up on what CARDIAB did so I didn't > > immediately see the connection.. > > > > But you are right that it could be used to populate a > > fair bit of the chronic disease data. I'd still argue that consumers > > would want a bit more out of a PHR than that. What about > > an accurate up to date list of _all_ my medications? A record of > > _all_ my encounters with coded diagnoses? All my PSA results > > for the last 10 years. I don't think any of this information would > > be captured in any chronic disease program like CARDIAB (and > > also - I'm a healthy male - I don't think I'd be enrolled in > > a program like CARDIAB but I still might be interested in having > > a PHR). > > Yes, a PHR (personal health record) needs to go beyond the CARDIAB data > items, but they would be a start. Could be a bit more ambitious in the > first instance, perhaps. > > Officially you probably should not be in CARDIAB which is designed for > high-risk patients but that doesn't mean that your risk of CVD won't be > reduced even further if you get your BP down from 120/80 to 110/70 and > your total chol down from 4.9 to 4.2 - there's no magic threshold below > which no benefit accrues (obviously, only up to a point, as very low BP > may be a risk factor for other things). > > > My GP is the one that has the master copy of > > all that information - I don't pay them enough to force > > them to type it in again into my PHR, I don't have the medical > > experience to enter it in myself accurately, and HCN has no > > interest in automating the whole process. I don't really see what > > the driver is that will change any of that.. > > Re-keying data won't fly. But I thought that key results were already > being streamed as HL7 messages to CARDIAB via Argus Connect? And if HCN > won't play ball, then legally there is nothing stopping third parties > from extracting the data from GP's databases which are contained in HCN > products (with both GP and individual patient consent, of course). But > co-operation by HCN and other software vendors would be nicer. I must > say that the absence of any open plug-in architecture in HCN or any > other GP clinical information systems is an issue - it stifles > innovation and trammels many potentially very useful public health and > preventive medicine programmes. > > Tim C > _______________________________________________ > Gpcg_talk mailing list > [email protected] > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > ---------------------------------------------------------------- This message was sent using IMP, the Internet Messaging Program. _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
