On 12/07/2007, at 3:33 PM, Andrew McIntyre wrote:
Chris Scott wrote:
I'm interested in the views of the list members on the process of
transferring patient records electronically between Practices. Given
that most households move house once every four years and that
Practices
are becoming more electronic, the days of handing over a paper
file are
almost over. So if a patient goes to another practice how are records
transferred now and what will this look like in the future? - The
destination Practice might well have a different practice management
system using different protocols and standards of course.
Chris.
Chris Scott
The planned mechanism, as outlined at recent MSIA meeting, is to use
archetyped HL7 V2 and HL7 Mecication/allergy segments to encode the
records for transfer.
To get atomic data will require significant enhancements in the HL7
produced by systems, but this is the mechanism that is most likely to
succeed in the long term
Andrew McIntyre
Hi Chris & Andrew,
Other possible solutions/variations to above for interoperability
include:
1) direct transfer of clinical codes, each code capable of computer
representation of a complete clinical statement e.g. docle closures
2)embeding docle closures in said HL7 messages
3)embeding natural language like text in HL7 which is then parsed to
capable clinical codes as described in 1.
4)exchange messages in natural health language and then scrape the
message components from e,g, emails, to be parsed to capable
clinical codes as described in 1.
Interoperability looks bright. Mental fixation on the belief that
we need an agreed health coding system a priori to achieve
interoperability is the great roadblock to the flow of creative juices.
HTH
Kuang - my new email address is [EMAIL PROTECTED]
Docle design principle No. 4
Clinical codes are designed to be snapped on together to form
clinical statements (docle closures) using joiner codes. Analogous to
the clinical concept codes being the neurons and the joiner codes
being the glia.
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