Based upon your comments, Id like to point out that there are individuals at CDC who are interested in guidance for integrating Immunization Data into the EHR and who we can work with in getting the generic requirments into model documents useful in most pediatric care environmentss. To that end I have just checked the draft Peds project template that I sent earlier and early statements are in place in both Concept of Operation (A5.3.4, A8.1.2) that I will work on improving and extending if you get me the descriptive dcoumentation that you have uncovered.. Likewise, the basic function of immunization checking is in B3.2.1 and data objects in B3.2.5 that link to the EHR Standards. These need better description in terms of linakge to State Immunization registries and the way to add the Immunization Segment to the EHR in VistA if it cannot be identified with an existing file structure. In any case, functional behavior will need to be documented that supports pediatrician cognitive behavior. This documnetation will amke clear ro both the implementation team and the the potential pediatric practitoners exactly what the system is capable of in its delivered re-configuration. That will then enable dialog with Pediatric practitioners about extended capabilities beyond the initial delivered configuration and it will stimulate appropriate dialog with VA, IHS and DoD about comparision with their present and anticipated systems and healthcare process regarding immunization and public health issues.

I look forward to what you can send and will work on this documentation in parallel with your investigationa about the implementation infrastructure issues.

Arden W. Forrey PhD
Dept of Restorative Dentistry
University of Washington School of Dentistry

206-616-1875 Phone
206-543-7783 FAX

On Mon, 8 Nov 2004, Nancy E. Anthracite wrote:

I got the impression from some of the conferences that I have been to that a
lot of CDC software development is not done as a primary mission of the CDC,
but something that dedicated hobbyists do or that programmer hired to do one
thing ends up doing on their own time, and then the CDC is nice enough to
distribute it.  So I, personally, expect a lot of variation and I am pleased
that they are nice enough to share what they have with us.


On Monday 08 November 2004 12:58 pm, Beza, Fil wrote:
I am not that impressed with CDC's ability to produce usable software.
Many years ago George Timson developed a simple Fileman application (we did
not even have menu manager back then) for TB Registry for SF County TB
Clinic.  CDC has attempted to produce software to replace that FM
application over the years, first with DBASE II, then with Access.  To this
day, SF TB Clinic is still using the FM Based application with no CDC
software replacement in sight.


-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nancy E. Anthracite Sent: Monday, November 08, 2004 9:24 AM To: [EMAIL PROTECTED] Subject: Re: [Hardhats-members] Any Visual Basic programmers out there...

The CDC has software for a pediatric immunizations that is supposed to test
a child's record of immunizations and tell what immunizations are needed.
It appears to have been completed in 2000 and it is no longer going to be
supported by them, if it ever was supported. A complete algorithm for
pediatric immunization would be complex to say the least and I do not know
exactly how much this software covers and if it includes things like the
child's current health status, etc.  If this is good and can be maintained
and updated, VB or not, it would be very valuable and might be something we
could convert to Java or something that will allow cross platform use.

 Anyway, I think there are files missing so I am trying to get those and a
chance to talk to the programmer, so let me see how I do with that and then
I will get back to all of you.

There is some information about it here, but there is also a page with a
description of an algorithm where they were soliciting programs and I can't
find it right now.  If and when I find it, I will post it as I gathered
that this program satisfied that algorithm.

http://www.cdc.gov/nip/registry/tech.htm#soft

look under Programmers' Guide to the Automated Immunization Evaluation
Process - Version 2.0  (Reviewed 10/10/2001)

You can actually download the exe file and see if you agree with me that
stuff is missing here:

http://www2.cdc.gov/nip/sw-registration/algo-reg.asp

Just fill it in and it takes you right to the page for the download.

Or I can set up a server for you to get the *.exe file off of tonight.
Although you have to install it to get the files, it appears that they were
all supposed to be there and I think they aren't, but I would be happy to
be found wrong.  The person who I talked to at the CDC thought they were
all there.

On Monday 08 November 2004 11:08 am, Pat wrote:
Send it this way too Nancy. Marc, if it's Visual Studio readable only
dump it to text would ya?

What are you trying to do Nancy?

  Pat

Marc Aylesworth wrote:
I can also help


Thank you,

Marc Aylesworth
Health Specialist Technician
Oneida Indian Nation
223 Genesee Street
Oneida, New York 13421
(315) 829-8909



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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
Bill Walton
Sent: Sunday, November 07, 2004 10:29 AM
To: [EMAIL PROTECTED]
Subject: Re: [Hardhats-members] Any Visual Basic programmers out
there...

I'll be glad to help.

----- Original Message -----
From: "Nancy E. Anthracite" <[EMAIL PROTECTED]>
To: "Hardhats" <[EMAIL PROTECTED]>
Sent: Sunday, November 07, 2004 7:01 AM
Subject: [Hardhats-members] Any Visual Basic programmers out there...

who can help me sort out some immunization algorithm VB code from
the CDC

for

the pedi project?
--
Nancy Anthracite
[EMAIL PROTECTED]
301-738-2150


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-- Nancy Anthracite


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-- Nancy Anthracite


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