Re: [Hardhats-members] IHS system???

Mon, 25 Apr 2005 09:08:50 -0700

The HRN is multiple.  If you use the file 2 lookup routines ^AUPNLK* the connection is with the DUZ(2).  So the combination of HRN and DUZ(2) is unique.  So for the location defined by DUZ(2) there can be only one HRN for a given patient. 
Jim Gray
----- Original Message -----
Sent: Sunday, April 24, 2005 10:09 PM
Subject: Re: [Hardhats-members] IHS system???

Was wondering, if IHS can handle multiple HRN's, on what basis do they link these HRN's. I mean if a patient had an SSN (which they do not have), based on it they could collect all the corresponding HRN's. How do they know that it is the same patient with a different HRN?
 
Anna
----- Original Message -----
From: James Gray
Sent: Friday, April 22, 2005 9:48 PM
Subject: Re: [Hardhats-members] IHS system???

IHS is designed to just serve the population of Native Americans.  People who are not Native American are not entitled to care at an IHS facility except as an emergency usually.  There are exceptions I will not go into.  Native American are never charged directly for the service they receive at an IHS facility.  If they have health insurance the insurer can be billed.
 
I think that IHS facilites keep track of the next HRN that is available and when a patient is registered they get assigned an HRN.
 
Jim Gray
----- Original Message -----
Sent: Friday, April 22, 2005 1:43 AM
Subject: Re: [Hardhats-members] IHS system???

how does one usually assign the HRN? Is it generally a sequence of digits(which is parameterized to incorporate the needs of different hospitals) that are incremented? That calls for a routine! 
 
Does the IHS handle differential charging of patients?  I mean do they have different types of patients like Private, general, free... for whom the same procedure is charged differently? Or patients who have a specified limit to free care? I don't think that happens in VistA anyhow - correct me if I'm wrong!
 
Anna
----- Original Message -----
From: James Gray
Sent: Wednesday, April 20, 2005 9:29 PM
Subject: Re: [Hardhats-members] IHS system???

I believe the input transform on the HRN field is for a max of 6 digits.  I thought that some version of the AUPNLK* routines were included in the VistA FOIA.  The lastest can be obtained from the IHS FOIA.  It would be possible for a hospital to put their own patient id's into the HRN field as long as they are numbers no more than 6 digits long. 
 
If you have Cache installed on a Windows machine you should be able to load it onto Cache.  I do not know about untaring (if that is the right term) without Unix or Linux. 
 
I was trying to say that IHS uses unmodified versions of VA Fileman and Kernel.
 
Jim Gray
----- Original Message -----
Sent: Wednesday, April 20, 2005 12:39 AM
Subject: Re: [Hardhats-members] IHS system???

 
From: James Gray
Sent: Wednesday, April 20, 2005 3:30 AM
Subject: Re: [Hardhats-members] IHS system???

 
>I don't either, but I recall some things about it.  If you use the VA FOIA there is cross reference on the SSN that stuffs the SSN into the HRN.  The interesting thing is >that it violates the input transform on the HRN field.
 
what is the input transform on the HRN Field? I mean does it increase/decrease the number of digits, a specific logical transformation...?
 
>If you are not going use SSN you need a different way to keep files 2 and 9000001 in synch.  The cross reference (something like PX09) is how the VA software keeps >the two files in synch.  If you make the SSN optional or do not use it then the two files will not stay in synch.  IHS does it a different way.  They keep the two files in >synch with the file 2 look up routines (the routines with the names AUPNLK*).
 
Tried to locate the routine (AUPNLK ) could not find anything of that sort in the OpenVista SemiViva 4.0 which we are using. We presume that this contains all the FOIA routines. In which case the routines are only available in the IHS system.
 
So that means that the SSN will have to be maintained (to play it safe), though it may not be used by a hospital, which would use the HRN. In such a case, can we generate the HRN using a M routine (Generally Hospitals like to have their own sequence for patients numbers with respect to their status i.e. private patient, general patient, etc.) or are there other criteria for gernerating the HRN?
 
>To refer back to an earlier question, if you do not have Mumps programmers available it will be difficult to impossible to meld RPMS and Vista.  But they are quite similar >and I do not think the isssue would be very difficult for a Mumps programmer.  I do not know if anyone has gotten RPMS to run on a GT.M system.  RPMS uses >essentially vanilla VA Fileman and Kernel.
 
 I wish we can have a local implementation of RPMS. I have tried to look at the page www.ihs.gov/Cio/RPMS/index.cfm provided by Marc Aylesworth. I have not understood how one can go about the installation of RPMS? I mean, you can only download the .zip/.tar files as per your module selection from the site. How do we proceed then?

RPMS apparently has not been implemented on GT.M. How does one install it on Cache? Does one have to use UNIX (again which flavor of UNIX) or can it be installed using Cache on Linux or Windows?
 
What is the meaning of Vanilla VA Fileman and Kernel?  This is apparently needed for RPMS installation. If so how does one get hold of it?
 
Is there any way of atleast going thru a demo of the IHS system if I can't have it setup here locally?
 
 Anna
 
 
 
----- Original Message -----
Sent: Tuesday, April 19, 2005 9:59 AM
Subject: RE: [Hardhats-members] IHS system???

Unfortunately I do not work with RPMS anymore. I believe that the record number can be different from the SSN but am unsure how to achieve it SORRYY !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

 

Thanks,

Marc Aylesworth

 

C3I Associates AFRL/IFSE Joint Battlespace Infosphere Team

 

525 Brooks Rd

Rome, NY 13441-4505

 

Tel:315.330.2422

Fax:315.330.7009

Email:Marc[EMAIL PROTECTED]

 

From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
Sent: Tuesday, April 19, 2005 10:46 AM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] IHS system???

 

Anna,

 

I don't know how this system works.  I  wonder if Marc A., who I believe works with the IHS system, could explain this.

 

Kevin

Anna Joseph <[EMAIL PROTECTED]> wrote:

That's just the captioned output of some patients in the implementation we have here. These patients we had entered (not sasmple patients).

 

STANDARD CAPTIONED OUTPUT? Yes//   (Yes)
Include COMPUTED fields:  (N/Y/R/B): NO// BOTH Computed Fields and Record Number
 (IEN)

 

NUMBER: 5                               NAME: PATIENT,SURGERY
HEALTH RECORD FAC: SOFTWARE SERVICE     HEALTH RECORD NO.: 789654123

 


NUMBER: 3                               NAME: TEST PATIENT,PATIENT
HEALTH RECORD FAC: SOFTWARE SERVICE     HEALTH RECORD NO.: 000001234

 

Anna

----- Original Message -----

Sent: Monday, April 18, 2005 6:56 PM

Subject: Re: [Hardhats-members] IHS system???

 

Are these patients that you entered, or are they sample patients?  What number do they have entered?  Is it a SSN?

 

Kevin



Anna Joseph <[EMAIL PROTECTED]> wrote:

Kevin
Yes did just check out the file. Surprising to find that all patients have a
health record number assigned to them! Does this then mean that to have an
implementation of the IHS software you need to apply their patches to a
VistA core?Can that be done on the GT.M database itself?
Wonder if anyone here has ever tried it or has an idea of how we can install
it and how it works?
Anna

----- Original Message -----
From: "Kevin Toppenberg"
<[EMAIL PROTECTED]>To:
Sent: Monday, April 18, 2005 5:21 PM
Subject: Re: [Hardhats-members] IHS system???


> Anna,
>
> See if your system has a file# 9000001
>
> This is the PATIENT/IHS file. Here are the fields as
> reported by VPE's DD
>
> File: PATIENT/IHS
> Branch: 1
> REF NODE;PIECE FLD NUM FIELD NAME
>
============================================================================
===
> 1 0;1 .01 NAME
> <-Pntr [RP2'X]
> 12;0 1201 LOCATION OF HOME
> <-WP [9000001.12]
> 2 -0;1 .01 -LOCATION OF HOME
> [W]
> 41;0 4101 HEALTH RECORD NO.
> <-Mult [9000001.41IPA]
> 3 -0;1 .01 -HEALTH RECORD FAC
> <-Pntr [P9999999.06'X]
> 4 -0;2 .02 -HEALTH RECORD NO.
> [RFX]
> 5 -0;3 .03 -DATE
> INACTIVATED/DELETED [D]
> 6 -0;5 .05 -RECORD STATUS
> [S]
> 7 -0;6 .06 -STOP INTEGRATION
> [S]
> <> <> <>
>
> I think it is fairly well integrated into the VA
> system. But I don't know if VistA depends on it. I
> don't think CPRS can use it to look up a patient by
> their HEALTH RECORD NO. however.
>
> Another option would be to use just name and DOB.
> There is a key that allows entry of patients WI THOUT a
> SSN. Or, you can just enter "P" for a SSN, and they
> will be given a pseudo-SSN.
>
> Kevin
>
>
> --- Anna Joseph <[EMAIL PROTECTED]>wrote:
>
> > Indian Health Service runs a system similar to
> > VistA.. With the little I
> > know about it, seems like they do not use an SSN
> > number to identify the
> > patient but they have record number... which caught
> > my attention!
> > Has anyone worked with this system? Was trying to
> > have a local
> > implementation of it to explore it. Any idea of
> > where i can get the sources
> > from? how the installation etc. is to be done?
> > Anna
> >
> >
> >
> >
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