Whoa! I didn't mean to give the impression that the CCR will be available for VO!!! That I would REALLY like to have happen, but VO is supposed to be out Aug 1 and I expect the CCR will be released at about the same time.
On Tuesday 14 June 2005 12:13 pm, A. Forrey wrote: > On Mon, 13 Jun 2005, David Sommers wrote: > > May I suggest (the large) RIM model for HL7 v3. It's XML. > > HL7's RIM v3.0 is a start but contary to some views it is not the answer > to everything; there is much that can be harmonised to include much more > of the conceptual content needed. The CCR, which is the use of XML for a > certain part of the needs, can have utility for part of the system > behavior needed and Nancy's comment that it will be available with Vista > Office is most encouraging but it also comes with an evolutionary > trajectory that must be based on commonly needed capabilities. The > Relationship of these capabilities to those needed frome the Zachman > frameork peprspectiev still needs considerable work; there is reason to > hope that RIM 3.0 can be related to this broader perspective. > > > > http://www.hl7.org/Library/data-model/index.cfm > > > > It may not be a simple implementation of what you're looking for but it > > is a standard and more than likely has too much. I wish I had a quick > > little XML sample to paste in but I couldn't dig up anything quickly. > > (I suggest a search of the site). > > > > /David. > > > > -----Original Message----- > > From: [EMAIL PROTECTED] > > [mailto:[EMAIL PROTECTED] On Behalf Of Kevin > > Toppenberg > > Sent: Monday, June 13, 2005 10:23 PM > > To: hardhats-members@lists.sourceforge.net > > Subject: Re: [Hardhats-members] XML data export > > > > OK. So it would be most helpful to do one's XML > > export using tags that everyone agrees on. But this > > is apparently still an evolving area, where consensus > > has not been reached. > > > > So in the mean time, I think I will try to design a my > > XML export system such that the end user can choose to > > simply use the data labels for individual fields, or > > optionally specify different XML tags. > > > > Kevin > > > > > > --- Greg Woodhouse <[EMAIL PROTECTED]> > > > > wrote: > >> Everybody does seem to be getting. I just went to > >> OMG to download the > >> MOF standard, and notice that on their main page > >> they are talking about > >> their involvement with EHR standards, too. Of > >> course, there is HL7 who, > >> in addition to the RIM and CDA has an EHR-S effort > >> underway. I know > >> about CCR, but it's only a small part of what ASTM > >> is doing. I've been > >> looking at the OpenEHR web site, but am still trying > >> to digest it at > >> see if I can get a handle on what is genuinely new > >> about archetypes. I > >> think the language is a bit confusing, because in > >> mathematical logic, > >> ontologies typically refer to what is left if you > >> omit contingent > >> information from your model (actually a model is > >> basically an ontology > >> + contingent information). > >> > >> --- "A. Forrey" <[EMAIL PROTECTED]> wrote: > >>> There are ASTM standards on the Structure and > >> > >> Conent of the EHR that > >> > >>> are > >>> consistent with ADA standards on the EHR; These > >> > >> are conceptual > >> > >>> content > >>> standards that have had historic support of AHIMA. > >> > >> Thye also have > >> > >>> some > >>> consistency with HL7 messaaging structures and > >> > >> have been in touch > >> > >>> with the > >>> Open EHR folks. Efforts are underway to reactivate > >> > >> a dilaog that > >> > >>> began in > >>> 1995 on a "Common Data Model" but subsequently > >> > >> many went of to play > >> > >>> "king > >>> of the Mountain" in their pigeonholes. A key issue > >> > >> currently is to > >> > >>> map the > >>> "Continuity of Care Record - CCR" to the existing > >> > >> EHR models and then > >> > >>> to > >>> VistA. VistA has a lot of representing and EHR as > >> > >> a series of text > >> > >>> (date-timed) but the recent Report of the ONCHIT > >> > >> clealry noted to > >> > >>> tension > >>> be tween structured models for the EHR and those > >> > >> for structured text( > >> > >>> which is just electronic represntation of paper > >> > >> record notes). WHat > >> > >>> is of > >>> interest for VistA is what its eveolutionary > >> > >> trajectory will be with > >> > >>> respect to this conceptual content and how it will > >> > >> fit into the > >> > >>> "business > >>> model" of healthcare which ( according to IOM > >> > >> 2003) is patient > >> > >>> Centered > >>> care and Multidisciplinary teams; Resource > >> > >> Management is supportive > >> > >>> and > >>> enabling but has had prime focus for 40 yrs (at > >> > >> least). economists > >> > >>> have > >>> noted that when healthacre recognbizes that the > >> > >> business model for > >> > >>> healthcare in not that of a supermarket it will > >> > >> progress. A key > >> > >>> question: > >>> Is the DVA now using a Supermarket Model and > >> > >> worrying about > >> > >>> Technology as > >>> prime focus or is it really (as the 2005 > >> > >> Person-Centered heslth > >> > >>> record > >>> Book tries to say) looking at the REAL Healthcare > >> > >> business model? > >> > >>> Time > >>> will tell. > >>> > >>> On Mon, 13 Jun 2005, Joseph Dal Molin wrote: > >>>> Greg have you looked into the OpenEHR > >> > >> initiative....it is > >> > >>> attempting to > >>> > >>>> develop a usable EHR standard. > >>>> > >>>> Joseph > >>>> > >>>> Greg Woodhouse wrote: > >>>>> Of course, if you just dump the progress notes > >> > >> to a file, won't > >> > >>> they > >>> > >>>>> still be in a "proprietary" format? It seems > >> > >> that what you need is > >> > >>> an > >>> > >>>>> EHR standard that supports interoperability. > >> > >> This is where I hope > >> > >>> to go > >>> > >>>>> with Triton and/or Orpheus. > >>>>> > >>>>> --- Kevin Toppenberg <[EMAIL PROTECTED]> wrote: > >>>>>> I want the practice to be able to say, we > >> > >> don't want > >> > >>>>>> to use VistA anymore, dump all the progress > >> > >> notes to a > >> > >>>>>> DVD so we can import them into another system. > >>>>>> > >>>>>> Kevin > >>>>>> > >>>>>> > >>>>>> --- "Gillon, Joseph" > >> > >> <[EMAIL PROTECTED]> wrote: > >>>>>>> I assume you know about the RPC to get notes > >> > >> by > >> > >>>>>>> patient/provider for a given > >>>>>>> time interval, and you need something else? > >>>>>>> > >>>>>>> -----Original Message----- > >>>>>>> From: > >> > >> [EMAIL PROTECTED] > > > > [mailto:[EMAIL PROTECTED] > > > >>>>>>> On Behalf Of Kevin > >>>>>>> Toppenberg > >>>>>>> Sent: Monday, June 13, 2005 4:13 PM > >>>>>>> To: Hardhats Sourceforge > >>>>>>> Subject: [Hardhats-members] XML data export > >>>>>>> > >>>>>>> One of my goals for my site has been the > >> > >> ability to > >> > >>>>>>> get data back out of VistA in a painless > >> > >> manner. For > >> > >>>>>>> me this means XML. And I am rapidly nearing > >> > >> the > >> > >>>>>>> point > >>>>>>> where I plan on finishing this project. > >>>>>>> > >>>>>>> I have a couple of approaches I could take, > >> > >> and I'd > >> > >>>>>>> like input from the list > >>>>>>> > >>>>>>> 1. Write a custom program that dumps progress > >> > >> notes > >> > >>>>>>> (currently the only unique data being stored > >> > >> in our > >> > >>>>>>> VistA) in XML format. I think I could very > >> > >> easily > >> > >>>>>>> do > >>>>>>> this. > >>>>>>> > >>>>>>> 2. Writing an extension to fileman's data > >> > >> export > >> > >>>>>>> abilities, to include an option for XML. > >> > >> This would > >> > >>>>>>> be the better option in the long run, but > >> > >> probably > >> > >>>>>>> would be a good deal more difficult for me. > >> > >> I would > >> > >>>>>>> need to fully understand the current system > >> > >> to > >> > >>>>>>> decide > >>>>>>> how best to integrate. Usha recently posted > >> > >> about > >> > >>>>>>> her > >>>>>>> difficulty using the export functions. I > >> > >> don't > >> > >>>>>>> think > >>>>>>> anyone responded with an answer. > >>>>>>> > >>>>>>> What do export templates do? What file are > >> > >> they > >> > >>>>>>> stored in? > >>>>>>> > >>>>>>> Has anyone else already done this? Anything > >> > >> I > >> > >>>>>>> should > >>>>>>> know before I rush off to reinvent the wheel? > >>>>>>> > >>>>>>> Thanks > >>>>>>> Kevin > > > > === message truncated === > > > > > > > > > > __________________________________ > > Discover Yahoo! > > Get on-the-go sports scores, stock quotes, news and more. Check it out! > > http://discover.yahoo.com/mobile.html > > > > > > ------------------------------------------------------- > > This SF.Net email is sponsored by: NEC IT Guy Games. How far can you > > shotput > > a projector? 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If you want to score the big prize, get to know the > > little guy. > > Play to win an NEC 61" plasma display: http://www.necitguy.com/?r > > _______________________________________________ > > Hardhats-members mailing list > > Hardhats-members@lists.sourceforge.net > > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > ------------------------------------------------------- > SF.Net email is sponsored by: Discover Easy Linux Migration Strategies > from IBM. Find simple to follow Roadmaps, straightforward articles, > informative Webcasts and more! Get everything you need to get up to > speed, fast. http://ads.osdn.com/?ad_id=7477&alloc_id=16492&op=click > _______________________________________________ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members -- Nancy Anthracite ------------------------------------------------------- SF.Net email is sponsored by: Discover Easy Linux Migration Strategies from IBM. Find simple to follow Roadmaps, straightforward articles, informative Webcasts and more! Get everything you need to get up to speed, fast. http://ads.osdn.com/?ad_id=7477&alloc_id=16492&op=click _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
