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Fred: We started moving transcriptions into departmental long before there was an HL7 interface available. At first we used CAI's interface engine. When that technology conked out on us, we switched to Iatric Systems' Scriptmate product. Scripting this interface is not a trivial process, as transcriptionists are endlessly creative. We still support some legacy text file sources. However, we now use Medquist for the bulk of our transcriptions and they agreed to use an XML format I developed. They had their own XML format, but it did not cover all the fields we needed. Using XML gave us a lot more control over the data. It is too easy for data elements to get mis-aligned in a straight text file. Also, Visual Basic .NET has good tools for parsing XML. We use Visual Basic .NET to host our Scriptmate calls. This system has been very stable. It has run 24/7 for years at this point. I believe there are vendors who offer scripted solutions similar to our in house application. XML does have one tricky problem, in that there are reserved characters that can show up in your data. To fix this, all data has to be bracketed within the code: ![CDATA[ (data goes here) ]] Just in case it is useful, here is our example XML format: <?xml version="1.0" ?> - <Transcription> <JobID>"The job code goes here"</JobID> <DictationID>"ID of the person dictating goes here (ex. 735)"</DictationID> <DocumentType>"The type of transcription goes here (ex. DISCHARGE SUMMARY)"</DocumentType> <MedicalRecord>"The six digit Medical Record Number goes here (ex. 29856)"</MedicalRecord> <PatientLastName>"PATIENTLASTNAME"</PatientLastName> <PatientFirstName>"PATIENTFIRSTNAME"</PatientFirstName> <DictationDate>2004-08-04</DictationDate> <DictationTime>13:14</DictationTime> <TranscriptionDate>2004-08-04</TranscriptionDate> <TranscriptionTime>17:43</TranscriptionTime> - <AdditionalSignatures> <Signature>"1. The format and content of this element is currently undefined"</Signature> <Signature>"2. However, we do know it will be a repeating text field."</Signature> </AdditionalSignatures> - <AdditionalCopies> <Copy>"1. The format and content of this element is currently undefined"</Copy> <Copy>"2. However, we do know it will be a repeating text field."</Copy> </AdditionalCopies> - <DocumentText> <TextLine>"1 The body of the the transcription is in this node."</TextLine> <TextLine>"2 There could be as many nodes as nessary in this section"</TextLine> <TextLine>"3 Some could be blank for spacing purposes such as "</TextLine> <TextLine>"4 separating paragraphs or document sections"</TextLine> <TextLine /> <TextLine>"This is an example of a new paragraph or section."</TextLine> <TextLine>"This second line of the second section."</TextLine> </DocumentText> </Transcription> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Tue May 23, 2006 1:11 pm From: "Kloese, Fred" <Fred Subject: FW: [MEDITECH-L] flat files for transcription To: "MEDITECH-L" <[email protected]> From: "Kloese, Fred" <[EMAIL PROTECTED]> Date: Tue, 23 May 2006 07:15:42 -0500 This is a multi-part message in MIME format. ------_=_NextPart_001_01C67E62.9CCF3832 Content-Type: text/plain; charset="us-ascii" MIME-Version: 1.0 Content-Transfer-Encoding: 7bit Content-Disposition: inline All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== ------_=_NextPart_001_01C67E62.9CCF3832 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Ok, this may seem silly. But we may be using a vendor for transcription = that does not support HL7. Does anyone upload a flat file into Meditech = is there a routine in Meditech to do this or do you have to develop = a scripting interface or what? Thanks. =20 =20 =20 =20 First Question, Magic or Client-Server/ITS ? Fred =20 Doris Dorn Associate/Application Support Specialist Daughters of Charity IT Department ? ? ? (408) 848-8694 ? Fax: (408) 842-2155 =20 -----Original Message----- From: [EMAIL PROTECTED] = [mailto:[EMAIL PROTECTED] Behalf Of Dorn, Doris - DCHS = IT Sent: Monday, May 22, 2006 2:07 PM To: [email protected] Subject: [MEDITECH-L] flat files for transcription All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D This message and accompanying documents are covered by the Electronic = Communications Privacy Act and the Health Insurance Portability and = Accountability Act. This message is intended only for the use of the = individual or entity to which it is addressed and may contain = information that is confidential and/or privileged. If the reader of = this message is not the intended recipient, you are hereby notified that = any dissemination, distribution or copying of this communication is = strictly prohibited. If you have received this communication in error, = please notify the sender immediately by e-mail, and delete the original = message. Thank you.=20 ------_=_NextPart_001_01C67E62.9CCF3832 Content-Type: application/ms-tnef; [ Binary data or PostScript program removed by MAGIC ] Content-Transfer-Encoding: base64 Content-Type: text/plain; charset="us-ascii" MIME-Version: 1.0 Content-Transfer-Encoding: 7bit Content-Disposition: inline _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l ------_=_NextPart_001_01C67E62.9CCF3832-- -------------------------------------------------------------------------------- Return-Path: <"Kloese, Fred" <[EMAIL PROTECTED]>> Received: from paloscommunityhospital.org> by cho.org; Tue, 23 May 2006 13:11:12 0000 Received: from smtp2.mail.cho.org ([192.168.1.39]) by smtp2.in.cho.org; Tue, 23 May 2006 13:10:55 -0700 X-ASG-Debug-ID: 1148415053-17556-107-0 X-Barracuda-URL: http://192.168.1.39:8000/cgi-bin/mark.cgi Received: from prosonic.com (prosonic.com [204.202.252.254]) by smtp2.mail.cho.org (Spam Firewall) with SMTP id 75A08201DF36; Tue, 23 May 2006 13:10:54 -0700 (PDT) Received: from prosonic.iserver.net (localhost [127.0.0.1]) by prosonic.com (8.13.6/8.13.1) with ESMTP id k4NK1r14010389; Tue, 23 May 2006 20:03:19 GMT Received: from pchms.paloscommunityhospital.org (69-7-218-227.cimcoisp.net [69.7.218.227] (may be forged)) by prosonic.com (8.13.6/8.13.1) with ESMTP id k4ND3l7Q042604 for <[email protected]>; Tue, 23 May 2006 13:03:47 GMT Received: from pchms1.pch.org ([10.5.1.78]) by pchms.paloscommunityhospital.org with Microsoft SMTPSVC(6.0.3790.1830); Tue, 23 May 2006 07:16:38 -0500 Content-Class: urn:content-classes:message MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="----_=_NextPart_001_01C67E62.9CCF3832" X-ASG-Orig-Subj: FW: [MEDITECH-L] flat files for transcription Subject: FW: [MEDITECH-L] flat files for transcription X-MimeOLE: Produced By Microsoft MimeOLE V6.00.3790.2663 Date: Tue, 23 May 2006 07:15:42 -0500 Message-ID: <[EMAIL PROTECTED]> X-MS-Has-Attach: yes X-MS-TNEF-Correlator: <[EMAIL PROTECTED]> Thread-Topic: [MEDITECH-L] flat files for transcription thread-index: AcZ+Ye1gKTBQvx3GRdeqod++WpRjZwAAGUdQ From: "Kloese, Fred" <[EMAIL PROTECTED]> To: "MEDITECH-L" <[email protected]> X-OriginalArrivalTime: 23 May 2006 12:16:38.0421 (UTC) FILETIME=[BDE19450:01C67E62] X-Mailman-Approved-At: Tue, 23 May 2006 13:35:24 +0000 X-BeenThere: [email protected] X-Mailman-Version: 2.1.5 Precedence: list List-Id: Email list for Meditech users <meditech-l.MTUsers.com> List-Unsubscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> List-Archive: <http://prosonic.iserver.net/pipermail/meditech-l> List-Post: <mailto:[email protected]> List-Help: <mailto:[EMAIL PROTECTED]> List-Subscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> Sender: [EMAIL PROTECTED] Errors-To: [EMAIL PROTECTED] X-Barracuda-Bayes: INNOCENT GLOBAL 0.0000 1.0000 -2.0210 INNOCENT GLOBAL 0.0000 1.0000 -2.0210 X-Virus-Scanned: by Barracuda Spam Firewall at mail.cho.org X-Barracuda-Spam-Score: -2.02 X-Barracuda-Spam-Status: No, SCORE=-2.02 using global scores of TAG_LEVEL=2.0 QUARANTINE_LEVEL=5.0 KILL_LEVEL=7.0 tests= X-Barracuda-Spam-Report: Code version 3.02, rules version 3.0.13235 Rule breakdown below pts rule name description ---- ---------------------- -------------------------------------------------- %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
