Oleh,

First of all, I think this should probably be on the implementors or the
technical list.  Both of which I have CC'd.

Second, please be aware that many of the recommendations that you may
get regarding *specific* applications will suffer from the same problems
you are describing.

The short answer to your question is that only an openEHR information
model based implementation is designed to allow cross platform and cross
implementation data exchange of clinical data stored as an electronic
health record.

Granted, currently your application choices are limited (ok, really
almost non-existent). However, the reality is that if you have the
vision to see the light then you will realize that an openEHR
implementation is closer to reality than any other offerings being
presented.  So, you should encourage your developers to study and
understand the core concepts of openEHR and work towards compatibility.

For a better perspective on my position on openEHR, look (in the next
2-3 days) for my forth coming comments regarding the discussions on the
openehr-clinical list about HL7 and openEHR.

*DISCLOSURE*  I am a member of the openEHR ARB.  BUT, I do not currently
receive and have no expectation of receiving any financial gain from
this position.  My position on supporting the openEHR approach is based
completely on my belief in the technical architecture and that it will
ultimately benefit a global effort towards health care information
interchange.

Regards,
Tim



On Tue, 2005-09-20 at 15:28 +0300, Oleh Kachmar InformCenter wrote:
> Dear Sirs
> 
> I am new in the filed of EHR.
> 
> I am head of the medical information department of the large clinic in
> Ukraine. (www.cerebralpalsyukraine.com)
> 
> We are treating patients with cerebral palsy and children from many
> countries of the worlds are coming to us.
> 
> In our work we are using the hospital information system with the
> electronic medical records, developed for us by local software
> company. This software is rather powerful but it is not possible to
> share our information with other medical institutions.
> 
> In our country the electronic health record software is only taking
> its first steps.
> 
> In the future we are planing to improve our software to make it
> possible to share the medical information with other clinics.
> 
> Please could you suggest us what steps are most important and should
> be done first. What are the most common mistakes.
> 
> Thank you in advance for the advice.
> 
> Oleh Kachmar, MD, PhD
> 
-- 
Tim Cook, Consultant CHASE Health Informatics, Inc.
GnuPG Key is available at 
http://www.chasehealthinformatics.com/Members/twcook
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