I am grateful for the quality and quantity of traffic this topic has generated.
One point with the emrspecs.doc document, is that is it specific for community health centers, and misses many of the key requirements for other settings (e.g. OR, ICU, ED/A&E). I personally would like to know if any of these OSS systems currently have ED/A&E capability, since that is my own personal domain of interest. It is important to remember that many clinical activities do not fall into the GP/FP/internal medicine model and have specific requirements. Similarly, some of their required standards (e.g. use of NDC for drug identification) may not necessarily be optimal outside of their specific intended setting. Finally, the descriptions for some of the areas, e.g. 16. Decision Support, are so vague that they cannot be expected to be a discriminator between systems, and will require extensive discussion to provide anything of use. IMHO, having the proponents/authors/vendors of any system describe *how* many of the functions are accomplished is crucial. E.g. a system may be able to exchange HL7 messages, but requires creation of a de novo interface at the time of installation. Again, with the decision support example, specific mention of what guideline interchange provisions (GLIF, SAGE, Arden, etc.) are used (or planned). I do think that both a matrix presentation of features/capabilities and a more detailed/scholarly publication are needed. In addition, it would be worth investigating how "modular" the components are, and how well the "back end" accepts other applications, or are these projects mutually exclusive without extensive coding? Kevin Kevin M Coonan, MD Dept. Medical Informatics Univ. Utah School of Medicine >>> John Norris<[EMAIL PROTECTED]> 01/13/04 12:08AM >>> Would the various traits outlined in "Functional Requirements for EMR Systems" put out by the U.S. Department of Health and Human Services be a good way to compare? There are several vendors who have submitted their information, but they are not compiled into a matrix. http://bphc.hrsa.gov/chc/emrspecs.asp (OpenOffice easily handled the Word formatted checklist and directions document...) John Norris (http://john-norris.net) Ignacio Valdes wrote: Interesting site that I've never heard of before. Thanks for the link. Unless I am missing something, I note that there appears to be no FOSS EMR's on the site. Could the usual suspect projects infect the site? Yes, I know I'm supposed to be camping. I haven't left yet. -- IV On 06 Jan 2004 06:32:40 -0800 Tim Cook <[EMAIL PROTECTED]> wrote: > On Mon, 2004-01-05 at 09:26, Kevin Coonan MD wrote: > While not an independent study, you may find this comparison matrix > helpful. > http://www.elmr-electronic-medical-records-emr.com/ > > Cheers, > -- > Tim Cook (President, Open Paradigms,LLC) <[EMAIL PROTECTED]> > Public Key - 1024D/9ACDB673 available from: > http://www.openparadigms.com/timcook_publickey.asc > Key fingerprint = C7BB 675B BDCA B87D 83F0 A002 BBDC C7B8 9ACD B673 >
