As part of the design process, what tier, framework,
technology,etc will be used?
Hoping you guys are leaning for 3 tier J2EE platform
on this at a minimum.
Nonetheless, interested in following the progress.
Thanks for the update.
--- "Daniel L. Johnson" <[EMAIL PROTECTED]> wrote:
> Dear All,
>
> First of all, this is not an announcement; this is
> merely conversation,
> because Gunther Schadow does not want to make any
> announcements "until
> there is something to announce."
>
> I am conversing with this list simply because I
> thought you would all be
> encouraged to know that the US Agency for Healthcare
> Research and
> Quality has awarded a grant to Indiana
> University-Purdue University at
> Indianapolis for development of an open-source
> computerized physician
> order entry system, to be led by Gunther Schadow,
> MD, of the Regenstrief
> Institute. Dr. Martha Adams of Duke University and
> myself have
> volunteered to test the implementation of this
> software.
>
> Design begins now; implementation is to begin in
> about a year.
>
> The plan is to develop a software tool that will
> provide "decision
> support" for physician e-prescribing. This tool
> will live on a Linux
> server and be accessed by users through a browser.
>
> The formal goals of this project are:
> 1: to test the utility of the new FDA-mandated
> computerized "package
> insert" (Dr. Schadow was an FDA consultant in its
> design).
> 2: to use HL7 v3 tools to deliver decision support
> to
> prescribing: default dosing, dosing correction for
> height, weight, and
> renal function, dose checks, contraindication
> checking, allergy
> checking, and drug-interaction and food-drug
> interaction checking.
> 3: to evaluate whether physician efficiency is
> gained by its use.
> Studies have shown approximately a 20-30% loss of
> physician efficiency
> during visits with the use of EHR software; a design
> goal of this
> project is to have the opposite effect. A
> time-motion study of
> physician work during office visits is an important
> feature of this
> project.
> 4: Medication errors are the leading cause of
> adverse medical events.
> About half of these occur in prescribing:
> approximately half of these
> involve dosage or frequency errors, half involve
> prescribing against
> contraindications or known interactions or allergy.
> This tool will be
> designed to specifically remediate these errors,
> estimating that it
> could reduce about 2/3 of prescribing errors.
> 5: The goal is to have a fully functional tool
> available for deployment
> and use beginning October, 2006.
> 6: Gunther is aiming at making this open source. He
> is interested in
> collaborative development, but of course must
> balance the need to stay
> on track with the grant timeline against the ideal
> of distributed
> development. I will of course encourage him to
> allow collaboration in
> development, but for now he's hunkered down in full
> Project Organization
> Mode.
>
> To repeat: This is *not* an announcement. If there
> were "something to
> announce" it could be an announcement, but as there
> is now no meat on
> the barbecue, no one is currently invited to dine.
>
> Best wishes,
>
> Dan Johnson md
> Menomonie, WI
>
>
>
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