Hi Thomas,
I'm not sure I like the notion of superceded. Is the first test an
error? If so, the first result should simply be marked wrong and voided
or removed. If the first result just looked a little goofy to the
clinician, but there was nothing to indicate with certainty that it was
One should take care never to obscure the reality of the fact that you
have two separate test results. That reality needs to be captured
somewhere, at some level of the EHR. The algorithm that the clinician or
researcher applies to these two results would be another matter.
-C
At 06:20 AM
wrote:
Christopher Feahr wrote:
Tom,
Are your remarks here concerned only about *privacy* laws with respect to
EHR... i.e., patient and provider rights with respect to access and
disclosure? I can't think of any other general aspect of law that would
apply to EHR... at least not one that would
Tom,
Are your remarks here concerned only about *privacy* laws with respect to
EHR... i.e., patient and provider rights with respect to access and
disclosure? I can't think of any other general aspect of law that would
apply to EHR... at least not one that would benefit from the uniform model
test
-
If you have any questions about using this list,
please send a message to d.lloyd at openehr.org
To: Christopher Feahr ; ehrmodelwg at lists.hl7.org ; ehr at lists.hl7.org ;
openehr-technical at openehr.org
Cc: HL7_Abdul-Malik Shakir ; HL7-Gartner_Wes Rishel ; Victor Connors ;
AAO_Steve Kamenetzki ; viceprez at massmed.org ; HZMD at aol.com ; karenvan
Sent: Thursday, August 21, 2003 9:37 AM
:37PM -0700, Christopher Feahr wrote:
Personally, I would like to see all EHR-related standards
work... at least in the US... coordinated under the umbrella
of HL7. At the moment, the CCR project does not appear to be
headed toward HL7.
I really don't know if HL7 would be the way things
,
Philippe
Christopher Feahr wrote:
. but my understanding was the the SNOMED people had
already modeled complaints, signs/symproms, diagnosis, treatment
plans,
prognosis, outcomes... the whole 9 yards. If that is true (seems
too
good to be true!) then it may only require a (simple
this, of course, raises the issue of the certification of the
certifiers... i.e., where does the meta-certification-buck stop? In my
opinion, certification (that an application, record structure, message,
data elements, archetypes, etc. conform to a particular version of
registered standard)
Again... please do not misunderstand my recommendation to give payers
direct access to EHR information to be a recommendation of
*unrestricted* access. I'm not sure exactly how we will control it, but
I would argue for payers having access to no more information than they
have access to today.
)
Office: (707) 579-4984
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- Original Message -
From: Thomas Beale tho...@deepthought.com.au
To: openehr-technical at openehr.org
Sent: Tuesday, August 12, 2003 6:20 PM
Subject: Re: HISTORY DATA SET IN EPR
Christopher
://Optiserv.com
http://VisionDataStandard.org
- Original Message -
From: Thomas Clark lakew...@copper.net
To: Christopher Feahr chris at optiserv.com
Cc: Karsten Hilbert Karsten.Hilbert at gmx.net;
openehr-technical at openehr.org
Sent: Monday, August 11, 2003 10:25 AM
Subject: Re: HISTORY DATA SET
Hi Christopher,
Christopher Feahr wrote:
For this reason, the Institute of Medicine content recommendations
(reflected in the present version 1.0 of the HL7 EHR ballot)
includes 4
main care settings: in-patient, out-patient, nursing home, and
personal
health record. The last
Hi Karsten, please see comments in-line. thanks.
Christopher J. Feahr, O.D.
Optiserv Consulting (Vision Industry)
Office: (707) 579-4984
Cell: (707) 529-2268
http://Optiserv.com
http://VisionDataStandard.org
- Original Message -
From: Karsten Hilbert karsten.hilb...@gmx.net
To:
Karsten,
I agree that the medical concepts shhould be carefully modeled first...
then extract the necessary terminologies... then build the necessary
code lists. I have not wanted to pay the $500 licence fee to look at
SNOMED CT, as it will be free for all in 3 months... so I apologize for
my
; Christopher Feahr chris at optiserv.com
Cc: Thomas Clark lakewood at copper.net
Sent: Thursday, August 07, 2003 10:54 AM
Subject: Re: Distributed Records - An approach
Hi Chris,
Unfortunately the uncertainty in the HIPAA environment at this time is
sufficient to cause large Providers, e.g., Kaiser
Thomas,
This sounds workable to me. If I am understanding you correctly, we
need one (and only one??) registry in which anyone, anywhere (who is
authorized, of course) could look up a patient and determine which
region had master control at the moment over his record. If I'm a
provider living in
)
Office: (707) 579-4984
Cell: (707) 529-2268
http://Optiserv.com
http://VisionDataStandard.org
- Original Message -
From: Thomas Clark tcl...@hcsystems.com
To: Christopher Feahr chris at optiserv.com; Thomas Beale
thomas at deepthought.com.au; openehr-technical at openehr.org
Sent: Tuesday
-4984
Cell: (707) 529-2268
http://Optiserv.com
http://VisionDataStandard.org
- Original Message -
From: Thomas Beale tho...@deepthought.com.au
To: openehr-technical at openehr.org
Sent: Sunday, August 03, 2003 5:01 PM
Subject: Re: certification and verification of OpenEHR
Christopher
Philippe,
Thank you for the comments. I believe that we will have islands of
health information for a very long time... for many reasons, some of
which are not technically sound, but more the result of convention. On
the other hand, the islands do facilitate an inherent security and
Consulting (Vision Industry)
Office: (707) 579-4984
Cell: (707) 529-2268
http://Optiserv.com
http://VisionDataStandard.org
- Original Message -
From: Thomas Clark tcl...@hcsystems.com
To: Christopher Feahr chris at optiserv.com; Thomas Beale
thomas at deepthought.com.au; openehr-technical
at hcsystems.com
Cc: Christopher Feahr chris at optiserv.com; Thomas Beale
thomas at deepthought.com.au; openehr-technical at openehr.org
Sent: Sunday, August 03, 2003 1:59 PM
Subject: Re: certification and verification of OpenEHR
-
If you have any questions about using this list,
please send
-
From: Tim Churches tc...@optushome.com.au
To: Christopher Feahr chris at optiserv.com
Cc: Thomas Clark tclark at hcsystems.com; Thomas Beale
thomas at deepthought.com.au; openehr-technical at openehr.org
Sent: Monday, August 04, 2003 1:16 PM
Subject: Re: certification and verification of OpenEHR
Tim,
Data mining and ad hoc queries does not sound out of scope to me.
Sounds like a primary use for the EHR-data.
Christopher J. Feahr, O.D.
Optiserv Consulting (Vision Industry)
Office: (707) 579-4984
Cell: (707) 529-2268
http://Optiserv.com
http://VisionDataStandard.org
- Original Message
Dear Group,
I have just recently joined your listserve, and have been actively
participating in the HL7 EHR ballot discussion for only a few weeks.
During the four years prior to that, I had been swimming in the
HIPAA-EDI ocean, trying to figure out how the operational costs for
450,000 smaller
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