Hi Sam,
BW: This is a really interesting problem space to me. I've been studying
HIPAA (the Health care Information Portability and Accountability Act) and
have become fascinated with the discussion over how best to balance the
needs of the various parties involved in the provision
different legal issues about ownership that would also have
implications for access. Any thoughts?
Bill Walton bill.walton at jstats.com 04/28/03 12:32PM
Hi Sam,
BW: This is a really interesting problem space to me. I've been
studying HIPAA (the Health care Information Portability
Hi Thomas,
Thomas Beale wrote:
/snip/
So. What do we know?
- role-based access control is required. To make it work properly in a
shared care community context (e.g. a hospital, 50 GPs, aged care homes,
nursing care, social workers etc etc) then the roles need to be defined
congruently. I
) for
blocking access to the University's records My point is that until the
issue of ownership is clearly spelled out, questions of access are going to be
left to the discretion of judges and attorneys!
Paul Juarez
Bill Walton bill.walton at jstats.com 04/28/03 01:32PM
Hi
Is anyone here familiar enough with the open source VistA system here in the
U.S. to offer any comments about it in general and specifically about it's
storage subsystem? There's info on VistA at http://www.va.gov/vista_monograph/
Thanks,
Bill
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An HTML
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 is the
Hi Thomas,
Thomas Clark wrote:
/snip/
It was enacted to keep the payers happy and not the Patients.
I've studied both the HIPAA regs and the Preambles and come away with a
completely different impression. It's probably OT for the list but I'd be
interested in going offline to get your
Hi Thomas,
Thomas Beale wrote:
Bill Walton wrote:
BW: Further, it looks like the EHR access history should include
reads as well as writes. That way, the trail would lead to the
providers that have, with permission, made copies of the EHR within
their own systems.
SH: True
Hi Tom,
I'm not sure I'd call this a dead horse. The HIPAA Security Rule talks a
bit about the need for sanctions as a component of achieving compliance at
68 FR 8347 (first column).
The sanction policy is a required implementation specification because --
(1) the statute requires covered
Hi Thomas,
Thomas Beale wrote:
Someone could come along later in the same
institution, and define a new kind of episode, and
retrospectively create all the Folders for that kind
of episode in certain EHRs. This also won't
change any of the underlying data. Episode
Folders could also be
Sam Heard wrote on Wednesday, January 14, 2004 2:50 PM:
Subject: RE: Open source implementation?
Vincenzo
The workplan in Australia has been delayed due to hefty negotiations and
the
extension of a trial to involve 3 hospitals and 100 general practices. The
contract still involves Java
Hi Thomas,
Thomas Beale wrote:
Bill Walton wrote:
/snip/
You are right, and actually, having someone think
about test plans and construct test cases / procedures
would be a very useful thing.
Excellent. Count me in.
We would need to dicuss how to do this exactly
Development
Peter,
Elkin, Peter L., M.D. wrote:
Also, I would recommend taking a
look at the ebXML registry which is
a federated Open Source registry which
is currently available. Also, Sun is
implementing OWL support within the
registry (which may be handy for users
interested in direct reasoning
Hi Thomas,
Thomas Beale:
Bill Walton wrote:
It seems to me, although I'm not a physician, that there are, or we might
learn that, there are medical problems that crop up later in life that
are
related to whether or not a person was born full-term or not. If so, or
it
it's a possibility
Software Archetypes - single vs double systemsGreetings,
The posting below showed up on the hardhats list this morning. I responded
(after a brief, confirmatory exchange with Thomas) with a brief, high-level
explanation of what archetypes bring to the party. That triggered a couple
of
- Original Message -
From: Gregory Woodhouse
To: hardhats-members at lists.sourceforge.net
Sent: 2006-04-10 7:03 AM
Subject: Re: [Hardhats-members] Software Archetypes - single vs double systems
On Apr 9, 2006, at 10:12 PM, Lorie Obal wrote:
Can anyone clarify/comment on the
Software Archetypes - single vs double systems
- Original Message -
From: Bill Walton
To: hardhats-members at lists.sourceforge.net
Sent: 2006-04-10 9:02 AM
Subject: Re: [Hardhats-members] Software Archetypes - single vs double systems
Hi Lorie,
Archetypes provide a capability that's
is that it
is so often vague and intuitive in nature, making it rather hard to
decipher.
--- Bill Walton bill.walton at charter.net wrote:
Software Archetypes - single vs double systemsHi Lorie,
Archetypes provide a capability that's very familiar to programmers,
but take it to the next
Does anyone have any experience with / opinions about the suitability of Ruby
and Rails as implementation platforms for openEHR?
Thanks,
Bill
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Hi Tim,
Tim Cook wrote:
I *do* think it makes sense to use existing,
tried and tested frameworks/components
as part of an infrastructure where possible.
Do you include Ruby/Rails in your list of components/frameworks that make
sense to use?
Best regards,
Bill
Hi Sam,
Could you say more about the need for 'substance use' archetypes? I'm not sure
I understand why it would be a good idea to record alcohol consumption
differently from, for example, consumption of herbal teas. Or prescription
drugs for that matter. I'm sure I'm missing something.
Hi Karsten,
Karsten Hilbert wrote:
Recording substance use is more intended to record a
*fact* about the lifestyle of an individual rather than an
*intent to treat* as with prescription drugs.
There's a fine line as always: herbal teas, OTC drugs etc
may or may not have been intended to be
Gerard Freriks wrote:
snip
Irrespective of a regular drug, herbal tea,
food additive, smog, self medicated, prescribed,
or taken by an involuntary action one always want
to record the same things. Isn't it?
My sentiments, precisely.
So why not a generic Archetypes: Observation: Substance
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