tag:blogger.com,1999:blog-2416193855577945662.post4378517974178539003..comments2023-10-19T06:54:32.638-05:00Comments on A Scanner Brightly: Guest Blog: Open Source and Primary Care in the US by Timothy CookJazhttp://www.blogger.com/profile/06624232605595849074noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-2416193855577945662.post-60662445555807840162010-03-09T06:58:20.556-05:002010-03-09T06:58:20.556-05:00It's good to have this discussion of open sour...It's good to have this discussion of open source in health care here. Thanks.EMR Medicalhttp://www.implementhit.comnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-58262324153637817152010-01-18T10:51:23.343-05:002010-01-18T10:51:23.343-05:00Genial fill someone in on and this post helped me ...Genial fill someone in on and this post helped me alot in my college assignement. Gratefulness you as your information.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-89783914604271479602010-01-14T14:45:53.861-05:002010-01-14T14:45:53.861-05:00I inclination not agree on it. I regard as nice po...I inclination not agree on it. I regard as nice post. Expressly the title-deed attracted me to read the intact story.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-57355610075271349432008-01-01T05:01:00.000-05:002008-01-01T05:01:00.000-05:00To answer Doug and others that asked/commented abo...To answer Doug and others that asked/commented about privacy and access control.<BR/><BR/>While any one implementation may be better or worse than others. The specifications do call for complete versioning based on change set management and every data item can be controlled through an EHR access class. Also the demographics of the patient can be completely separated from the clinical informationAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-59759095966615398682007-12-31T20:52:00.000-05:002007-12-31T20:52:00.000-05:00Great post, Tim.Certainly the issues of physician ...Great post, Tim.<BR/><BR/>Certainly the issues of physician adoption of electronic patient management systems (EMR's and patient registries) and medical data format variability are intimately related.<BR/><BR/>Physicians have two types of outpatient care that need to be recognized:<BR/><BR/>1) Episodic patient care (the intermittent care of individual patients at office visits);<BR/><BR/>2) Paul D. Taylor, M.D.https://www.blogger.com/profile/03292665940475883807noreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-75456997444660045922007-12-31T13:42:00.000-05:002007-12-31T13:42:00.000-05:00tim, great post, as usual! to gary's comment, i ...tim, great post, as usual! to gary's comment, i can report as a <B>user</B> that <A HREF="http://www.mirthproject.org/" REL="nofollow">mirth</A> rocks, and also that here in <A HREF="http://mendocinohre.org/rhic/content.html#jan08" REL="nofollow">mendocino</A> we are very busy rolling out virtualized mirth instances to push the edge of the envelope with our thinly funded <A HREF="http://Will Rosshttps://www.blogger.com/profile/00144774386002006409noreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-58103740019107100982007-12-31T04:36:00.000-05:002007-12-31T04:36:00.000-05:00The underlying terminology for healthcare records ...The underlying terminology for healthcare records is already freely available in the form of SnomedCT. The IHTSDO (www.ihtsdo.org) allows US users to use SnomedCT for free. See http://www.nlm.nih.gov/snomed <BR/><BR/>All we need is for someone to write the software as open source as well.Unknownhttps://www.blogger.com/profile/15646162000355394903noreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-65697875117111346942007-12-31T04:07:00.000-05:002007-12-31T04:07:00.000-05:00To build on these important points(1) How can you ...To build on these important points<BR/>(1) How can you tell that what you consider your "complete medical history" is not just the small subset that you know about? <I>Response : You can't you need to rely on your doctors being honest with you - no different from present manual system</I><BR/>(2) How can you confirm that only you and your doctor know the private key? <I> Response: it's down to Michael fitzGeraldhttps://www.blogger.com/profile/14314167332753247648noreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-102282552637802182007-12-30T22:49:00.000-05:002007-12-30T22:49:00.000-05:00Anonymous wrote: 1) Should a patient have access t...Anonymous wrote: <BR/><BR/><I>1) Should a patient have access to ALL their health records, including the mental ones?</I><BR/><BR/>It's an interesting question. I recently attended a workshop (where Tim Cook was one of the speakers) and also recently finished working on a private sector EMR implementation - in both situations this question arose, and the answer was that there would probably be Unknownhttps://www.blogger.com/profile/07960330645142113799noreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-31106457764642099332007-12-30T17:49:00.000-05:002007-12-30T17:49:00.000-05:00To Mr. fitzGerald and anyone else worried about co...To Mr. fitzGerald and anyone else worried about confidential information,<BR/><BR/>"Open Source" has nothing to do with who sees your medical data. Open Source software is software where the original source code is available to the public. It does not affect the data.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-10783269341449745172007-12-30T15:53:00.000-05:002007-12-30T15:53:00.000-05:00I have two issues with openEHR.1) Should a patient...I have two issues with openEHR.<BR/><BR/>1) Should a patient have access to ALL their health records, including the mental ones?<BR/><BR/>2) OpenEHR is too rich a prize for the insurance companies to stay away from. They will ALWAYS find a way to get their eyes on the data. Once they know, the issue of "hidden pre-existing condition" goes away. They will know! They may not be able to use it Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-89982117167544567372007-12-30T13:31:00.000-05:002007-12-30T13:31:00.000-05:00@michael. It's much more complicated than that. Us...@michael. It's much more complicated than that. Using strong keys is good, but...<BR/><BR/>(1) How can you tell that what you consider your "complete medical history" is not just the small subset that you know about?<BR/>(2) How can you confirm that only you and your doctor know the private key?<BR/>(3) How does your doctor "unshare" information when others no longer need it? <BR/><BR/>Part of Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-33653078549973053422007-12-30T11:01:00.000-05:002007-12-30T11:01:00.000-05:00Great post Tim and Amen to everything you said!On ...Great post Tim and Amen to everything you said!<BR/><BR/>On affordability of EHR applications, I think Docs are more interested in cheap than free and you'd probably agree. Oh and they also want support along with that cheap. Doable business model wise, but certainly not a slam dunk without deep pockets.<BR/><BR/>So, here we are with an apparent billion dollar market out there waiting to be Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-70505009410540774332007-12-30T09:47:00.000-05:002007-12-30T09:47:00.000-05:00Well there is...There are two standards called DIC...Well there is...<BR/>There are two standards called DICOM and HL7. DICOM handles binary data, and HL7 handles more of the process and is the primary integration point with EMR.<BR/><BR/>With these a PACS (Picture Archive Communication System) forms the "database" of data. The PACS is actually more work-flow based which then stores the actual data on some type of highly-reliable data storage Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2416193855577945662.post-10468641405842982902007-12-30T06:18:00.000-05:002007-12-30T06:18:00.000-05:00I am happy to allow an open source to access my co...I am happy to allow an open source to access my complete medical history provided it is categorised as<BR/><BR/>publicly visible information (I'm diabetic, allergic to penicillin)<BR/><BR/>strongly encrypted information to which only I and my doctor know the key<BR/><BR/>strongly encrypted information which is confidential to my doctor. I trust her to share relevant information with other medicalMichael fitzGeraldhttps://www.blogger.com/profile/14314167332753247648noreply@blogger.com