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Re: GCN Daily Updates Story: Uncle Sam issues dat a-sharingstandards for medical info (from Gary)

  • 1.  Re: GCN Daily Updates Story: Uncle Sam issues dat a-sharingstandards for medical info (from Gary)

    Posted 04-22-2003 13:34
    Another from Gary...
    
    > From: "Ham, Gary A" <hamg@BATTELLE.ORG>
    > To: 'R. Allen Wyke' <emtc@nc.rr.com>
    > Subject: RE: [emergency] Re: GCN Daily Updates Story: Uncle Sam issues dat a-sharing standards for medical info
    > Date: 09 Apr 2003 16:34:41 -0400
    > 
    > HL7 is an EDI standard with a long history.  I believe that there is also an
    > object model based upon the standard.  I used it when I worked on the DoD
    > Computer Based Patient Record prototyping effort which was the precursor to
    > the announced work below.  The information structures are pretty strong.
    > Since I have not seen it in about three years, I would not be surprised if
    > they have built an XML translation of the standards.  That said, it is a
    > Commercial standard.  You are supposed to buy it in order to use it.  
    >   
    > 
    > R/S
    > 
    > Gary Ham
    > 
    > P.s. I still need to change my e-mail at OASIS in order to post.  I am
    > receiving posts, however. 
    > 
    > -----Original Message-----
    > From: R. Allen Wyke [mailto:emtc@nc.rr.com] 
    > Sent: Wednesday, April 09, 2003 4:24 PM
    > To: stephen.jepsen@oracle.com
    > Cc: emergency@lists.oasis-open.org
    > Subject: [emergency] Re: GCN Daily Updates Story: Uncle Sam issues
    > data-sharing standards for medical info
    > 
    > 
    > Steve, this is a good find!
    > 
    > Group: one of the things we discussed as we were finalizing the initial
    > Requirements document was areas around public health. From the looks of this
    > article, an electronic infrastructure/set of standards has already been
    > identified and/or started to be created. With this in place, our role to
    > provide additional incident and emergency related aspects should now be more
    > focused, which is a good thing.
    > 
    > Rick: from an infrastructure framework perspective, this is another area we
    > should look into. Other than providing an hardware-to-software interface,
    > this looks to be missing.
    > 
    > Art: you might want to look at the "messaging" standard referenced (Health
    > Level 7).
    > 
    > Any additional thoughts certainly appreciated - Allen
    > 
    > On Mon, 2003-04-07 at 13:18, stephen.jepsen@oracle.com wrote:
    > > You have been sent this message from stephen.jepsen@oracle.com as a 
    > > courtesy of GCN Daily Updates (http://www.gcn.com).
    > > 
    > > Allen,
    > > 
    > > FYI...
    > > 
    > > The entire article may be viewed at 
    > > http://www.gcn.com/vol1_no1/daily-updates/21493-1.html
    > > 
    > > Uncle Sam issues data-sharing standards for medical info
    > > 
    > > 03/25/03
    > > By Vanessa Jo Roberts, GCN Staff
    > > 
    > > The government has issued governmentwide standards for coding and 
    > > sharing medical records.
    > > 
    > > The standards, released last week and mandatory for all federal 
    > > agencies, are the work of the Defense, Health and Human Services, and 
    > > Veterans Affairs departments.
    > > 
    > > The three departments developed the data specifications under the 
    > > rubric of the Consolidated Health Informatics initiative, one of the 
    > > 25 Quicksilver e-government projects.
    > > 
    > > Currently, federal agencies that provide health care services use many 
    > > different coding systems, making it difficult to maintain and share 
    > > up-to-date information, the teams officials said.
    > > 
    > > The coding standards are the first of a series of standards that will 
    > > make up a National Health Information Infrastructure envisioned by the 
    > > Office of Management and Budgets e-government team.
    > > 
    > > Benefits from using common health care standards include improved 
    > > patient safety and a reduction in the cost of health care, Dr. William 
    > > Winkenwerder, assistant secretary of Defense for health affairs, said 
    > > in a statement.
    > > 
    > > Ultimately, the goal is to promote use of the standards across the 
    > > health care industry, not just within the government.
    > > 
    > > Its important for the federal government to lead by example by 
    > > selecting and adopting these standards, HHS secretary Tommy G. 
    > > Thompson said. But, he added, to assure appropriate privacy 
    > > protections for personal health information, it will fall to the 
    > > private sector to make use of the standards widespread.
    > > 
    > > The Consolidated Health Informatics team cobbled the new standards 
    > > together from formats now in use.
    > > 
    > > The initiative will require agencies to adopt five standards:
    > > 
    > > For messaging, the Health Level 7 standard to share patient 
    > > information, such as entries of orders, scheduling of appointments and 
    > > tests, and coordination of admittance, discharge and transfer records 
    > > during in-patient care
    > > 
    > > For ordering drugs from pharmacies, standards created by the National 
    > > Council on Prescription Drug Programs
    > > 
    > > For systems integration, IEEE 1073 series to plug medical devices into 
    > > information and computer systems so health care providers can monitor 
    > > information and support telemedicine services
    > > 
    > > For diagnostic data retrieval, the Digital Imaging Communications in 
    > > Medicine standards, to capture information from manufacturers devices 
    > > and medical staff systems
    > > 
    > > For laboratory records, the Logical Observation Identifier Name Codes 
    > > to support the exchange of clinical lab results.
    > > 
    > > For now, there is no deadline for agencies to adopt the standards. 
    > > Instead, agencies will be expected to convert to them as they upgrade 
    > > medical and health care systems for inclusion in OMB's planned 
    > > National Health Information Infrastructure.
    > > 
    > > 
    > >  2003 PostNewsweek Tech Media, a division of Post Newsweek Media
    > -- 
    > R. Allen Wyke
    > Chair, Emergency Management TC
    > emtc@nc.rr.com
    > http://www.oasis-open.org/committees/emergency
    > 
    -- 
    R. Allen Wyke
    Chair, Emergency Management TC
    emtc@nc.rr.com
    http://www.oasis-open.org/committees/emergency