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I think that the definition of Healthcare IT (Or Healthcare IS, HIS, HCIS, etc.) is inclusive of all provider types, so wether you're a doc in a box, Dr. 90210, the nursing home down the street, a large Academic medical center, the community hospital, critical access, the St. Paul Island (AK) clinic, or a home health agency, you'll want to come here for your answer. For the record, I'm a hospital IT guy. – rsimplicio Jun 24 '10 at 0:08

Where to find a TLA glossary would be a good question, actually. There are plenty out there...question added! – SturdyErde Jul 31 '10 at 13:15

Note, since a lot of people committed awhile ago, it helps our commitment score if people were to recommit to the proposal. – Steve Wranovsky Jun 7 '11 at 20:27

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65 Example Questions (6 closed)

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up vote 25 down vote

added by rlb.usa, edited by WikiSpeedia hang-around Aug 21 '10 at 18:06

We (non-for profit hosp) are in the process of implementing a product that allows us to share information with practicing physicians in the area. Primarily by HL7 traffic. If they have an EMR we work with the practice vendor to get the messages to populate directly in to the pts record at the EMR. Check out Medicity/NOVO GRID – Anonymous Jun 25 '10 at 18:00

It is convenient and easy to implement point to point interfaces between healthcare providers ( hospitals, physician office and others), but is it the right approach ? NO. Federated architecture using IHE XDS or webservices using SOA architecture is the right approach to share patient records between healthcare providers. For all the different options on interaoperability, please read the following book - Interoperability in Healthcare shopcreator.com/mall/infopageviewer.cfm/abiescouk/… – Saravana Rajan Jun 28 '10 at 22:18

up vote 24 down vote

added by Steve Wranovsky Jun 17 '10 at 5:59

up vote 23 down vote

added by Palmin Jun 18 '10 at 21:06

up vote 22 down vote

added by proportional, edited by WikiSpeedia hang-around Jul 11 '10 at 20:24

	There are large parts of hl7 standards documentation that must be obtained by being a member, which costs about $600/year. If you google various standards though, you can find many of them, especially the older, commonly deployed ones, or at least, specific implementations of them. Some, like the EHR Functional Model, are publicly available. – Peter Harrison Jun 25 '10 at 13:30
	check out Corepoint Health (I beleive they used to be NEOtool). If you are willing to pay for training they offer a few different types HL7 certification courses and resources. corepointhealth.com – Anonymous Jun 25 '10 at 17:57
	To add, I was lucky to be "trained" by co-workers who have been the field for a while. I did not take any Corepoint classes, just know they offer them and I have some resources from them. – Anonymous Jun 25 '10 at 18:05
	If you are just looking to get started with interoperability in Healthcae and introduction to HL7 version 2.x and 3, check this book by Tim Benson shopcreator.com/mall/infopageviewer.cfm/abiescouk/… You can download parts of book especially chapters on HL7 v2.x and 3.0 Also this gives you context on where and how HL7 standard can be used. Good Luck! – Saravana Rajan Jun 28 '10 at 21:42
	Thank you for your very useful comments, guys!! – proportional Jul 5 '10 at 7:04

up vote 20 down vote

added by Steve Wranovsky Jun 17 '10 at 5:56

up vote 11 down vote

added by tschaible Jun 23 '10 at 4:12

This is a little too vague... the answers are complicated and the question is probably best asked on a country-by-country basis so that, among other things, they can be tagged with the name of the relevant country. – Clay Jul 15 '10 at 13:06

up vote 10 down vote

added by Steve Wranovsky Jun 17 '10 at 5:45

Off-topic or not a good example because a site like this gains more from concrete Q&A than subjective/anecdotal. – SturdyErde Jul 31 '10 at 13:18

up vote 10 down vote

added by Palmin Jun 20 '10 at 7:54

(DICOM: en.wikipedia.org/wiki/…) – WikiSpeedia hang-around Jul 21 '10 at 22:31

up vote 8 down vote

added by rlb.usa Jun 21 '10 at 16:58

For each action, look for trigger events and outputs. Dietary orders can go to the department via phone, pneumatic tube system, printer, electronically, or a volunteer can show up and ask. I always ask a person, "How do you know to do that?" "How else can they tell you?" "What if they..." Don't over-analyze. Sometimes the simple solution is the cheapest and easiest way to get the job done. Above all: Listen to and believe your end-users! – Anonymous Jun 25 '10 at 18:15

@hl7queen - thank you for the in-detail answer, however, questions here are example questions posed for everyone to help determine what is in the scope of this proposal, and what is not. – rlb.usa Jun 26 '10 at 17:38

up vote 6 down vote

added by Laurie T, edited by WikiSpeedia hang-around Jul 11 '10 at 20:26

If you are talking HL7 interfaces, we do both. We have ROUTING tables that assign message types/events to Q's which in turn subscribe to translators. There are no translations done in the ROUTER, it just routes to Q's. All translation is done with in the translators for each system we are sending to. We comment our code changes within each translator, especially when we are doing things out of the norm. All of this depends on the flexibility of the Engine you are using and philosophy surrounding the build of interfaces and transferance of your data. – Anonymous Jun 25 '10 at 18:12

As worded, I don't see that this is specific to health care IT. – mickeyf Aug 3 '10 at 22:02

up vote 5 down vote

added by Todd Talcott Jun 25 '10 at 2:21

Follow the steps below: 1. Learn about the Healthcare industry - CPHIMS (Certified Professional in Healthcare Information and Management Systems - himss.org/ASP/certification_cphims.asp is one of the best ways to get started. 2. Become a member of HIMSS, attend HIMSS conference, network in the industry 3. Join a Healthcare IT Vendor - thats how I started in year 2000 4. Learn about standards/issues and read about the industry 5. This book could be of good use - Principles of Healthcare Interoperability - shopcreator.com/mall/infopageviewer.cfm/abiescouk/… – Saravana Rajan Jun 28 '10 at 21:48

up vote 5 down vote

added by Dave Deaven Jun 29 '10 at 11:14

up vote 5 down vote

added by Josaph Jun 30 '10 at 16:43

up vote 4 down vote

added by Steve Wranovsky Jun 17 '10 at 5:49

up vote 4 down vote

added by Palmin Jun 18 '10 at 21:09

up vote 4 down vote

added by Laurie T Jun 25 '10 at 12:49

YUK!.. File imports from the master application. – Anonymous Jun 25 '10 at 17:54

up vote 4 down vote

added by Dave Deaven Jun 29 '10 at 11:08

Its a great example for on-topic as well. I wish I had more votes to get this questions as great examples :) – Saravana Rajan Jul 1 '10 at 13:37

I concur, it is a great example I think, also. – Steve Wranovsky Aug 13 '10 at 19:00

up vote 4 down vote

added by DonnyD, edited by WikiSpeedia hang-around Jul 21 '10 at 22:23

up vote 3 down vote

added by Josaph Jun 30 '10 at 16:42

up vote 3 down vote

added by warren Jul 26 '10 at 20:08

up vote 2 down vote

added by Palmin Jun 20 '10 at 7:56

No matter whose fault it is, it's still your problem. Figure it out. – Anonymous Jun 25 '10 at 18:17

@hl7queen - questions here are example questions, posed to help everyone determine what is in the scope of the project, and what is not. It's still okay if you'd like to give an answer, however, it's good to remember it's simply an example question while the proposal is in the definition stage. – rlb.usa Jun 26 '10 at 17:41

(DICOM: en.wikipedia.org/wiki/…) – WikiSpeedia hang-around Jul 21 '10 at 22:30

I think this type of question often comes from a provider to a vendor. I think having an answer describing the potential process to go through to evaluate the problem might be useful. – Steve Wranovsky Aug 5 '10 at 18:05

up vote 2 down vote

added by Alvin Ashcraft Jun 28 '10 at 17:26

seems this would vary wildly based on locale, no? – warren Jul 26 '10 at 20:12

up vote 2 down vote

added by Clay Jul 15 '10 at 12:58

up vote 2 down vote

added by Clay Jul 15 '10 at 13:00

Please fix up the grammar to clarify the question - I think I know what you mean but I don't want to assume. – sgeek Jul 16 '10 at 0:18

up vote 2 down vote

added by SturdyErde Jul 31 '10 at 13:15

up vote 2 down vote

added by jdv-Jan de Vaan Aug 9 '10 at 10:20

up vote 2 down vote

added by gwc, edited by WikiSpeedia hang-around Aug 12 '10 at 14:32

up vote 1 down vote

added by Palmin Jun 18 '10 at 21:09

up vote 1 down vote

added by user6504 Jun 25 '10 at 18:06

(OBR/OBX: chip.org/projects/w3emrs/technical/fields/…) – WikiSpeedia hang-around Jul 21 '10 at 22:28

up vote 1 down vote

added by Josaph Jun 30 '10 at 16:41

up vote 1 down vote

added by Saravana Rajan Jul 6 '10 at 10:13

up vote 1 down vote

added by warren Jul 26 '10 at 20:10

up vote 1 down vote

added by balu Jul 29 '10 at 7:20

up vote 1 down vote

added by stack Jul 29 '10 at 23:02

up vote 1 down vote

added by gwc Aug 3 '10 at 15:48

up vote 1 down vote

added by jdv-Jan de Vaan, edited by WikiSpeedia hang-around Aug 12 '10 at 14:33

up vote 1 down vote

added by SturdyErde Aug 18 '10 at 17:33

Potential context could be HIPAA, CMS, DIACAP, SOX, URAC, etc. – SturdyErde Aug 18 '10 at 17:34

up vote 0 down vote

added by Steve Wranovsky Jun 17 '10 at 5:58

closed as off topic by John Saunders, Todd Talcott, Bakha Nurzhanov, Infodoq, user6504 Jun 25 '10 at 18:16

This question does not relate to the topic of the proposal.
It was closed as part of an automated migration of off-topic to close votes on September 29, 2011.

"What benefits have you gained from attending the HIMSS conference?" might lead to better/more specific answers. – SturdyErde Jul 31 '10 at 13:13

up vote 0 down vote

added by Bakha Nurzhanov Jun 25 '10 at 14:28

closed as off topic by Todd Talcott, Palmin, Saravana Rajan, John Saunders, Laurie T Jul 11 '10 at 0:23

This question does not relate to the topic of the proposal.
It was closed as part of an automated migration of off-topic to close votes on September 29, 2011.

By offering a very reliable support model and keeping the total cost of ownership low compared to the licensed software options. Just like JBOSS, MYSQL and Red Hat did it on middleware, data and OS stack. Check out Mirth ( open source healthcare integration engine) mirthcorp.com - my gut says, they will be a success story – Saravana Rajan Jun 28 '10 at 21:54

up vote 0 down vote

added by Matthew Jun 25 '10 at 15:47

Pg 4 of the 837P portion of ANSI 837 5010 guide says 1000B is Receiver name Transaction Set ID: 837 Professional EDI Standards: ASC X12 Version/Release: 005010 Direction: Inbound – Anonymous Jun 25 '10 at 17:53