We are treating patients with cerebral palsy and children from many countries of the worlds are coming to us.
In our work we are using the hospital information system with the electronic medical records, developed for us by local software company. This software is rather powerful but it is not possible to share our information with other medical institutions.
In our country the electronic health record software is only taking its first steps.
In the future we are planing to improve our software to make it possible to share the medical information with other clinics.
Please could you suggest us what steps are most important and should be done first. What are the most common mistakes.
i am currently using a system that is free and has open source software
code called OpenEmr. i have forwarded your letter to my technical person
rod at sunsetsystems.com who can program anything.
Our EHR Center in South Korea has researched standard EHR(and partly EHR system) for 1 year. so I think first thing you have to is Standard & related documents review.
ISO
ISO TS 18308 and 20514 (actually result from EU’s effort (see below))
EU’s effort (GEHR, CEN, openEHR)
GEHR’s deliverables about EHR requirements is very useful.
CEN’s 13606 and HISA…
openEHR’s information model, archetype model, service model
Incidentally Dr. Dipak’s(openEHR member) PhD thesis is also good ^^;
US’ effort (IOM, HL7…)
IOM’s books and reports help me recognize the reason why EHR is needed (maily conceptual ideas)
HL7’s message standard is useful like you who already have local EMR system.
also need to experience many EMR(EHR) systems in other countries.
but finally i think, if you can make a new EMR system, then EU’s efforts is very helpful. but if you can’t, after comparing functionalities of between your EMR system and HL7(or anything) EHR system, you upgade your EMR system (former is my concern but latter is working in our center)
if you already know my above mentions, i am sorry.
but i want to share my study.
Dear Alice
Thank you for the reply
Are you working with the sysytem described on the page http://www.openemr.net/
What is your opinion about this system?
Please could you tell me about your medical institution and what information
you are storing in the OpenEmr.
Thank you in advance
Dear Seung-Jong Yu
Thank you. This information is important for me.
Is it possible to get some information about the system working in your center.
Are you sharing the medical information with other health institutions?
First of all, I think this should probably be on the implementors or the
technical list. Both of which I have CC'd.
Second, please be aware that many of the recommendations that you may
get regarding *specific* applications will suffer from the same problems
you are describing.
The short answer to your question is that only an openEHR information
model based implementation is designed to allow cross platform and cross
implementation data exchange of clinical data stored as an electronic
health record.
Granted, currently your application choices are limited (ok, really
almost non-existent). However, the reality is that if you have the
vision to see the light then you will realize that an openEHR
implementation is closer to reality than any other offerings being
presented. So, you should encourage your developers to study and
understand the core concepts of openEHR and work towards compatibility.
For a better perspective on my position on openEHR, look (in the next
2-3 days) for my forth coming comments regarding the discussions on the
openehr-clinical list about HL7 and openEHR.
*DISCLOSURE* I am a member of the openEHR ARB. BUT, I do not currently
receive and have no expectation of receiving any financial gain from
this position. My position on supporting the openEHR approach is based
completely on my belief in the technical architecture and that it will
ultimately benefit a global effort towards health care information
interchange.