Tuesday, March 24, 2009

Health Care reform and records standards

One of the huge problems with government implementing reform is conflicting interest. In most cases private industry can do a much better job than the government especially when it comes to innovation. These conflicting interests usually slow down development until these differences can be hashed out.

The Veterans administration has developed a Electronic Health Records system using Vista, but private medical software providers claim they can develop a better system. This debate has been going on for better than the last decade.

Cooperation between the government and private industry should create interoperability standards using SOA, middleware, and standard file formats, similar to open document format (ODF) and resource description format (rdf) standards for information medication base structured meaning.

There is a process to create Continuity of care, an XML base standard file format standard for Electronic Health Records (EHR) vendors can write in the same file format. To facilitate this conversion, the Commission of the certification of Health IT does certification and creates interoperability and definition guidelines in three key areas: Privacy, format, and content.

The Health care industry use glossary of terms to describe procedure and diagnosis of patients which revolves around International Classification of disease IDC-9 which must convert to IDC-10, IDC-10 holds 155,000 codes allowing the tracking of disease, diagnosis, and treatment procedures. Deploying or upgrading from IDC-9 to IDC-10 is another challenge for Health care professionals and IT staff.

There is an overwhelming amount of information that must be tracked especially related to molecular understanding of disease. The information system needs to help make better decisions while being comprehensive, flexible, and manageable way to handle data.

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