LOINC

See the following -

A Mature API for an Electronic Health Record: the OpenMRS Process

Andy Oram | EMR & EHR | August 14, 2015

By some measures, OpenMRS may be the most successful of the open source EHRs, widely deployed around the world. It also has a long experience with its API, which has been developed and refined over the last several years. I talked to OpenMRS developer Wyclif Luyima recently and looked at OpenMRS’s REST API documentation to see what the API offers...

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Halamka's Health IT Observations from Japan and New Zealand

This week I’ve taken vacation time to help my colleagues in Japan and New Zealand with national IT planning. As I often say, the healthcare IT challenges are the same all over the world, but the cultural context is different. In Japan, I spent 2 days in Tokyo and 1 day in Kyoto, lecturing, meeting, and listening to stakeholders. There is a great desire to share data for care coordination and clinical trials/clinical research. Telemedicine/telehealth is increasingly important in an aging Japanese society that has increasing healthcare needs but a limited number of caregivers and few opportunities to increase healthcare budgets. Here are a few of the current issues we discussed...

Health Information Exchange Resist Cures (Part 2)

Andy Oram | EMR & EHR | March 23, 2016

The previous section of this paper introduced problems found in HIE by two reports: one from the Office of the National Coordinator and another from experts at the Oregon Health & Science University. Tracing the causes of these problems is necessarily somewhat speculative, but the research helps to confirm impressions I have built up over the years. The ONC noted that developing HIE is very resource intensive, and not yet sustainable. (p. 6) I attribute these problems to the persistence of the old-fashioned, heavyweight model of bureaucratic, geographically limited organizations hooking together clinicians. (If you go to another state, better carry your medical records with you.) Evidence of their continued drag on the field appeared in the report...

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Regarding Open Source, Security, and Cloud Migration, Old Prejudices Die Hard in Health Care

Although the health care industry has made great strides in health IT, large numbers of providers remain slow to reap the benefits of a “digital transformation”. Health care organizations focus on what they get paid for and neglect other practices that would improve care and security. At conferences and meetings year and after year, I have to listen to health care leaders tediously explode the same myths and explain the same principles over and over. In this article I'll concentrate on the recent EXPO.health conference, put on in Boston by John Lynn's Healthcare Scene, where the topics of free and open source EHRs, security, and cloud migration got mired down in rather elementary discussions.

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