On Wed, 09 Oct 1996 13:44:29 GMT, yPete Mitchell wrote:
>In message <[log in to unmask]> Rob Tweed writes:
>>On Wed, 09 Oct 1996 09:49:15 +0100, John Farenden wrote:
>>
>>>> What I would need to be able to do is submit a request to the
>>>> directory service with some reasonably uniquely identifying attribute
>>>> of my patient (New NHS Number ?), and receive back a list of the
>>>> locations where record fragments for that individual are stored
>>>
>>Strikes me, therefore, the technology is here to support this kind of
>>approach, and is in line with your overall thinking, not at odds
>>unless there's something I'm missing or you have a better underlying
>>technical approach/solution/model to suggest..... ?
>
>The Americans have been wrestling with this problem for some time, as
>you might expect given their highly fragmented healthcare system.
>The health IT industry has set up an alliance to develop what they
>call a 'virtual master patient index' using distributed CORBA
>techniques (yes folks it's OAT - obscure acronym time).
>
>There is a quite detailed progress summary at
>http://www.acl.lanl.gov/cpr/mpi/ and thereabouts.
Indeed even closer to home (in Wales) work has been undertaken on this
very issue. For details see
http://www.ihi.aber.ac.uk/CHI/phss.html
and it's daughter pages
http://www.ihi.aber.ac.uk/IHI/PHS/phs.html
which talks about their use of CORBA
and http://www.ihi.aber.ac.uk/IHI/NHSAR/nhsar.html
which talks about the NHSAR's role.
I've even seen the trial system in operation...
TTFN
___________________________________________________________________________
John Farenden - Secta / Health Web Services
Triton House, Hare Park Lane, Liversedge, West Yorkshire, England, WF15 8HN
Tel 01274 852160, Fax 01274 852159
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