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> From: A.Capey <[log in to unmask]>
> To: [log in to unmask]
> Subject: Re: edifact and web strategies
> Date: Wednesday 11 December 1996 10:21
> This has got a bit heated, may I suggest looking at requirements:
> 1. if all you need to do is _review_ the medical record for ONE patient
then
> having it presented in a form accessible by browser technology is fine -
> that is just how paper notes are accessed. For much of our work, clinical
> staff would be happy to have seamless access (ie. not aware that they
were
> doing so) to the referring physician's notes.
ie don't need to message/send the data to have a look, though to my mind
with current Web bandwidths, if you need to look at it a lot, you would be
better off transferring it. Maybe SUPERJanet (another post) cable modem or
satellite would eradicate the need to message so much.
> 2. If you wish to review (eg. clinical audit) all patients with suspected
> coronary heart disease (ie. the referring physician's evaluation) then
that
> data needs to reside on our machines. The alternative is an intelligent
> agent which remotely interrogates the records of _all_ patients referred
to
> us! Would you mind 'foreign' queries running on your patient databases?
> (access control lists permitting)
If the access control list permits then why should I mind ? After all I
added them to the access contol list.
> How do you intend to populate the browser readable document?
> 1. In real time during a consultation?
Parsing, or forms style input (not a lot different to an EMIS template !)
submitted to cgi (slow as an Web implimentation currently, but fast as
light with a local server !)
> 2. As an extraction from a conventional database structure?
Web front ends to databases with a bit of PERL / C or other glue in between
?
> Both methods have their problems.
Hmm, but maybe not big ones ?
> ------------------------------------------------------------------------
> Andrew Capey [log in to unmask]
> Corporate Data Manager
> Royal Brompton Hospital Tel: 0171 351 8726
> Sydney Street, London SW3 6NP, UK Fax: 0171 351 8743
> ------------------------------------------------------------------------
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