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Medic Alert Delivering Healthcare Interoperability 医疗警报医疗提供互操作性
11 December 2003 Healthcare Interoperability Past Efforts-Present Benefits-Future Prospects - Clem McDonald HL7-UK 2003 ConferenceHealthcare Interoperability Past Efforts-Present Benefits-Future Prospects Clement J. McDonald, M.D. December 11, 2003 Work of many Regenstrief faculty Mike Barnes, M.D. Paul Dexter, M.D. Burke Mamlin, M.D. Mick Murray, PharmD. Marc Overhage, M.D., Ph.D. Susan Perkins, Ph.D. Gunther Schadow, M.D. Bill Tierney, M.D. Where we were in early 80’s Building our own systems to collect data Lab Pharmacy Scheduling system Horrible batch and cobbled interfaces to collect data from other institutions systems What to do? Impossible except for nutty people We needed an easier way Standards… Plea for standards help 1981 1st rejection of grocer’s paper 1983 (Jan.) Grocer paper published 1 1983 (Nov.) Plea for standards at fall SCAMC meeting 2 1984 (Nov.) A discussion of the draft proposal for data exchange standards for clinical laboratory results. 3 1984 SCAMC Fall Symposium Panel Members: Clement McDonald, M.D. Gio Wiederhold, Ph.D. Donald W. Simborg, M.D. Ed Hammond, Ph.D. Fredrick R. Jelovsek, M.D. Ken Schneider, M.D. 1984 Proposal- Familiar? FIGURE 1 Patient 1 (general information about patient) Battery 1 (information about first battery reported/requested) Result 1 (information about the first result of battery 1) Result 2 (information about the second result of battery 1) ? ? ? Result n (information about the last result of battery 1) Battery 2 (information about battery 2) Result 1 (information about the first result of battery 2) Result 2 (information about the second result of battery 2) ? ? ? Result n (information about the last result of battery 2) ? ? ? Battery n (information about the last battery for the first patient) Result 1 (information about the first result of the last battery) Patient 2 (all of the structure repeats) ? ? ? Patien
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