Tuesday, February 2, 2010

Information standards in healthcare Part 2 (final)

Writing anything on information standards without the mention of HL7 will be quite meaningless.
HL7 (Health Level Seven) is a Standards Developing Organization accredited by ANSI. It has complied a collection of message formats and related clinical standards that loosely represents clinical information.
Key observation:
HL7 was initiated to speeden up data interface and exchange between computer application and systems within or connected to one healthcare enterprise; irrespective of architecture, programming language or platform. It is less far reaching that HIPAA which is targetted at transforming business and patient are processes.
HL7 is similar to EDI but developed ground up. HIPAA is derived from X12 standards.
Under HIPAA the addtional information to support a patient claim or encoutner must be in HL7 format. THe likely transaction used in HIPAA are 275, 277, 278, 835.
Refer to Corepoint health for more information.

THe most commonly used message types are
ACK – General acknowledgement
ADT – Admit discharge transfer
BAR – Add/change billing account
DFT – Detailed financial transaction
MDM – Medical document management
MFN – Master files notification
ORM – Order (Pharmacy/treatment)
ORU – Observation result (Unsolicited)
QRY – Query, original mode
RAS – Pharmacy/treatment administration
RDE – Pharmacy/treatment encoded order
RGV – Pharmacy/treatment give
SIU – Scheduling information unsolicited
Some videos on HL7 worth listening to:
HL7 & Healthcare Interfacing Videos | Corepoint Health

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Health Management in India

http://www.ihmr.org/ - Institute of Health Management
http://www.iphindia.org/joomla/index.php - Institute of Public Health
http://www.who.or.jp/sites/bangalore.html - WHO, Bangalore
http://cghr.org/aboutcghr.html - Center for Global Health Research
http://www.hispindia.org/ - HISP India
- PHFI Newsletter
http://www.epos.in - EPOS India