tag:blogger.com,1999:blog-4384692836709903146.post4877057055821021880..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Automating the Disability Process with National StandardsJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4384692836709903146.post-46115131927577093712008-08-04T18:08:00.000-07:002008-08-04T18:08:00.000-07:00Combined with the standard data format, I can see ...Combined with the standard data format, I can see that the business rules engine can automate all of the standard work, leaving to people the more complex work of dealing with edge cases and improving the process. I am curious, though, how does one test and prove the validity of the business rules engine? It seems to me that the rule set could get unmanageably complex to test.<BR/><BR/>-AdamA.K.https://www.blogger.com/profile/05667639074146674799noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-67172775290796511452008-08-04T08:48:00.000-07:002008-08-04T08:48:00.000-07:00John,You indicate that the automation has value fo...John,<BR/><BR/>You indicate that the automation has value for everyone, and while I agree, I have a few comments.<BR/><BR/>In your exchange, your describe numerous components of a detailed patient medical record, not a summary of information. CCD like CCR is intended to summarize, not become a complete record.<BR/><BR/>Other records that you describe, such as laboratory reports, discharge summaries, ED notes, operative notes, letters, and progress notes, are actually separate documents. I would not see these as "parts" of the CCD, but actually separate reports.<BR/><BR/>The CCD is not a panacea. It solves several problems, but not every problem is a nail (see <BR/><A HREF="http://motorcycleguy.blogspot.com/2008/06/if-i-had-hammer.html" REL="nofollow">If I had a Hammer</A> )<BR/><BR/>The other clinical documentation described above already exists and if relevant, can be delivered with the same machine readable information as is contained in the CCD, but using it's base standard, the CDA, and templates from CCD.<BR/><BR/>The same interactions you describe could include a whole packet of information, not just a single CCD that would contain everything. It would include a CCD (perhaps), other CDA documents, existing medical records that have been scanned in, et cetera.Keith W. Boonehttps://www.blogger.com/profile/16883038460949909300noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-90983573720431085022008-07-30T19:40:00.000-07:002008-07-30T19:40:00.000-07:00You are correct and I made the change. Thanks!You are correct and I made the change. Thanks!John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-49831392795802957352008-07-30T08:31:00.000-07:002008-07-30T08:31:00.000-07:00I think you meant to say "CCD" rather than C32, in...I think you meant to say "CCD" rather than C32, in the paragraph where you say "C32" was created by informaticians from ASTM and HL7 working collaboratively. C32 was done by HITSP, further constraining CCD, whereas CCD was done by ASTM and HL7 reps, further constraining CDA.Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.com