EHR standards

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Permalink Reply by R.J. on May 22, 2009 at 5:24am

Hi Maksim. I work for a company called MedCentricity Corporation. We are the engineers of our very own EMR/CCR solution. Recently, our solution has been sought after by facilities in other countries. At this point, we're also looking to integrate our solution with several languages. You can read more about our solution by visiting our blog, but I am responding because I am happy to see these solutions become more common in our medical communities worldwide.

Blog: http://emrinternational.blogspot.com/
Our website: www.medcentricity.com
Our EMR solution: www.medcentricity.com/eScribe.html

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Permalink Reply by Steven Wanyee Macharia on February 26, 2010 at 9:33pm

Dear Maksim:

Within the International Standards Organization, there is a health informatics committee that is charged with coordinating development of international standards in health informatics. I am currently participating in an exercise in Kenya where we are revewing some of those standards to ensure that they are locally applicable and appropriate for our country. I am happy to share with you my experience as the process progresses.

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Permalink Reply by Athanassios Hatzis on April 9, 2010 at 11:26pm

Hi Maksim,
there are many health standards, and you may very well spend hours, days and months looking through all of them. I passed through this when I had to migrate a legacy system that I developed for neurosurgeons that has not been standardized.

Success Story - http://athanassios.gr/neurohealis.htm

Recently, I have made open to the public MEDILIG project. I believe that there are many features that makes it distinguishable from other open EHR/EMR software and interoperability (i.e. health standards) is a key issue. MEDILIG is using a revolutionary design for the database schema to cover this.

The main, simple idea is that you have look-up tables for all the key entity fields that compose your main data tables. These look-up tables are drawing standard coding schemes and multilingual translations from other main tables that do not have to be present in your database (there are copyright issues here) !!! For example, suppose you have a DxType field for the Dx (diagnosis) main table. The LUT_Dx_Type field will have to include all ICD10 coding fields that your specialty is using (Arrythmology diseases/disorders). This subset may well be translated in Russian and add also abbreviations for presentation purposes (see MEDILIG presentation screens and description of database tables).

Below is the full list of features that makes it distinguishable from other open EHR/EMR software

1) An extensive database schema for continuous health care that follow standard clinical practice terms with an easy nomenclature for developers

2) Complete separation of the database schema from the presentation layer, independent development of the database layer

3) Multilingual look-up tables with international health standards for the encoding of information

4) Fully tested and operational on the neurosurgery domain with a lot of data

5) Interoperability with ICD10, OPCS44, NHS, LOINC, SNOMED health care standards

6) Microsoft Technology platform version based on popular SQL Server and Access products

7) Truly rapid application development thanks to the powerful integrated environment of SQL Server and Access

8) Minimal or no coding for creation of catalogues, reports, entry forms and navigation through them

Hope it helps.....

In case you find it interesting, please send me your comments or feedback

Thank you

Athanassios

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