Data Dictionaryattributedescriptiondata Typeptidpr
As you start this assignment, review the website of the HL7 organization, www.HL7.org , and the Journal of AHIMA’s article by Kevin Heubusch (January, 2006): Interoperability: What it means, why it matters
Instructions:
Review the scenario below and answer the 6 questions at the end with at least 2-3 sentences for each question.
Scenario:
The Doomore Hospital, Primicare Clinic, and MaxLab all operate in
Smalltown, New Hampshire. Doomore hospital has had an EHR for 7 years.
Primicare Clinic has just implemented its clinic-based EHR in the past
year. Both of these entities need to send lab orders to MaxLab, and
obtain the results back quickly and accurately. Primicare needs to send
primary care and maternity patient data on drug allergies and patient
care summaries to Doomore Hospital, when needed.
Doomore has a different patient demographics and patient ID system
in its EHR, than Primicare’s system. The patient ID for Doomore, is not
the same as for Primicare’s ID. Also different, are each entity’s drug
allergy tables/ fields, which are represented in the tables below.
Also, for its patients discharged from Doomore’s ED and inpatient
facility, Primicare wants to review the hospital records promptly.
Primicare wants at least, the patient’s full discharge medication list,
all nursing and physician care summaries, and Discharge Orders. This
will allow the primary care practitioners to better follow up on their
patients’ care and compliance.
Doomore Drug Allergy Table, Data Dictionary
|
Attribute |
Description |
Data Type |
Other |
|
PatientID |
Patient ID number |
Numeric |
Doomore ID |
|
Drug name |
Name of drug |
text |
Brand or generic names allowed |
|
Reaction Severity |
Rank order of allergy severity |
text |
Coded 1-3, with 3 being severe allergy, 2 moderate, 1 minor or only patient side effects noted |
Primicare Drug allergy table, Data Dictionary
|
Attribute |
Description |
Data Type |
|
PTID |
Primicare ID |
text |
|
PtFName |
Patient legal first name |
text |
|
PtLName |
Patient legal last name |
text |
|
Drugallergy |
Name of drug |
text |
Usually to determine patient drug allergies for a visit, Primicare
just types in the patient’s first and last name, and a report comes up
with a list of patients. They scan down the patients with similar names,
until they find the correct one for this visits.
- Describe at least two problems or issues you see with Doomore
trying to get drug allergy data transferred directly from Primicare. - Do you think either or both of, Doomore Hospital andÂ
PRimicare, could improve upon their drug allergy system tables and use
of them? Please explain how. - Name and describe a method that MaxLab could use to help transfer data easily from the lab to both the hospital and the clinic.
- Apply your knowledge of HL7 to discuss the following scenario:
If both Primicare and Doomore use HL7, do you think this will
resolve all issues with their compatibility for the drug allergy
systems? Why or why not? Please explain your reasoning. - When two systems are made so they “play well” and communicate with each other, we call that a systems interface. Propose
what kinds of computer hardware you would need for Primicare to be
able to print out a patient care summary received from Doomore Hospital
for a patient now being seen at Primicare. Determine what other
systems or hardware you think would be needed to communicate with the
hardware you proposed. - Describe briefly the priorities of the HL7 group, as described in their website.