To: Don Hess who wrote (7205 ) 10/1/1999 6:30:00 AM From: Ausdauer Read Replies (1) | Respond to of 60323
Don, Yes, slightly off-topic remarks as a distraction to the grim reality of the marketplace are welcomed here. Here comes another OT post... I like the idea of a digital, portable medical record and believe that everyone should be required to wear one or carry one with them. They could be serialized so that each person has a unique ID. Then, each time a patient comes to clinic they place the card in a card reader at the reception desk. The card reader is linked via a network to the health system's database. Currently many health plans keep labs, medication refills, radiology reports, dictations, EKG's...on a central server. The biggest problem is that each system (say, for example, the digital dictation system or the pharmacy) have individualized software programs tailored to their needs. These substations don't necessarily talk back and forth. There is something called a hub, I believe it is called an "HL7 hub" which acts as a central interpreter by converting input into a common, understandable language. Well, when you put your card in this card slot it could query the entire system for an update of your labs, dictated consultations, pharmacy refills,... Then all your physician has to do is plug the card into a reading station. You could argue that this information could be pulled up on-line at a terminal, but that technology isn't here yet. You would have to log onto each department individually to piece together all the information. Or even worse, you may have to leaf through hundreds of hard copies of reports located in the patient's medical record. Oh wait a minute, that record is at the hospital waiting for signatures and won't be available for a week. Sorry. OT = softens the blow Ausdauer