Transcript Data Migration vs Data Transfer

Data Migration
vs
Data Transfer
Leo Fogarty
Dunblane 5/11/08
Semantic Elements
Which sit in a context
which might include:
Relating to an ongoing Problem:
Chest Pain
Which was constructed
during an event:
Surgery Consultation
A Heading:
“Past History”
or
Which all sits in a document:
“Referral Letter”
Modifying Information:
Q= “Possible”
The Record of Patient
Information as Text:which is human-readable
and easily communicable
The inclusion of codes:
XE2uV Ischaemic Heart Disease
Which may be qualified as:
X793b Mild
X78th First Episode
Elements of Data Transfer
• Methodology
– Model
– Technical Specification
– Implementation Guide
– Application Functionality Rules
• Iterative Development
– Testing
• Roll-Out
GP2GP Model
Message Viewing
An Allergy
- <CompoundStatement classCode="CATEGORY">
<id root="3D4352FC-9C61-46A9-81C5-D5736F36D07B" />
<code code="14L..00" codeSystem="2.16.840.1.113883.2.1.6.2" displayName="H/O: drug allergy" />
<statusCode code="COMPLETE" />
<effectiveTime nullFlavor="NI" />
<availabilityTime value="20060301" />
- <component>
- <ObservationStatement>
<id root="8826D45B-3530-4FBB-9FB2-ABDFAEABDDB3" />
<code code="14L..00" codeSystem="2.16.840.1.113883.2.1.6.2" displayName="H/O: drug allergy" />
<statusCode code="COMPLETE" />
<effectiveTime nullFlavor="NI" />
<availabilityTime value="20060301" />
- <value xsi:type="CD" code="ALLERGY-EMISDRUGGROUP-3.1" codeSystem="2.16.840.113883.2.1.6.3" displayName="Adverse
reaction to Bronchodilators">
<originalText>Adverse reaction to Bronchodilators</originalText>
</value>
</ObservationStatement>
</component>
</CompoundStatement>
Non-Interoperable Items
•
•
•
•
•
•
•
Allergies
Some Prescribable Products
Attachments Incomplete
Non-code codes
Immunisations
Local Codes
Local Idiosyncratic Data Structures
Elements of Data Migration
• Individual Record Contents much the
same but…..
• Migration – many records not one
• Other aspects of systems
– Appointments
– Agents Directory
– Reports etc
Elements of Data Migration
• No existing standard
• Many one-to-one solutions
• Variable results
• GPSoC Validation in England
Non-migratable Items
• Everything from the data transfer list plus:
• Difficulties migrating between coding
schemes
• Appointments
• Reports
• Document management