SOAP
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Apixio Illuminates The Pain of Recording Patient Risk Factors (Part 1)
Many of us strain against the bonds of tradition in our workplace, harboring a secret dream that the industry could start afresh, streamlined and free of hampering traditions. But history weighs on nearly every field, including my own (publishing) and the one I cover in this blog (health care). Applying technology in such a field often involves the legerdemain of extracting new value from the imperfect records and processes with deep roots. Along these lines, when Apixio aimed machine learning and data analytics at health care, they unveiled a business model based on measuring risk more accurately so that Medicare Advantage payments to health care payers and providers reflect their patient populations more appropriately...
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Apixio Illuminates The Pain of Recording Patient Risk Factors (Part 2)
The previous section of this article introduced Apixio’s analytics for payers in the Medicare Advantage program. Now we’ll step through how Apixio extracts relevant diagnostic data. Providers usually submit SOAP notes to the Apixio web site in the form of PDFs. This comes to me as a surprise, after hearing about the extravagant efforts that have gone into new CCDs and other formats such as the Blue Button project launched by the VA. Normally provided in an XML format, these documents claim to adhere to standards and offer a relatively gentle face to a computer program. In contrast, a PDF is one of the most challenging formats to parse: words and other characters are reduced to graphical symbols, while layout bears little relation to the human meaning of the data...
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Cernering the Market
After years of speculation and rumors, in a move that surprised absolutely no one, Veterans Affairs Secretary David Shulkin announced that the Department of Veterans Affairs is moving to Cerner Millenium to replace its home-grown VistA electronic health record. On the surface this makes sense, because of DoD’s move to Cerner in 2015 and an overarching VA desire to move from custom software to COTS software. However, SecVA’s decision is only the beginning of an extremely long path, as DHA is finding with its MHS GENESIS project. Moreover, VA has a broader scope than DHA. Unlike DHA, whose primary goal is to provide a medically ready fighting force, VA handles a slew of additional tasks, including...
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Halamka on the JASON Report
On 4/09/2014, AHRQ released the JASON report, facilitated by Mitre. JASON is an independent group of scientists who advise the United States government on matters of science and technology. The intent of the report is to make recommendations for a new healthcare IT architecture to accelerate interoperability. Read More »
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RESTful Health Exchange
I have been involved in a new S&I-affiliated initiative called RESTful Health Exchange (RHEx), which will test application of the REST-style (Representational State Transfer) architecture to health information exchange...RHEx is attempting to develop specifications for secure RESTful transport for healthcare exchange to be used in conjunction with SOAP and SMTP currently being used in Exchange and Direct. Read More »
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