67%(3)2 out of 3 people found this document helpful
This preview shows page 11 - 14 out of 16 pages.
These entities have differences in the way their EHRs are set up. The patient ID for Doomore is not the same as Primicare ID. Each entity’s drug allergy tables/ fields are represented in the tables below. Review the tables considering what you have learned about data dictionaries so far.Note: Do not be concerned with any demographic data you consider “missing” in the tables. Those attributes would be included in a separate Demographics Table, from what is displayed
here. A relational database will easily pull up patient demographics, by simply using the PatientID linked to EHR patient demographic tables. Doomore Drug allergy table, Data DictionaryAttribute DescriptionData TypeOtherPatientIDPatient ID numberNumericDoomore IDDrug allergyDoes patient have any drug allergiesText using coded dropdownUse only Y/N to complete dropdownDrug nameName of drugtextText name of drug, Brand and generic names allowedReaction severity Rank order of allergy severityText using coded dropdownCoded 1-3, with 3 being severe allergic reaction, 2 moderate, and 1 minor or onlypatient side effects notedPrimicare Drug allergy table, Data DictionaryAttributeDescriptionData TypePTIDPrimicare ID textPtFNamePatient legal first nametext
PtLNamePatient legal last nametextDrugallergyName of drugtextAfter one of its own patients is discharged from Doomore hospital’s ED and inpatient facility, Primicare wants to receive 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 primary care practitioners to better follow up on their patients’ care and compliance.Usually to determine patient drug allergies at a visit, Primicare has used patient’s first and last name, or the patient ID to look up the correct record, and proceeded to ask the patient and enter data for the correct patient.For the following questions, please provide short answers of at least 2-3 sentences each. 5 points each item. As you answer each item, consider the relevance that each item has to the challenges of achieving interoperability between systems.1.Describe at least two problems or issues you observe with Doomore hospital trying to getdrug allergy data transferred directly into their own system, from Primicare. In order to use the clinic’s data, what might the hospital need to do?2.Do you think either the Hospital or the Doctor’s office, could improve upon their drug allergy system tables and use of them? Explain specifically what you would do. Would you add any fields, change fields, or make other changes?3.If both Primicare and Doomore used 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.