These entities have differences in the way their EHRs are set up The patient ID

These entities have differences in the way their ehrs

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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
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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 Dictionary Attribute Description Data Type Other PatientID Patient ID number Numeric Doomore ID Drug allergy Does patient have any drug allergies Text using coded dropdown Use only Y/N to complete dropdown Drug name Name of drug text Text name of drug, Brand and generic names allowed Reaction severity Rank order of allergy severity Text using coded dropdown Coded 1-3, with 3 being severe allergic reaction, 2 moderate, and 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
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PtLName Patient legal last name text Drugallergy Name of drug text After 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 get drug 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.
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