NHANES data in LibreEHR

@rhoyt that’s the whole point of this category – so I see very little reason to do so.

I think Robby means “We already have an Education category”. I am sure you could start a thread, a sub-category or make a forum user group called “Pedagogue Posse” or the like to establish a integral committee of sorts.

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The presentation at InSpire went well but was brief as already noted. We did receive inquiries from Bellevue College and the University of Tennessee at Memphis about pilot testing LibreHealth EHR.

As previously noted, the educational committee needs to meet (virtually) to decide on the next steps

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I am happy to chat about this next week … @sunbiz thoughts ? Any other person interested ? @aethelwulffe ?

Thanks for your reply. I have tried to reach all members of the education team on this forum, but not very successfully. We need to discuss issues such as:

  1. When do we make the demo version available to universities?
  2. Is there agreement that we should pilot test this with several universities to gain input
  3. Do we have an acceptable method to permit uploading of both the EHR software and the script to load patients from GitHub or GitLab?

Thanks @rhoyt!! I think we have the resources to host the application for universities, but for longer term think about funding to support that. So we can host it now. I agree and support that we should pilot test and get feedback from univs. And so should host or provide support. We can distribute and upload things using bintray. Anything that the joining universities want to add to the EHR will be like code contributions that can be merged by maintainers (@tony) and be part of the next release.

Great. I don’t mind paying for some hosting down the road. Another functionality I would like to see improved is the reporting. Ideally, students should be able to search using multiple criteria with the output being a CSV file. Some of that functionality now exists but it seems spotty.

I did send the URL for the demo to Pam Charney at Bellevue, partly because she didn’t end up attending InSpire. Should I also send it to the Program Head of UT Memphis I met at InSpire? It would probably be better if we held a webinar.

BinTray sounds like a great idea if it will simplify the installation process for universities with limited IT support.

At a social the first night at Inspire I ran into Michael Weiner who is the CMIO for IBM and someone I trained with in the Navy. I asked the open ended question, do you think IBM would be interested in an open source EHR for education that could be a sandbox and he was 4+ excited. I told him that I had not discussed that with anyone at LibreHealth but the thought did occur to me that having a corporate sponsor might help support feature enhancement down the road. I did not see him the next two days at the conference so don’t know if he had an emergency, etc. I did want to ask the group what they thought about corporate sponsorships? I am fully aware that it would be a mixed blessing

Sure, I think you should do that.

I think its a great idea to have corporations/for-profit organizations work closely with open-source communities. Off course, with the caveat that they dont use the community to move people to their proprietary products. That will be breach of trust. But I welcome corporations to work with us on LibreHealth, education EHR as well as everything else!! Comments @steering-committee?

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By the way, as I try to create some realistic history to go with what we have. Where is the surgical history stored. Doesn’t appear on the PSL, history or documents from what I can tell

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@rhoyt I don’t code in php and I am unaware of the EHR codebase but I plan on spending some time in the next week reviewing the educational content … I would also like to see some radiology data integrated in there …

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We need to network together. For the fun of it, because Jimmy Jennings has the diagnosis of COPD I uploaded a stereotypical chest xray under documents, along with a fake radiology report. With your help I know we can do better

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An “issue type” for surgeries exists, but isn’t enabled by default when the EHR is installed. I’ve turned it on now for the demo site.

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Thanks. Nice to have that feature enabled. I just added 16 common surgeries to the drop down list. I did note that I can add an ICD-10 to these surgeries, which is good. In spite of adding a date for surgeries and allergies, the dates don’t show up on the summary sheet (unless you type appendectomy 1960) in the first box).

We should put on our future to do list to import allergies and immunizations, in order to populate the patient summary

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I have two pretty complete patients that could be used for teaching

  1. Jimmy Jennings. I added more demographics I got from synthetic data. I dictated an encounter note and added two images under documents
  2. Everett Monroe. Added some demographics, surgeries, allergies, patient encounter note and EKG under documents.

As an educational team it would be good to have a cadre of maybe 20 complete patients (adult men and women and children). Please let me know your opinions

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I think 20 complete patients would be amazing… I think two are fine too. We need additional material that can put the student/instructor in motion. Lets discuss this further on the other thread that @yehster started - Educational Goals

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OK. Here is a pack of forms covering some 23 clinical area such as AOE, Sinusitis, Diabetes, etc… Nothing in the EHR_Forms repo has been merged yet, as I recently started the repo and have been adding things to it…and have not had any reviews or anything yet. These forms essentially have a single purpose, and that is to add outcome codes to a patient’s billing records. The importance of the forms is that they collate and represent clinically related stratum at the patient-centric level. Seeing as how there is a current interest in expanding fake/redacted data sets and fleshing them out, I though this might be useful as either a way to input reportable empirical data points, or to provide reference line items that someone may want to use as a checklist of sorts when adding patient encounters and narratives. With these data elements added, further scripts could be run to add matching boilerplate narratives to clinical forms. These forms were created by my company, (author bclee) by a script consuming tables of data. They are therefore pretty cookie-cutter and basic, but they do the job. For fleshing out clinical data, we need recommendations for more forms (production or research quality) that have specific visit/procedure types, and contain both narrative elements, as well as easily reportable empirical data elements from enumerated code lists.

I added the NHANES Demo site to the demos page.

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I meet with Sam at the OSEHRA Summit and he is very interested in this project. I have encouraged him sign up and join the converation.

–Sam Habiel, Pharm.D. habiels@osehra.org Technical Fellow Open Source Electronic Health Records Alliance (OSEHRA)

He offers the following:

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Are these templates to use for a visit for e.g. diabetes? If so, how can I see a few?

BTW, I see that my student on his own began a simple PDF with screen shots. This might be adequate if he hits all of the high points EHR Tutorial (Pages).pdf (323.3 KB)

These are data entry forms that allow you to enter various outcome/status codes (reportable) for items in related NQF standards. Simple (brutal actually) but with a bit of help text included. Sample here: http://suncoastconnection.com/Downloads/index.html