Disparate Application / Clinical Context Object Workgroup (CCOW) Standard Link Several Applications In Real Time - Tools

Infobutton applied in health

See next slide for application

CDSS Clinical Decision Support System Toolscontext and graph excerpt from materials HIM course

Clinical Guidelines comprise: Guideline Interchange Format (GLIF) [HL7]•–Guideline Elements Model (GEM) [ASTM]•Disease Management Protocols� Infobutton [HL7]•Evidence-based Care Plans

The implementations are XML or URL to create the HL7 Infobutton as standard languages supported include RxNorm, LOINC, SNOMED CT and MeSH. The Compliant Context Manager then releases a HTML message. The URL can be automatically generated from the XML free text message. Here focus Infobuttons. This is in memory of a gentleman IT at WorldBank, who show Chris how to apply it into presentation messages. The core artifact of the Infobutton, Knowledge Request, is an information model (Refined Message Information Model, or simply RMIM) defines the structure and semantics of a context-aware knowledge request. Chris Ngo just wish to know script programming to create infobutton applicable anywhere, regardless the context. If you have the patience to read up to this point, here is a kudo for applying Infobuttons:

----- Forwarded by Steven J. Webster/Person/World Bank on 05/21/2008 05:10 PM Infobutton

1. Open the document for editing using Ctrl+E.2. Right-click on the button and select Copy to copy this button into a new memo.3. Right-click on the button, select "Edit Button".4. You can change the Label to whatever you want.5. In the Programmer's Pane, the editable fields are between the ### fields.(Note that these symbols are GREEN in color.)

FORCEFIELD ANALYSIS ON CONSUMERISM IN HEALTH CARE

 Chris Ngo questions: consumerism impacts on physician work flow? DRIVERS

a. $ Profit ----------- b. Physician/dealer ----------- c. Incentives -----------

The transitional time frame of rapid technology change & telecommunication render cheaper goods/services since the 90’s

d. Market niche ----------- e. Conditions for PHR Integration ---------- f. Fair share of information ----------

Improve Quality, Safety, Efficiency, and Reduce Health Disparities, well, at the expenses of physicians times and efforts for free. There are ways for compensation, only when good will of the free world play down the communism/socialism card.

BARRIERS------------- a. Cost labor and capital (tech)-------------b. Lack of functional roles (strategic

communication/marketing representing physicians, introvert as they normally are)

 ------------- c. The ROI, returned investments (lack of payment, turn around profit not cover enough education & registration fees of professionals) Consider also the cost of education now and then, and the transitional time of tech changes.

-----------d. Absence of information. Uncertain market demands. Need for public sector and philanthropic investment to increase the information needed to allow the market to assess the merits of integrated PHRs.

-----------f. No Mediating Structure, conceptual idea, cultural barriers

---------f. 2011 Objectives Goal electronically capture in coded format and to report health information and to use that information to track key clinical conditions. Compliance with HIPAA privacy and security laws (All EMRAM Stages)

 

Legend:a. AHIMA text book p. 629 b. my ponders over current social settings c.Integrated Personal Health Records: Transformative Tools for Consumer-Centric Care AMIA Don Detmer, et all d. HIMSS Mapping EMRAM, see also Demonstrating Meaningful Use Health IT Functionality Measures for Eligible Professionals of AAMC in terms of privacy

DATA CURRENCY - QUALITY FACTORSDuring the week of Data Set, bible reading coincides:   ..."until heaven and earth pass away, not the smallest letter

of the law, not the smallest part of a letter shall be done away until it all comes true ---Mt5:18Break down three types terminal digit, middle digit and straight numeric, that reading resonates under the morning stream

lights through my window (sounds like ABBA song). Data values include: Accuracy, Accessibility, Comprehensiveness, Consistency, Timeliness, Definition, Granularity, Precision, Relevancy. In addition to the computer memory capture repetition, all facilitate the task of finding the shining data in a haystack.

From receiving data from the source at the patient encounter, data stream flows to the filer, the indexer, the coder, eventually serve secondary , tertiary users via mechanism such as physician index, the DRG groupers determine appropriate diagnosis related groups, the APC groupers helps the payment flow. Clinical coding nomenclature . abstracting data... Here are my real life experience with data quality, though not in health field.

• 1.   In the 2000’s technology, Chris Ngo experienced volatile database. When SQL when run it too many times would make the database fields jump to the next field. Nowadays technology allows any database more consistent and user friendly, while diverse competitive software are tailored after specific and diverse needs. Communication between engineers & analysts ideally be frequent and openly honest to confirm each data

• 2. Stabled and well-maintained data consistency despite multiqueries attempts. As analyst back in 2000 at the INS DC headquarter, day in day out my database administrator and I, we constantly filtered bad data by checking the exponents, the comma, the numbers after the comma, purged them and replaced them with the exact numbers after concurred with the source local offices (150 total, each send over 1000 data every day). Here highlights the carpe diem (and nadir nightmare) of catching the right data in the haystack.

• 3.    Data warehousing, a storage integrating data from mega data sources; the selected, filtered query using SQL, information from each source after being extracted cleaned, translated and filtered, further interpreted into concepts. Data growth began with glossary, data dictionary, then data documentation of the progress of the software deployment within the team unit, struck like a classical high note!

• 4.    OLAP and DSS applications: The On-Line Analytical Processing (OLAP) and the Decision Support System (DSS) applications depends on heavy use of granulate data, complex queries, normally seen in security systems, credit card, employment background checks. In 2005 exposed to IBM SAP, OLAP, Project 2003 while aggregates economic data at the World Bank, drilling through three economic levels of the world. Pivot Excel 2007, plot range name, twist from the vertical database into horizontal Excel table, quite cumbersome! Pivot Excel 2008 Microsoft programming simplified users’task.

Understanding MnemonicMnemonic plays a main part of data interchange standard, for the convenient and practical use of alphabet as symbol of the whole idea. Here are some

techniques that Chris Ngo expanded from Mnemonic Techniques and Specific Memory http://brain.web-us.com/ When did mnemonic science started? How the brain responses to mnemonic stimuli? These were the unanswered questions the time when I was analyst for

the INS back in 2000. The biggest part of the job (and of the database administrator as well) is data entry. Key in repeatedly and visual recognition of the sets of data using mnemonic peg system help us to recognize abnormal or bad data sets, identify them and analyze causal relationships (Herman Ebbinghaus concept of memory learning maximizing recall retention method). Coder for the Patent and Trademark in 2003, I interfaced with senseless codes, sound Greek to me until now reading the Messaging Standard of HL7. There was a time when as a temp for the World Wild Life Fund, I assisted the technician in translating semantic language into natural language for the mapping of queries. We babbled complex ideas of scientists abroad and simplified into concepts and symbols. It was quite an interesting line of work.

ACRONYMS. The academic explanation sounds scientific, yet in American daily life is embedded with “SNAFFU”, “ASAP”, “WWJD” , usw…

• SENTENCES/ACROSTICS Do Not Throw Pizza Away Data link, Network, Transport, Presentation, Application layers, computer components

• METHOD OF LOCI walk the walk, talk the talk. Think of step backward when remembering a lost object. Define and locate “respect” vs. vanity, Tea Party! Would material wealth define a nation third world ranking? No, respect is what granted by the counterpart, one cannot “demand”, but prove. Latest distortion on budget cut: the core truth is to target vulnerable women minorities. The purpose is to soothe ego, class struggle and economic discrimination, is nothing related to national debts!

• CHUNKING NUMBERS long series of numbers broken down into triplets make easier to memorize the whole set of data—number crunching

• RHYMES & SONGS Finding data in the haystack, i.e.:Twinkle twinkle little star applied to memorize a quadratic formula Asia took 15% HL7 membership. Japan culture contributes to the art of conceptualization, I assume, stem from Basho Haiku, a condensed poetry. Here is one of Basho well known poem in Haiku form:Old pond leap - splash a frogIn an old pond, quiet, mossy, where the poet is sitting and meditating, probably for hours. Suddenly a frog leaps, creating a sound, an echo, a mirror, circles of waves. Eventually, sounds, images and activities around go back to normal after times. Double meaning of trouble maker leaves behind a chaos for a moment, then every thing goes back to normal. Behind the scene is probably a warrior in peace time cannot use his sword, ends up sitting duck “jobless” for a long time. Now and then there would be some “revolutionary” but nothing can change easily in a closed traditional hierarchical society. So many ideas sum up into 6 words!Ah, summer grasses! All that remains Of the warriors dreams.

Kate & William: “Oh, Wow!” When a kiss is not just a kiss, the anthropic principleEven if the constants of nature were slightly uneven, it would not have been life created. Full symmetry is recreated when two or three

broken symmetries are combined. Chris Ngo hobby sculpture, here is Nido D’Amore, a search for geometric (and soul) balance.

--Chris Ngo defining future for humanity.txt--IT_leading_role_in_the_new_millenium_save_Humanity-- One_stone_kills_two_birds=write_blog_while

speed_reading _Oracle_assignments-- Poems_have _rhymes, DB_stanza_has _its_own

_constraints. Share_yours :)Set serveroutput onDeclare-- This_world_a_decent_world_despite_dwindling_resources-- Strong_drive, narrow_path, deep_mining, touch_base =

substantial_resultsOpen c_democracy IS

v_IT_leading_role_current := invisible_powerv_IT_leading_role_values := invincible god |versus|

constant gardenerv_IT_leading_role_vision := intention

v_IT_leading_role_methodology:= processv_IT_leading_role_mission := results

BeginInsert case ‘Francis_Prayer’||‘Instrument_ of_peace’;

where _there _is _hatred, then_sow _love; where _there _is _injury , then-pardon;

where _there _is _doubt , then_faith; where _there _is _despair , then_hope;where _there _is _darkness , then_light; and _where _there _is _sadness , then_joy’;ElseDbms output.putline (‘IT.Instrument of war’)End case;

Fetch an example_justiceFrom democracy;Where v_IT_leading_role_vision < = resultsExit when justice = intention < results

Dbms output.putline ||‘Democracy Maturity’ = needs more revisions in scaling’||Fetch ‘laws’, ‘church_decrees’, ‘directives’;From ‘Abortion’;Where teen_vision_premarital_sex := Null;Where %teen_values := sex, consumerism = 0Exit when target = Not Applicable

Dbms output.putline || ‘Donot_Further_Distort_Teens_Personality_Growth_With_ Politics’||

Dbms output.putline||‘Congress_to_build_democracy_ based_on_responsibilities_ not _on_consumerism’|| || ’Vanity_Key_Issue_of _all_Clashes_In_World_Stage’|| || ‘Save_democracy_End_Vanity’ ||

||‘Social_nets_need_deeper_revisions_include_spiritual_factors’;

Insert into defining.txt‘Fukuyama’ := Freedom.Dignity_Free_to_actIf_We_choose_not_to_act := democracy_unrealistic, complacent_and _self_indulgent at_the_ expenses_to_ the_

underrepresented = Last_Man_Standing_Self_PreservationThen

Call procedureREGEXP_SUBSTR<TRANSLATED_NAME, ‘[A-Z]=’, 1, i, I > Select‘Mediocrity_lack_of_dignity_in_mass_undermines_democracy’. ’Fukuyama_1999’

‘The_ rise_of_new_technical_elites_and_stratification ‘Daniel_Bell_1976’Else ‘Only_misfortunes_look_alike’. ‘Tocqueville’EndIf;

Scan offDbms output.putline ||

‘IT_Reshape_Democracy_Over_World_Finance_Agenda’ || ||‘A_Keystroke_Cannot_Master_Design_Global_Scale||Be_A_Constant_Gardener’||; /

YOU WISH YOU COULD DESIGN AN UTOPIA WITH A STROKE OF A SCRIPT PROGRAMMING

• Plantée dans un rêve au bord de l’eau pensant• Dans le néant mes doigts explorent la lune

glissante• Lune, chère lune• Que séparées devenons nous, sans repri• .Miroitante dans l’eau, mi éclairante la Voie

Lactée• Du résonance lointain me réveille

• L’aube dorée efface mon rêve doux.

• Life, a wild dream…

• Stood there by the river drifting,

• Longed my fingers toward the moon flirting,

• Sister Moon, dear Moon

• How heart to heart we are, yet space holds us hopelessly apart.

• Haft self reflecting, half mirroring the silver galaxy.

• The pinky dawn returned, swifted away…

• …my long lost dream

• Trong con mo tren dong song vang

• Dua doi tay vot chiec trang troi

• Trang oi trang cach ngan khong loi

• Nua in bong nuoc nua soi dong ngan

• Tinh giac toi chot bang hoang

• Binh minh tro lai da tan con mo

• Traumen beim freien Luftschraubenstrahl • Ich hande ein Durchgriff um den

verganglichen Munden zu schweifen• Lieblicher Mund, lieber Mund, • wie keineswegs gliederter, schallfreier

Raum habst Du!• Halb selb gedruckt, halb Teil

MilchStrasse im Flussbett wiederspiegel• Die Wende den Anbruch hat mir plotzlich

aufgewacht• Morgenrot wiederkommt-auf

wiedersehen, mein aufgelost Traum

Composed by a centenary Vietnamese lady poet, life long refugee from north to south Vietnam, then to AmericaChris Ngo ubersetzte GedankenBlizt der -Alter – Vietnamesischer - lebenslanglicher - Zuflucht – suchender Thanh.

LIFE, A STRANGE DREAM

HISTORY OF COMPUTER in a snap shot--CN

B.C. AlbacusAntikythera

Mechanical computers from 15th through the mid 19th . Charles Babbage’s tabulate polynomials. Ada Byron Lovelace, who translated Babbages 's and Bernoulli's

Health Technologies: 1865 National Library of Medicine John Shaw Billings-Index Medicus. 1949, Gustav Wager IMIA International Medical Informatics Association. 1971 VistA of the Department of Veterans with its application of GUI since 1971.

The 19th century generation of wars, products of coding and anti spy, notably 1930 Vannevar Bush, Differential Analyzer, George Stibitz, Konrad Zuse- the Z’s, Howard Aiken. The first generation includes Collosus, Eniac, Univac.

Second GenerationBell’s transitors

The third generation Robert Noyce and Jack St. Clair Kilby created Integrated

Circuits and Minicomputers

The fourth generation - MITS ALTAIR 8800 by Ed Roberts in 1971. Bill Gates and Paul Allen, founders of Microsoft today who contribute the graphical user interface (GUI)

GUI interface currently mustered twenty different technologies. See below notes if you can…

Future Tech: 20 Hot Technologies to Watch Materials: Carbon Nanotubes Health Care: Biosensors Microprocessors: Extreme Ultraviolet Lithography Warfare: E-Bombs Warfare: Infrared Countermeasures Mobile: Self-Driving Cars Energy: Fuel Cells Materials: Plastic Transistors Materials: OLED Displays Broadband: Silicon Photonics Networking: Microsoft SPOT Wireless: Mesh Networks Networking: Grid Computing Security: Quantum Cryptography Wireless: Radio-Frequency ID Tags Components: Magnetic Memory Entertainment: Social Gaming Software: Text Mining Recycling: Reverse Engineering Robotics: Cognitive Machines Prototype Playground

R&D Watch http://www.pcmag.com/article2/0,2817,1130606,00.asp#

Chris Ngo assembled

“Burn Notice”: Bump Into Glass Ceiling – My Dark SideChris Ngo In reply to a remark from a linkedin member “not seriously looking for job”

Dear Employer: I am applying a reverse psychology, displaying my weaknesses in black&white

The nature side Mind hovered with creativity, anxiety… Recession, depression and self image I am willing to relocate in warm regions salary upon skills used.

Your difficulty in matching jobs with applicants: what is the role of employment centers other than their own job and profiling women minorities supported by global directives?

What can you do with databases of résumé and how to pick the right person to the right job?

Why the hired turn out to be different than the ones you interviewed? Misconception and distorted views

Analysis and Solutions Repetitive manual works, sports or hobbies Faith as a cure: Σ=mc2 less material, more spiritual gain, focus on others. The past world upheavals, the déclassé as a

result. The distorted view of “America land of the braves” favor the daring to do dirty works, yet can’t do the job, while vast talents unused.

Consider the current alignment within global cascade designs, the passion of social climbers and the fear of job and resources scarcity. Strangely, this situation was not shown ubiquitously in the ’90s. The implication: less democracy, less quality of life not based on wealth. Brutality in work place still persists even clearer as ever.

Evaluate a person as they really are, and not based on credit history (social discrepancies, systems’ cracks, out dated conceptions, shrew global finance power).

Latest misconception Tea Party budget cut: the insecures, the low self-esteems behind invisible networks are confused class struggles and economic discrimination with national debts!