Data Migration vs Data Transfer

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Data MigrationvsData Transfer

• Leo Fogarty
• Dunblane 5/11/08

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Semantic Elements
Which sit in a context which might include
Relating to an ongoing Problem Chest Pain
Which was constructed during an event Surgery
Consultation
Which all sits in a document Referral Letter
A Heading Past History
Modifying Information Q Possible
or
The Record of Patient Information as Text- which
is human-readable and easily communicable
The inclusion of codes XE2uV Ischaemic Heart
Disease
Which may be qualified as X793b Mild
X78th First Episode
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Elements of Data Transfer

• Methodology
• Model
• Technical Specification
• Implementation Guide
• Application Functionality Rules
• Iterative Development
• Testing
• Roll-Out

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GP2GP Model
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Message Viewing
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An Allergy
- ltCompoundStatement classCode"CATEGORY"gt   ltid
root"3D4352FC-9C61-46A9-81C5-D5736F36D07B" /gt  
ltcode code"14L..00" codeSystem"2.16.840.1.113883
.2.1.6.2" displayName"H/O drug allergy" /gt  
ltstatusCode code"COMPLETE" /gt   lteffectiveTime
nullFlavor"NI" /gt   ltavailabilityTime
value"20060301" /gt - ltcomponentgt -
ltObservationStatementgt   ltid root"8826D45B-3530-4
FBB-9FB2-ABDFAEABDDB3" /gt   ltcode code"14L..00"
codeSystem"2.16.840.1.113883.2.1.6.2"
displayName"H/O drug allergy" /gt   ltstatusCode
code"COMPLETE" /gt   lteffectiveTime
nullFlavor"NI" /gt   ltavailabilityTime
value"20060301" /gt - ltvalue xsitype"CD"
code"ALLERGY-EMISDRUGGROUP-3.1"
codeSystem"2.16.840.113883.2.1.6.3"
displayName"Adverse reaction to
Bronchodilators"gt   ltoriginalTextgtAdverse
reaction to Bronchodilatorslt/originalTextgt  
lt/valuegt   lt/ObservationStatementgt  
lt/componentgt   lt/CompoundStatementgt
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Non-Interoperable Items

• Allergies
• Some Prescribable Products
• Attachments Incomplete
• Non-code codes
• Immunisations
• Local Codes
• Local Idiosyncratic Data Structures

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Elements of Data Migration

• Individual Record Contents much the same but..
• Migration many records not one
• Other aspects of systems
• Appointments
• Agents Directory
• Reports etc

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Elements of Data Migration

• No existing standard
• Many one-to-one solutions
• Variable results
• GPSoC Validation in England

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Non-migratable Items

• Everything from the data transfer list plus
• Difficulties migrating between coding schemes
• Appointments
• Reports
• Document management