Today's Messages (OFF)
| Unanswered Messages (ON)
| Forum: ClearHealth |
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| Topic: php 5.3 support merged |
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| php 5.3 support merged [message #5249] |
Fri, 06 August 2010 17:24 |
 jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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Latest revision in github has the fixes for php 5.3 support amongst other things. They were mostly minor resolutions to lc_first, and updating ereg* to preg*.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: meaningful use screenshots |
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| meaningful use screenshots [message #5115] |
Tue, 22 June 2010 17:27 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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Several of the meaningful use items have had there screenshots added, this also gives a bit more spotlight on what some features look like loaded with data. Check back soon as the rest are updated.
http://wiki.github.com/clearhealth/ch3-dev-preview/meaningfu l-use-compliance
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: ClearHealth Community Edition 3.0 RC1 Released |
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| ClearHealth Community Edition 3.0 RC1 Released [message #4999] |
Mon, 17 May 2010 16:24 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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ClearHealth Community was updated in the github repository at: http://github.com/clearhealth/ch3-dev-preview
It is at the tag: healthcloud-RC1
You will want to register on healthcould.org for an API key, that completion page also has a cut and paste section which lists various settings to go into application/config/app.ini
Please use the Issue Tracker at Github: http://github.com/clearhealth/ch3-dev-preview/issues to report issue in addition to forum posts. Issue reports MUST include expected behavior, current behavior and steps to reproduce or they will be closed. Issues are only for healthcloud-RC1 , feel free to also post in the forum regarding issues.
Changelog:
*Mostly working Chrome support
*Pediatric Growth Charts
*V3 Patient Statistics manager
*Universal JS Error Handling
*Report Manager Fixes
*404 Cleanups
*Complete merge of NSDR system
*Enable channels in Update Manager
[Updated on: Mon, 17 May 2010 16:25]
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: Updated 3.0 clinical notes tutorial |
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| | Topic: Public API Registration Now Available |
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| Public API Registration Now Available [message #4941] |
Sun, 18 April 2010 19:12 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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The public API registration is now available so that you can receive system updates including enumerations.
To register visit:
http://www.health-cloud.com
Jump right to sites and plans, registration for community edition updates is completely free.
IMPORTANT NOTE: There are 10 distinct updates right now, we are in the process of revising those into 1. If you update you system now it will be fine for development and experimentation but within a week or two we will release the final community edition 3.0 base update. You will need to wipe you install or at least the enumeration tables and a few other to receive that update.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: [CH 3.0] AllTests Error: Cannot redeclare class LogoutHandler |
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| [CH 3.0] AllTests Error: Cannot redeclare class LogoutHandler [message #4855] |
Thu, 04 March 2010 10:53 |
rmoshiri
Messages: 21
Registered: February 2009
Location: San Diego, CA |
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My CH 3.0 installation seems to be reaching its final stages.
Updates are all installed by update manager, with 294 records
in the database. Except for "NSDR" and "Processing Daemon"
services that are stopped, and do not start.
AT this stage "AllTests.php" runs for a long time and finally
returns with only the below error on the line that states:
// TODO: needs to be validated
Any ideas?
-Ramin
______________________________________________________
PHP Fatal error: Cannot redeclare class LogoutHandler 59f9d1821e7797f350a20f5a62f9757e
GeneralAlertHandlerObject in
/var/www/html/30/application/models/ProcessAbstract.php(83) : eval()'d code on line 11
$md5 = md5($handlerObject);
if (!in_array($md5,$cacheCodeObjects)) {
$cacheCodeObjects[] = $md5;
eval($handlerObject); // TODO: needs to be validated
}
________________
PHP Stack trace:
PHP 1. {main}() /usr/bin/phpunit:0
PHP 2. PHPUnit_TextUI_Command::main() /usr/bin/phpunit:54
PHP 3. PHPUnit_TextUI_Command->run() /usr/share/pear/PHPUnit/TextUI/Command.php:146
PHP 4. PHPUnit_TextUI_TestRunner->doRun() /usr/share/pear/PHPUnit/TextUI/Command.php:213
PHP 5. PHPUnit_Framework_TestSuite->run() /usr/share/pear/PHPUnit/TextUI/TestRunner.php:349
PHP 6. PHPUnit_Framework_TestSuite->run() /usr/share/pear/PHPUnit/Framework/TestSuite.php:688
PHP 7. PHPUnit_Framework_TestSuite->run() /usr/share/pear/PHPUnit/Framework/TestSuite.php:688
PHP 8. PHPUnit_Framework_TestSuite->runTest() /usr/share/pear/PHPUnit/Framework/TestSuite.php:729
PHP 9. PHPUnit_Framework_TestCase->run() /usr/share/pear/PHPUnit/Framework/TestSuite.php:753
PHP 10. PHPUnit_Framework_TestResult->run() /usr/share/pear/PHPUnit/Framework/TestCase.php:652
PHP 11. PHPUnit_Framework_TestCase->runBare() /usr/share/pear/PHPUnit/Framework/TestResult.php:686
PHP 12. PHPUnit_Framework_TestCase->runTest() /usr/share/pear/PHPUnit/Framework/TestCase.php:705
PHP 13. ReflectionMethod->invokeArgs() /usr/share/pear/PHPUnit/Framework/TestCase.php:822
PHP 14. Models_GeneralAlertTest->testUserLoggedOut() /var/www/html/30/tests/Models/GeneralAlertTest.php:0
PHP 15. Processingd->startProcessing() /var/www/html/30/tests/Models/GeneralAlertTest.php:117
PHP 16. ProcessAlert->process() /var/www/html/30/application/models/Processingd.php:117
PHP 17. ProcessAlert->_populateHandlers() /var/www/html/30/application/models/ProcessAlert.php:52
PHP 18. ProcessAbstract->_evaluateCodes() /var/www/html/30/application/models/ProcessAlert.php:39
PHPUnit 3.4.11 by Sebastian Bergmann.
............................................................ 60 / 382
............................................................ 120 / 382
....................................................[2]+ Done
Best Regards;
Ramin Moshiri
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| | Topic: PATCH: Bug - showing long E numbers in EOB posting page |
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| PATCH: Bug - showing long E numbers in EOB posting page [message #4636] |
Fri, 20 November 2009 11:34 |
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jmax
Messages: 600
Registered: March 2007
Location: MA |
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This one had me baffled for a long time and the solution is even more strange.
Try this in PHP
<?php
$a = 200.00 - 191.49 - 8.51;
$b = 200.00 - (191.49 + 8.51);
echo "a = $a <br><br>";
echo "b = $b <br><br>";
?>
This is the problem !! - makes no sense logically but I am sure there is some type conversion involved.
Attached is the patch - please commit.
It does not really need extensive testing - no harm in putting a parenthesis anyway.
Attachment: enumbers.txt
(Size: 0.84KB, Downloaded 113 time(s))
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| | Topic: PATCH: Bug encounter page doesnt display the fees billed rather displays current fees |
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| PATCH: Bug encounter page doesnt display the fees billed rather displays current fees [message #4582] |
Thu, 12 November 2009 15:03 |
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jmax
Messages: 600
Registered: March 2007
Location: MA |
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Here is another patch.
On the encounter screen (one that is billed/closed), if you look at the fees for a CPT code, you will see that it shows you the current fees from the fee schedule and NOT the fees that were actually billed for the claim on the date it was billed.
This matters when you change the fee schedule.
e.g. last week you billed a 99204 for $20 and subsequently you changed the fee for 99204 to $15 (yes the sad story is only in medicine fees decrease every year !).
If you now look at the encounter, you will see $15 against the 99204 code when it should really show $20.
Again a simple fix but important nonetheless.
Jay - please incorporate.
Thanks
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| | Topic: PATCH: Bug deleting diagnosis codes when editing an encounter |
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| PATCH: Bug deleting diagnosis codes when editing an encounter [message #4580] |
Thu, 12 November 2009 10:13 |
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jmax
Messages: 600
Registered: March 2007
Location: MA |
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I found a lot of "orphan" entries in the coding_data table and finally narrowed it down to this:
If you create and encounter and add claim line to it (i.e. a CPT and ICD).
Then if you edit that claim line it deletes the CPT properly and reinserts an updated CPT, but for the ICD it does NOT delete the old ICD, rather it just keeps creating new rows for ICD.
So if you edit an encounter many times for many clim lines, you will end up with a lot of orphan entries in the coding_data table.
Jay, attached is the patch - please commit to the code after you look through it - it is a very simple error.
I have another and more serious patch which I discovered due to some funny calculations showing up in the account history. That will be in another post.
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| | Topic: Warning Message in reports |
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| Warning Message in reports [message #4432] |
Sat, 05 September 2009 23:42 |
alantony
Messages: 7
Registered: December 2006 |
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hello,
I am getting the following error at the bottom of all my reports. Even very simple reports (SELECT * from person) are generating the error. I searched the forums but could not find the answer. The reports are executing appropriately.
I am running 2.3 on Ubuntu 8.04 which was downloaded from the svn repository. Any help would be greatly appreciated.
thanks
al
Warning: in_array() [function.in-array]: Wrong datatype for second argument in /var/www/cssch/tmp/en^%%B2^B2B^B2B8BCB4%%general_view.html.php on line 96
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| | Topic: OSCON |
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| OSCON [message #4228] |
Mon, 20 July 2009 11:41 |
patchrick
Messages: 4
Registered: June 2009 |
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Hi All,
I meant to post this earlier but if anyone is at OSCON and fancies a meetup to chat about Clear Health and all things FOSS drop me a mail 
Patrick
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| | Topic: Letter from ClearHealth CEO David Uhlman on ClearHealth 3.0 |
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| Letter from ClearHealth CEO David Uhlman on ClearHealth 3.0 [message #4221] |
Fri, 17 July 2009 20:47 |
duhlman
Messages: 654
Registered: February 2005
Location: Phoenix, AZ |
Site Admin
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Hello to our Open Source Users and Contributors,
We are now releasing a developer preview of the completely new 3.0 community edition. The new 3.0 version encompasses nearly 2 years of effort and the combined experience of our organization, our customers and the extensive feedback from you our contributors. To date ClearHealth has been an amazing success and is now installed in over 1,000 facilities worldwide. Here in the US there are now more than 4 million patients in ClearHealth systems which represents a market share of a little more than 1%, in contrast the largest market share for a single company is 14%. The market has spoken and open systems offer unequivocal value to healthcare.
In continuing to grow and respond to feedback from our customers, open source users and contributors there are some very significant changes to how our product lines are structured as of 3.0 and these are explained below:
*ClearHealth (TM) Community Edition: is our publicly available GPL licensed version with configuration settings aimed at smaller 1-5 provider practices. Encumbered datasets such as the AMA's CPT Procedure Codes, NCCI, meds data, and so forth are available as an add-on pack for a reasonable fee ($250 for 5 users).
Our goals with this edition are to make it as easy as possible for a small practice to use the highest quality practice management and electronic medical records system for no cost other than the licensed data sets.
EMR capabilities have been dramatically expanded and derive from the Veterans Administration VistA system which provides clinically proven improvements to patient outcomes. In use for more than 30 years VistA offers an incomparable model for improving the treatment of patients through technology.
*ClearHealth (TM) Advantage Edition: is our commercial edition for facilities not on a 24-hour cycle of care (traditional outpatient). Though the bulk of this edition is under the GPL3 and shared with the community edition there are many elements such as integration with services and devices, that are covered by other licenses. Source code for this edition is available only to commercial customers under the respective licenses (including the GPL). Because of royalty terms we are not able to provide the GPL portion of this source to non-customer parties.
Also note that the majority of our commercial offerings are delivered to larger institutions so this edition includes a number of system requirements that are not realistic for very small practices including RHEL, RHWAS PHP, and multiple high-end servers for redundancy.
*ClearHealth WebVista (TM): is our commercial edition for facilities operating a 24-hour cycle of care (traditional inpatient). Built on a modernized version of the VA VistA platform this system offers a comprehensive solution to organizations seeking the benefits and proven track record of VistA without the headaches of legacy technology and with the ability to horizontally scale to any size with commodity systems and technology.
This system is currently operating in private beta at 6 sites from 12 beds to 115 beds. The system is being provided under GPL/LGPL/AGPL licenses but a publicly available edition has not been released to date for mainly practical reasons many of which are detailed in our WebVista FAQ here:
http://www.clear-health.com/content/view/43/52/
We look forward to making the 3.0 community edition a more powerful, flexible and easy to contribute version with your help.
Thanks very much and if you would like to contact us with any questions feel free to do so in the forum of on our website at:
http://www.clear-health.com/component/option,com_contact/Ite mid,3/
c
[Updated on: Wed, 02 September 2009 22:57] by Moderator
Sincerely,
David Uhlman
Customer Happiness Guru
ClearHealth Inc.
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| | Topic: Clearhealth versions in use |
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| | Topic: Just getting back from HIMSS |
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| Just getting back from HIMSS [message #3943] |
Wed, 08 April 2009 20:35 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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Just a quick note to let folks know that we haven't forgotten the forum but have just been tied up with a lot of HIMSS related activities and supporting our sales teams there. Things will start to get back to normal tomorrow and I will be back on the forum then.
Thanks.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: CK-ERP (Open Source ERP / CRM / MRP) v.0.29.1 released (with ClearHealth 2.2 connector) |
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| CK-ERP (Open Source ERP / CRM / MRP) v.0.29.1 released (with ClearHealth 2.2 connector) [message #3744] |
Fri, 13 February 2009 09:09 |
ckwu
Messages: 10
Registered: March 2007 |
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A new release, v.0.29.1, of CK-ERP, has been posted at SourceForge.Net, http://sourceforge.net/projects/ck-erp .
New features include,
new access control module,
import of Zencart customer and product records,
improved backup/restore process,
CK-ERP is an open source accounting/MRP/ERP/CRM system that runs on top of multiple middlewares. It comprises 24 modules - Administration, Data Import, Access Control, i18n, Contact Management, Customer Relationship, Customer Self Service, Vendor Relationship, Ledger, Bank Reconciliation, MRP, Warehouse, Inventory, Service, AP, AR, PO, SO, Quotation, POS for Cashier, POS for Manager, HR, Staff Self Service and Payroll. It provides accounting and back office functionalities to SMEs and utilizes the underlying middleware to administer accounts/groups. Please report error and suggestion to the discussion group / mailing list, CK-ERP-en(at)googlegroups.com or CK-ERP-zh_CN(at)googlegroups.com . General history and expected development is available at the discussion group's Archive.
Supported MiddleWares: Centre/SIS, ClaSS; OpenBiblio; CATS; php-residence, phpScheduleIT; AssetMan; Coppermine, Gallery2; FusionTicket; phpMySport; PSCafePOS, MyHandyRestaurant; FreightFleetManagementSystem; OpenX, LandShop, Open-Realty, FreeRealty; IRM; LegalCase; ClearHealth, OpenEMR, Care2X; eGroupWare, Horde-GroupWare; Zencart, osCommerce; Drupal, Joomla, Mambo, e107, XOOPS, Xaraya; Moodle, Atutor; vTiger; WordPress, b2evolution; TikiWiki; phpBB.
Information/Demo Websites:
http://ck-erp.org
http://ck-erp.net
Download is available from,
http://sourceforge.net/projects/ck-erp
http://gro.clinux.org/projects/ck-ledger
http://gforge.oss.org.cn/projects/ck-erp
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| | Topic: back from vacation |
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| back from vacation [message #3659] |
Tue, 13 January 2009 18:05 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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Hi All,
I am the moderator from ClearHealth Inc. , I am just getting back from vacation so I should be able to respond to all the outstanding posts tomorrow. It has been a little bit of a nut-house around here as a result of the CMS ePrescribing bonus becoming effective Jan 1.
Thanks and I appreciate your patience.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: Error on Mac Condition 127 |
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| Error on Mac Condition 127 [message #3508] |
Wed, 29 October 2008 20:45 |
gwink
Messages: 67
Registered: May 2008 |
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Hello All,
This is more for information than anything. I am running using MAMP on Mac OS X and ran into some issues with the install. I got around it by just loading the data model separately and changing the config.php as described elsewhere.
What I noticed though as I started to play around with 2.3 is that my path for the mysql executable was in the wrong place. It assumes it is in usr/bin which in my case it is not. (It also may not be with Ubuntu and other Linux distributions.) So I created a symbolic link using ln -s and presto the condition 127 disappeared.
Just an FYI for anyone else who runs across this.
Gil
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| | Topic: WiFi Critical Security Vulnerability |
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| WiFi Critical Security Vulnerability [message #3456] |
Fri, 10 October 2008 14:19 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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Dear ClearHealth Users,
This email is to alert you to an immediate and critical security issue regarding the use of WiFi wireless systems secured using WPA and WPA2 encryption schemes when accessing your ClearHealth installation.
It has been reported and confirmed that using relatively new techniques the encryption of WiFi connections relying on security features known as WPA and WPA2 can be completely compromised. No compromises have yet been confirmed outside of the the security research community, however these techniques evolve very quickly and to remain secure we recommend that you take immediate action. Please ensure that all access to your ClearHealth installation via WiFi networks occurs over HTTPS.
This issue is of particular concern to installations who frequently use the iPhone, Mobility Tablets, Blackberries and other mobile devices with WiFi as in some cases those devices default to using HTTP rather than HTTPS.
Our existing security guidelines recommend that all accesses to your ClearHealth installation occur over secure HTTP access or HTTPS. HTTPS will appear before the address you use to access ClearHealth in your browser, displaying as "https://clearhealth.customer.com" rather than "http://clearhealth.customer.com". If you are using HTTPS you are still secure and the security issues with WiFi do not affect your ClearHealth installation.
Note that the security issues with WiFi may still affect other netowrk data services you use. As a result we recommend that you change your ClearHealth user password to be distinct from other systems you use.
If you are currently using HTTP to access your ClearHealth installation please contact us via your support account representative or feel free to post your questions on this forum about how to configure HTTPS only access. Please provide details about your distribution and software versions.
Thank You.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: CK-ERP (Open Source ERP / CRM / MRP) v.0.28.1 released (with ClearHealth 2.2 connector) |
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| CK-ERP (Open Source ERP / CRM / MRP) v.0.28.1 released (with ClearHealth 2.2 connector) [message #3350] |
Sat, 06 September 2008 04:37 |
ckwu
Messages: 10
Registered: March 2007 |
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A new release, v.0.28.1, of CK-ERP, has been posted at SourceForge.Net, http://sourceforge.net/projects/ck-erp .
New features include,
Sample school chart of accounts,
System upgrade script,
menu choice for warehouse, retail store,
tree view for BOM, inventory category, service category,
import of eGroupWare addressbook,
full (draft) Spanish translation [improvement suggestions most welcome], and,
connector for CATS, php-residence, Open-Realty, phpScheduleIT, PSCafePOS, OpenBiblio, Centre/SIS, ClaSS, Care2X
CK-ERP is an open source accounting/MRP/ERP/CRM system that runs on top of multiple middlewares. It comprises 23 modules - Administration, i18n, Data Import, Contact Management, Customer Relationship, Customer Self Service, Vendor Relationship, Ledger, Bank Reconciliation, MRP, Warehouse, Inventory, Service, AP, AR, PO, SO, Quotation, POS for Cashier, POS for Manager, HR, Staff Self Service and Payroll. It provides accounting and back office functionalities to SMEs and utilizes the underlying middleware to administer accounts/groups. Please report error and suggestion to the discussion group / mailing list, CK-ERP-en(at)googlegroups.com or CK-ERP-zh_CN(at)googlegroups.com . General history and expected development is available at the discussion group's Archive.
Supported MiddleWares: Centre/SIS, ClaSS; OpenBiblio; CATS; php-residence, phpScheduleIT; AssetMan; Coppermine, Gallery2; phpMyTicket; phpMySport; PSCafePOS, MyHandyRestaurant; FreightFleetManagementSystem; OpenX, LandShop, Open-Realty, FreeRealty; IRM; LegalCase; ClearHealth, OpenEMR, Care2X; eGroupWare, Horde-GroupWare; Zencart, osCommerce; Drupal, Joomla, Mambo, e107, XOOPS, Xaraya; Moodle, Atutor; vTiger; WordPress, b2evolution; TikiWiki; phpBB.
Information/Demo Websites:
http://ck-erp.org
http://ck-erp.net
Download is available from,
http://sourceforge.net/projects/ck-erp
http://gro.clinux.org/projects/ck-ledger
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| | Topic: ClearHealth Featured on Linux.com |
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| ClearHealth Featured on Linux.com [message #3271] |
Thu, 07 August 2008 19:11 |
duhlman
Messages: 654
Registered: February 2005
Location: Phoenix, AZ |
Site Admin
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The Operation Samahan ClearHealth site was studied by Linux.com . The article is available at the link below. They are a 5 site FQHC facility in metro San Diego who was one or our earliest customers. They migrated from MegaWest.
http://www.linux.com/feature/141915
Our favorite quote from the article by Eric Bringas their IT Director:
| Quote: |
"[The staff] don't even talk about MegaWest anymore. If I told them that we were going back to MegaWest [From ClearHealth], they'd probably kill me."
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[Updated on: Thu, 07 August 2008 19:11]
Sincerely,
David Uhlman
Customer Happiness Guru
ClearHealth Inc.
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| | Topic: CHTRIAL API released, HealthCloud Developer API's moved to Knowledgebase |
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| CHTRIAL API released, HealthCloud Developer API's moved to Knowledgebase [message #3222] |
Mon, 14 July 2008 16:19 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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New CHTRIAL API released: http://docs.clear-health.com/kb/?View=entry&EntryID=41
This API permits searching of all nationally recognized clinical trials by a variety of search parameters. Additionally they have been cross-indexed against SNOMED codes with respect to each trials inclusion and exclusion criteria.
We are really interested in how this API can be expanded. For example with geocoding, NDC cross indexing, etc.
CHMED Documentation moved to :
http://docs.clear-health.com/kb/?View=entry&EntryID=40
[Updated on: Thu, 07 August 2008 16:07] by Moderator
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: regarding generating fake patient records for research |
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| regarding generating fake patient records for research [message #3209] |
Thu, 10 July 2008 14:42 |
dnuli@purdue.edu
Messages: 1
Registered: July 2008 |
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Hi everyone
I am new to this forum and to Clearhealth. My research in medical health records has led me to download and install Clearhealth. I am not all that experienced in using it. I wanted to know how I could generate a database of fake medical health records for fictitious patients. I have heard that I could do this by using some script under Celini but not sure how I can do it.
Any help will be greatly appreciated.
Thank you
Deepak
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| | Topic: CHMED Now Include RXNORM Listing |
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| CHMED Now Include RXNORM Listing [message #3206] |
Mon, 07 July 2008 13:58 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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The CHMED database was updated to include the RXNORM standard for describing drug/package combinations. As a point of convenience a hipaa formatted version of the NDC code is also provided.
Both updates are available in the drug details call as hipaa_ndc and rxnorm.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: Veterans Administration Drug Class Added to CHMED |
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| Veterans Administration Drug Class Added to CHMED [message #3202] |
Thu, 03 July 2008 22:27 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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The VA class for drugs was added to CHMED. This currently covers about 25% of NDC's but we should be able to expand it more in the future by using inference techniques and molecular structure information from the SPL's.
We should have class to class drug interactions added by next week.
This displays as vaclass on a drug detail call.
Thanks.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: Veterans Administration VistA NDF Drug Interactions Addedto CHMED API BaseMed24Details Call |
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| Veterans Administration VistA NDF Drug Interactions Addedto CHMED API BaseMed24Details Call [message #3199] |
Wed, 02 July 2008 23:25 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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Interactions data from the Veterans Administration VistA National Drug File have been added to CHMED. These display as part of the BaseMed24Detail call return XML and the matching AJAX call.
The VA interactions only identify significant and critical interactions, that level is displayed.
We would love to have feedback on the structure of the return values. Currently they are typed as "va_interaction", we intend to add additional interactions using FDA data soon, that will be typed "fda_label_interaction".
A good example is: ALPRAZOLAM
A functioning example is our CHMED browser demo available:
http://www.clear-health.com/content/view/33/46/
An additional flag was added to indicated whether the drug has an xml label, this is "has_xml_label" with a value of true or false.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: HealthCloud Affiliate/Reseller Program Now Available |
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| HealthCloud Affiliate/Reseller Program Now Available [message #3195] |
Mon, 30 June 2008 19:12 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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We have launched are 15/5 affiliate program for HealthCloud based products and services. This allows you to receive a discount code that when used by your referrals to purchase goods gives them a 5% discount and you a 15% commission for those services for the first 12 months.
There is a one-time $5 fee to sign-up which you would more than make back on any service. Your own organization is NOT eligible to receive discounts on purchases if you are also an affiliate.
See details and sign up instantly here:
http://www.clear-health.com/content/view/34/47/
Also don't miss the CHMED browser application on our website which shows off some of the things you can do with the HealthCloud CHMED API:
http://www.clear-health.com/content/view/33/46/
See the newly added drug label support on a drug like '000002-7335: HUMATROPE FOR INJECTION 5MG/VIL 1 X 5 MGVIAL'
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: Added Label call to CHMED API, BaseMed24Label |
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| Added Label call to CHMED API, BaseMed24Label [message #3194] |
Sat, 28 June 2008 22:48 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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The following call was added to the CHMED api:
https://openid.clear-health.com/hcapi/index.php/CHMED/BaseMe d24Label?apiKey=[YOUR API KEY]&pkey=1
This call returns the following which is the FDA product label for the drug referenced by pkey (use the other API's to lookup the pkey, do not persist the pkey as it changes). Note that not all drugs have a current XML label, older drugs have only PDF labels which we should be able to connect up in the next couple weeks with the documents API calls. Fail returns a failure message and status code 400.
<?xml version="1.0" standalone="yes"?>
<healthcloud><data><medicationLabel><document xmlns="urn:hl7-org:v3" xmlns:voc="http://www.hl7.org/v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 http://www.fda.gov/oc/datacouncil/schemas/spl/spl.xsd">
<id root="1270D5EA-841D-9843-AFED-3EE7FA26F21D"/>
<code code="34391-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Human prescription drug label"/>
<title mediaType="text/x-hl7-title+xml">SEROMYCIN<sup>®</sup><br/>CYCLOSERINE CAPSULES, USP<br/></title>
<effectiveTime value="20070615"/>
<setId root="13cd5f93-33f2-4ff7-bf96-e8357256041b"/>
<versionNumber value="1"/>
<author>
<time/>
<assignedEntity>
<representedOrganization>
<name>Eli Lilly and Company</name>
</representedOrganization>
</assignedEntity>
</author>
<component>
<structuredBody>
<component>
<section>
<id root="AE8DBBF0-0FE6-8B50-EE74-99EC741C4FCD"/>
<effectiveTime value="20070615"/>
<subject>
<manufacturedProduct>
<manufacturedMedicine>
<code code="0002-0604" codeSystem="2.16.840.1.113883.6.69"/>
<name>Seromycin</name>
<formCode code="C25158" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="CAPSULE"/>
<activeIngredient>
<quantity>
<numerator unit="mg" value="250">
<translation code="C28253" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="MILLIGRAM" value="250"/>
</numerator>
<denominator value="1">
<translation code="C48480" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="CAPSULE" value="1"/>
</denominator>
</quantity>
<activeIngredientSubstance>
<code code="95IK5KI84Z" codeSystem="2.16.840.1.113883.4.9" codeSystemName="FDA SRS"/>
<name>Cycloserine</name>
<activeMoiety>
<activeMoiety>
<code code="95IK5KI84Z" codeSystem="2.16.840.1.113883.4.9" codeSystemName="FDA SRS"/>
<name>Cycloserine</name>
</activeMoiety>
</activeMoiety>
</activeIngredientSubstance>
</activeIngredient>
<asEntityWithGeneric>
<genericMedicine>
<name>Cycloserine</name>
</genericMedicine>
</asEntityWithGeneric>
<inactiveIngredient>
<inactiveIngredientSubstance>
<name>D&C Yellow No. 10</name>
</inactiveIngredientSubstance>
</inactiveIngredient>
<inactiveIngredient>
<inactiveIngredientSubstance>
<name>FD&C Blue No. 1</name>
</inactiveIngredientSubstance>
</inactiveIngredient>
<inactiveIngredient>
<inactiveIngredientSubstance>
<name>FD&C Red No. 3</name>
</inactiveIngredientSubstance>
</inactiveIngredient>
<inactiveIngredient>
<inactiveIngredientSubstance>
<name>FD&C Yellow No. 6</name>
</inactiveIngredientSubstance>
</inactiveIngredient>
<inactiveIngredient>
<inactiveIngredientSubstance>
<code code="2G86QN327L" codeSystem="2.16.840.1.113883.4.9" codeSystemName="FDA SRS"/>
<name>Gelatin</name>
</inactiveIngredientSubstance>
</inactiveIngredient>
<inactiveIngredient>
<inactiveIngredientSubstance>
<name>Iron oxide</name>
</inactiveIngredientSubstance>
</inactiveIngredient>
<inactiveIngredient>
<inactiveIngredientSubstance>
<code code="7SEV7J4R1U" codeSystem="2.16.840.1.113883.4.9" codeSystemName="FDA SRS"/>
<name>Talc</name>
</inactiveIngredientSubstance>
</inactiveIngredient>
<inactiveIngredient>
<inactiveIngredientSubstance>
<code code="15FIX9V2JP" codeSystem="2.16.840.1.113883.4.9" codeSystemName="FDA SRS"/>
<name>Titanium dioxide</name>
</inactiveIngredientSubstance>
</inactiveIngredient>
<asContent>
<quantity>
<numerator value="40">
<translation code="C48480" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="CAPSULE" value="40"/>
</numerator>
<denominator value="1">
<translation value="1"/>
</denominator>
</quantity>
<containerPackagedMedicine>
<code code="0002-0604-40" codeSystem="2.16.840.1.113883.6.69"/>
<formCode code="C43169" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="BOTTLE"/>
</containerPackagedMedicine>
</asContent>
</manufacturedMedicine>
<subjectOf>
<characteristic classCode="OBS">
<code code="SPLCOLOR" codeSystem="2.16.840.1.113883.1.11.19255"/>
<value code="C48326" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="RED" xsi:type="CE"><originalText>opaque red</originalText></value>
</characteristic>
</subjectOf>
<subjectOf>
<characteristic classCode="OBS">
<code code="SPLCOLOR" codeSystem="2.16.840.1.113883.1.11.19255"/>
<value code="C48324" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="GRAY" xsi:type="CE"><originalText>opaque gray</originalText></value>
</characteristic>
</subjectOf>
<subjectOf>
<characteristic classCode="OBS">
<code code="SPLSHAPE" codeSystem="2.16.840.1.113883.1.11.19255"/>
<value code="C48336" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="CAPSULE" xsi:type="CE"><originalText/></value>
</characteristic>
</subjectOf>
<subjectOf>
<characteristic classCode="OBS">
<code code="SPLCOATING" codeSystem="2.16.840.1.113883.1.11.19255"/>
<value value="false" xsi:type="BL"/>
</characteristic>
</subjectOf>
<subjectOf>
<characteristic classCode="OBS">
<code code="SPLSYMBOL" codeSystem="2.16.840.1.113883.1.11.19255"/>
<value value="false" xsi:type="BL"/>
</characteristic>
</subjectOf>
<subjectOf>
<characteristic classCode="OBS">
<code code="SPLSIZE" codeSystem="2.16.840.1.113883.1.11.19255"/>
<value unit="mm" value="20" xsi:type="PQ"/>
</characteristic>
</subjectOf>
<subjectOf>
<characteristic classCode="OBS">
<code code="SPLSCORE" codeSystem="2.16.840.1.113883.1.11.19255"/>
<value value="1" xsi:type="INT"/>
</characteristic>
</subjectOf>
<subjectOf>
<characteristic classCode="OBS">
<code code="SPLIMPRINT" codeSystem="2.16.840.1.113883.1.11.19255"/>
<value xsi:type="ST">Lilly;F04</value>
</characteristic>
</subjectOf>
<consumedIn>
<substanceAdministration>
<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="ORAL"/>
</substanceAdministration>
</consumedIn>
</manufacturedProduct>
</subject>
</section>
</component>
<component>
<section ID="s_descrip">
<id root="9941E548-7EA4-6464-6AD3-07EF3104A891"/>
<code code="34089-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="DESCRIPTION SECTION"/>
<title mediaType="text/x-hl7-title+xml">DESCRIPTION</title>
<text><paragraph>Seromycin<sup>®</sup> (Cycloserine Capsules, USP), 3-isoxazolidinone, 4-amino–, (R)– is a broad–spectrum
antibiotic that is produced by a strain of <content styleCode="italics">Streptomyces orchidaceus</content> and has also been synthesized. Cycloserine is
a white to off–white powder that is soluble in water and stable in alkaline
solution. It is rapidly destroyed at a neutral or acid pH.</paragraph><paragraph>Cycloserine has a pH between 5.5 and 6.5 in a solution
containing 100 mg/mL. The molecular weight of cycloserine is 102.09,
and it has an empirical formula of C<sub>3</sub>H<sub>6</sub>N<sub>2</sub>O<sub>2</sub>.
The structural formula of cycloserine is as follows:</paragraph><paragraph><renderMultiMedia referencedObject="seromycin-f001-v01"/></paragraph><paragraph><br/>Each capsule contains cycloserine,
250 mg (2.45 mmol); D&C Yellow
No. 10, FD&C Blue No. 1,
FD&C Red No. 3, FD&C Yellow
No. 6, gelatin, iron oxide, talc, titanium dioxide, and other
inactive ingredients.</paragraph></text>
<effectiveTime value="20070615"/>
<component>
<observationMedia ID="seromycin-f001-v01">
<value mediaType="image/jpeg" xsi:type="ED"><reference value="seromycin-f001-v01.jpg"/></value>
</observationMedia>
</component>
</section>
</component>
<component>
<section ID="s_clinpharm">
<id root="D3EE0F55-3AB0-C13C-A55B-EF6A6BFDA057"/>
<code code="34090-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="CLINICAL PHARMACOLOGY SECTION"/>
<title mediaType="text/x-hl7-title+xml">CLINICAL PHARMACOLOGY</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_cppharkin">
<id root="8595FD5E-C0D8-EFF2-8FF9-4C57DB35C3AF"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>After oral administration, cycloserine is
readily absorbed from the gastrointestinal tract, with peak blood levels occurring
in 4 to 8 hours. Blood levels of 25 to
30 μg/mL can generally be maintained with the usual dosage
of 250 mg twice a day, although the relationship of plasma
levels to dosage is not always consistent. Concentrations in the cerebrospinal
fluid, pleural fluid, fetal blood, and mother’s milk approach those
found in the serum. Detectable amounts are found in ascitic fluid, bile, sputum,
amniotic fluid, and lung and lymph tissues. Approximately 65% of
a single dose of cycloserine can
be recovered in the urine within 72 hours after oral administration.
The remaining 35% is apparently metabolized to unknown substances.
The maximum excretion rate occurs 2 to 6 hours
after administration, with 50% of the drug eliminated in
12 hours.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_cpmicro">
<id root="419E516B-E054-BB2B-C0B8-942D605012DE"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<title mediaType="text/x-hl7-title+xml">Microbiology</title>
<text><paragraph>Cycloserine inhibits cell–wall synthesis in susceptible strains of gram–positive
and gram–negative bacteria and in <content styleCode="italics">Mycobacterium tuberculosis</content>.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_cpsusp">
<id root="858306A5-E477-1924-C0F3-B245BFC037F1"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<title mediaType="text/x-hl7-title+xml">Susceptibility
Tests</title>
<text><paragraph>Cycloserine clinical laboratory standard powder is available for both direct and indirect
methods<sup>1</sup> of
determining the susceptibility of strains of mycobacteria. Cycloserine MICs for
susceptible strains are 25 μg/mL or lower.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_indication">
<id root="FDAE071E-9CDA-34AE-AB80-2C4FBE9E6991"/>
<code code="34067-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="INDICATIONS & USAGE SECTION"/>
<title mediaType="text/x-hl7-title+xml">INDICATIONS AND USAGE</title>
<text><paragraph>Seromycin is
indicated in the treatment of active pulmonary and extrapulmonary tuberculosis
(including renal disease) when the causative organisms are susceptible to
this drug and when treatment with the primary medications (streptomycin, isoniazid,
rifampin, and ethambutol) has proved inadequate. Like all antituberculosis
drugs, Seromycin should
be administered in conjunction with other effective chemotherapy and not as
the sole therapeutic agent.</paragraph><paragraph>Seromycin may
be effective in the treatment of acute urinary tract infections caused by
susceptible strains of gram–positive and gram–negative bacteria,
especially <content styleCode="italics">Enterobacter</content> spp.
and <content styleCode="italics">Escherichia
coli</content>. It is generally no more and is usually less effective than
other antimicrobial agents in the treatment of urinary tract infections caused
by bacteria other than mycobacteria. Use of Seromycin in
these infections should be considered only when more conventional therapy
has failed and when the organism has been demonstrated to be susceptible to
the drug.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_contraind">
<id root="FFA93B7C-E3E5-A0F1-65C9-6FE5F2BF4016"/>
<code code="34070-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="CONTRAINDICATIONS SECTION"/>
<title mediaType="text/x-hl7-title+xml">CONTRAINDICATIONS</title>
<text><paragraph>Administration is contraindicated in patients with any of the following:</paragraph></text>
<effectiveTime value="20070615"/>
<component>
<section ID="s_contra1">
<id root="C0DD1509-0C02-37D2-6D86-6F6960442993"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>      Hypersensitivity
to cycloserine</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_contra2">
<id root="40E60F68-817B-2081-44B3-DCDCF8B60EFC"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>      Epilepsy</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_contra3">
<id root="22BA56BD-17E7-818C-41C8-EBE11A404F27"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>      Depression,
severe anxiety, or psychosis</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_contra4">
<id root="BB0BD4A8-5019-3982-AC84-C8A37FC5D116"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>      Severe
renal insufficiency</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_contra5">
<id root="B770D28F-F095-9F1E-10B6-E8CDD62A42C3"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>      Excessive
concurrent use of alcohol</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_warnings">
<id root="C7538EA0-8504-1DCD-EC53-FC066A0FFD3B"/>
<code code="34071-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="WARNINGS SECTION"/>
<title mediaType="text/x-hl7-title+xml">WARNINGS</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_warn1">
<id root="25CB9A86-DA18-813F-34A3-0425824B428D"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Administration of Seromycin should
be discontinued or the dosage reduced if the patient develops allergic dermatitis
or symptoms of CNS toxicity, such as convulsions, psychosis,
somnolence, depression, confusion, hyperreflexia, headache, tremor, vertigo,
paresis, or dysarthria.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_warn2">
<id root="E7B127A1-F40B-27A2-7849-295AB7B56C69"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>The toxicity of Seromycin is
closely related to excessive blood levels (above 30 μg/mL),
as determined by high dosage or inadequate renal clearance. The ratio of toxic
dose to effective dose in tuberculosis is small.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_warn3">
<id root="09775028-0045-C764-0AEF-45DD61E661A1"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>The risk of convulsions is increased in chronic alcoholics.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_warn4">
<id root="3A9A37FA-5D6B-8725-5D90-1E51594470B3"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Patients should be monitored by hematologic, renal excretion, blood
level, and liver function studies.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_precaution">
<id root="2FB464AD-9610-6F01-E2E1-20CD96DDECB0"/>
<code code="42232-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PRECAUTIONS SECTION"/>
<title mediaType="text/x-hl7-title+xml">PRECAUTIONS</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_pcgeneral">
<id root="952E1A25-36E2-ABF9-B2D0-C21313E90C47"/>
<code code="34072-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="GENERAL PRECAUTIONS SECTION"/>
<title mediaType="text/x-hl7-title+xml">General</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_precgen1">
<id root="FE092C4C-2E90-348B-08D4-F6D9D2B3C59B"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Before treatment with Seromycin is
initiated, cultures should be taken and the organism’s susceptibility
to the drug should be established. In tuberculous infections, the organism’s
susceptibility to the other antituberculosis agents in the regimen should
also be demonstrated.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_precgen2">
<id root="9559C46A-D363-5CEF-1633-A55B30327D0A"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Anticonvulsant drugs or sedatives may be effective in controlling symptoms
of CNS toxicity, such as convulsions, anxiety, and tremor.
Patients receiving more than 500 mg of Seromycin daily
should be closely observed for such symptoms. The value of pyridoxine in preventing
CNS toxicity from Seromycin has
not been proved.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_precgen3">
<id root="AC1811F9-1DC3-98E3-31BA-D0B890A8EBFF"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Administration of Seromycin and
other antituberculosis drugs has been associated in a few instances with vitamin B<sub>12</sub> and/or
folic–acid deficiency, megaloblastic anemia, and sideroblastic anemia.
If evidence of anemia develops during treatment, appropriate studies and therapy
should be instituted.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_pclabtest">
<id root="615F4158-3106-F9C5-9A58-7D2F49240D2F"/>
<code code="34075-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="LABORATORY TESTS SECTION"/>
<title mediaType="text/x-hl7-title+xml">Laboratory
Tests</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_preclab1">
<id root="632C83A4-D05A-3C11-42D8-47165A61ECDB"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Blood levels should be determined at least weekly for patients with
reduced renal function, for individuals receiving a daily dosage of more than
500 mg, and for those showing signs and symptoms suggestive
of toxicity. The dosage should be adjusted to keep the blood level below 30 μg/mL.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_pcdrugint">
<id root="CB5DB205-53C5-2110-D243-85E43E55DCAD"/>
<code code="34073-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="DRUG INTERACTIONS SECTION"/>
<title mediaType="text/x-hl7-title+xml">Drug
Interactions</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_precdrug1">
<id root="7FE22975-5228-4FD1-EB9C-47B6803F409E"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Concurrent administration of ethionamide has been reported to potentiate
neurotoxic side effects.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_precdrug2">
<id root="8FB417D0-F04D-363B-2E4D-5F72255350EF"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Alcohol and Seromycin are
incompatible, especially during a regimen calling for large doses of the latter.
Alcohol increases the possibility and risk of epileptic episodes.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_precdrug3">
<id root="5D434ED8-5EED-0B61-5167-67F6A35DC61C"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Concurrent administration of isoniazid may result in increased incidence
of CNS effects, such as dizziness or drowsiness. Dosage adjustments
may be necessary and patients should be monitored closely for signs of CNS toxicity.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_pccarcin">
<id root="BEA305A4-FAFA-34F0-57DA-4EC1DDA7EAF7"/>
<code code="34083-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION"/>
<title mediaType="text/x-hl7-title+xml">Carcinogenesis,
Mutagenicity, and Impairment of Fertility</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_preccar1">
<id root="4D66FAD3-ABD0-C8BF-8E7F-B6551D63AA5C"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Studies have not been performed to determine potential for carcinogenicity.
The Ames test and unscheduled DNA repair test were negative.
A study in 2 generations of rats showed no impairment of
fertility relative to controls for the first mating but somewhat lower fertility
in the second mating.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_pcpregnant">
<id root="E7CFCA7C-F5E9-BA92-F9A2-EAAFB76DB0E7"/>
<code code="42228-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PREGNANCY"/>
<title mediaType="text/x-hl7-title+xml">Pregnancy
Category C</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_precpreg1">
<id root="14C7926C-E9C0-EB9D-9B65-260C90D56BAF"/>
<code code="34077-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="TERATOGENIC EFFECTS SECTION"/>
<text><paragraph>A study in 2 generations of rats given doses up to
100 mg/kg/day demonstrated no teratogenic effect in offspring.
It is not known whether Seromycin can
cause fetal harm when administered to a pregnant woman or can affect reproduction
capacity. Seromycin should
be given to a pregnant woman only if clearly needed.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_pcnursing">
<id root="FF0CDCD4-941E-4DB7-9D84-BBF957B15822"/>
<code code="34080-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="NURSING MOTHERS SECTION"/>
<title mediaType="text/x-hl7-title+xml">Nursing
Mothers</title>
<text><paragraph>Because of the potential for serious adverse reactions in nursing infants
from Seromycin,
a decision should be made whether to discontinue nursing or to discontinue
the drug, taking into account the importance of the drug to the mother.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_pcpediatric">
<id root="D4CD8610-D498-0933-D40E-6A811760059D"/>
<code code="34081-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PEDIATRIC USE SECTION"/>
<title mediaType="text/x-hl7-title+xml">Usage
in Pediatric Patients</title>
<text><paragraph>Safety and effectiveness in pediatric patients have not been established.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_adverse">
<id root="9E1251C5-6121-774E-F8CA-F08873479A24"/>
<code code="34084-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ADVERSE REACTIONS SECTION"/>
<title mediaType="text/x-hl7-title+xml">ADVERSE REACTIONS</title>
<text><paragraph>Most adverse reactions occurring during therapy
with Seromycin involve
the nervous system or are manifestations of drug hypersensitivity. The following
side effects have been observed in patients receiving Seromycin:</paragraph><table width="100%"><colgroup align="left" char="." charoff="50">
<col align="left" char="." charoff="50"/>
<col align="left" char="." charoff="50"/>
</colgroup>
<tbody valign="top">
<tr valign="middle"><td align="left" char="." charoff="50" colspan="2" valign="middle"><paragraph><content styleCode="bold">Nervous
system symptoms</content> (which appear to be related to higher dosages of
the drug, i.e., more than 500 mg daily)</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Convulsions</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Drowsiness and somnolence</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Headache</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Tremor</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Dysarthria</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Vertigo</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Confusion and disorientation with loss of memory</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Psychoses, possibly with suicidal tendencies</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Character changes</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Hyperirritability</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Aggression</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Paresis</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Hyperreflexia</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Paresthesia</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Major and minor (localized) clonic seizures</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Coma</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" colspan="2" valign="middle"><paragraph><content styleCode="bold">Cardiovascular</content></paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Sudden development of congestive heart failure
in patients receiving 1 to 1.5 g of Seromycin daily
has been reported</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" colspan="2" valign="middle"><paragraph><content styleCode="bold">Allergy</content> (apparently
not related to dosage)</paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" colspan="2" valign="middle"><paragraph><content styleCode="bold">Skin
rash</content></paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" colspan="2" valign="middle"><paragraph><content styleCode="bold">Miscellaneous</content></paragraph></td></tr>
<tr valign="middle"><td align="left" char="." charoff="50" valign="middle"><paragraph/></td><td align="left" char="." charoff="50" valign="middle"><paragraph>Elevated serum transaminase, especially in patients with preexisting
liver disease</paragraph></td></tr>
</tbody>
</table></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_overdose">
<id root="DD8EA3CD-E00B-6BFB-C5FE-CDC5A852AEF2"/>
<code code="34088-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="OVERDOSAGE SECTION"/>
<title mediaType="text/x-hl7-title+xml">OVERDOSAGE</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_overdose1">
<id root="B93970B0-216D-1AFB-A05E-E5BCF5BF8DB2"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<title mediaType="text/x-hl7-title+xml">Signs
and Symptoms</title>
<text><paragraph>Acute
toxicity from cycloserine can
occur if more than 1 g is ingested by an adult. Chronic toxicity
from cycloserine is
dose related and can occur if more than 500 mg is administered
daily. Patients with renal impairment will accumulate cycloserine and
may develop toxicity if the dosing regimen is not modified. Patients with
severe renal impairment should not receive the drug. The central nervous system
is the most common organ system involved with toxicity. Toxic effects may
include headache, vertigo, confusion, drowsiness, hyperirritability, paresthesias,
dysarthria, and psychosis. Following larger ingestions, paresis, convulsions,
and coma often occur. Ethyl alcohol may increase the risk of seizures in patients
receiving cycloserine.</paragraph><paragraph>The
oral median lethal dose in mice is 5290 mg/kg.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_overdose2">
<id root="8DD58D22-3899-CF16-FE7B-67A56E49572F"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<title mediaType="text/x-hl7-title+xml">Treatment</title>
<text><paragraph>To
obtain up–to–date information about the treatment of overdose,
a good resource is your certified Regional Poison Control Center. Telephone
numbers of certified poison control centers are listed in the <content styleCode="italics">Physicians’ Desk Reference (PDR)</content>.
In managing overdosage, consider the possibility of multiple drug overdoses,
interaction among drugs, and unusual drug kinetics in your patient.</paragraph><paragraph>Overdoses
of cycloserine have
been reported rarely. The following is provided to serve as a guide should
such an overdose be encountered.</paragraph><paragraph>Protect
the patient’s airway and support ventilation and perfusion. Meticulously
monitor and maintain, within acceptable limits, the patient’s vital
signs, blood gases, serum electrolytes, etc. Absorption of
drugs from the gastrointestinal tract may be decreased by giving activated
charcoal, which, in many cases, is more effective than emesis or lavage; consider
charcoal instead of or in addition to gastric emptying. Repeated doses of
charcoal over time may hasten elimination of some drugs that have been absorbed.
Safeguard the patient’s airway when employing gastric emptying or charcoal.</paragraph><paragraph>In
adults, many of the neurotoxic effects of cycloserine can
be both treated and prevented with the administration of 200 to
300 mg of pyridoxine daily.</paragraph><paragraph>The
use of hemodialysis has been shown to remove cycloserine from
the bloodstream. This procedure should be reserved for patients with life-threatening
toxicity that is unresponsive to less invasive therapy.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_dosage">
<id root="776A4CCE-E1E1-FFBA-60B1-CD76069CE097"/>
<code code="34068-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="DOSAGE & ADMINISTRATION SECTION"/>
<title mediaType="text/x-hl7-title+xml">DOSAGE AND ADMINISTRATION</title>
<text><paragraph>Seromycin is
effective orally and is currently administered only by this route. The usual
dosage is 500 mg to 1 g daily in divided
doses monitored by blood levels.<sup>2</sup> The
initial adult dosage most frequently given is 250 mg twice
daily at 12–hour intervals for the first 2 weeks. A
daily dosage of 1 g should not be exceeded.</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_howsup">
<id root="A8944342-A038-3D84-362D-94C1C9AEBE77"/>
<code code="34069-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HOW SUPPLIED SECTION"/>
<title mediaType="text/x-hl7-title+xml">HOW SUPPLIED</title>
<effectiveTime value="20070615"/>
<component>
<section ID="s_howsup1">
<id root="E62875E8-8A09-72A4-59CC-251820FD7C48"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Seromycin<sup>®</sup> is available as a 250 mg capsule with an opaque red cap and opaque gray
body imprinted with “Lilly” and “F04”
in edible black ink on both the cap and the body.</paragraph><paragraph>   Bottles of 40
(No.12) NDC 0002-0604-40</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section ID="s_howsup2">
<id root="114916D5-304D-CE1F-7749-8379CB404FC8"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Store at controlled room temperature, 20° to 25°C
(68° to 77°F) [see USP].</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</section>
</component>
<component>
<section ID="s_reference">
<id root="9ADBD56F-C1F7-6947-AE61-71CD87D40037"/>
<code code="34093-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="REFERENCES SECTION"/>
<title mediaType="text/x-hl7-title+xml">REFERENCES</title>
<text><paragraph/><list listType="ordered" styleCode="Arabic"><item><paragraph>Kubica GP,
Dye WE: Laboratory methods for clinical and public health —
mycobacteriology. US Department of Health, Education and
Welfare, Public Health Service, 1967, pp 47–55,
66–70.</paragraph></item><item><paragraph>Jones LR:
Colorimetric determination of cycloserine, a new antibiotic. <content styleCode="italics">Anal
Chem</content> 1956;28:39.</paragraph></item></list></text>
<effectiveTime value="20070615"/>
</section>
</component>
<component>
<section>
<id root="7C23668C-CB6E-1CBC-3568-20733412C4F7"/>
<code code="42229-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SPL UNCLASSIFIED SECTION"/>
<text><paragraph>Literature revised April 28, 2005</paragraph><paragraph>Eli
Lilly and Company</paragraph><paragraph>Indianapolis, IN 46285, USA</paragraph></text>
<effectiveTime value="20070615"/>
</section>
</component>
</structuredBody>
</component>
</document></medicationLabel></data></healthcloud>
-Jay Walker
Customer Service
ClearHealth Inc.
|
|
| | Topic: CHMED HC API Updated |
|---|
| CHMED HC API Updated [message #3193] |
Fri, 27 June 2008 20:06 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
|
|
|
The CHMED HC API dataset was updated to resolve some junk data showing up in certain ndc and full_ndc codes.
-Jay Walker
Customer Service
ClearHealth Inc.
|
|
| | Topic: CHMED HealthCloud Developer API Publilc Beta Available |
|---|
| CHMED HealthCloud Developer API Publilc Beta Available [message #3189] |
Thu, 26 June 2008 20:10 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
|
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|
We are happy to announce that the HealthCloud API public beta is now available. This API offers a updated information about all medications reviewed by the FDA and the specific details about their ingredients, packaging and delivery necessary for tracking medications in an EMR context as well as supporting standards compliant e-prescribing operations.
Included below is a brief introduction to the HealthCloud API system. You can sign up for a free HealthCloud API key by visiting: https://openid.clear-health.com
Getting Started
The HealthCloud API system offers 2 primary means of accessing a host of medically related databases using standards compliant REST and AJAX/JSON based web services queries.
What is REST?
REST is the simplest mechanism amongst web services standards and is very similar to how you browse the web with your web browser. It operates primary on GET and POST argument passed to specialized URLs. In some cases XML data may be included in the body of an HTTP request and response to provide a mechanism for moving large amounts of information to and from the server.
For more information about REST please visit:
http://en.wikipedia.org/wiki/REST
How can I access the REST API's?
Once you have you API Key you can reference the API's using a web browser to explore how they are constructed. You must also approve the license before accessing data so we will use that as an example.
The API calls are constucted using the base url:
https://openid.clear-health.com/hcapi/index.php
All REST API call use this URL.
Accessing that URL alone will result in an XML response:
<?xml version="1.0" standalone="yes"?>
<healthcloud>
<error>
<errorCode>400</errorCode>
<errorName>Request Failed</errorName>
<errorMsg>Your request does not have any library or function parameters and cannot be completed.</errorMsg></error></healthcloud>
This is a standardized error response. All HC API responses will be wrapped in a "<healthcloud></healthcloud>" tag. This is used as many XML implementations automatically hide the outermost wrapper.
The next tag is the "<error></error>" tag, if this is present it means that a fatal error occurred which prevented the request from being completed as requested. The "<errorCode></errorCode>" tag contains a standard HTTP response code which will also be reference in the HTTP headers in the response. 400 is the HTTP status for "bad request" and means that the request is improper and should not be repeated without changes, you can see a list of HTTP status codes here:
http://www.w3.org/Protocols/rfc2616/rfc2616-sec10.html
Followed by that is the errorname and message which are provided for your reference, they attempt to be as specific as possible about the specific problem or missing data for the request. Errorname is fairly consistent and categorizes most error into a few top level categories so you can handles errors as exceptions easily. The error message will change based on the scenario and possibly the data supplied so it should not be used for string matching.
All HC API calls must include a POST or GET argument containing your API key. An example:
https://openid.clear-health.com/hcapi/index.php?apiKey=[YOUR HC API KEY]
That request yields this response:
<?xml version="1.0" standalone="yes"?>
<healthcloud>
<error>
<errorCode>400</errorCode>
<errorName>Request Failed</errorName>
<errorMsg>Your request does not have any library or function parameters and cannot be completed.</errorMsg>
</error></healthcloud>
This error indicated that no library and function was requested. Each HC API call must also include a path to a specific library and function. These take the form of directories in the URL as in the following License Library Retrieve function example:
https://openid.clear-health.com/hcapi/index.php/License/Retrieve?apiKey=[YOUR HC API KEY]
Using that call you should receive a large response containing the license agreement for using HealthCloud data API's:
<?xml version="1.0" standalone="yes"?>
<healthcloud>
<data>
<license>LICENSE...[condensed for readability]</license>
</data>
</healthcloud>
This is your first successful request and will have an http status code of "200" as an http header. Notice th at instead of an "<error></error>" tag you receive a "<data></data>" tag, this is the wrapper for semantic xml specific to the requested resource. Functions that respond with a single value have a standardized response structure as in the following example.
Once you have retrieved the license you must call the API to indicated your acceptance of it. You cannot use the data API's until you have accepted the license.
That URL is:
https://openid.clear-health.com/hcapi/index.php/License/Retrieve?apiKey=[YOUR HC API KEY]
The License acceptance function also takes a require signature argument. This is a digital signature recognizing your acceptance, you can use whatever string you prefer but generally this is your name surrounded by forward slashes such as:
So the actual URL we use is:
[url=https://openid.clear-health.com/hcapi/index.php/License/Accept?apiKey=[YOUR HC API KEY]&signature=/jay walker/
That request produces this response:
<?xml version="1.0" standalone="yes"?>
<healthcloud>
<data>
<return>true</return>
</data>
</healthcloud>
This is a standardized single value response, the return value is always contained within a "<return></return>" tag and will contain a basic language construct such as a boolean (using the 'true' and 'false' constants), int, or string. It is not currently supported to have a return tag with an array value, for that the "<data></data>" wrapper will be used.
It is that simple, you can easily explore API's using your web browser and implementing them using any language with basic HTTP handling tools. We will be providing examples in Python, PHP, Ruby, and Java as soon as we have the resources to do so and pending feedback from you.
The CHMED API
The CHMED API currently implements 2 calls, these are:
[url=https://openid.clear-health.com/hcapi/index.php/CHMED/BaseMed24?apiKey=[YOUR HC API KEY]&tradename=[MEDICATION TRADENAME]&limit=[OPTIONAL RESPONSE ROW LIMIT]
AND
https://openid.clear-health.com/hcapi/index.php/CHMED/BaseMed24Detail?apiKey=[YOUR HC API KEY]&=[MEDICATION TRADENAME]
The BaseMed24 function retrieves an array of data about medications matching the supplied tradename argument. This argument can either be the fullname or can contain '%' characters which act as wildcards. Be careful with wildcards as they will effect the performance of your call.
Response for this call:
https://openid.clear-health.com/hcapi/index.php/CHMED/BaseMed24?apiKey=[YOUR HC API KEY]&tradename=diflucan
<?xml version="1.0" standalone="yes"?>
<healthcloud>
<data>
<limit>25</limit>
<medication>
<id>86959</id>
<pkey>86959</pkey>
<fda_id>256693</fda_id>
<ndc>067801-*20-100</ndc>
<full_ndc>067801-*20-100-0</full_ndc><tradename>DIFLUCAN</tradename>
<strength>100</strength>
<unit>MG</unit>
<packsize>30</packsize>
<packtype>BOT</packtype>
<formulation>100MG FLUCONAZOLE;</formulation>
<dose>TABLET, COATED</dose>
<route>ORAL</route>
<firm_name>DIRECT PHARMACEUTICALS INC</firm_name>
</medication>
<medication>
<id>86969</id>
<pkey>86969</pkey>
<fda_id>256710</fda_id>
<ndc>067801-*21-200</ndc>
<full_ndc>067801-*21-200-0</full_ndc><tradename>DIFLUCAN</tradename>
<strength>200</strength>
<unit>MG</unit>
<packsize>30</packsize>
<packtype>BOT</packtype>
<formulation>200MG FLUCONAZOLE;</formulation>
<dose>TABLET, COATED</dose>
<route>ORAL</route>
<firm_name>DIRECT PHARMACEUTICALS INC</firm_name>
</medication>
</data>
</healthcloud>
The BaseMed24Detail takes a pkey argument (from the BaseMed24 medication response) and provides the detailed record for that medication. Currently this is the same information available in the BaseMed24 result set but will continue to be updated and expanded to support as much information as possible including the fda label, links to interactions, and links to clinical trials.
Response for this call (86969 is pkey from above):
https://openid.clear-health.com/hcapi/index.php/CHMED/BaseMed24Detail?apiKey=[YOUR HC API KEY]&pkey=86969
<?xml version="1.0" standalone="yes"?>
<healthcloud>
<data>
<medication>
<id>86969</id>
<pkey>86969</pkey>
<fda_id>256710</fda_id>
<ndc>067801-*21-200</ndc>
<full_ndc>067801-*21-200-0</full_ndc><tradename>DIFLUCAN</tradename>
<strength>200</strength>
<unit>MG</unit>
<packsize>30</packsize>
<packtype>BOT</packtype>
<formulation>200MG FLUCONAZOLE;</formulation>
<dose>TABLET, COATED</dose>
<route>ORAL</route>
<firm_name>DIRECT PHARMACEUTICALS INC</firm_name>
</medication>
</data>
</healthcloud>
Using AJAX:
The CHMED API is also implemented as AJAX API's for use in easily constructing medication related web applications, we expect to be able to enabled e-prescribing directly through this CHMED REST and AJAX API's soon.
A fully working example using this API in PHP is included as the chmed_example.zip file attached to this post. Be sure to edit the server.php to include your HC API KEY.
Note that the AJAX API requires the use of an AJAX proxy which is a solution to browser security constraints regarding cross site scripting (XSS) protection. See the server.php file for details.
Please provide your feedback. If you have any questions about the API's, this document, feature requests, new datasets or links between data or the examples please post to this forum. We are eager to continue to improve the system to meet user requirements.
Thanks.
The ClearHealth Team
[Updated on: Mon, 14 July 2008 16:19]
|
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| | Topic: HealthCloud Backup Service |
|---|
| HealthCloud Backup Service [message #3186] |
Wed, 18 June 2008 16:19 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
|
|
|
We have just officially launched our HealthCloud Backup service which is a network backup service specifically aimed at healthcare systems using the governmental AES 256 and SSL encryption standards to ensure that data is only accessible to you using your private key. It is fully HIPAA compliant.
Plans start at just $30/month.
Instant sign-up is available here: http://www.clear-health.com/content/view/26/42/
Installation is very simple with just one file needed. You can trigger backups manually or through CRON. Linux of all flavors is supported now. Support for Windows and OSX is coming soon.
If you have any questions about the service please post them here or feel free to email me at info@clear-health.com or call us at 877-571-7679. We will collect those into an FAQ as soon as possible.
-Jay Walker
Customer Service
ClearHealth Inc.
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| | Topic: ClearHealth iPhone on ZDNet Healthcare |
|---|
| ClearHealth iPhone on ZDNet Healthcare [message #3044] |
Thu, 01 May 2008 03:56 |
duhlman
Messages: 654
Registered: February 2005
Location: Phoenix, AZ |
Site Admin
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Dana Blankenhorn over at ZDNet Healthcare was kind enough to interview myself and one of our customers regarding our iPhone release. You can read the story here:
http://healthcare.zdnet.com/?p=922
We need to get the source repo updated so people can get access, that should happen later in the week. Otherwise all you need to do is connect to the AppTapp repo for the latest binary via:
http://demo.clear-health.com/apptap
Sincerely,
David Uhlman
Customer Happiness Guru
ClearHealth Inc.
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|
| | Topic: CK-ERP (Open Source ERP / CRM / MRP) v.0.27.1 released (with ClearHealth 2.1 connector) |
|---|
| CK-ERP (Open Source ERP / CRM / MRP) v.0.27.1 released (with ClearHealth 2.1 connector) [message #2927] |
Sat, 05 April 2008 22:28 |
ckwu
Messages: 10
Registered: March 2007 |
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Hi, folks,
I have posted a new release, v.0.27.1, of CK-ERP, at SourceForge.Net, http://sourceforge.net/projects/ck-erp .
New features include,
connector for AssetMan
connector for Coppermine
connector for Gallery2
connector for phpMyTicket
enhanced navigation bar
CK-ERP is an open source accounting/MRP/ERP/CRM system that runs on top of multiple middlewares. It comprises 22 modules - Administration, i18n, Contact Management, Customer Relationship, Customer Self Service, Vendor Relationship, Ledger, Bank Reconciliation, MRP, Warehouse, Inventory, Service, AP, AR, PO, SO, Quotation, POS for Cashier, POS for Manager, HR, Staff Self Service and Payroll. It provides accounting and back office functionalities to SMEs and utilizes the underlying middleware to administer accounts/groups. Please report error and suggestion to the discussion group / mailing list, CK-ERP-en(at)googlegroups.com or CK-ERP-zh_CN(at)googlegroups.com . General history and expected development is available at the discussion group's Archive.
Supported MiddleWares: AssetMan; Coppermine, Gallery2; phpMyTicket; phpMySport; MyHandyRestaurant; PHPJB; FreightFleetManagementSystem; OpenX, LandShop, FreeRealty; IRM; LegalCase; MirrorMed, ClearHealth, OpenEMR; eGroupWare, Horde-GroupWare; Zencart, CRELoaded, osCMax, osCommerce; Drupal, Joomla, Mambo, e107, XOOPS, Xaraya; Moodle, Atutor; vTiger, XRMS; WordPress, b2evolution; TikiWiki; phpBB.
Information/Demo Websites:
http://ck-erp.org
http://ck-erp.net
http://ck-erp.info
Download is available from,
http://sourceforge.net/projects/ck-erp
http://gforge.oss.org.cn/projects/ck-erp
http://gforge.lupaworld.com/projects/ck-erp
http://gro.clinux.org/projects/ck-ledger
Cheers,
Wu Chiu Kay, aka CK Wu, aka CK (CK is the preferred alias)
Hong Kong
|
|
| | Topic: ClearHealth 2.2 Final Released (Download ClearHealth Here) |
|---|
| ClearHealth 2.2 Final Released (Download ClearHealth Here) [message #2878] |
Thu, 27 March 2008 20:20 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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You can download this 2.2-final release from:
http://www.clear-health.com/download/clearhealth-2.2.tgz
We would love to have feedback on the PDF templates. Note that you need LiveCycle Designer from Adobe Acrobat Professional 8 to add/edit templates NOT Live Cycle Enterprise. You can purchase it from amazon here:
Windows
OSX
2.2 Final
----------------
*Fixed template issues with master account history and claims list screen
*Clean unused setup files and old docs
---What's New---
*PDF Templates for reports, forms or combined report/forms using Adobe LiveCycle
*Calculate BMI smarty plugin
*Pretty format phone number smarty modifier
*Fixed package naming so dev docs should be a lot cleaner
*Installer fixed to properly detect linux vs. windows installs on Ubuntu, Suse, Cent OS
*ClearHealth now requires php 5.1.6 or greater
*Smarty version upgraded, libpcre issues now resolved
*PHP 5.2.x now supported
*Improved access/login audit marks
*New XML page type/handler, RSS controller (currently supply your own template, we haven't decided on defaults yet)
*New appointment rule type/parameter, limit using patients Insurance programs
*New function to access session vars similar to Celini:config_get, colon delimited syntax, auto exist handling
*Basic auth login now supported on most page deep links, CONSIDER HIPAA IMPLICATIONS DUE TO NON-AUTO-LOGOUT!!!
*ORDataObject::toXML() function for any ordo objects
*New preview mechanism on report edit screen, support for visualizations in default templates, see C_Graph controller to add new graph types. Current is "lineGrid".
*Resolved single 0 time issue when editing appointments with a reason template.
*Lab grid summary display, fix sorting
---Notes---
*SQL changes for people upgrading from 2.1 are located at the end of the local/setup/ch_2_2_install.sql file, some are commented out so consult as needed. MAKE BACKUPS PRIOR TO UPGRADING!
*Upgrading users: The default path for forms and reports has changed, you will need to update your config.php file with the new lines from config.dist.php. "user/forms" becomes "user/form_templates". "user/reports" (really old installs) becomes "user/report_templates". You should be able to use symlinks if you like.
[Updated on: Fri, 17 July 2009 20:14]
-Jay Walker
Customer Service
ClearHealth Inc.
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|
| | Topic: RSS Feeds and iCal question |
|---|
| RSS Feeds and iCal question [message #2814] |
Fri, 07 March 2008 11:42 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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| Quote: |
Great presentation - liked the future direction.
I loved the RSS feature and the PDF forms (even though I am trying to stay away from paper it is still needed at times)
I had a question on the RSS feeds - what about security, RSS (at least from what I know) does not have security built in - do you need to be logged in to CH to receive the feeds?
If so, can we make a long shared key based URL (like Google calendar has done for its iCal integration with Outlook) to get past logging in?
Talking about iCal - is it possible to get the current calendar in an iCal interface just like Google Calendar lets you? It would be a similar interface and provide restricted information for people to see in Outlook?
This would be a great extension to the whole mobility theme planned with RSS.
-jmax
|
If using a browser then the inherent cookie checks will be used. With 2.2 HTTP basic authentication is also supported so for readers than can use that, which is most of them, it can be addressed that way.
Obviously you will want to apply all the normal security processes when using mobile devices, HTTPS, etc.
It is pretty trivial to create a report and template that generates iCal output, in fact I think their are many folks already doing that. I think the problem comes up with regard with how to manage changes to the schedule, I think for example firefox can work with a live URL whereas some other tools will just take it as a snapshot.
-Jay Walker
Customer Service
ClearHealth Inc.
|
|
| | Topic: ClearHealth Community Call, March 6th |
|---|
| ClearHealth Community Call, March 6th [message #2768] |
Wed, 27 February 2008 18:32 |
duhlman
Messages: 654
Registered: February 2005
Location: Phoenix, AZ |
Site Admin
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The next ClearHealth Community Call will take place March 6th at 12:00pm pacific time. The primary topic of the call will be a close up look at the new features in version 2.2 including:
1) PDF Forms/Report features and brief tutorial
2) Brief Introduction to ClearHealth API Services BETA
3) Graphing features
4) Using alert reports and RSS
There will also be a few minutes for general questions and comments.
Special thanks to the folks at DimDim, the open source web meeting platform. They have courteously allowed us to try out their beta for our call which includes support for Linux/OSX firefox users which the Webex we have been using does not.
The link to see the shared desktop is (you must have a recent version of Flash installed, version 9+. For Linux/OSX you must have firefox installed):
http://webmeeting.dimdim.com:80/portal/GetJoinConferenceForm .action?confKey=duhlman@clear-health.com&email=info@clea r-health.com&asPresenter=false&meetingId=55409520-36 da-102b-9e72-0030489444da
The desktop will be available for 10 minutes prior to the official start for folks to test.
The call in number is: (641) 715-3200 then 621076#
Thanks and hope to have you there. We expect to be doing these a lot more regularly now.
[Updated on: Thu, 06 March 2008 17:16] by Moderator
Sincerely,
David Uhlman
Customer Happiness Guru
ClearHealth Inc.
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|
| | Topic: Small Bug in the default database reveals small design flaw |
|---|
| Small Bug in the default database reveals small design flaw [message #2666] |
Mon, 04 February 2008 17:41 |
fredtrotter
Messages: 188
Registered: August 2006 |
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In the default database the following line appears.
(60, 'billing_mode', 'Billing Mode', 'Mappedvalue'),
The actual EnumType is MappedValue with a capital V.
This makes it impossible to modify the billing_mode enumeration, since it tries to find the EnumType of the wrong class.
Generally, it reveals a larger flaw in the enumeration system. The EnumTypes should not be text field, but a select box based on the actual available enumeration types. Otherwise user created enumerations are likely to crash the interface.
-FT
Fred Trotter, MirrorMed
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|
| | Topic: Schema changes for upgrades |
|---|
| Schema changes for upgrades [message #2655] |
Thu, 31 January 2008 13:59 |
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jmax
Messages: 600
Registered: March 2007
Location: MA |
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I wanted to make this a separate thread to see if we could make it easier for upgrades - we keep source code in version control, but DB schema is really not in any control.
I propose keeping a (text) file that include SQL DDL statements like ALTER and CREATE statements and DML statements that include any addition to required standard values such as enums etc that are changed or added with each progressive version.
This would be make upgrades predictable and less prone to errors and keep a good history of what changed for roll forward and roll back situations.
This is very important for serious usage of CH in production environment.
Any other mechanism to achieve the same result is appreciated.
Reverse engineering like mysqldiff may work OK for DDL but for DML, trying to go through megabytes of data is impossible especially if you cant separate data that changes as part of your regular usage vs data that is fixed.
It would also be helpful to get a list of tables that have fixed data in them, so any additions to those can be figured in at the time of upgrade.
Hope this made sense.
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| | Topic: CK-ERP (Open Source ERP / CRM / MRP) v.0.26.1 released (with ClearHealth 2.0 connector) |
|---|
| CK-ERP (Open Source ERP / CRM / MRP) v.0.26.1 released (with ClearHealth 2.0 connector) [message #2638] |
Fri, 25 January 2008 02:26 |
ckwu
Messages: 10
Registered: March 2007 |
|
|
|
Hi, folks,
I have posted a new release, v.0.26.1, of CK-ERP, at SourceForge.Net, http://sourceforge.net/projects/ck-erp .
New features include,
connector for FreeRealty
connector for LandShop
connector for OpenAds
connector for FreightFleetManagementSystem
connector for PHPJB
connector for MyHandyRestaurant
connector for phpMySport
enhanced contact lists
enhanced user interface
Special thank is due to Vidar Vestnes of phpmyborder.com for producing an excellent screen bordering script.
CK-ERP is an open source accounting/MRP/ERP/CRM system that runs on top of multiple middlewares. It comprises 22 modules - Administration, i18n, Contact Management, Customer Relationship, Customer Self Service, Vendor Relationship, Ledger, Bank Reconciliation, MRP, Warehouse, Inventory, Service, AP, AR, PO, SO, Quotation, POS for Cashier, POS for Manager, HR, Staff Self Service and Payroll. It provides accounting and back office functionalities to SMEs and utilizes the underlying middleware to administer accounts/groups. Please report error and suggestion to the discussion group / mailing list, CK-ERP-en(at)googlegroups.com or CK-ERP-zh_CN(at)googlegroups.com . General history and expected development is available at the discussion group's Archive.
Supported MiddleWares: phpMySport; MyHandyRestaurant; PHPJB; FreightFleetManagementSystem; OpenAds, LandShop, FreeRealty; IRM; LegalCase; MirrorMed, ClearHealth, OpenEMR; eGroupWare, Horde-GroupWare; Zencart, CRELoaded, osCMax, osCommerce; Drupal, Joomla, Mambo, e107, XOOPS, Xaraya; Moodle, Atutor; vTiger, XRMS; WordPress, b2evolution; TikiWiki; phpBB.
Information/Demo Websites:
http://ck-erp.org
http://ck-erp.net
http://ck-erp.info
Download is available from,
http://sourceforge.net/projects/ck-erp
http://gforge.oss.org.cn/projects/ck-erp
http://gforge.lupaworld.com/projects/ck-erp
http://gro.clinux.org/projects/ck-ledger
Cheers,
Wu Chiu Kay, aka CK Wu, aka CK (CK is the preferred alias)
Hong Kong
|
|
| | Topic: ClearHealth Featured By California Healthcare Foundation |
|---|
| ClearHealth Featured By California Healthcare Foundation [message #2596] |
Fri, 18 January 2008 13:29 |
jay.walker
Messages: 961
Registered: January 2008
Location: Tucson AZ |
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|
The California Healthcare Foundation performed a research project into the feasibility of Open Source healthcare software last year. ClearHealth was interviewed extensively. You can read a very in-depth assessment of open source EHR systems by CHCF with an extremely positive analysis of ClearHealth at:
http://www.chcf.org/topics/view.cfm?itemID=133551
It does not appear that our submitted corrections are present:
ClearHealth does support SNOMED, LOINC, CCR, you CAN print labs.
[Updated on: Fri, 18 January 2008 13:29]
-Jay Walker
Customer Service
ClearHealth Inc.
|
|
| | Topic: ClearHealth and DOHCS '08 On ZDNET |
|---|
| ClearHealth and DOHCS '08 On ZDNET [message #2591] |
Thu, 17 January 2008 13:20 |
duhlman
Messages: 654
Registered: February 2005
Location: Phoenix, AZ |
Site Admin
|
|
|
I recently did an interview with ZDNet's Dana Blankenhorn on the upcoming DOHCS '08 Open Source healthcare event in Los Angeles at the Westin LAX February 8th. ClearHealth is a sponsor of the event. You can read the interview here:
http://healthcare.zdnet.com/?p=645
Sincerely,
David Uhlman
Customer Happiness Guru
ClearHealth Inc.
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