In November, in the candlelit basement of a house just above the Silver Lake Reservoir, Alexandra James walked over to an altar where her husband, Zachary, waited near a bleached human skull, teeth locked in eternal rictus.
L.A. history is filled with outsiders coming together under the mantle of the occult, an oft-conflated sphere of sometimes-opposing worldviews, which range from atheist Satanism to neo-pagan traditions like Wicca. They left their mark on the city in a variety of ways.
ED: Atheistic Satanism [Would be KML to explain]
Party News:
On Halloween, much of the group gathered in the basement of the Hollywood bar Black Rabbit Rose, where a who’s who of modern occultists gathered for rituals, rock shows and talks from the scene’s demimonde elite.
Avant-garde director Kenneth Anger (whose “Lucifer Rising” is a favorite of Satanists and starred eventual Manson family murderer Bobby Beausoleil) took questions from fans like Matt Skiba, the Blink-182 guitarist and Satanist. Noise musician and prominent Satanist Boyd Rice interviewed Karla LaVey (daughter of Anton LaVey) about war stories from the scene’s midcentury [What? ] heyday. Glenn Danzig, founder of the horror-punk band the Misfits (who recently sold out the Forum for a reunion show), gabbed with fans in the VIP suite and showed off an archive of rare last-days-of-Jayne Mansfield photographs alongside the Lethal Amounts gallery owner Danny Fuentes, who organized the party and often hosts exhibits of transgressive occult-y art.
Have fun y’all
Strange Angel
More important to xxx is the founder of JPL and Aerojet’s Crowley Hieros Gamos TV Show Strange Angel
My Medical Life Record
AKA My EHRS, My Lucy, My CCD, My CDA and My EHR
Stick it on your phone everybody OR carry it on a thumb drive/memory stick. It’s a XML document or pdf you can import into your iphone or store on a thumb drive there are several different kinds of documents available. I have a folder called: My_EHRS_Health_Summary
plus another folder called: My_EMR_Medical_Records
with appropriate sub folders: My_Health_Tests and My_Health_Visits
Like this screen shot shows:
I have worked in College Textbook Publishing (Anatomy and Physiology, Microbiology and Health) all my career and it took literally two days to research and write this curated article. I know what SGML and XML is. [Ouch already there is a ouch in here, sheesh!]
I have no idea what the records are called or what to look for, so read on to see why if you dare. Here we go on the internet together:
Health Standards In The News: CCD and Consolidated CDA - Corepoint Health
Legitimus comments => What is a Clinical Care Document? What Types of Records are Available?: Usually they are called CCD [old State of MA CCR] and the whole thing is called the CDA [Clinical Document Architecture]. The main subject here to me is meaningful clinical use. Which should be obvious to laypersons. Can they USE the thing on the other end? does it have enough information in it to transfer the patient?
corepointhealth => It's primary purpose is for exchange – specifically in the context of a patient being transferred from one care setting to another.
Legitimus comments => OK is this what I need to not die? Err, maybe, exactly what is it they have for me that is available?
Key terms: C-CDA CCD and CCR [Check!]
This next article discusses “meaningful use” which I thought was interesting because it is the whole: Is she drunk? is it toe fungus OR a ruptured brain aneurysm conundrum.
5 things to know about CCD
Legitimus comments =>
This article discusses meaningful use and what that means: A CCD [Clinical Care Document] is a snapshot with 17 different sections that is supposed to include the information that is critical to provide continuity of care of the patient. Meaning a medical condition that is super important will not be lost but may not be what you were in the Dr. Office or hospital FOR this last time. The Dr's need to know about the life critical issues to triage correctly in an emergency.
The triage should also be based on prior scientific evidence not just a 5 minute snapshot of the vitals at one moment in time in order to fast track correctly.
A CCR started out as a Continuity of Care Record that was three pages long created by the Massachusetts Department of Public Health.
Custom Healthcare IT Extract=> What is the difference between a CCD document and a CCR document? Brull said in a class he teaches, the "three C's of healthcare" are discussed: CCD, CDA and CCR, or Continuity of Care Record. "The CCD owes its existence to CCR and CDA," he said. "The CCR started out as a three-page paper document, which was used in patient care referrals." Additionally, the CCR was created by the Massachusetts Department of Public Health and included information necessary for providers to effectively continue care. "Since it was a very successful document in the transfer of care scenario, the Massachusetts Department of Public Health teamed up with ASTM and the Massachusetts Medical Society to create an electronic version of CCR," said Brull. Eventually, he continued, ASTM combined efforts with HL7 to construct the CCD document, which includes all the same content of the CCR, but under the architecture of the CDA.
Legitmus => Yes meaningful use is important. Is it a CCD or a CCR? meaning a CCD is a Lucy but a CCR is the Mass. version of a Lucy? [YES]
OK so I am interested in how these things work and how I can get it into my phone so I apparently digressed for a week and now I am back at it again. What levels of record are available, what is in them?
Wrong question. (!)
Which record do I need so I don’t die if I am unconscious? Ding ding ding! Winner!
What are the differences between electronic medical records, electronic health records, and personal health records?
Learn more about the important differences between electronic medical records, electronic health records, and personal health records.
From that website with “curator comments”:
EMR
Electronic medical records (EMRs) are a digital version of the paper charts in the clinician’s office. Legitmus notes => Each office has one folder of records for you.
EHR
Electronic health records (EHRs) do all those things—and more. EHRs focus on the total health of the patient—going beyond standard clinical datacollected in the provider’s office and inclusive of a broader view on a patient’s care. EHRs are designed to reach out beyond the health organization that originally collects and compiles the information. They are built to share information with other health care providers, such as laboratories and specialists, so they contain information from all the clinicians involved in the patient’s care. Legitimus Notes => Each hospital or healthcare organization has a large folder or in my case a box for you BUT they need to have the managing physicians basic patient exchange/transfer document on top of the boxes or folders. It’s like stapling “the most important thing in the word to this patient” is this letter on the outside of the chart OR the first page in it. What the heck is that called? [Hint: It’s like a old time Doctor’s transfer the patient letter? i.e., a Lucy/CCD/EHR]
PHR
Personal health records (PHRs) contain the same types of information as EHRs—diagnoses, medications, immunizations, family medical histories, and provider contact information—but are designed to be set up, accessed, and managed by patients.
Let’s stop here for a money moment.
Apple wants to do what?
Stick it on your phone.
What does the publisher do?
Email me the XML file please.
Thanks!
Lucy Record <= A health record summary Epic Systems My Chart term AKA C-CDA, CCD, CCR (Pick one)
EMR Electronic Medical Record EHR Electronic Health Record PHR Personal Health Record
EHRS Electronic Health Record Summary [I made this up myself]
XHRS XML Electronic Health Record Summary “Xhers” Stunning,. isn’t it. All that to get to this: What you want or have is a XML Electronic Health Record Summary which in the textbook and media publishing world of SGML would get a custom XML DTD. Probably it would be called XHRS the XHRS DTD would have custom style sheets probably starting with XHRS as the prefix like this: xhrs.xsl
Legitimus Notes: Today we have XMLelectronic health record summaries called among other things Lucy or CCD records that can save your life. Please make sure yours is up to date. If you are ever taken to a psychiatric facility make them look at the Lucy/CCD records from your last doctor visit before they assume you just tried to commit suicide by walking the wrong way down the streetORfalling down on the Golden Gate Bridge. (It’s a Black Humor San Francisco Joke)
(!) Every CDA record type should have these things in it: Header <–Obvious, who what where when. Body <– A problem if it is not in sections, it can be in one big blob full of PDF files of written records, and electronic records. Section(s) <–This should eliminate the “reading through your toe fungus problem to get to your brain cancer problem”. Narrative Block <–What the Doctor or PA wrote about the visit or observation AND/OR the interpretation of the scientific evidence. Entries <–the scientific evidence including machine readable records of BP/HR etc., etc.,
Way more stuff:
Insider Report: Apple Brings Provider Medical Records Into the IPhone
Legitimus => The Apple health app already supports C-CDA XML documents. You can import them. The difference is being able to seamlessly import records from beta sites such as UC San Diego or Cedars-Sinai.
PHR records is what we need here. If you can't get the data make your own on your phone.
histalk => Patients will be able to view information extracted from the provider’s EHR [Electronic Health Records] that includes their allergies, conditions, immunizations, lab results, medications, vital signs, and procedures. The encrypted information is stored on the user’s IPhone rather than on Apple’s servers.
Legitimus=> Getting the records yourself and putting it on your phone yourself is what Apple is making possible for a patient to do without hospital intervention. You can do it from a patient portal login on the phone (1) in the health app or a web browser and save the file on the phone OR ask for the record when you leave the facility. Either way works I probably would save the xml file so I could email it to a new provider at the front desk. [ (1) Changes are thanks to a reader suggestion ]
Legitimus=> You can also store it [CCD or a C-CDA, your patient transfer records] on a memory stick but you can not read it on your phone. If you need to show someone your records in the field you need to be able to look at them. A phone is handy for that.
I Have Seen The Portal, And It Is Handy
Legitimus comments => Interoperability issues from proprietary health records systems means patients still need to download their own records and put them on a memory stick or a phone.
healthcareittoday customized extract to end of box--> Lucy is a PHR [Personal Health Record] that is not connected to any facility’s electronic medical record system. It stays with patients wherever they receive care and allows them to organize their medical information in one place that is readily accessible. Patients can enter health data directly into Lucy, pull in MyChart data or upload standards-compliant Continuity of Care Documents from other facilities.
As great as the possibility of integrating outside records sounds, that’s where I ran into my first snag. When I attempted to hook up with the portal for DC-based Sibley Memorial Hospital — a Johns Hopkins facility — and integrate the records from its Epic system into the Inova’s Lucy PHR, I was unable to do so since I hadn’t connected within 48 hours of a recent discharge.
Legitimus comments => Why not stay connected while you are in the facility and download it as it gets uploaded? It's something to do while you are in the hospital. Frequency of updates and types of records available in a PHR are an issue. This seems to depend on the facility.
Lucy is a PHR that is not connected to any facility’s electronic medical record system. It stays with patients wherever they receive care and allows them to organize their medical information in one place that is readily accessible. Patients can enter health data directly into Lucy, pull in MyChart data or upload standards-compliant Continuity of Care Documents from other facilities.
It’s a XML document you can load into your iphone and view in a web browser or store on a thumb drive. You can email it and it comes encrypted or unencrypted. But technically it is a CCD or CCR not a PHR.
Confused I was, now I am not, Thanks Mr. Legitimus.
View health records on your iPhone or iPod touch (beta)
With iOS 11.3 and the Health app, a new beta feature lets you see all your health records — such as medications, immunizations, lab results, and more — in one place.
How do I put medical records on my Iphone?
Add your health records
Open the Health app, then tap the Health Data tab.
Tap Health Records > Get Started. …
Search for your hospital or network, then tap it.
Under Available To Connect, choose an option.
Sign in to your healthcare provider’s website or app. …
What am I using?
Plus email? (because my EHRS ~800KB and EMR is 700 MB?)
Email the Xhrs docs to myself on my phone and done.
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