I only had time for a quick look at MD3 this weekend after receiving the
disks on Friday, however I could not restrain myself from expressing
disappointment that despite now having the data housed in a secure
container HCN have chosen to continue to encrypt the progress notes.
This is both illogical and paternalistic.
Why choose the progress notes for special treatment? In the same
database the patients demographics are in clear text along with their
pathology results, and documents are now held unencrypted in the filesystem.
Why lock up the content of progress notes from the very people who would
find them most useful - the doctors who wrote them?
The end result of this is that MD3 users will now not know how useful it
is to review, for example, all of todays progress notes to spot obvious
omissions while the consults are fresh in your mind. Likewise,
registrars will miss out on the ability to conveniently review the
quality of batches of their progress notes.
I sincerely hope HCN will review this decision and follow the example of
the more enlightened medical software vendors who are moving towards
increasing end user data access.

Tony Eviston



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