On Wednesday 26 April 2006 16:50, Mario Ruiz wrote:
> with a robust ehr architecture and a clear legal framework in place
> nothing precludes the patient from being the holder of the ehr without

we keep dreaming about a robust EHR architecture.

A clear legal framework in place however is something we only dare to dream 
about in our dreams.

> The patient hasn't probably got a chance in a 100
> million of altering the ehr even if it tried.

I don't know of a single current commercial EHR system that is not trivial to 
tamper with

A patient who is confused by using a keyboard and mouse, perhaps. But any 
patient with some basic programming skills (I daresay thwere are more of them 
than 1 in 100 million) can tamper to their hearts content with almost no 
obstacles at all - if they would have the only copy of the EHR

Horst
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