Hugh, This is very close to the model used by the Tasmanian HealthConnect Trial in terms of emergency access. The vast majority of the benefits of having accessable information come from Current Medications, Allergies/Alerts, Path results and Admission/Discharge notifications. Having it a central repository as summary data means that it is available when the doctor is not. Medical Director generated this data with little operator input, and once the patients realised that there was little threat, the privacy issues settled very quickly.
But, once you get the enthusiasts and "planners" involved, then it starts to get the typical software bloat problems; why can't we have the discharge BP, what about when their next clinic appointment is ; why can't we message them about their appointment? Before you know it, non-clinicians are writing frighteningly inaccurate scenarios about the inflated benefits and finally the bubble bursts. It would seem to me that NeHTA is working steadily and methodically towards the implementation of realisable implementations by making sure that the foundations are actually there instead of building a palace in mid-air. Perhaps when the foundations are in and the software industry can feel sure that there are some believable applicable standards then they and not the government will be able to develop the applications we are all looking for. Dr Michael Tooth GP Hobart NeHTA Clinical Advisory Group Dr Hugh Nelson wrote: > Hi Peter, > > I was impressed by the report of the Scottish approach to allowing > access to an emergency medical summary - this means that the GP still > has the patients record, but the summary is created by software and > posted somewhere where it is able to be accessed by appropriately > authorised entities like A&E medicos etc. > Is NEHTA looking at anything like this? > > cheers, > > Hugh. > > Peter MacIsaac wrote: > >> With regard to discussion arising on GPCG list re: recent HL7 >> workshop on Webservices and SOA. >> >> >> > > > ------------------------------------------------------------------------ > > _______________________________________________ > Gpcg_talk mailing list > [email protected] > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
