James wrote: > Hi all > > Have you guys thought of starting a campaign to get both liberal and labor > to force common data schematics for your medical information? Has any one > tried it before?
Which "common data schematics for medical information" did you have in mind to force everyone to use, James? The problem is coming up with a LCD (lowest common denominator) data schema which is satisfactory for all concerned, let alone one which actually keeps everyone happy. Tim C > Hi Chris > > > > Security and holding your data for ransom is two differing things. We must > demand the data tags- you referred to 'schema' or data schematics are used > by all medical software companies. I would prefer the government to enforce > this as the software companies currently hold you to ransom by making it > very difficult and needlessly complicated for you to move your property from > one platform to another. It also has the effect of enabling some very lazy > companies ( not referring to any company in particular ) to assume we will > not move and will keep paying them no matter how poor their product is or > how badly it is when compared to newer products in the marketplace. > > > > Having full encryption is great. Not having the keys to decrypt your data is > as Jerry says at best an "EARLY TERMINATION FEE" and at worst holds you and > your information to ransom to prevent you moving software platforms. > > > > Regards > > > > James Bishop > > Longevity Medical > > Ph 03 98482009 > > Fax 03 98407064 > > Mb 0413582615 > > _____ > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of > Chris Tansell > Sent: Monday, 19 February 2007 10:58 AM > To: [EMAIL PROTECTED]; 'Mach Dinh-Vu'; [EMAIL PROTECTED]; 'Roger > Brown' > Cc: 'Mae Taylor'; 'Medtech Help Desk'; 'Kenneth Wong' > Subject: RE: Ownership of Medical Records > > > > Thanks for that, James. > > > > The data in many applications, medical included, store data in plain text > (ie unincrypted). There are links setup within the database application > that associates the data into meaningful information. In this way, an > element of the data structure may be configured and optimised to store, say, > Medicare numbers. There might be 1,000,000 medicare numbers all in a list. > There is a structure document that is created as the database is designed, > called the SCHEMA. This shows all of the links that converts the > "Machine-useable but human-useless" data into the information we want. > > > > The data is all there, freely available, and largely useless - unless there > is either an export tool that packages all of the data back into a > "historical record" format, or the company that designed the database > releases the schema. You will not get the schema (one of the advantages of > open-source - the schema is in the public domain). > > > > Essentially, if a company has to rely on not allowing the data owner free > access to the information contained within the database, eventually that > company will fail. > > It would be different if the database was populated by Doctors (or admin > staff) in the format of 1,000,000 medicare numbers, followed by 1,000,000 > firstnames, followed by 1,000,000 lastnames, etc, but this isn't how the > data was entered, just how it is stored. > > > > It's a bit like lending someone a book and they shred it before they give it > back. All the data is there, it is in a "plain text" format, but it is in a > format that makes it useless in any real sense. > > > > Hope this makes sense! > > > > With best regards, > > > > Chris. > > > > _____ > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of > James > Sent: Monday, 19 February 2007 8:43 AM > To: [EMAIL PROTECTED]; 'Mach Dinh-Vu'; [EMAIL PROTECTED]; 'Roger > Brown' > Cc: 'Mae Taylor'; 'Medtech Help Desk'; 'Kenneth Wong' > Subject: RE: Ownership of Medical Records > > HI All > > > > Medical Director 3 has encrypted the image files- Great security except they > do not give the doctor the keys to unlock the encryption (unless you use the > software MD3) > > > > Medical Observer may be about to published on this topic and I guess the AMA > paper may be as a results of enquiries made to it be the journalist who is > writing the article. > > > > I understand the Medtech or interbase password and keys are very well known. > I was told MD3 will encrypt the data into a raw format for about $1000 but > take about a week. This effectively locks you to them unless you can shut > down for a week or so and the software your moving to can reconfigure the > raw format quickly for you! > > > > > > > > Regards > > > > James Bishop > > Longevity Medical > > Ph 03 98482009 > > Fax 03 98407064 > > Mb 0413582615 > > _____ > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of > Chris Tansell > Sent: Saturday, 17 February 2007 8:46 PM > To: [EMAIL PROTECTED]; 'Mach Dinh-Vu'; [EMAIL PROTECTED]; 'Roger > Brown' > Cc: 'Mae Taylor'; 'Medtech Help Desk'; 'Kenneth Wong' > Subject: Ownership of Medical Records > Importance: H)igh > > > > Hi All , (but specifically directed at Roger/Mach/Russell) , > > > > A colleague noticed this in the latest AMA Friday Fax, Please can you guys > tell me the situation with MedTech and (if you know) which company/program > is trying to claim ownership of the data? > > > > I have sent this email on Saturday 17th Feb 2007. It would not be > unreasonable to expect a response by COB Wednesday 21st Feb 2007. > > > > I will await the response. > > > > Cheers, > > > > Chris. > > > > > > CONTRACTS WITH SOFTWARE PROVIDERS > > > > GPs need to carefully scrutinise their contracts with software providers > with a growing number of complaints that when a > contract is terminated doctors are being charged to get back their patient > records. The AMA recommends GPs do not sign > contracts that they do not fully understand and to seek legal advice if > necessary. > > > > At the very least, make sure any contract with a software provider contains > provisions that: at the end of the contract all data > will be fully portable at no extra cost; the records will be stored using > software that is readily available at a reasonable cost; the > records remain at all time your property and no lien or security may be > taken over them; you will always be able to access the > records and the service provider cannot take any action that might hinder > your capacity to treat patients; and the software > provider will indemnify you for any loss or damage you might sustain from > not being able to access the records. > > > > > ------------------------------------------------------------------------ > > _______________________________________________ > 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
