David,

The pin or access code needs only to be given to the current clinician and they 
would use it for the duration of the current treatment. I assume that after a 
few patients, the clinician would never remember the access codes for all.

I agree with your statement about the need though. 

I maintain my own medical record on my iPad using scanned documents and OsiriX 
for X-rays, MRI's, etc. this has been very beneficial when I was overseas for a 
number of years. At least I had scans, test results and discharge summaries for 
my various conditions available when needed. Certainly not every treatment item 
was needed.

Still, it is my medical record under my own control.

BobJ
---------------
Dr Bob Jansen
Turtle Lane Studios Pty Ltd
122 Cameron St, Rockdale NSW 2216, Australia 
Ph (Korea): +82 10-4494-0328 
Ph (Australia) +61 414 297 448 
Resume: http://au.linkedin.com/in/bobjan 
Skype: bobjtls 
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http://www.turtlelane.com.au 

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> On 18 Jul 2018, at 19:39, David <[email protected]> wrote:
> 
>> On Wednesday, 18 July 2018 15:01:58 AEST Dr Bob Jansen (in Korea) wrote:
>> 
>> Why not use a chip inside our Medicare card? We need it for treatment anyway 
>> so why not have a system wherein the treating clinician uploads their notes 
>> or discharge summary into that chip. Then security is dependent on physical 
>> access with presumably some sort of PIN/Biometric.  Chip can be scrambled so 
>> unreadable without correct code. Then the patient is completely in charge. 
>> If they want the treatment recorded they have to present the card else it 
>> will not be recorded. A true patient medical record, My Medical Record!
> 
> There are reportedly 12,860 health organisations and up to 900,000 health 
> professionals in Australia, and all of them would have to be able to access 
> the card by design, so all would know the PIN.  That being the case there's 
> hardly any point in encryption, particularly since the card would be 
> physically the responsibility of its' owner.
> 
> However a more systemic question arises as to the purpose of the Health 
> Record.  Is it intended to contain a complete record of the holder's medical 
> history, or only critical information which might be needed in an emergency 
> when the holder is unable to communicate it?
> 
> If it's for emergency use, then a medical bracelet or something similar is 
> much simpler and more reliable.  And Emergency Room staff don't have time to 
> wade through years of irrelevant information when a patient is bought in 
> unconscious.
> 
> If not, then what really is the intention of MyHR?  I don't think the 
> Government has been clear about this.
> 
> MyHR does not seem to have been thought through, even at an engineering 
> level.  In that respect it's rather like the "multi technology mix" redesign 
> of the NBN.
> 
> DavidL.
> 
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