> Dear Mike,
> 
> What sets aside a document from a message?
> What is recorded in q EHR system?
> 
> A document is the information a healthcare provider attests by signing it.
> It contains a set of information in a clear context.
> 
> What is submitted in a EHR system has to be a set of documents, in my view.
> 
> Next to the set of documents other information is part of the record: lab
> tests, etc.
> 
> In my view documents are persistent and reflect those parts of the recorded
> and exchanged information that the healthcare provider attested.
> Documents are not virtual at all and always exist.
> 
> Gerard
> 

I agree, but I also saw the presentation that Mike is talking about, and they 
do in 
fact create virtual CDA instances whcih are made available via the web to give 
users a virtual view of the EHR. This is using CDA documents not even so much 
as messages (there is no new content) but as web forms - in other words, a 
standardised view template for source data from difference systems.

- thomas beale

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