When information has to be exchanged between legal entities (organisations or persons) Then only attested and selected information can be exchanged using a transaction type of exchange.
Of course system integration, where one healthcare provider collects the data stored by (on on behalf of) him from systems that he controls and is responsible for, is allowed. This type of 'virtual' use is NOT exchange of information between legal entities. The Essential Requirements for the EHR that we are writing in my institute make this strict distinction. It is based on unpublished discussions between healthcare providers and legal experts in Holland. Gerard On 2002-12-11 14:16, "Thomas Beale" <thomas at deepthought.com.au> wrote: >> 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 > -- <private> -- Gerard Freriks, arts Huigsloterdijk 378 2158 LR Buitenkaag The Netherlands +31 252 544896 +31 654 792800 - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
