On Sat, 2002-09-14 at 21:03, Gerard Freriks wrote:
> Karsten,
> And others,
> 
> 
> What is your idea?
> 
> - Can you agree with me that it is possible to proof that information was in
> a database at a certain time in most systems?
Certainly. That's what Horst's gnotary is about. 
http://www.gnumed.net/gnotary/

> But most systems are unable to proof what was seen on a screen and signed
> before being committed to the record or sent to an other entity?
> - What are the consequences of the extreme but defendable position of
> TNO-PG?

Gerard 

The logs would show that all the relevant patient data had been
downloaded to the client. I think it is asking too much of the process
to also verify that the doctor saw it on the screen, was in a fit state
to process the data and come to a logical conclusion. 

In my experience only the clinical note written on the day can concisely
log what data was processed to come to the clinical management plan.
Having pointers to the relevant data is helpful (e.g. see last entry 5
July 2002; Dr Jones' letter, 26 February 2000, histopathology skin 14
September 2002). I once thought a drag and drop hyperlink might be the
best way to do this but text entry is as efficient; just not as cool. 

Is this what you are trying to achieve? 

David 

-- 
David Guest
GPG key ID BE79B742 @ pgp.mit.edu
Fingerprint: 2609 DB95 C040 5902 BA0C  4D3C F1F2 EA62 BE79 B742
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