On 14-09-2002 15:16, "David Guest" <dguest at zeeclor.mine.nu> wrote:
> 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/ > >>> Trusted functions like these are necessary in general for a better use of the Internet. >> 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. >>>> I'm not talking of the state of the healthcare provider. I'm talking about what he saw and thought to sign. He has no way to see what is in the database down deep in the system. The only thing is is able to see and vouch for is what he sees on a screen, piece of paper, etc. > 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? >>>> No: Vide supra. Text as pointers or URL's it is all fine with me. But he signes what he sees. > David -- <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
