RE: "Are you saying that the IOM / HL7 are taking the position that the physician can decide to withhold portions of that record?"
No... not at all! You can read the HL7 ballot package and join the ballot pool at www.hl7.org/ehr (reduced fee for non-HL7 members of $100 to join the pool... reading/downloading the documents is free.) IOM and HL7 were essentially asked (this Spring) by CMS/HHS to collaborate on an "EHR standard". IOM released it's recommendations a couple weeks ago regarding content requirements for the EHR. 4 principal record-views were contemplated by IOM and included as "care setting profiles" in the HL7 ballot. One of these would be a patient-view of his own EHR, with the ability to change/add certain data. This does not alter the HIPAA mandate in any way... although direct patient access to an up-to-date EHR would probably cut down on requests to providers for paper copies of health records. The issue of who could/should/would have read/write access to ANY EHR is still very much a matter of discussion. There is nothing about rights of access or "stewardship" or any other security issues in the present EHR ballot. Christopher J. Feahr, O.D. Optiserv Consulting (Vision Industry) Office: (707) 579-4984 Cell: (707) 529-2268 http://Optiserv.com http://VisionDataStandard.org ----- Original Message ----- From: "Bill Walton" <[email protected]> To: <openehr-technical at openehr.org> Sent: Monday, August 11, 2003 1:53 PM Subject: Re: HISTORY DATA SET IN EPR > Hi Christopher, > > Christopher Feahr wrote: > > > For this reason, the Institute of Medicine content recommendations > > (reflected in the present version 1.0 of the HL7 EHR ballot) includes 4 > > main care settings: in-patient, out-patient, nursing home, and "personal > > health record". The last is the patient's view of the record... > > I think I'm a little lost here. I've read HIPPA, the regs and the preample, > and my understanding is that the patient now has a legal right to copies of > his medical record and a right to contest the contents of that record. Are > you saying that the IOM / HL7 are taking the position that the physician can > decide to withhold portions of that record? Where can I find out more about > this? > > Best regards, > Bill > > - > If you have any questions about using this list, > please send a message to d.lloyd at openehr.org - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
