Hi Karsten, A SARS Patient example was chosen because initial screening detects people with elevated temperatures, e.g., airport screening. Once detected early access to records should be facilitated. Information contained in these records is likely to be more extensive, accurate and precise than information from a Patient who is suffering an attack.
Reminds me of my car accident two years ago in which I received an obvious bump on the head (swollen). The Emergency Room nurse retrieved my name and address and then asked if I was in pain. Being Irish is a detriment at times, but I managed to respond that I was indeed in a lot of pain, was unable to stand, could not drive a car, and a prior neck injury was causing considerable distress, all of which was already on the record (same hospital and ambulance technician record). Having experienced the flu on prior occasions I can confidently say that things I say during this time period I will neither remember nor understand why I said them. Including these statements in the record probably is not a good idea nor is basing a diagnosis, other that 'He is out-of-it', on this information. The presumption that a Patient is 100% lucent in a stressful situation is subject to debate, e.g., accidents, flu, labor and delivery. Retrieve the information from the Patient; analyze it; compare it with the record, if available, but give it a proper weighing. Don't forget the symptoms and the reasons the Patient ended up in the facility. It is an information retrieval/analysis/credibility/reliability problem. The information needs to be sorted. Getting the Patient to an appropriately staffed hospital/clinic is a response to the above. Such a response should not be based solely on information retrieved from the Patient, e.g., they may still want to attend that meeting. -Thomas Clark ----- Original Message ----- From: "Karsten Hilbert" <karsten.hilb...@gmx.net> To: <openehr-technical at openehr.org> Sent: Monday, May 05, 2003 9:14 AM Subject: Re: openEHR security; Directed to Thomas Beale > Uhm, > > > Faced with handling a potential > > SARS Patient worrying about retrieving precise, accurate information from > > them about non-SARS history might be wasted effort and highly frustrating, > [...] > > Presuming that the Patient just arrived from the recesses of China an > > initial effort might be an attempt to: > ^^^^^^^ > > > > 1)determine if that recess has an EHR/EPR/EMR based system that can > > be accessed, assuming that your site supports OpenEHR. > [...] > > 11)attempt to update the recess-local EHR/EPR/EMR database > > 12)continue OpenEHR record processing and update (local and recess-local) > > You surely got to be kidding me ? > > How about getting the patient to an appropriately > equipped/staffed hospital ? > > I do see your technical point, though. > > Karsten > -- > GPG key ID E4071346 @ wwwkeys.pgp.net > E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346 > - > 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
