Hi Karsten, This is important since 'linked' messages, e.g., XML database, can be used to handle both status messages from a single Practitioner and multiple Practitioners. The real problem is to decide/filter what gets in the permanent record.
This can have legal impacts in the local jurisdiction. For example, charting is performed but most cases at some later time (an issue since memory recall is suspect) and is typically a paper record Some facilities are attempting to automate this as well as other practices. What to do with this information for many remains an unsolved puzzle. Narratives can be hard to handle in record-based systems as can scannable entries, e.g., charts and images. What you do is important and should/must be saved. A possible approach is a collection of databases handling specific information with posting in a EHR/EPR/EMR, both surviving as permanent data. This puts a focus on record format/structure, i.e., there are limitations imposed by implementation, jurisdiction, users, performance, networking, etc. Small block sizes is desirable; records can be composed of multiple blocks; narratives from multiple Practitioners might be hard to handle. Interesting problem! -Thomas Clark ----- Original Message ----- From: "Karsten Hilbert" <[email protected]> To: <openehr-technical at openehr.org> Sent: Tuesday, May 06, 2003 2:06 PM Subject: Re: openEHR security; Directed to Thomas Beale > Hi Thomas, > > > Constructive! Do you anticipate entering this type status information > > into an OpenEHR record? > Absolutely ! I do record such information even today. > > > If so, what record? > I do so now in the narrative part of the record, at times > linked to previous data by plain and simple layout of data > items. > > 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
