Hi Karsten, Comments in text.
-Thomas Clark ----- Original Message ----- From: "Karsten Hilbert" <[email protected]> To: <openehr-technical at openehr.org> Sent: Thursday, May 08, 2003 2:04 AM Subject: Re: openEHR security; Directed to Thomas Beale > > Tracking is super-important. Include the image. > Of course one does. If you have the image you store it. > > > My preference is for an object-oriented database since I might want to > > retrieve all ER-related information quickly (includes narratives and images). > What do you do when your object-oriented application falls > over ? Here, an open source application/database is even more > important than in plain relational DBs. > There should be sufficient redundancy in the application to enable a recovery. Granted there are a lot of them that do not support this in an acceptable manner, some not at all. Highly available systems and networks go part of the distance; redundancy in applications and storage another bit; redundancy in archiving and retrieving another bit; redundancy in updating. No guarentees however, e.g., the network inject nasty problems. Tough question; answers can range from hardware-OS-local/distributed applications to hardware failures and software errors. Checkpoint and backup. > > If content is there upon > > retrieval it likely was not there upon creation. > I am completely puzzled by this assertion. Please explain. > > Thanks, > Karsten Recognize the thought but the above looks ill-formed. Refers to: 1)Information not present in prior history 2)Initial contact does not contain a reference 3)No input during treatment, etc 4)Information present upon discharge. Gap in the 'chain-of-events'. I could also have been ready to call it a day. The above, however, is a major problem that may or may not be related to the update of the records, e.g., generated a paper record whose content was never entered into the record. Suppose you look at a record one month later where this occurred at another facility. What would you conclude? Interesting example from the legal world: 1)Patient has never had a broken right arm 2)Patient enters a nursing room 3)Patient remains for six months 4)Upon discharge Patient has experienced a broken right arm 5)No entry in the record regarding the event and perhaps subsequent treatment Hence, regardless of the competence of the record-based system there will be situations where some things will remain the same. > -- > 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
