>[...] >> At all points NEED TO KNOW >> governs access >[...] > >Except that the Need-To-Know paradigm doesn't work very well >in healthcare. The provider may not know what she needs to >know at the time of the patient encounter. The patient can't >possibly correctly decide what her doctor must know in order >to be able to make the right decisions (of course, the patient >is fully able to decide what she *wants* the doctor to know). >Etc. > >Medicine is neither the military nor a secret service, literally >(it's not mass media either, on the other end of the spectrum). > >Just a clinician's muttering ... > >Karsten >--
Karsten, I agree and have concerns about being expected to take responsibility without access to all the facts. I suppose this may not be an issue as I suspect that most people won't restrict the information in their file. However, to fragment a medical file into bits I can and can't see is similar to taking the view that mind and body are separate entities. If something is restricted, will I know there is something there that I can't see? Or will I be blisfully ignorant? How can I know if a piece of information is irrelevant unless I can see it to assess it? More mutterings! Matt - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
