You have factored the details relating to reporting. A major issue is the transmission and reading of the result by the clinician. Ther is to be time event to be recorded as to when the clinician who has direct control of the patient has read it. A legal issue that will come up at times is that the report shall be claimed to have been sent and the consultant clinician shall claim not to have received it and thus not having read it. A timed event for both these activities need to be available. Further there is a need for alerting the clinicians once the report is ready.
There is a need to have the ability to generate an Interim report and then a final report. It is the interim report that shall have to be avilable to few and the detailed subsequently. Both these have to be a part of the EPR to substantiate the clinican actions in case of a abnormal event when the action of the clinician results in a abnormal event in the patients recovery. Even when the sample is haemolysed a track of the sample needs to be kept in the EPR of the patient. Bhupinder ----- Original Message ----- From: "Sam Heard" <[email protected]> To: "Openehr-Technical" <openehr-technical at openehr.org> Sent: Wednesday, October 22, 2003 4:02 PM Subject: Pathology requirements CONTRIBUTION - 2 versions at once > CONTRIBUTION - 2 versions at once > > There is a particular problem with results that are deemed to be incorrect > as the specimen is damaged - haemolysed blood samples being the most common > (See textural results to quantities thread). If the machine read data is to > be preserved in openEHR then this would need to be over written with the > correct result and both compositions saved at the same time - otherwise some > other agent might base some process on the interim situation where the first > composition is saved even for a microsecond. We think this relates to > machine processed data - but keeping medical student entries might be dealt > with in some environments in the same manner. > > ACCESS CONTROL to interim reports > > There will be times when the access to an interim report needs to be > controlled - such as an abnormal result from a lab that has not been signed > off by the final arbitor...but it may need to be available to a particular > team. Our access control models need to deal with this. > > Cheers, Sam > ____________________________________________ > Dr Sam Heard > Ocean Informatics, openEHR > Co-Chair, EHR-SIG, HL7 > Chair EHR IT-14-9-2, Standards Australia > Hon. Senior Research Fellow, UCL, London > > 105 Rapid Creek Rd > Rapid Creek NT 0810 > > Ph: +61 417 838 808 > > sam.heard at bigpond.com > > www.openEHR.org > www.HL7.org > __________________________________________ > > - > 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
