Bhipinder Thank you. I think we have all of these issues covered.
Sam > -----Original Message----- > From: owner-openehr-technical at openehr.org > [mailto:owner-openehr-technical at openehr.org]On Behalf Of Bhupinder Singh > Sent: Thursday, 23 October 2003 1:23 PM > To: Sam Heard; Openehr-Technical > Subject: Re: Pathology requirements CONTRIBUTION - 2 versions at once > > > 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" <sam.heard at bigpond.com> > 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 - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
