"That is not feasible" And that's the problem that will keep the technical people in money for years to come. Not only must it be feasible it will be demanded by judges and courts if the EHR is to ever be truly adopted. Even now we have rules that all e-mails where a decision is made must be printed out! The paperless world has never been to court. It is feasible of course but complex. Flags are set when pages are viewed, there are intricate audit trails (terabytes). The fact that no one is doing it yet is that the litigation costs haven't risen high enough to balance the need to do it. Once a few specialists are sued for activities that can not be supported by the record and they known they were innocent then we will see some very interesting changes, either a reappearance of paper records (personal) or a new paradigm of image capture. IMHO of course.
David -----Original Message----- From: [email protected] [mailto:owner-openehr-technical at openehr.org] On Behalf Of Karsten Hilbert Sent: Saturday, 5 March 2005 8:22 AM To: openehr-technical at openehr.org Subject: Re: Demographics service > The EHR is rather a unique document and a layered approach is necessary as > old data must never be altered - may not necessarily be accessible but must > never be altered. Errors can be corrected but the error must remain totally > accessible in the manner it was presented to the clinician when it was > relied upon - eg clinical results, medications. That is not feasible as it would amount to taking physical pictures of the screen as it looked when displayed. And even this would only prove what the user *might have seen had she tried* - certainly not what she *saw*. 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
