Gerard, thanks for your explanation.

I was a bit confused by the ISO18308-conformance document

I understand now, that there are classes X_ACCESS_CONTROL and ACCESS_GROUP to 
handle this.

It is the local law which dictates how to implement access controls.

Bert


Op vrijdag 14 april 2006 13:44, schreef Gerard Freriks:
> Bert,
>
> " GP sends the patient to the hospital"
>
> What do you mean:
> Is he referred to a specialist? Then implicitly, at least in the
> Netherlands, both the GP and specialist have access rights.
> Is he referred to a lab-service in the hospital? Then the same
> reasoning can be applied.
> Always the patient has the rights to limit the access rights of
> others, including him self and the GP.
>
> The whole business of co-operating physicians is dealth with in a
> coming European Standard:
> "System of Concepts for Continuity of Care", ContSys)
>
> In the whole chain of events: Identification, Authentication,
> Authorisation, Access Control and Logging.
> What you describe is, are problems at the level of Access Control
> where the Patient mandate is executed against the rights granted in
> the authorization phase.
>
> Gerard
>
> --  <private> --
> Gerard Freriks, arts
> Huigsloterdijk 378
> 2158 LR Buitenkaag
> The Netherlands
>
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> M: +31 654 792800
>
> On 14-apr-2006, at 13:12, Bert Verhees wrote:
> > A GP a few days ago was thinking of the following situation
> >
> > A patient goes to the GP, the GP sends the patient to the hospital,
> > in the hospital there are some tests.
> > The results of these tests can arrive in the openehr system,
> > possiblities
> > - the GP may not be allowed to see the results of these tests,
> > because the specialist thinks the GP is not qualified to judge the
> > outcome
> > - the GP may not be allowed to see the results of these tests
> > because the patient does not want him to see them
> > - the GP is allowed to see the results because the specialist and
> > the patient allow him to see the result.
> >
> > As I understand, in this case, the committer of the composition is
> > the specialist
> > ------------------
> > As I understand this, a authorization application keeping track of
> > authorizations and group-definitions is needed to support the
> > openehr-using application.
> > Are there any thoughts about this?
> > Can I read some more about this, anybody know where
> >
> > And also other thoughts about authorization by other ways are welcome.
> >
> > I was thinking of authorizations on the use of archetypes.
> > In the above example, the specialist could have used a specially
> > prepared archetype to post the test-results in case he did not want
> > the GP to see the results, and another archetype if he grants the
> > GP to see the results, then there would be only one extra
> > authorization necessary, the patient must allow the GP to use all
> > the archetypes, he as a GP is entitled to use.
> >
> > But maybe, very well possible, I am overlooking a lot, so
> >
> > Please help me thinkig about this
> >
> > Thanks
> >
> > Bert Verhees

-- 
Met vriendelijke groet
Bert Verhees
ROSA Software

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