I agree that is very seldom.

For many (technical) reasons it is completely impossible to remove  
all information as if it was never written.

for example:
- The information is communicated with others before it has to be  
removed
- the information is part of an archive on CD-ROM
- the information is indexed somewhere

Laws (as far as I know) cannot force healthcare providers to change  
the history of things.
Each healthcare provider has the obligation to document itself.
The law, my personal opinion, most often is written by legal persons.
Therefor what they prescribe is legally correct but many times  
impossible to execute.

My solution is to translate the legal terms in a requirement to  
LOGICALLY remove the information,
It is there.
But it is not used any longer.

Gerard

--  <private> --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands

T: +31 252 544896
M: +31 654 792800


On 16-apr-2006, at 23:53, Mikael Nystr?m wrote:

>> [...]
>
>> In an EHR-system physical deletion MUST NOT be possible.
>> Deletion after attestation will be in all situations legally not  
>> allowed.
>
>
> In fact that isn't true in Sweden! There are some very special  
> occasions
> when a health record or parts of it should be able to be completely
> destroyed as if the information never had been written and signed. The
> situation happens very seldom, but still we need to be able to  
> handle it.

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