Dear Ed, I don't believe that this is a case for physically deleting data in the record: If data was attributed to the wrong patient, for medico-legal reasons it still must be posssible to recreate the record exactly the way a physician saw it during that period of time. You however should delete it logically and give a reason for this. Sebastian
________________________________ From: [email protected] on behalf of William E Hammond Sent: Tue 18/04/2006 10:06 PM To: openehr-technical at openehr.org Cc: openehr-technical at openehr.org; owner-openehr-technical at openehr.org Subject: RE: removal of data Maybe we Americans are the only ones who screw up, but one of the reasons I have to remove data from the EHR is when the data manages to get into the wrong patient's record. Unfortunately for every right way to do something, there are many wrong ways. I have said that if I did not have to design for human errors, I could do the work 4 times as fast. Result, we need to have the ability to remove data physically and completely from the EHR. To leave the data is a breach of privacy. Ed Hammond Mikael Nystr?m <mikny at imt.liu.se> To: <openehr-technical at openehr.org> Sent by: cc: owner-openehr-technical@ Subject: RE: removal of data openehr.org 04/18/2006 04:53 AM Please respond to openehr-technical I know that it is very hard to completely remove (parts of) an electronic health record, but the law is still the law and we therefore must follow it. It happens now and then in Sweden that we must remove (parts of) an electronic health record completely (and not only logically). The removal is mainly done manually and to a high cost. In Sweden we therefore also need to record where we send electronic health record data and where we back the data up. /Mikael Nystr?m ________________________________ From: [email protected] [mailto:owner-openehr-technical at openehr.org] On Behalf Of Gerard Freriks Sent: den 17 april 2006 08:28 To: openehr-technical at openehr.org Subject: Re: removal of data 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 -------------- next part -------------- A non-text attachment was scrubbed... Name: winmail.dat Type: application/ms-tnef Size: 15844 bytes Desc: not available URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20060419/f2670907/attachment.dat>
