In een bericht met de datum 4-5-2006 15:30:25 West-Europa (zomertijd), schrijft hammo001 at mc.duke.edu:
> > Mcuh of an opinion of this topic depends on what your view of an EHR is. > My view is very specific and focused. The EHR contains the data that is > important for the present and future care of the patient. It is legal in a > sense that the data should be correct, complete for its purpose, and > focused. A clinical warehouse or data repository is where all the data > goes and stays. A clinical data warehouse would serve the purpose you > identify. A physician treats the patient. It would be interesting to note > how such errors are discovered. In my experience, it is frequently the > patient and secondly the provider seeing the patient who discovers those > errors. > > If the EHR contains anything and everything without structure and purpose, > it becomes too burdensome to use. > > For example, in the clinical laboratory, it is important to note a series > of times - when the specimen was collected, when it arrived at the lab, > when it was processed, and when it was reported. The physician taking care > of the patient is interested only in the time of the specimen and that the > result is reported. > > I recognize that many will disagree with this position > > Ed I have no opinion on your lab example, but in principle I agree that an important feature of an EHR is to delete data that are wrong. However, the procedure for this can be multiple. -> normally error data are made inactive, but can still be traced for legal reasons. But they do not function anymore in the active record of the patient. It might even need a specific technician inpunt to track it back, but even the fact that data of another patient where entered in the record of the patient under care is an event you might need to verify years later. Of course they should be removed from the active record and have no function anymore in any of the data uses in the EHR. But the fact that this error once existed and was corrected and how and by whom must be trackable I believe. William Goossen -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20060504/5b0b2c6d/attachment.html>
