On the contrary. If I worried about people disagreeing with me, there is a
long list of people I would not talk with. I was recognizing that, in this
case, I recognize my views are not the popular view. Doesn't make it right
or wrong, as I am sure you are aware.
Not only that, I enjoy the conversation.
However, in terms of your two references, I still think the wording is open
for interpretation of what the EHR contains. I wanted. to be specific.
That's what's wrong.
Ed
Gerard Freriks
<gfrer at luna.nl> To:
openehr-technical at openehr.org
Sent by: cc:
owner-openehr-technical at openehr.org
owner-openehr-technical@ Subject: Re: removal of
data
openehr.org
05/04/2006 11:27 AM
Please respond to
openehr-technical
Funny?
After many years of discussions,
after one definitive ISO TR on the topic of the definition,
I read that Ed Hammond fears that people will disagree with his views.
What you described is :
4.6.2 Definition?? Integrated Care EHR
The Integrated Care EHR (ICEHR) is defined as a repository of information
regarding the health status of a
subject of care in computer processable form, stored and transmitted
securely, and accessible by multiple
authorised users.?? It has a standardised or commonly agreed logical
information model which is independent
of EHR systems.?? Its primary purpose is the support of continuing,
efficient and quality integrated health care
and it contains information which is retrospective, concurrent, and
prospective.
And something the healthcare provider is using for its own purposes.
This is more close to the definition of the basic-generic definition.
4.3.1 Definition
The basic???generic definition for the EHR is a repository of information
regarding the health status of a subject
of care, in computer processable form.
So what can be the problem?
Gerard
--?? <private> --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
T: +31 252 544896
M: +31 653 108732
On 4-mei-2006, at 15:01, William E Hammond wrote:
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
