On 04/11/2017 14:20, Bert Verhees wrote:

Gérard has some points. A patient, in the Netherlands, has under conditions the right to require the physical removal of all data.
In that case no "deleted" marker is necessary.

Then there is the case of inactive patients. In case of a GP the law requires he must.be <http://must.be> able to produce the patients data until ten years after last visit. Often patients just disappear without formally ending the relationship with the GP or they never had a formal relationship. Tourists for example. A GP is not interested in seeing persons in a listing which are not his active patients.

I once, some years ago, helped facilitating archiving those patients data, so they could be they physically removed from the GP information system. Also here was no "deleted" marker necessary.

The only situation I can think of that requires a "deleted" marker is when a information system is used for historical data research together with active clinical use..


the deleted marker is for other (more boring) scenarios entirely - it's just about /logically removing /content, not about moving / removing EHRs, which we also have to be able to do, but which is another question...

Maybe a standard should not facilitate such combination of use cases in a single data storage information system.
When historical research is needed one should query the archive system.


specification of an EHR archive does not yet exist in openEHR, and you are right, that's the place for this kind of thing. But, we wouldn't want to solve everything on day 1...

- thomas
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