"John S. Gage" wrote:
> Brian Bray wrote:
> >
> > The more I think about EMR, the more I think of a document for each
> > patient. No database or middleware needed ;-)
Well, except for:
- physician access (as noted by John)
- administrative access
- data filtering, querying and searching
- security, encryption
- visual filtering
- multimedia
- automated processing of populations of records
> You just have to ask yourself: how much do we really need to know about
> patients? Do we need images, or just reports on images? Can we get
> away with 90% historical data. Mike Roizen's editorial in the NEJM
> seems to suggest that we can.
It seems to me (as a non-physician) that there are two questions here.
1. Are all the images (tests, scans etc) we make of patients necessary? (If
not, there needs to be a process to reduce clinical practice to its
necessary level for medical care to occur properly.)
2. If (once such a process has taken place) we have images, scans etc -
i.e. ones we deem necessary, then surely they want to be available in the
record. Why take them in the first place?
- thomas beale
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