Although I'm not an MD, I think option C, as listed, will tend to be the
better way to go..  Although additions to the EMR should be allowed by
medical personnel working on the patients case.   A Lab Technician may not
have direct consent from the patient to work on the case, however by virtue
of the fact that (A Lab Technician) someone is testing some sort of sample,
the Technician needs to report the result to someone and also have the
report entered into the EMR unhindered. 

Also lab results that end up listed as preliminary should be updateable to
final or corrected and final 

Chris Furnari
Programmer/Systems Integration
Information Systems Division
Westchester Medical Center, Valhalla, NY
Phone: 914.493.7049 Fax: 914.493.1698



> -----Original Message-----
> From: Thomas Beale [SMTP:[EMAIL PROTECTED]]
> Sent: Wednesday, May 03, 2000 10:16 AM
> To:   [EMAIL PROTECTED]
> Subject:      Re: Which one?
> 
> 
> 
> amarcelo wrote:
> 
> > This is not a technical issue but more of a human frailty issue (which
> > could affect promotions of an open source EMR):
> >
> > If you're an MD, which of these two products would you choose to
> > use(assuming it's not imposed on you by the hospital or HMO):
> >
> > Product A: open source, all transactions logged, not editable by anyone
> > -even you -, perfect for electronic medico-legal documentation
> >
> > Product B: open source, all transactions logged, _editable only by you
> the
> > MD_, (ergo, imperfect for electronic medico-legal documentation- but
> > good enough for paper documentation)...
> 
> Product C: open source, all transactions logged, additions can be made by
> those to whom consent has been given; each change is indelible, and
> maintained
> separately from previous ones; tamperproof. (ergo ok for medico-legal....)
> 
> - thomas beale
> 
> 

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