Douglas Carnall wrote: >Andrew Ho wrote: > >>With a digital notary, >> >>1) I can trust your document that comes with a valid certificate. >>2) However, I won't know how many other relevant documents you are keeping >>from me (e.g. progress notes and surgical reports from the same patient). >> > >I once knew a psychiatrist who kept a two tier paper record system: the >hospital notes (property of the state), and a card index to which only he >and his secretary had access. I don't know if he ever shared them with >anyone else. > This is actually common in Psychiatry as quite personal details come out in therapy that no one else except the therapist (and definitely NOT the insurance company) needs to know.
>You could model such a system quite simply: maybe using a >secure browser to connect to your own private server (apologies if this >seems naive to folks who can packet-sniff and monitor keystrokes > > > >BUT: in real life, most doctors (and other users) won't be able to set up >their own secure server; most wouldn't be able to outsmart their own >computers' internal audit trails. > So true. -- -- Ignacio Valdes, Editor: Linux Medical News http://www.linuxmednews.com 'Revolutionizing Medical Education and Practice'
