Philippe AMELINE wrote:
> Beware 1 : For many reasons, health professionnals and health
> organisation need to keep a personal EHR ; the "health journey" system
> is necesseraly something else since it is owned by the patient.
> Beware 2 : Patient centered systems are systems in which the patient
> is the "main key data" but are tailored to see patients passing
> through (admited, cured, then out). Systems like the Ligne de vie are
> made to see health professionnals passing by. For those of you that
> have already seen a car race, EHR can be seen as a video inside the
> garage while the Ligne de vie is something like an "in-car" video.
Philippe, I would suggest that here you should use the term EMR or EPR -
i.e. institution-based health records. The current conception of the
"EHR" in ISO, in CEN, and in openEHR is definitely patient-centred, not
institution-centred. The EHR draws from EPRs, EMRs etc - like the in-car
camera seeing the inside of the garage during each pit-stop (this is a
very good analogy by the way)
> 2) Health vs Care
>
> If a system is used to follow a patient for a large period of time
> (maybe life long), you can guess that (good luck !) this people will
> be more often an healthy people than a "patient" (as you know, healthy
> doesn't mean that you have no illness, but that you live well).
>
> You can see that the name Ligne de vie (life line) is in support of
> that principle : it is made to get used even by healthy people.
pregnancy at least has to be thought of this way.
- thomas beale
