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From: "Guy Fisher" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Subject: RE: Medical Record Location(s) was: Virtual Privacy Machine - reprise
Date: Wed, 27 Oct 2004 09:57:26 -0400
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I do see the 'stick' version of an EHR as 1) a copy of data owned by the
patient's various clinicians/providers/pharmacies (and therefore is not
alterable by the patient)plus 2) the original of data owned by the patient
(all demographic data, family history data, patient-based clinical data such
as blood sugars, vitals, comments on clinic-owned data etc). Its the
Patient Health Record. Yes its valuable for use when the patient is
unconscious, but I'd see it as more valuable as the patient's record upon
which the patient should take responsibility for their health. I can see a
diabetic using their PHR to track blood sugars and types of insulin to help
take more control over their disease, or a "well" patient to answer
questions prior to a checkup (a smart PHR application might prompt the
patient to ask for a PSA test or colonoscopy, based on info in the PHR),
etc. And then at point of care the stick becomes another node in the
federated network as the source for patient-owned data.....Guy Fisher
-----Original Message-----
From: Thomas Beale [mailto:[EMAIL PROTECTED]
Sent: Friday, October 22, 2004 10:14 PM
To: OpenHealth List
Subject: Re: Medical Record Location(s) was: Virtual Privacy Machine -
reprise
David Forslund wrote:
>I disagree. Your medical record can be created over a variety of
locations
>each of which may have its own id. This can occur even within a single
hospital
>system. Thus an MPI of some sort is required to "stitch" the medical
record together.
>
>
but then the EHR that is on your stick is just a copy of something else
- then all the points about security of thumbprint-activated memory
sticks and emulator-loaded Linuxes becomes redundant. Then it's main use
is not personal privacy, but _availability_ when you are unconscious,
i.e. in an A&E situation. Or did I miss something here?
- thomas
