Having the shared EHR literally at the GP clinic is unlikely to be a good approach for technical reasons, even though the GP will in many cases be the best gatekeeper. A better solution is on secure servers at about the level of the primary care trust (UK) - in principle it needs to be at a level not much higher than where most patient information movements are likely to occur, while being at a level where economies of scale can be applied to the technical infrastructure. GP clinics and other providers are all likely to retain their own private EMRs of course, but this is not same as the patient-centric EHR.
- thomas Nandalal Gunaratne wrote: > IT would seem to me that, what you favour is a system > where, all patients will have their EMR with their GPs > and nobody else and nowhere else. What is done in a > hospital encounter, for example a Urological Surgery, > Cardioloical tests, CT scan reports, will be sent to > the GP for inclusion in the EMR. For this these must > be interoperable with each other. > > Making the GP the crux of EMR development, recording > and storing, makes sense as it is patient based. He > will decide as to whom he will provide access? HE has > also to ensure access without fail to the patient in > an emergency, which may happen in another country at > an ungodly hour. > > Unfortunately not every country has such a well > developed, GP based system, as in the UK. > > Nandalal > > --- Adrian Midgley <[EMAIL PROTECTED]> wrote: > > >> David Forslund wrote: >> >> I tend to think that my notes, made by me, and >> sitting where they >> currently sit, upstairs in my Practice building, >> mean something. >> >> It is clear to me that anyone else who gets to read >> them, now or later, >> makes their own judgement about what they mean and >> to what degree of >> relevance and reliability, and so do I for others' >> notes. >> >> So providing the means for other people to negotiate >> access to my stored >> notes seems sensible, they will interpret them in >> the light of whatever >> is going on, and the next person will do _their_ own >> thing. >> >> Pushing them all into one heap, or passing them >> around into everyone's >> heap until none of us know which are ours and which >> are some >> school-leaver's is a different and semantically >> inferior process. >> >> -- >> A >> >> > > > > > ____________________________________________________________________________________ > Cheap talk? > Check out Yahoo! Messenger's low PC-to-Phone call rates. > http://voice.yahoo.com > > > > Yahoo! Groups Links > > > > > > -- ___________________________________________________________________________________ CTO Ocean Informatics (http://www.OceanInformatics.biz) Research Fellow, University College London (http://www.chime.ucl.ac.uk) Chair Architectural Review Board, openEHR (http://www.openEHR.org)
