On Thu, Oct 20, 2011 at 11:23:41AM -0500, Fred James wrote:
> Evangelism aside, and just plain having fun as well ...
>    the core need is sharing records in a secure way
> ... so one might ask oneself ...
>    (a) if the recipient has to boot from the CD, is the record truly 
> sharable?
>    (b) is there a HIPPA standard format that might be more useful?
>    (c) what happens when a record is sent to another medical office?

Good points.  

LiveCDs can indeed write to the system disk (a bit more work for
NTFS, but not impossible) - but unless the patient (or physician)
understands the data security implications of what they are doing,
it is probably better that they don't.  Hence, you don't want a
"one click transfer", though that could be arranged.

There are standard interchange formats for medical information
( HL7, DICOM, etc ), and data in those formats will also be
encrypted on the CD.  Patients won't have the tools to look at
them, but they can use OpenEMR on the disk itself to do so.

Medical practices using a proprietary EMR may need the skills
of their IT geek to import the data into the proprietary form
used by their EMR.  Not because the translation is difficult,
but because most doctors and med-techs have limited IT skills.

By putting both the data and the application on a CD, in open
and replicable formats, capability propagates at the same speed
as the information.  Combined with virtualization, it may
someday be possible to move just about any open data anywhere,
with almost zero setup overhead.  Yes, it is a lot of bits, but
the pipes are getting bigger much more quickly than ordinary
people are improving their software install and maintenance skills.

Keith

-- 
Keith Lofstrom          [email protected]         Voice (503)-520-1993
KLIC --- Keith Lofstrom Integrated Circuits --- "Your Ideas in Silicon"
Design Contracting in Bipolar and CMOS - Analog, Digital, and Scan ICs
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