Re: Scenarios for change type "deleted"

2017-11-04 Thread Bert Verhees
Here is the a description by royal organization of medical institutions of the Dutch law for saving medical data. https://www.knmg.nl/advies-richtlijnen/artseninfolijn/praktijkdilemmas-1/praktijkdilemma/hoe-lang-moet-ik-medische-dossiers-van-patienten-bewaren.htm It was years ago 10 years. It is

Re: Scenarios for change type "deleted"

2017-11-04 Thread Pablo Pazos
On Thu, Nov 2, 2017 at 3:01 PM, Thomas Beale wrote: > > On 15/10/2017 12:49, Pablo Pazos wrote: > > Hi I'm trying to define a set of rules for a logical delete commit and > have some gray areas that I'm not sure of. > > *1. commit after delete flow* > > [creation v1] =>

Re: Scenarios for change type "deleted"

2017-11-04 Thread GF
(Health) Data never must be physically deleted. Facts happen and are recorded. But not always readable. Gerard Freriks +31 620347088 gf...@luna.nl Kattensingel 20 2801 CA Gouda the Netherlands > On 4 Nov 2017, at 21:38, Bert Verhees wrote: > > But also apart from

Re: Scenarios for change type "deleted"

2017-11-04 Thread GF
I do NOT dispute what patients can demand. Under all circumstances it is the author that is accountable for his actions. Even under Dutch Business law one needs to keep files for the Revenue Tax) offices. What is meant by the Privacy Law is that all data must be logically be ‘removed’. All

Re: Scenarios for change type "deleted"

2017-11-04 Thread Bert Verhees
But also apart from that. The discussion is if a standard should facilitate an inactive patient (logical deleted) to still remain in the active clinical information system with a special flag or that he should be transferred to an archive system. This is the question which is important to decide

Re: Scenarios for change type "deleted"

2017-11-04 Thread Bert Verhees
Gérard, I think you are wrong. A patient in the Netherlands can require under specified conditions total physical and logical removal of his data from a health care information system . If you want I can represent you a link to the law - text which says so, but because that is in Dutch, and

Re: Scenarios for change type "deleted"

2017-11-04 Thread GF
Even when the patient wants all data to be removed, this means removeal in the context of the provision of helath care. For legal and administrative purposes the data can NOT be removed but be available for these non-healthcare provision related circumstances. One needs a label ‘deactivated’

Re: Scenarios for change type "deleted"

2017-11-04 Thread Bert Verhees
Gérard has some points. A patient, in the Netherlands, has under conditions the right to require the physical removal of all data. In that case no "deleted" marker is necessary. Then there is the case of inactive patients. In case of a GP the law requires he must.be able to produce the patients

Re: Scenarios for change type "deleted"

2017-11-04 Thread GF
My two cents. Two data collections are involved: Patient registry, Patient Health Record. I focus on the Patient Health Record. 0- Committed data is never physically deleted. 1- Inactive. 'Copy of data'. EHR with patient records. The patient moves to an other place and chances Healthcare