On Mon, 25 Nov 1996 18:48:01 GMT, you wrote:
>The one problem I have with browser-type medical records is a simple one
>of control of access to data. Right now GPs are the only people with that
>access. Once the browser type record exists, that has gone.
Not so - if you use the Web browser as a "dumb terminal" to access the
record in situ at a remote site (remember the record fo a patient can
be distributed across many sites/systems), then access control to the
data is the responsibility of the organisation that captured the info
in the first place - via an access control list. In fact, with a
browser, potentially more control over who has right of access to
patient information can be achieved - it's an application access
control issue.
Think "application" in this paradigm, not "Web page". The Web page is
simply the format used to present the info to you when it's retrieved
from the host system(s). Instead of wrapping up the output in, say,
VT200 escape sequences to drive your VDU, the host application wraps
up the output in HTML tags to drive your browser. How the data is
stored on the host system is irrelevant. Use of Web technologies also
means where the data is stored can be irrelevant to the user -
provided they are authorised to use the host system.
>I do not trust
>the DoH that far, as they have been trying for some time to break the
>dependency of individual patients on individual GPs - i.e. trying to
>encourage a total free flow situation in which the lowest bidder can
>provide primary care services.
>
The DH needn't come into it - control is with the organisation that
captured the info, not via any central control.
Of course the only thing needed for all this is an IP network - NHSnet
will do, or of course PPP over dial-up PSTN/ISDN, or the Internet.....
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Rob Tweed
IM&T Consulting Ltd; Health Web Services Ltd;
M/Gateway Developments Ltd
http://www.hwsl.co.uk/mgw
Tel: (+44) 181 540 1325
Fax: (+44) 181 715 4337
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