At 22:23 +0000 on 26-11-1996, Mary Hawking wrote:
>
> >
> At the moment we have what you might call "partial records" in different
> sites - and the assumption is that information is sent on a need to know
> basis(When I write a referal letter, I include information relevant for
> the management of that problem - not the total medical record).
> If you have an access control list,would this be for access to the total
> record, or could it be taiored to allow access only to the section
> needed at the time? - and if so,how?
> Is it possible to hack an access control list situation?
> Is there a risk to the patient in having partial records (or partial
> access to complete records) - missing information on medication or
> allergies might lead to medical errors, for instance.
>
> Mary
>
> PS Is there a case for retaining the Lloyd George envelope and doctors'
> handwriting? ;->>
- Partial records are no problem. With the Hypertext-like/Web-like
possibilities to link to other documents it will be possible.
In the Netherlands the Government is promoting the use of Chipcards to
store things like Name, Address, etc. But references to all locations with
records.
It is likely that the GP will be custodian as well.
The patient will be able to control who has access to the list with links
and to which links.
-The view is that any portion of the record can be shielded off or made
available to any person or functionary.
(What's needed and missing now is an Infrastructure to handle all
encryption keys)
-Anything can be hacked, but with howmuch cost, knowledge or effort?
-Important information will be made available by the patient via the ChipCard.
Or via his custodian, the GP.
Not much could be missed. A lot can be gained.
Imagine the reduction of adminstrative cost which could result, the more
general availability of much more detailed information than at present.
- My writing is very poor so sending a written record is useless.
Greetings
Gerard Freriks,huisarts, MD
C. Sterrenburgstr 54
3151JG Hoek van Holland
the Netherlands Telephone: (+31) (0)174-384296/ Fax: -386249
Mobile : (+31) (0)6-54792800
ARS LONGA, VITA BREVIS
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