At 00:51 11/12/96 GMT, Ahmad Risk & others wrote lots which has been snipped:
>
This has got a bit heated, may I suggest looking at requirements:
1. if all you need to do is _review_ the medical record for ONE patient then
having it presented in a form accessible by browser technology is fine -
that is just how paper notes are accessed. For much of our work, clinical
staff would be happy to have seamless access (ie. not aware that they were
doing so) to the referring physician's notes.
2. If you wish to review (eg. clinical audit) all patients with suspected
coronary heart disease (ie. the referring physician's evaluation) then that
data needs to reside on our machines. The alternative is an intelligent
agent which remotely interrogates the records of _all_ patients referred to
us! Would you mind 'foreign' queries running on your patient databases?
(access control lists permitting)
How do you intend to populate the browser readable document?
1. In real time during a consultation?
2. As an extraction from a conventional database structure?
Both methods have their problems.
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Andrew Capey [log in to unmask]
Corporate Data Manager
Royal Brompton Hospital Tel: 0171 351 8726
Sydney Street, London SW3 6NP, UK Fax: 0171 351 8743
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