KT, as [log in to unmask],Net writes:
>We had a patient complaint once that the dietitian had been allowed to
>read her GP notes - her distress was understandable on seeing the notes
>- there are some things a patient tells a GP which are not intended to
>be spread amongst the primary care team....
>and, while we're on that topic - not the Primary Care group either!
1. The Exeter System, essentially the first attempt at a comprehensive
GP system and still worth looking at for ideas to implement in a modern
fashion, made a provision for line by line locking of the narrative
record, IE if you wrote a line that was not for wider viewing, you
could lock it so nobody else could see it.
Vision has a provision, which may be undocumented, that any line int he
notes which starts with // is similarly restricted. // is of course
the C programmer's comment marker, which is presumably what suggested
its use. (there, I've said something nice about Vision, you all
thought I was unable to see anything good in it<g>)
2. The Prime Minister has, as you will recall, addressed the latter
part of this posting -
in suggesting, as several of us on GP-UK suggested a year or two ago
that ideally one's system would disclose certain elements of the record
under certain circumstances, and with suitable pateint sensitive
controls, and that these summarised records would vary according to who
was accessing them...
I would suggest that the interactive module that each supplier is no
doubt feverishly completing even as we speak should be built to a
common specification, such that templated reports can be returned in
similar format from each legacy engine int he practices.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|