[log in to unmask],Net writes:
>>The hardware and software are ours, the computer records belong to the
>>patients
>Not sure your right Andrew.
THe issue of ownership was the only one that could really be sorted out
with paper records, but now with electronic ones one could consider the
rights of access, modification and dissemination.
Patients have rights of access and dissemination
THe secretary of state has the right of access, probably, but must act
reasonably
probably
We have the rights of modification - at least by appending information
- and of dissemination of certain parts of the record in certain ways.
THe patient also has the right, IMHO, and it should be exercised for
them, of knowing who has had access to their records, and to which bits.
I thik a trickle back along the network and hierarchies of our data
which leads to the patient receiving a summary of the accesses to any
data with their nameor number on it, but not to any aggregated and
de-identified data, woudl be a very useful aid to concentration on
Caldicott and confidentiality.
COnsidering the medical record as a stack of e-mails, in a conferencing
system, this would only need the history feature and the notify on read
features which are present in FirstClass, and presumably in Exchange.
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