In message <[log in to unmask]>, Adrian
Midgley <[log in to unmask]> writes
>[log in to unmask],Net writes:
>>>> I still prefer the smart card
>>>>idea which the patient carries with them. Is it still going on in
>>>>Exmouth?
>>>
>>>No.
>
>>Any idea why not?
>
>>Did it happen to work and frightened them off?
>
>Sort of worked.
>The cards had insufficient memory, so there was not a lot on them.
Has the capacity of smartcards increased? In any case, what *should* be
on a portable medical record?
Thinking of it from the Casualty Officer's point of view, the last thing
I would want would be a total Lloyd George MRE - what anyone needs is a
concise summary - active problems, PMH, current and possibly past
medication, allergies and risk factors.
*surely* a smart card could handle this?
*If* a smart card is supposed to contain the total - and often totally
disorganised - EHR (I've been reading the new IM&T Strategy too!;->>),
then I can sympathise with the Casualty staff's desire to turn the whole
thing off!
>The staff in Casualty where I was at the time took pains to switch off
>the reader - a networked 286 with terminals - as often and quickly as
>possible, and the way of dealing with a card was to heave a big sigh
>and then print it out...
What did they do with the printout?
Presumably it wasn't very useful.. or they wouldn't have turned the
reader off .. even if it was slow!
>
>I think we are better off to have a system of each medical record
>repository acting as a server to return defined subsets of a patient's
>record held on it when requested by a properly authenticated client,
>over the fast network.
Isn't the usefulness of this appraoch dependant on the subsets? Who
defines them, and for what purpose?
Could we develop a patient-authorised summary?
>
>The licenced callers would obviously include the patient,
Agreed
> and anyone
>treating hom who could certify they ahd permission form the patient.
How would they certify this - and what happens in Casualty with an
unconcious patient?
>
>The same would apply between hospital labs and GPs, and between GPs
>when th epatient moved.
That should settle one of the Paients' organisation problems - what
happens if you *want* to lose your medical records? ;->>>
Mary
Mary Hawking Kingsbury Court Surgery Church Street Dunstable LU5 4RS
tel:01582 663218 (surgery)fax:01582 476488 (surgery)
Member of British Healthcare Internet Association
Dunstable and Houghton Regis Locality Commisssioning Pilot
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