Talk:Electronic health record

From Citizendium
Jump to navigation Jump to search
This article is developing and not approved.
Main Article
Discussion
Related Articles  [?]
Bibliography  [?]
External Links  [?]
Citable Version  [?]
 
To learn how to update the categories for this article, see here. To update categories, edit the metadata template.
 Definition Longitudinal collection of electronic health information about individual patients or populations [d] [e]
Checklist and Archives
 Workgroup category Health Sciences [Categories OK]
 Subgroup category:  Medical informatics
 Talk Archive none  English language variant Not specified

That may be a MeSH definition, but it's wrong.

Call it an EHR, EMR, PHR, or whatever, there is a massive difference between the machine-processable data that constitutes the record, and the human and automated medical equipment interfaces to it. In my practice of medical informatics, I often illuminate people who ask "how do I justify an EMR?" and I say "you don't."

If I dumped out an actual electronic medical record, it might be a collection of XML representation of HL7, which, on its own, is as comprehensible to most physicians as, alas, handwritten prescriptions. Now, if I present a history-taking tool, a set of workflow screens and schedules, a clinical decision support tool operating on the EMR and its knowledge base, I have something I can justify. When portions of the EMR need to be sent, in machine-readable form, to a third-party payor's computers, there is a justification.

We need to separate the presentation and use of the information in the record from the mechanisms of the record itself. Those mechanisms are nontrivial and important, since a major part of health cost is information transfer. Incompatible EHR formats require expensive manual intervention.

Howard C. Berkowitz 15:27, 9 October 2008 (CDT)

Security & privacy

Ross Anderson at Cambridge has done extensive work [1] on security & privacy of clinical information systems, some of it as a consultant to the British Medical Association. Some of this needs discussion here. Sandy Harris 13:43, 3 October 2010 (UTC)

Information Week claims "Nosy staff members committed most of the personal data breaches that hit more than 70% of healthcare organizations last year, survey says." [2] Sandy Harris 03:44, 8 September 2011 (UTC)

External links

Why does this article have an "external links" section in the text, rather than using the external links subpage? That is certainly contrary to the usual CZ practice. I'm not certain if it violates any policy. Sandy Harris 16:06, 11 July 2011 (UTC)