I agree, Kevin. As much as I like electronic medical records, it makes what I 
might  consider abuse and misuse of information, some of which is perfectly 
legal, very easy to do.  It is a lot harder when you have to look through a 
bunch of medical records when people will be walking by, noticing what you 
are doing.  In fact, some of the things that disturb me wouldn't even be 
attempted with paper records, but can be done with a few key strokes with 
electronic ones.  

On Wednesday 09 February 2005 09:19 pm, Kevin Toppenberg wrote:
> What bothers me about medical information connectivity
> is a patient's info being spread all over the nation.
> Yes, there is HIPAA, and yes the patient will have to
> authorize it.  But when was the last time any of us
> gave up saying yes or no to cookies in our web
> browser.  You just have to accept them if you are
> going to surf the web.  I think medically, it will be
> something like this: "You don't have to give us your
> health information, but if you don't we won't offer
> you medical insurance."  Or requests for medical
> consultation from a primary care doctor will be
> dependant on access to everything. And for most
> people, it won't be that big of a deal.  Then the
> people that don't want to provide the info seem to be
> hiding something etc.  Just the fact that a patient's
> entire life can be stored in a easily portable glob
> makes the whole business a bit dicey.
>
> Kevin
>
> --- David Sommers <[EMAIL PROTECTED]> wrote:
> > I'd personally rather have a smart card that linked
> > me to a network.
> > The network would pull down and put in the latest
> > medical data but only
> > after I authorized it with my card.  Having all my
> > data on the card (or
> > iPod) would be dangerous - especially since my wife
> > can't usually find
> > her insurance card and keys, misplacing your medical
> > data would be
> > worse.
> >
> > Then the smart card links your insurance, medical
> > history, and
> > authorizes treatment.  If only...
> >
> > /David.
> >
> > -----Original Message-----
> > From: [EMAIL PROTECTED]
>
> [mailto:[EMAIL PROTECTED]
>
> > On Behalf Of
> > Joseph Dal Molin
> > Sent: Wednesday, February 09, 2005 4:35 PM
> > To: hardhats-members@lists.sourceforge.net
> > Subject: Re: [Hardhats-members] OsiriX Images on
> > iPODS
> >
> > ...yes and you can groove to your favourite music
> > with your Pod while
> > you are waiting in the reception area instead of
> > that horrible elevator
> > stuff they play ...sorry couldn't resist the
> > imagery.. :-)
> >
> > Joseph
> >
> > Jim Self wrote:
> > > I think the real beauty of the ipod connection
> >
> > here is that it begins
> > to give substance to
> >
> > > the idea that patients could carry around a
> >
> > reasonably comprehensive
> > and useful copy of
> >
> > > their own medical records to help them and their
> >
> > family and other
> > chosen representatives
> >
> > > to better understand their own problems and the
> >
> > care they have
> > received (or not) and to
> >
> > > share with care givers who cannot otherwise access
> >
> > their records in a
> > timely fashion -
> >
> > > such as the emergency room of my local hospital
> >
> > that can't even get
> > your records from the
> >
> > > clinic next door when you come after hours.
> > >
> > > Nancy wrote:
> > >>I think it does sound like it is just a way to
> >
> > cart the images around.
> > Not
> >
> > >>having an iPOD, I am surprised that it has that
> >
> > much memory, etc., but
> > it is
> >
> > >>good that it is bringing this project out of
> >
> > obscurity.  It will be
> >
> > >>interesting to see  how things fall out with the
> >
> > AFD because I think
> > what I
> >
> > >>was told when I contacted them was pretty over the
> >
> > top in terms of
> > excessive
> >
> > >>regulation.  In addition, I have tried 3 times to
> >
> > get clarification of
> > a
> >
> > >>point in my conversation with one of their
> >
> > regulators who planned to
> > "get
> >
> > >>back to me" after he researched the issue, and I
> >
> > have not gotten a
> > reply by
> >
> > >>email or in response to voice mail messages.
> > >>
> > >>Does the iPOD have a USB interface with the
> >
> > computer?
> >
> > >>On Wednesday 09 February 2005 12:12 am, David
> >
> > Sommers wrote:
> > >>>The problem *as I see it* with the ADF (reversed)
> >
> > is when you use
> > that
> >
> > >>>raw data and turn it into clinical information.
> >
> > In terms of storing
> >
> > >>>data - then, umm, ok but whatever's using the
> >
> > data needs to take into
> >
> > >>>account data management, user identification and
> >
> > authorization,
> > logging,
> >
> > >>>auditing, data purging and archival, encryption,
> >
> > etc, etc, etc.
> >
> > >>>I doubt anyone's using the iPod Photo's small LCD
> >
> > screen to determine
> > a
> >
> > >>>clinical diagnosis.  If that were the case, then
> >
> > yes - they are in
> >
> > >>>trouble because I'm sure everyone would see the
> >
> > difference in image
> >
> > >>>resolution of a portal consumer device vs, well,
> >
> > everything else.
> >
> > >>>In terms of "iPod" - is it simply being used as
> >
> > an external storage
> >
> > >>>device like any other USB/Firewire Hard Drive or
> >
> > Flash Drive?  In
> > that
> >
> > >>>case, throw in the Shuffle, Creative Zen, WD
> >
> > External Hard Drive, and
> > my
> >
> > >>>Sandisk 1GB USB 2.0 memory stick.
> > >>>
> > >>>When I last checked the project, the real
> >
> > benefits where DICOM in OSX
> >
> > >>>and not necessarily the "iPod" - I think maybe
> >
> > that was for grabbing
> >
> > >>>some headlines.  But I could be wrong - I am
> >
> > tired  ;)
> >
> > >>>/David.
> > >>>
> > >>>-----Original Message-----
> > >>>From:
> >
> > [EMAIL PROTECTED]
> >
> >>>[mailto:[EMAIL PROTECTED]
> >
> > On Behalf Of
> > Nancy
> >
> > >>>Anthracite
> > >>>Sent: Tuesday, February 08, 2005 10:43 PM
> > >>>To: hardhats-members@lists.sourceforge.net
> > >>>Subject: Re: [Hardhats-members] OsiriX Images on
> >
> > iPODS
> >
> > >>>On the latter, I sure wasn't worried about the
> >
> > iPOD "breaking" if
> >
> > >>>someone
> > >>>dropped it with all their medical records on it.
> >
> > I was worried about
> >
> > >>>someone
> > >>>loosing it with all that private info on it for
> >
> > unauthorized persons
> > to
> >
> > >>>exploit.  But then, if that becomes common
> >
> > practice, hopefully good
> >
> > >>>protection of the data will as well.
> > >>>
> > >>>On Tuesday 08 February 2005 10:12 pm, Peter
> >
> > Charbonnier wrote:
> > >>>>Please tell me I'm not the only one who saw this
> >
> > question:
> > >>>>Q: Any HIPAA privacy implications?
> > >>>>
> > >>>>Followed by this question:
> > >>>>
> > >>>>Q: Can doctors store all their patient records
> >
> > in an iPod?
> >
> > >>>>and experienced a mild panic attack. :-)
> > >>>>
> > >>>>
> > >>>>On Tue, 8 Feb 2005 21:58:49 -0500, Nancy
> >
> > Anthracite
> >
> > >>>><[EMAIL PROTECTED]> wrote:
> > >>>>>This is the  Open Source image manipulation
> >
> > system that runs on the
> >
> > >>>Mac
> > >>>
> > >>>>>now and might be ported to Linux that VistA
> >
> > might be able to use at
> >
> > >>>some
> > >>>
> > >>>>>point. So this is interesting just because of
> >
> > that, and secondly,
> > it
> >
> > >>>is
> > >>>
> > >>>>>interesting because I did not see and mention
> >
> > of the letters  " F",
>
> === message truncated ===
>
>
>
>
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-- 
Nancy Anthracite


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