Dear Ian,

 

>If anyone is interested in this area, I have a contact via my Msc
Informatics course who was 

>looking at varying privacy legislation as part of her final year project in
the context of 

>mutli-national occupational health records. She currently works for Shell
and is/was based in 

>the Netherlands.

 

I would be very much interested in this - various privacy legislations. 

Could you please provide me with the contact / url / available reports...  

 

Kind regards,

leo

---------------------------------------------

LCI informacijski in?eniring

Leo Ciglenecki s.p. 

Cafova 8

SI-2000 Maribor

Slovenia
tel SLO: +386 41 549388

e-mail: leo.ciglenecki at siol.net

---------------------------------------------

  _____  

From: [email protected]
[mailto:openehr-clinical-bounces at openehr.org] On Behalf Of Ian McNicoll
Sent: Monday, December 17, 2007 11:11 AM
To: For openEHR clinical discussions
Subject: Re: Antw: Author Information Mandate (Re: Archetype production:
Typesof Archetyp...

 

On Dec 17, 2007 9:01 AM, Gerard Freriks <gfrer at luna.nl> wrote:

I know for sure that in many occasions I want to document a private thought
in the context of my note about a patient. 

I know for sure that when the patient demands access to these notes I must
give them, when I have them.

Agreed 

I know for sure that the EHR is the official play ground where others will
read and interact with each other. So this is not the place for private
notes.

but there are other types of notes that are accessible to clinicians but
legally concealable to the patient which may exist within the EHR. 
 

I know for sure that part of the privacy is dealt with at the system levels.
(Desktop, Networks, Applications, Services) 

I know for sure that at the end of the line the EMR or EHR will play a role
as well because here the patient mandate is stored and exchanged. (part 4 of
EN1606)

Agreed but privacy rules are bound to Archetyped information as part of the
OpenEHR reference model, although the rules themselves are not defined. 
 

So

I know for sure that openEHR will have to deal with all this and the OpenEHR
tooling must be able to produce Templates/Archetypes to deal with the
Patient Mandate. 


There is no problem in doing the modelling of the Patient Mandate using
archetypes and  templates but within OpenEHR, this class of data is seen as
being separate, like metadata, to the main content of each archetype. Think
of it like the Contributor,composition dates etc. which are elements
automatically attached to the contribution to the EHR by the reference
model. 

The main difficulty is not modelling the requirements but in establishing
the 'maximal dataset' of all possible approaches to patient confidentiality
and security. An archetype approach would have to be as inclusive as
possible a number of potential overlapping ideas. Could become very tricky!!


If anyone is interested in this area, I have a contact via my Msc
Informatics course who was looking at varying privacy legislation as part of
her final year project in the context of mutli-national occupational health
records. She currently works for Shell and is/was based in the Netherlands. 

Ian

 

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