Stefan,

I agree.

For me the EHR contains data and information that is placed there because of an 
author/healthcare provider.
In my 'book' all data and information must be there because of the execution of 
an act by a human. There is  a strong legal requirement that always a human can 
be held accountable for what is in the EHR or is not in the EHR.
The prime function of the EHR is to be the container where the healthcare 
provider as author documents the healthcare provision process.

Next to the EHR data and information, there is a need for EHR-systems to hold 
data and information that has been received and is waiting to be inserted by 
the author/healthcare provider.
In other words I see the need for an IN-box and an OUT-box where data and 
information sits in limbo until it is processed by the author/healthcare 
provider.
Data and information in these boxes is NOT part of the EHR proper, but 
connected to, or associated with, it.


Gerard Freriks
+31 620347088
gfrer at luna.nl




On 21 Jun 2012, at 12:18, Stefan Sauermann wrote:

> Hello!
> Just a few cents, as Gerard wrote:
> 
> > Everything documented in an EHR is based on human interpretation.
> A raw, non-validated, blood glucose value is not based on human 
> interpretation. It comes out of a machine.
> It is a requirement for EHRs to support the clinical validation process.
> I therefore conclude that some EHRs need to store information that is not 
> based on human interpretation.
> 
> Hope this helps, greetings from Vienna,
> 
> Stefan Sauermann
> 
> Program Director
> Biomedical Engineering Sciences (Master)

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