Matt Evans wrote: >Hello > >Sam - do you distinguish between saving and signing a document? Some >documents we have are works in progress (e.g. a discharge summary document >added to bit by bit by multiple authors during an admission) that only get >signed once ready for release. I'm not sure how to represent this. > > this is a question we have been asked a few times. There seems to be the following strategies: A - unfinished work could be committed to a 'holding bin' on the client machine; the author comes back in the next day and finishes it, then commits it for real. Q: is this a security risk (A: undoubtedly); Q: what's to stop the author accidentally or intentionaly committing the work unfinished to the server anyway? If they did, we would still need to mark it as 'draft' B - unfinished work (if marked as such) could be committed to a holding bin on the server. Safer...
C - unfinished work could just be committed to the EHR proper; the "draft" marker will cause it to be ignored from queries. If you think about it for 5 minutes, you see that B and C are the same, or at most, simply a question of where you store the information in your database. So...I think that the solution is: * all documents (they are "Compositions" in CEN and openEHR, "documents" in HL& CDA) should always be committed to the server whether draft or completed * Compositions (or some related class in the version control area - probably Version in the openEHR Common model) needs a status marker which can be "draft", "active" etc etc. - thomas beale >Gerard - do you have a link to a summary of the document you mention please? > >Regards, > >Matt > > >________________________________ > >From: owner-openehr-technical at openehr.org >[mailto:owner-openehr-technical at openehr.org] On Behalf Of gfrer >Sent: 08 March 2004 10:18 >To: Sam Heard >Cc: Tim Cook; Thompson, Ken; 'openehr-technical at openehr.org ' >Subject: Re: Basic EHR functionality > > >Hi, > >I agree. >One can only be responsable for facts if this is shown by a conscious act >like signing. > >TNO-PG has developed a set of Essential Requirements for the application of >IT in Healthcare systems. >This is based on European Directives and other relevant texts. >One of the basic items deal with the attestation of texts. > >Gerard > >-- <private> -- >Gerard Freriks, arts >Huigsloterdijk 378 >2158 LR Buitenkaag >The Netherlands > >+31 252 544896 >+31 654 792800 >On 08 Mar 2004, at 08:03, Sam Heard wrote: > > > > Tim > > The openEHR and before it GEHR work on legality made it clear to me >that a document has no legal status until it is saved in some voluntary >manner - just as a correction in a written document has no status as fact >(if you contemporaneously correct the document). > > Sam > > > >- >If you have any questions about using this list, >please send a message to d.lloyd at openehr.org > > > > -- ___________________________________________________________________________________ CTO Ocean Informatics (http://www.OceanInformatics.biz) Hon. Research Fellow, University College London openEHR (http://www.openEHR.org) Archetypes (http://www.oceaninformatics.biz/adl.html) Community Informatics (http://www.deepthought.com.au/ci/rii/Output/mainTOC.html) - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
