Thats a critical requirement that's normally taken care of by any standard 
software with the help of digital signatures, data encryption and 
hardware/biometric authentication of the EHR, whether it be in a HIS, RIS or a 
Telemedicine app.

With warm regards,

Wg Cdr (Retd) Dr D Lavanian
MBBS,MD, Prim Av Med,MISHWM,MISAM
Certified HL7 V2.3 Specialist 
Domain Expert & Business Manager - Telemedicine
Apollo Health Street Ltd
Apollo Hospitals, Jubilee Hills, Hyderabad, India
Tel: +91-40-23554350
Fax: +91-40-23554354
lavanian_d at apollolife.com
Mobile: +91-9885023504 


----- Original Message -----
From: Dr LONJON Roger <r.lon...@free.fr>
Date: Monday, April 11, 2005 12:59 pm
Subject: Re:  Dr R LONJON Confidence indicator !

> 
> hello philippe and thomas,
> excuse me to intervene, in English of bad quality.
> in medicine for me, a result must be validated and must be signed 
> by the
> producer. This result is therefore automatically a total 
> confidence level. It
> is a very important notion on the legal plan when these results 
> are put to
> disposition on a shared medical file (server web)
> 
> Inversely if this result is approximate, with a coefficient of mistake
> importing, it is not about a validated data and therefore 
> publishable, because
> consequences in r?ponsabilit? for their author are unforeseeable 
> if the patient
> carries complaint.
> 
> I am unaware of this aspect of the problem so enters in your 
> reflection.
> Cordially
> 
> Dr R LONJON
> france
> 
> 
> 
> Selon Thomas Beale <thomas at deepthought.com.au>:
> 
> > Philippe AMELINE wrote:
> >
> > > Hi Koray,
> > >
> > > Don't you think that "Null" is not a singularity (I mean an 
> isolated> > point), but the extreme value of a linear cursor we 
> could name
> > > "validity" or "confidence".
> > >
> > > To give a matter of fact example, I could say that :
> > >
> > > I can provide a value without any comment : I am confident in the
> > > quality level of the measurement process
> > > I can provide a value saying that an average (or poor) level of
> > > quality must be noticed when using this information
> > > I can decide not to provide a value and explain why
> >
> > Hi Philippe,
> >
> > our analysis in GEHR/openEHR has always been that confidence are
> > null-flavour are two different things:
> > - null / data quality - indicates that some datum was not obtainable
> > - confidence is likelihood of being correct a datum is, in the 
> opinion> of the health care professional (or maybe someone else); 
> it can only be
> > set when there is a value
> >
> > - thomas
> >
> > -
> > If you have any questions about using this list,
> > please send a message to d.lloyd at openehr.org
> >
> 
> 
> --
> -
> If you have any questions about using this list,
> please send a message to d.lloyd at openehr.org
> 


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