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 > - If you have any questions about using this list, please send a message to d.lloyd at openehr.org