Dear Georg, Op 24-jun-2008, om 12:16 heeft Georg Duftschmid het volgende geschreven:
> I am now wondering why an EHR reference model is seen to be > REQUIRED for achieving functional interoperability. If I exchange > bare PDF-documents (without any describing metadata) between two > EHR systems, then I would say there is a good chance that these > docs are readable by a human receiver and thus functional > interoperability should be achieved although clearly an EHR > reference model is not used. Theoretically you're right; there is a good change that these docs are readable by human. The real question is: are these usable? Maybe such documents are usable between two health care providers who know and trust each-other. But now I receive such a document from somebody I don't/ superficially know. Am I willing to use (potentially critical) information in the treatment of my patient without knowing the proper context. By doing so I'll take over the responsibility. So if now my patient dies based on wrong interpretation of the incomplete information I'm liable for the death of that patient So I would never use that information and do everything all over again. Why shouldn't I, I'm getting paid for this double work as well (as least here in the Netherlands this holds true and this is what we call 'perverse incentives'). Thing is that if we leave room to doubt the quality of the information and/or are not able to create insight in the responsibilities and the transfer thereof, people won't use it. In that case what's the use of an EHR in the first place? Cheers, Stef -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20080624/468ec8fc/attachment.html>
