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
On Sat, 2004-03-06
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A successful operational medical record system for Diabetes based on the
Good European Health Record (GEHR), derived from an European research
project is the Black Sea TeleDiab system. The diabetes data is based on the
WHO (Europe) Diabcare dataset. This sysetm is written in C++ and uses
Microsoft
Having been away for a couple of days it's difficult to know where to start
with so many responses!
I think that the basic problem lies in the way the documentation system is
intended to be used. That is for one off assessments where every time you
sign the document you are supposed to be signing
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.
At the VA, a note is still deletable until it is electronically
signed. You can save it and not sign it and still be able to delete
it. I do not know the algorithm of signature but it involves a
pin-like password that is different from your login. I bet the VistA
crowd would know.
-- IV
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