Weheh,

On Jul 13, 12:19 am, weheh <richard_gor...@verizon.net> wrote:
> Indeed, any EMR (electronic medical record) system must be HIPPA
> compliant. There's no reason web2py why an online web2py

I see no reason that web2py cannot be HIPPA compliant. My point was
more in relationship to your comment on the costs of such systems. The
$100k per installation sounds about right. But slicing the onion, the
allocation of that charge is probably 60-70% for preparatory legal
defense. The more a particular EMR grows in installations the greater
the risk is that a breach will occur.


> But indeed, I am suggesting a paradigm shift away from a monolithic
> medical culture where the patient is a piece of meat with no ownership
> of their personal data,

I have had medical care in Russia and that is the type of records
management they have. Its the patients responsibility to maintain
their long term medical records. The doctors/hospitals also keep
records but only of the procedures they alone performed. Considering
the cultural nature of the US, it seems counter intuitive that if
privacy is in such high esteem that medical records are not the
personal property of the patient. I am with you there.

> The point of HIPPA is not to make it impossible for anyone to do EMR.
> It's to protect the privacy of the info. For what technical reason
> should a web2py based EMR system NOT be able to achieve said
> compliance?

Again, based on what I have developed with Web2Py I have no doubt it
can be done. The issues are external to the technology. Lets say you
write the world's best EMR. 1) It being open source does not protect
you from the stupidity of the user base. You can still be sued. 2)
Even if in your documentation you state that to use the software the
user is required to use only a secure USB key. Many won't as they
simply did not read your document and purchased a $9.99 USB special.
So when their medical records end up on some website they are going
after you because it is 'your fault'. 3) You also sign yourself up for
keeping current on medical record security mandates.

I don't want to rain on the parade. Its an ambitious undertaking and a
worthy cause to pursue. But the downside risks would not let me sleep
at night.

JohnMc

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