Records on smartcards [was: [LINK] Thoughts about health cards]
swilson at lockstep.com.au
Tue Feb 1 06:20:22 EST 2005
Malcolm Miles wrote:
> On Mon, 31 Jan 2005 13:09:54 +1100 (EST), you wrote:
> >If records were primarily held on a personal card, there are several
> >important problems:
> >- if the card is unavailable then treatment can be compromised
> >(especially in medical emergencies)
> No better or worse than the current situation where in most emergency
> cases a patients records aren't available to the ambulance or
> emergency ward doctors.
Of course. But that is one of the problems EHR is trying to fix. Records
on smartcards is a flawed way of trying to deliver patient information in
> >- smartcards cannot cope with the megabytes, sometimes gigabytes of
> >data (note that many hospital imaging systems are going digital; as an
> >aside, my most recent medical images were given to me on a CD-ROM)
> I would not expect that a smart card would store x-ray images and
> other full test results. It should be able to store basic medical
> data, such as any conditions such as diabetes, current drug regime,
> their GP's details etc; much like an expanded version of the medical
> bracelets some people wear.
So where are we going to put the bulky items of the electronic health
record if they don't fit on a smartcard? We're going to store them
centrally after all.
But you're right that an expanded version of the medic alert bracelet is
one aspect of some health card proposals. Store the bulk of the record
centrally, with redundant storage of allergies and prior conditions on the
smartcard, to facilitate emergency treatment in cases where the card is on
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