[LINK] Centralised IHI architecture ...

[Marghanita da Cruz]

Roger Clarke wrote:
<snip>
>> Secondly, what I was pointing out is that some of the
>> information you identified as being more widely
>> available  (ie log of visits to pharmacist, gp, dentist
>> etc) becomes available - when you pay by credit card.
> 
> It's actually *narrowly* available, i.e. a pharmacist can see their 
> log, but no-one else can;  ditto a dentist;  and ditto the credi-card 
> company.
> 

But the complete history of transactions is available to your
bank/credit card company and I would guess a few others in
the financial system.

If we look at this from a health care perspective (which I
don't think is the issue at all), then a pharmacist would
have a responsibility to check that the patient doesn't
receive a bad combination of drugs.

If we look at this from a financial perspective, the
pharmacist may have duty to check when a script from a
subsidised drug was last filled. Similarly with a CT scan
or other pathology test.

> The IHI and singular-EHR that NEHTA is devising bundles it all 
> together, indexes it, and makes the index and the complete suite of 
> databases available to vast numbers of people.
> 

Healthcare is provided by a vast number of people in different
organisations. The patient should be happy about the cross
checking.

If you get sick away from your GP or on the weekend or loose
your medication and don't have the prescription - a way to 
access
the information would be useful.

Marghanita

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-- 
Marghanita da Cruz
http://ramin.com.au
Tel: 0414-869202