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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?

To: Alighieri who wrote (498492)	7/27/2009 12:50:34 PM
From: i-node	Respond to of 1578256

the folder of crumpled paper is because the record keeping is not centralized, nor mandated in any standard form. Coordination of information, consults between doctors, none of that is required and therefore not done. It's pathetic... None of the bills before Congress proposes this or even do anything to mildly encourage it. At all. Most significant hospitals do have EMR systems that minimize the use of paper charts. But we're a very long way away from having a big data cloud that contains patient data from various sources. The data security problems are huge and complex. For example, you cannot, by law, disclose the fact that a person is HIV positive to a doctor who is not treating him for HIV specific problems. If Magic Johnson is hospitalized in connection with an auto accident, his hospital chart cannot disclose his HIV positive status. Now, if he has complications related to his HIV positive status, physicians who are not treating him for those complications (e.g., his orthopaedists) cannot have access to this information. This is a really complicated problem that will take years to work out. Only last year did we implement National Provider IDs, and the system is still an outright train wreck. No unique patient ID is even on the visible horizon at this point, which is a prerequisite to any reasonable security/access arrangement which would permit sharing of PHI.