| Medical record search engines, using pseudonymised patient identity: An alternative to centralised medical records. | |
| | |
MedLine Citation:
|
PMID: 21055999 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
PURPOSE: The purpose of our multidisciplinary study was to define a pragmatic and secure alternative to the creation of a national centralised medical record which could gather together the different parts of the medical record of a patient scattered in the different hospitals where he was hospitalised without any risk of breaching confidentiality. METHODS: We first analyse the reasons for the failure and the dangers of centralisation (i.e. difficulty to define a European patients' identifier, to reach a common standard for the contents of the medical record, for data protection) and then propose an alternative that uses the existing available data on the basis that setting up a safe though imperfect system could be better than continuing a quest for a mythical perfect information system that we have still not found after a search that has lasted two decades. RESULTS: We describe the functioning of Medical Record Search Engines (MRSEs), using pseudonymisation of patients' identity. The MRSE will be able to retrieve and to provide upon an MD's request all the available information concerning a patient who has been hospitalised in different hospitals without ever having access to the patient's identity. The drawback of this system is that the medical practitioner then has to read all of the information and to create his own synthesis and eventually to reject extra data. CONCLUSIONS: Faced with the difficulties and the risks of setting up a centralised medical record system, a system that gathers all of the available information concerning a patient could be of great interest. This low-cost pragmatic alternative which could be developed quickly should be taken into consideration by health authorities. |
| | |
Authors:
|
Catherine Quantin; David-Olivier Jaquet-Chiffelle; Gouenou Coatrieux; Eric Benzenine; François-André Allaert |
Related Documents
:
|
1943789 - Foundations for an electronic medical record. 768669 - Medicolegal implications of medical records. 16287889 - Race and ethnicity: comparing medical records to self-reports. 12542579 - Medical needs of people with intellectual disability require regular reassessment, and ... 17607089 - Self-reported medical history and self-rated health at age 90. agreement with medical r... 6604779 - Conversion of manual to total computerized medical records. experience with selected ab... 20015769 - Recurrent contralateral abducens nerve palsy in acute unilateral sphenoiditis. 7739079 - Medical migration and the physician workforce. international medical graduates and amer... 8601529 - Impact of ovabloc intratubal polymer on the morphology of the fallopian tube. |
Publication Detail:
|
Type: Journal Article Date: 2010-11-04 |
Journal Detail:
|
Title: International journal of medical informatics Volume: 80 ISSN: 1872-8243 ISO Abbreviation: Int J Med Inform Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-01-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9711057 Medline TA: Int J Med Inform Country: Ireland |
Other Details:
|
Languages: eng Pagination: e6-e11 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
Inserm, U866, Dijon, F-21000, Univ de Bourgogne, Dijon F-21000, France; CHRU, Service de Biostatistique et d'Informatique Médicale, Dijon, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document:
Next Document: Fulminant hepatitis and death associated with disseminated varicella in an immunocompromised adult f...