tag:blogger.com,1999:blog-23447705.post6138392132740567670..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Well - As Predicted - We Now Have A NEHRS Registration Fudge. Aggressively User Hostile Does Not Really Cover It!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger17125tag:blogger.com,1999:blog-23447705.post-47061628191978701562012-07-03T12:35:36.364+10:002012-07-03T12:35:36.364+10:00Anonymous said "Can it be safely ignored? I ...Anonymous said "Can it be safely ignored? I reckon it might be safer to check if one has been automatically or accidentally created for you while you were safely ignoring it."<br /><br />Especially true given this:<br /><br />'those registering have to provide only a Medicare card number and names and birth dates of family members to verify their identity. Security experts say Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75563002442213067202012-07-02T18:12:10.958+10:002012-07-02T18:12:10.958+10:00"IMHO, the best thing about the system is tha..."IMHO, the best thing about the system is that it is opt-in. It can safely be ignored."<br /><br />Can it be safely ignored? I reckon it might be safer to check if one has been automatically or accidentally created for you while you were safely ignoring it. And it may be empty now, but one day it may just start to suck up your most embarrassing secrets into clinical documents, and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-38712525770173224412012-07-02T16:44:09.310+10:002012-07-02T16:44:09.310+10:00@Andrew Patterson
All you said could well be vali...@Andrew Patterson<br /><br />All you said could well be valid, but is it explained in the registration booklet or on the registration form?<br /><br />I don't think that NEHTA/DoHA have achieved anything like the degree of trust needed for a workable eHealth system.<br /><br />IMHO, the best thing about the system is that it is opt-in. It can safely be ignored.Bnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45408004043821750992012-07-02T16:33:42.128+10:002012-07-02T16:33:42.128+10:00B said: "It does suggest that the ConOp docum...B said: "It does suggest that the ConOp document is less than useful and that there are other aspects of the system that haven't been announced - and more importantly, haven't been agreed by stakeholders."<br /><br />The Concept of Operations is just that - a concept document, not a specification. Whether specifications exist for all aspects of the PCEHR I do not know - Keithnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-31358687313717991402012-07-02T12:44:01.374+10:002012-07-02T12:44:01.374+10:00To be charitable, an EHR with non-deletable, yet h...To be charitable, an EHR with non-deletable, yet hide-able documents is not that strange. The System Operator is generally under obligations to both be able to say at any point in time - this is what _would_ have been seen by someone using the system - yet also meet privacy obligations by removing information from the system when requested. And those two things are not really compatible.<br /><brAndrew Pattersonnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-69049919251276567472012-07-02T12:36:24.650+10:002012-07-02T12:36:24.650+10:00I simply don't see why anyone would want to re...I simply don't see why anyone would want to register for health and wellbeing purposes - it isn't as if a clinician will be able to use the PCEHR. Do parents have to un-enrol newborns whose information is compulsorily added to the system from yesterday? How does one opt out today before the operator controls their information if you are unfortunate enough to be opted in without consent? juanitanoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57963984194313627402012-07-02T11:24:26.322+10:002012-07-02T11:24:26.322+10:00No need to guess ..... the Singapore system is w...No need to guess ..... the Singapore system is what you are getting. That's it. NEHTA is just the sideshow from the old days - Girl in a Fishbowl stuff - what you're told is not what you'll get, what you see is not what is.<br /><br />Wait till the Munchhausen patients get signed in to the system. One of my patients can't wait to register hundreds of conditions and operations. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-61709894105040012592012-07-02T11:05:45.851+10:002012-07-02T11:05:45.851+10:00David,
Re the behaviour of the NEHRS regarding wi...David,<br /><br />Re the behaviour of the NEHRS regarding withdrawal of consent and information always being indexed once it is in the system.<br /><br />I've just had a look at the ConOp document <110912 Concept of Operations.pdf><br /><br />This behaviour of the system is not mentioned at all.<br /><br />My guess is that it is a characteristic of the Singapore system they've Bnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-8420253381773013822012-07-02T10:38:48.063+10:002012-07-02T10:38:48.063+10:00"Importantly, however, if an
item of informat...<i>"Importantly, however, if an<br />item of information was indexed in your eHealth record before<br />you revoke your consent, the full item may be made available<br />to the System Operator at any time, even after you revoke your<br />consent."</i><br /><br />So if something is added to your record that is wrong or you do not agree with what has been added then there is nothing you Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-6735168450411770322012-07-02T10:26:59.272+10:002012-07-02T10:26:59.272+10:00Item 9 is interesting
The Chief Executive Medicar...Item 9 is interesting<br /><br /><b>The Chief Executive Medicare may hold information about you<br />which can be included in your eHealth record over time.<br /><br />This information may include details that indicate diagnosed<br />conditions and illnesses. If you do not want to have such<br />details visible in your eHealth record, you should not consent to<br />the inclusion of this Bnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80173364653267581732012-07-02T10:12:34.308+10:002012-07-02T10:12:34.308+10:00Keith,
I would go further and say that the lack o...Keith,<br /><br />I would go further and say that the lack of any online registration process for a system that is online is an epic fail.<br /><br />It gives you immense confidence in delivery of the rest of the system, not.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46465054557033413922012-07-02T10:04:43.690+10:002012-07-02T10:04:43.690+10:00David, you'll have to work on some desensitizi...David, you'll have to work on some desensitizing therapy!<br /><br />Surprising that the Consumer portal has not been enabled this morning - that was the one thing that I thought they had ready. Perhaps not quite?<br /><br />KeithKeithnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-21765593921728537072012-07-02T09:59:20.242+10:002012-07-02T09:59:20.242+10:00Anything that looks like a Tax Form causes me to h...Anything that looks like a Tax Form causes me to have that reaction <br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-36613982633422589232012-07-02T09:26:01.890+10:002012-07-02T09:26:01.890+10:00The real disappointment is that online registratio...The real disappointment is that online registration is not ready on time. I don't think anyone would accept that going online to download a form constitutes "online registration". David, the form itself is not unreasonable, and is certainly not "aggressively user hostile"; IT'S THE WHOLE IDEA OF A PAPER FORM AS A SUBSTITUTE FOR ONLINE REGISTRATION THAT IS OUTRAGEOUS! Keithnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30033856560791247492012-07-02T01:24:47.044+10:002012-07-02T01:24:47.044+10:00Senates Estimates Hearings?
Be prepared to be wel...Senates Estimates Hearings?<br /><br />Be prepared to be well and truly let down and disappointed by your elected representatives and senators "supposedly" holding the bureaucracy to account.<br /><br />Tax payers dollars mean nothing, and all those inside the tent treat every living morsel outside the tent with nothing but contempt!<br /><br />$467M, not counting what’s been digested Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2709692293535968562012-07-01T23:17:11.441+10:002012-07-01T23:17:11.441+10:00Interesting. You can create a record, or the Medic...Interesting. You can create a record, or the Medicare lady can do it for you, but there is nothing in it, and noone can see it, not you or your doctors. Not even the Medicare lady. So therefore does it exist? It's not personally controlled and it's not a record, so what is it ? It must be an EH?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-19875701442044148902012-07-01T22:20:19.505+10:002012-07-01T22:20:19.505+10:00And what time did that appear today?
It certainly ...And what time did that appear today?<br />It certainly wasn't there the last time I looked at 4pm!<br />So much for the grand unveiling at the start of the day - AKA 12AMAnonymousnoreply@blogger.com