Department of Health Information Management, School of Public Health, Faculty of Health Sciences, La Trobe University, Victoria, Australia.
Health Inf Manag. 2004;33(3):84-8. doi: 10.1177/183335830403300304.
This article outlines and discusses a number of e-consent issues concerning an individual's access to information held in electronic health records. Through research conducted with general practices and health consumers, the following issues have been identified: limitation of health professionals' access to records; the ability of the individuals to limit access to their records and to indicate the circumstances within which access would be permitted; the degree of the health professional's awareness of restricted or total access to a patient's record; audit trails through which an individual can track the path of a record; and the individual's nomination of an agent authorised to control access to their record. These issues affect system developments and Health Information Managers, and key challenges to Health Information Managers in the electronic health record environment are also highlighted.
本文概述并讨论了与个人访问电子健康记录中信息有关的一些电子知情同意问题。通过对全科医生和医疗消费者进行研究，确定了以下问题：限制医疗专业人员访问记录的能力；个人限制访问其记录的能力，并指出允许访问的情况；医疗专业人员对患者记录受限或完全访问的意识程度；个人可以通过审核跟踪来跟踪记录的路径；以及个人指定有权控制其记录访问的代理人。这些问题影响系统的开发和健康信息管理人员，并且还强调了电子健康记录环境中健康信息管理人员面临的主要挑战。
