Kluge E H
Department of Philosophy, University of Victoria, Canada.
Int J Biomed Comput. 1994 Feb;35 Suppl:23-7.
Electronic patient records are becoming tologically reified entities that play the role of epistemic patient analogues in information space. The traditional property-model of patient records is therefore no longer appropriate. A shift in paradigm is required. This paper suggests a new paradigm, examines its ethical implications and explores ways in which these could be reflected in legal and regulatory mechanisms. Special attention is paid to privacy, security and access relative to the so-called 'fair information principles'.
电子病历正在成为在信息空间中充当认知患者类似物角色的本体论上具体化的实体。因此，传统的病历属性模型已不再适用。需要进行范式转变。本文提出了一种新范式，审视了其伦理影响，并探讨了这些影响可以在法律和监管机制中得到体现的方式。特别关注与所谓的“公平信息原则”相关的隐私、安全和访问问题。
