Trustworthy shared electronic health records: recordkeeping requirements and HealthConnect.
HealthConnect is a proposed national electronic health record system, centred on electronic health event summaries, that capture all health encounters of those patients and health care professionals who "opt in" to the system. This article reports on key findings of an analysis of HealthConnect's data principles, systems and business architecture, from a records continuum perspective, and from recordkeeping requirements of reliability and authenticity. It concludes that HealthConnect lacks critical recordkeeping functionality and that inadequate policy with regard to ownership, consent and privacy impacts on the business and systems architecture, and consequently its ability to deliver trustworthy records.
Iacovino
Livia
L
Records Continuum Research Group, School of Information Management and Systems, Monash University. Livia.Iacovino@sims.monash.edu.au
D001315:Australia; D016494:Computer Security; D003219:Confidentiality; D005568:Forms and Records Control / Q000379:methods / Q000458:organization & administration; D006801:Humans; D007258:Informed Consent; D008498:Medical Record Linkage / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration* / Q000592:standards*; D010067:Ownership