title: The mixed management of patients' medical records: responsibility sharing between the patient and the physician.
abstract: Through this article, we propose a mixed management of patients' medical records, so as to share responsibilities between the patient and the Medical Practitioner by making Patients responsible for the validation of their administrative information, and MPs responsible for the validation of their Patients' medical information. Our proposal can be considered a solution to the main problem faced by patients, health practitioners and the authorities, namely the gathering and updating of administrative and medical data belonging to the patient in order to accurately reconstitute a patient's medical history. This method is based on two processes. The aim of the first process is to provide a patient's administrative data, in order to know where and when the patient received care (name of the health structure or health practitioner, type of care: out patient or inpatient). The aim of the second process is to provide a patient's medical information and to validate it under the accountability of the Medical Practitioner with the help of the patient if needed. During these two processes, the patient's privacy will be ensured through cryptographic hash functions like the Secure Hash Algorithm, which allows pseudonymisation of a patient's identity. The proposed Medical Record Search Engines will be able to retrieve and to provide upon a request formulated by the Medical Practitioner all the available information concerning a patient who has received care in different health structures without divulging the patient's identity. Our method can lead to improved efficiency of personal medical record management under the mixed responsibilities of the patient and the MP.
authors.affiliation: Inserm, U866, Dijon, F-21000, Univ. de Bourgogne, Dijon, F-21000, France. Catherine.quantin@chu-dijon.fr
authors.forename: Catherine
authors.initials: C
authors.lastname: Quantin
authors.forename: Maniane
authors.initials: M
authors.lastname: Fassa
authors.forename: Eric
authors.initials: E
authors.lastname: Benzenine
authors.forename: David-Olivier
authors.initials: DO
authors.lastname: Jaquet-Chiffelle
authors.forename: Gouenou
authors.initials: G
authors.lastname: Coatrieux
authors.forename: François-André
authors.initials: FA
authors.lastname: Allaert
mesh_terms: D016494:Computer Security; D003219:Confidentiality; D006801:Humans; D033181:Information Dissemination; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D010817:Physician-Patient Relations