The Solutions Of Preservation patient right in electronic health record system
Electronic Health Record is a comprehensive and organized electronic set of clinical, social and financial data that it document given care to one person. Access to information and data of patient is one of the positive features of EHR but this facility of access increase risk of relevance of confidentiality. So far, many solutions were given for preservation of the patient’s rights.
This paper with purpose of giving the solutions of preservation of the patient’s rights in EHR systems begin to review information of valid database for example AHIMA and, Pub med and site of valid organization standard such asASTM,HL7 and ISO and related texts 2000 - 2008.
To preserve of patient’s rights about confidentiality of their information in EHR system is applied by establishment of standards that they provide access users to information and in other hand it should supply security methods. Reading, writing and arrangement of information by users should control and in this case, controlling access devices and level of access, encrypting, decrypting, labeling and identifier would help us. Authentication that means attestation of information is done by digital signature and standards and guidelines should be establish in this field and if EHR is going to use both of patients and clinicians and it would accept in legal court as a records, it s necessary to aspects of medico legal. Conclusion and
Because EHR is source of information patient and it have been used for purpose of education, research and treatment in different levels and by users, It should design in that way it don’t hurt to security and confidentiality of information and just authenticated persons. Formulation of standard and guideline is the most necessary solution of the preservation patient’s rights because it would moderate the problem of variety of systems and would ensure the integrity of EHR systems. With consideration to this paper, the most important domain of standardization includes identifier, privacy guidelines, confidentiality, access, prescription management, authority and credit of users, modification and authentication of health information, internet and intranet health care guideline and security of systems. Security and privacy of exchanging data is also significant field. Finally we should pay attention to this point that cultural and structural restrictions effect on privacy and confidentiality of information.
Teb va Tazkiyeh, Volume:18 Issue:1, 2009
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