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    Digital Health Records

    Scheduled Pinned Locked Moved Water Closet
    phihealthcare
    34 Posts 8 Posters 11.3k Views
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    • scottalanmillerS
      scottalanmiller @gjacobse
      last edited by

      @gjacobse said:

      As @dashrender mentioned (to some degree) you need a PHR - Personal Health Record.. poking around I did find that Microsoft has one it would seem..

      https://www.healthvault.com/us/en

      Perfect, I think that that is what we need.

      1 Reply Last reply Reply Quote 0
      • scottalanmillerS
        scottalanmiller @Dashrender
        last edited by

        @Dashrender said:

        For the most part we push this back on the patient demanding that they acquire a physical card and bring it the next time they are in, or fax us a copy.

        That's how the third world would handle it in the pre-computer era, as many of them are. Except they don't use insurance so there wouldn't be that particular need in the first place.

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        • scottalanmillerS
          scottalanmiller
          last edited by

          One nice thing here.... doctors are free. You just go to the corner pharmacy, the doctor works there, there is no charge.

          1 Reply Last reply Reply Quote 0
          • DashrenderD
            Dashrender
            last edited by

            I completely agree that this is a "us" problem. I've been providing options - i.e. an email (the onus would be on the patient, so there would be no HIPAA issue).

            But assuming they sent anything more than a single file, it would still present an issue to our front desk staff with merging/creating new files.

            scottalanmillerS 1 Reply Last reply Reply Quote 1
            • scottalanmillerS
              scottalanmiller @Dashrender
              last edited by

              @Dashrender said:

              I completely agree that this is a "us" problem. I've been providing options - i.e. an email (the onus would be on the patient, so there would be no HIPAA issue).

              But assuming they sent anything more than a single file, it would still present an issue to our front desk staff with merging/creating new files.

              Well if you solve the first problem it seems like it is probably not a big deal to solve the second. What's the reason for needing them merged? How is the final, single image being stored that makes that a problem?

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              • DashrenderD
                Dashrender
                last edited by

                our EHR only allows a single image to be uploaded and included with our chart. So if the patient sends us a front picture and a separate back picture, I can't just upload each.. I have to merge them first.

                stacksofplatesS scottalanmillerS 2 Replies Last reply Reply Quote 0
                • stacksofplatesS
                  stacksofplates @Dashrender
                  last edited by

                  @Dashrender said:

                  our EHR only allows a single image to be uploaded and included with our chart. So if the patient sends us a front picture and a separate back picture, I can't just upload each.. I have to merge them first.

                  Which one do you use just out of curiosity?

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                  • DashrenderD
                    Dashrender
                    last edited by

                    athenaNet from athenaHealth.

                    stacksofplatesS 1 Reply Last reply Reply Quote 0
                    • scottalanmillerS
                      scottalanmiller @Dashrender
                      last edited by

                      @Dashrender said:

                      our EHR only allows a single image to be uploaded and included with our chart. So if the patient sends us a front picture and a separate back picture, I can't just upload each.. I have to merge them first.

                      Ah, okay. How annoying, only one picture with a chart? That seems incredibly limiting.

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                      • stacksofplatesS
                        stacksofplates @Dashrender
                        last edited by

                        @Dashrender said:

                        athenaNet from athenaHealth.

                        I've only ever seen/interacted with Medent and Meditech. Just curious what else was out there.

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                        • DominicaD
                          Dominica
                          last edited by

                          Although having digital copies of the health insurance card itself is handy, that's not the critical part for us. We want to have access to our health information and be able to add to it ourselves whenever one of us visits a doctor or has a vaccination. I don't want to have to keep track of a USB stick.

                          stacksofplatesS scottalanmillerS 2 Replies Last reply Reply Quote 1
                          • stacksofplatesS
                            stacksofplates @Dominica
                            last edited by

                            @Dominica said:

                            Although having digital copies of the health insurance card itself is handy, that's not the critical part for us. We want to have access to our health information and be able to add to it ourselves whenever one of us visits a doctor or has a vaccination. I don't want to have to keep track of a USB stick.

                            You could use this and just change the name 😜

                            0_1447433311161_F1.large.jpg

                            1 Reply Last reply Reply Quote 0
                            • scottalanmillerS
                              scottalanmiller @Dominica
                              last edited by

                              @Dominica said:

                              Although having digital copies of the health insurance card itself is handy, that's not the critical part for us. We want to have access to our health information and be able to add to it ourselves whenever one of us visits a doctor or has a vaccination. I don't want to have to keep track of a USB stick.

                              Now you know to keep both sides of the cards in a single image!

                              1 Reply Last reply Reply Quote 0
                              • DashrenderD
                                Dashrender
                                last edited by

                                So did you sign up with any of them?

                                I activated HealthVault with my MS account.

                                1 Reply Last reply Reply Quote 0
                                • NicN
                                  Nic
                                  last edited by

                                  Here's my thought on digital health records. No matter who you go with, they're gonna get hacked at some point. So just seed a torrent of your data, and then go grab it again when you need it 🙂

                                  DashrenderD 1 Reply Last reply Reply Quote 0
                                  • DashrenderD
                                    Dashrender @Nic
                                    last edited by

                                    @Nic said:

                                    Here's my thought on digital health records. No matter who you go with, they're gonna get hacked at some point. So just seed a torrent of your data, and then go grab it again when you need it 🙂

                                    It's structured data, how do you get a torrent of that?

                                    I have two factor authentication on my MS account, so I'm less worried about hackers getting into it.

                                    JaredBuschJ 1 Reply Last reply Reply Quote 0
                                    • NicN
                                      Nic
                                      last edited by

                                      It's not your account they're going to hack into. They're going to hack into MS and steal everyone's records.

                                      1 Reply Last reply Reply Quote 0
                                      • JaredBuschJ
                                        JaredBusch @Dashrender
                                        last edited by JaredBusch

                                        @Dashrender said:

                                        It's structured data, how do you get a torrent of that?

                                        It is still a file and any file can be pushed into a torrent. Really basic thing here..

                                        DashrenderD 1 Reply Last reply Reply Quote 0
                                        • DashrenderD
                                          Dashrender @JaredBusch
                                          last edited by

                                          @JaredBusch I suppose I could export the whole thing to a CCR.

                                          There's no way that any system is going to let you have direct access to the db file, unless they maintained an individual DB file for each patient.

                                          scottalanmillerS 1 Reply Last reply Reply Quote 0
                                          • scottalanmillerS
                                            scottalanmiller @Dashrender
                                            last edited by

                                            @Dashrender said:

                                            @JaredBusch I suppose I could export the whole thing to a CCR.

                                            There's no way that any system is going to let you have direct access to the db file, unless they maintained an individual DB file for each patient.

                                            In none of the risk cases is a system "letting" you have access. It would either be someone managing to access a query resulting in a file or someone getting access to the entire database file for everyone.

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