[Meticulous handling of electronic patient records in general practice]. 2000

H Lamberts, and C van Boven
Afd. Huisartsgeneeskunde, Academisch Medisch Centrum/Universiteit van Amsterdam.

A 41-year-old woman visited her general practitioner because she wished to receive her medical records and those of her two children. She had decided to move pending divorce and wanted to transfer her medical information to another physician. The information was handed to her on a floppy disk. The next day her husband came and demanded that his own information be deleted from the records. Many Dutch physicians have electronic patient records, which will replace paper records presently. Patients may decide to have their medical information selectively transferred to another physician. This may interfere with adequate information of the treating physician. Electronic episode-related patient records may facilitate transfer of information and will have an important role in regulating physician-patient contact according to the Wet Bescherming Persoonsgegevens (Act on the protection of personal data), the Wet op de Geneeskundige Behandelingsovereenkomst (Act on agreement concerning medical treatment), and the Wet op de Beroepen in de Individuele Gezondheidszorg (Individual health care professionals act). Patients' rights to control the transfer of their information must be ensured.

UI MeSH Term Description Entries
D007883 Legislation, Medical Laws and regulations, pertaining to the field of medicine, proposed for enactment or enacted by a legislative body. Medical Legislation
D008297 Male Males
D008498 Medical Record Linkage The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals. Record Linkage, Medical,Linkage, Medical Record,Linkages, Medical Record,Medical Record Linkages,Record Linkages, Medical
D008499 Medical Records Recording of pertinent information concerning patient's illness or illnesses. Health Diaries,Medical Transcription,Records, Medical,Transcription, Medical,Diaries, Health,Diary, Health,Health Diary,Medical Record,Medical Transcriptions,Record, Medical,Transcriptions, Medical
D009426 Netherlands Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, and Sint Maarten, formerly included in the NETHERLANDS ANTILLES. Holland,Kingdom of the Netherlands
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003219 Confidentiality The privacy of information and its protection against unauthorized disclosure. Patient Data Privacy,Privacy of Patient Data,Privileged Communication,Confidential Information,Secrecy,Communication, Privileged,Communications, Privileged,Data Privacy, Patient,Information, Confidential,Privacy, Patient Data,Privileged Communications
D005194 Family Practice A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family. Family Practices,Practice, Family,Practices, Family
D005260 Female Females
D005568 Forms and Records Control A management function in which standards and guidelines are developed for the development, maintenance, and handling of forms and records. Records Control,Forms Control,Records Management,Controls, Records,Management, Records,Records Controls

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