With the shared medical record, all patient-related information is consolidated into one digital file, accessible to all healthcare professionals. The first tests of this digital health tool were performed in 1991. How is this data stored and for how long?
During a consultation with a child who has stepped on a nail, a doctor recalls the role and importance of the health book for the medical follow-up of patients and the recall of vaccines.
For several years now, CHU d'Angers has undertaken a huge project to computerize patient records. In the near future, data on a patient will be accessible by all departments of the CHU, treatment times will be shortened and finally, the paper archive will disappear (1km/year). For the network to be operational, only a security system is needed, because in the event of a breakdown, the entire operation of the hospital would be blocked. It is this security system that will be funded by the 2012 Hospital Plan.
The personal medical record is on track, but for now only on an experimental basis in several regions of France. This file will include physician prescriptions, radiology reports, hospital discharge. It will soon be available to patients on the internet. As for confidentiality, some patients will be able to hide the data they want. Interview with André GAVOILLE, DMP project manager at the Gustave Roussy Institute.
Update on the Personal Medical Record project, planned for 2007, to streamline care. Interviews with the president of the Association for the Development of Virtual Medical Exchanges, a patient, a psychiatrist.
The Numeris system (via France Telecom network) has just been commissioned at the Limoges Regional University Hospital. Thus, words can be exchanged, but also texts and images . Example of an application: an MRI diagnostic radio image of a brain cyst is recorded by video camera and then retrieved by Numeris and then transported to hospital. This system allows remote diagnosis and archiving with the creation of an image bank. Interview with Doctor B. Franck.
More than a computerized health record, the personal medical record is intended to gather all information relating to the patient’s health: prescriptions, surgical or consultation reports, laboratory analyses or medical imaging. Marie-HAUDE LE LANN works in the emergency department in Ploërmel. She is one of the first doctors in Brittany to use personal medical records. The establishment of the personal medical record stems from the KOUCHNER Law according to which the patient is an actor of his health. It is therefore he who, in principle, keeps his hand on his file and via the Internet he can, in particular, prohibit access to certain doctors. Knowing that only health professionals following it are allowed to access it. Three months after its establishment, the Ploërmel hospital opened almost 400 personal medical records. But for it to become an effective tool for coordination between physicians, it is necessary that liberal practitioners also adhere to the digital system.