[Gnumed-devel] The future of patient care computing?

[Busser, Jim]

An interesting article in the Canadian Medical Association Journal, where the 
chief information officer of Harvard cautioned Western nations (Canada, 
specifically) against the risks of continuing to pursuemonolithic. top-down 
systems of patient care:

Grand, top-down e-health strategies are being eclipsed by “Facebook for health” 
concepts, Hamalka said, while arguing that it is up to clinicians and patients 
to use mobile technologies to connect “the doctor’s brain to the patient’s 
pain.”

        http://www.cmaj.ca/content/184/10/E527.full?etoc

This really does raise the question of, eventually,

1) how a patient's record (as contained in GNUmed) can be made more accessible 
to them and

2) how a doctor using GNUmed may wish GNUmed to interact with an external 
system in which the patient may be managing their own health information.

If GNUmed were deployed under a master-slave configuration, could one of the 
slaves be made available read-only?

Would it be reasonable to allow a patient to view (read-only) the information 
using a defined subset of plugins, in a way that

- required them to provide sufficient identifiers (for example, a date of birth 
together with a health number) to uniquely match themselves and
- to access an instance of GNUmed which is 'locked" to that record

??

-- Jim