Difference between revisions of "Medical Records Identifier"
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*Clearly there will be some sort of sort of [[Bootstrapping Identity and Consent]] that gets patient registered for this service, this paper will consider 3: | *Clearly there will be some sort of sort of [[Bootstrapping Identity and Consent]] that gets patient registered for this service, this paper will consider 3: | ||
#The user has a Medicare number of the form US:CMS:32fs-233ii-9r38 that is already well-known to the medical community. | #The user has a Medicare number of the form US:CMS:32fs-233ii-9r38 that is already well-known to the medical community. | ||
| − | #The user comes with some [[Identifier]] that is not previously know to the provider, perhaps self-issued for cases where they | + | #The user comes with some [[Identifier]] that is not previously know to the provider, perhaps self-issued for cases where they chose to take control of their own medical records recovery. |
#The user comes with no usable [[Identifier]]. For this use case we consider the case of a homeless child under the age of 13 being registered for school. | #The user comes with no usable [[Identifier]]. For this use case we consider the case of a homeless child under the age of 13 being registered for school. | ||
Revision as of 10:35, 17 December 2018
Contents
Purpose
Any person can go into any willing medical provider's office and be identified and get care appropriate to their medial history.
Goals
- There are many cases where a patient presents themselves to a medical provider seeking care. The goal is that they will have some single identifier that they can use to recover their medical history.
- Clearly there will be lots of locations were medical records are retained. That will not change soon. This goal is that a single identifier can mediate access to all EHI.
- Clearly there will be some sort of sort of Bootstrapping Identity and Consent that gets patient registered for this service, this paper will consider 3:
- The user has a Medicare number of the form US:CMS:32fs-233ii-9r38 that is already well-known to the medical community.
- The user comes with some Identifier that is not previously know to the provider, perhaps self-issued for cases where they chose to take control of their own medical records recovery.
- The user comes with no usable Identifier. For this use case we consider the case of a homeless child under the age of 13 being registered for school.
Problems
- The big problem with any sort of Self-issued Identifier is Trust where there are no standards or examples of any trust without a history of trusted behavior.
Solutions
Universal Resolver
The US medical community accepts the idea that any registered health care provider can query a Universal Resolver and get a response with data appropriate to their need and authority within 2 minuets for emergency care and within 2 hours for more detailed records.
1 Well-known Patients
2 Patients with unfamiliar Identifiers
3 Dependent patients with no Identifier
References
