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Table 1 Schema for a health information directive

From: The health care information directive

 

Personal Health

Registration

De-identified

Aggregated

 

Information

Information

Data

Statistical

Patient care (access by caregivers, such as

    

physicians, nurses, physiotherapists, etc., next of

    

kin, advocate, legal representatives)

    

Continuity of care between Health Care

    

Providers and Administrative levels

    

Reminders for follow-ups and screening tests,

    

etc.

    

Payment (hospital/fee for service)

    

Administrative management (institutional and

    

governmental/provincial)

    

Continuous Quality Improvement, peer review

    

Research

    

Epidemiological Study

    

Disease Registries

    

Hospital fund raising (mail-outs)

    

Deriving profit from data as a research product

    

Marketing

    
  1. Row Headings adapted from: Ethical And Legal Issues In Electronic Health Information Systems: Report of the University of Toronto Joint Centre for Bioethics Working Group. 20 April 1998 Prepared by: Michelle A. Mullen, M.H.P., Ph.D. and James Lavery, M.Sc. Column Headings adapted from Saskatchewan Consultation on Privacy and Health Information. Reprinted with permission of the authors.