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UNITED KINGDOM By 1999 62% of the British National Health Service (NHS) trusts used electronic records, to some degree. In 2003 the NHS has taken moves to create a centralised electronic registry of medical records. Its privacy is protected by the UK's Government Gateway, built by Microsoft. The programme is called Electronic Records Development and Implementation Programme (ERDIP). The NHS National Programme For IT has been criticised for its lack of security and lack of patient privacy. It was one of the projects that has caused the Government's own Information Commissioner to warn that there is a danger of the country "sleepwalking" into a Surveillance Society ''. Privacy is based on patients' rights in the UK, flowing from the European Convention of Human Rights through the Data Protection Act (DPA) in the UK. The opposing point of view that access is on a 'need to know basis' is not legal, it is the patient who must grant access. USA In the USA , the Medical Information Privacy And Security Act (MIPSA) is the new development. It contains important provisions requiring accesses to generate an audit trail, and for patients to be able to partition their data so that for example genetic information is not revealed when they go for a flu jab. Individuals have a right to access, copy, edit and augment their information. |
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