Portals

Koppel, Ross J rkoppel at SAS.UPENN.EDU
Mon Jul 8 18:51:37 UTC 2019


Portals can come to hurt DX big time.  Patients bring in that info to their docs and to the ED.   But I'm  working on a piece about my ten PHRs/portals.   "My" data are totally gaga.  No relation of the information to each other or to me.  Med I was on for 3 days (teeny, tiny little tube for when I got something in my eye) has been a continuous medication for 14 years.   Loaves and fishes from the ophthalmologist.    I tried a PPI, then went to a lower one, then they became OTC...so I went to that.  Then I tried a lower dose.  according to my PHR, I'm on all of them all the time. According to my portals,   have not had stomach acid for 2 or 3 decades; been dead that whole time too, I guess.


Ditto for the "problem lists"   No reality, no consistency.


Note that I'm a professor of biomed informatics at Penn and SUNY buffalo, but  I can NOT get the wrong stuff removed.  I've tried.


Ross Koppel



________________________________
From: Ed Hoffer <ehoffer at GMAIL.COM>
Sent: Monday, July 8, 2019 10:22 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Portals

Portals are generally local systems allowing patients to access test results and communicate with their doctors rather than being national. I am sure they can be hacked but hard to see how they would contribute to diagnostic error.
Ed
Edward P Hoffer MD

Sent from my iPhone

> On Jul 7, 2019, at 3:42 PM, ROBERT M BELL <0000000296e45ec4-dmarc-request at list.improvediagnosis.org> wrote:
>
> From time to time we hear about the problems of HCPs using computer systems to communicate.
>
> There is another computer system in general use, namely the Portal to help HCPs communicate with patients.
>
> Are there any reports of problems with this national system, and is there any chance that it could contribute to error?
>
> Robert Bell, M.D.
>
>
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