The Baltimore Sun offered us a quick note on EMR problems in Maryland.MedStar hack shows risks inherent in the EMR systems.

These are systemic risks that lie in the bedrock of all modern computing communication systems.  When ARPANET was constructed, the choice was between privacy (benefiting unwanted transaction of contraband material such as espionage) and porousness (benefiting unwanted intrusion into private materials.)  That’s a lose-lose choice.  They went with porousness.  That’s inherent in all protocols of information exchange used today.

Amaingly, PAPER combines privacy (uniqueness of documentation provides privacy unless photocopied etc.) and porousness (encrypting handwritten documentation is nearly impossible without a cypher machine.)  We are starting to notice what it really meant to stop using patient and “lean documentation.