i am speaking about medical records, not test results and x rays and mri's which are already electronic and can be easily catalogued. (supposedly) But even doing this is hard for someproviders. I have been in many a radiology office where the disk copying equipt doenst work, where its hard to transmit and receive the digitized scans etc.
the office records written in pen, the pre 2003 lab tests, the scans recorded on magenetic tape and archived and the tape is dead are all an impossibility.
even if you could implement a server, who is going to have the bandwidth to transmit this stuff and store it in such a way that it can only be obtained by an md with a confidentiality authorization? I think it might take years of bandwidth to just upload all the xrays from a single readiology office and who is going to do it? who is going to do the data QC checks? how do you know that xray is yours?
and then how aer they going to be accessesed? if financial info like mastercard cant be kept safe, how is this going to be safegurded and encrypted and access audited.
It is going to take trillions of dollars to do this. And it all could be saved simply by giving the patient the scan results and the images when they go home.
right now, most practicing docs dont even look at the xrays they just read the report