scholarly journals An authentication and authorization mechanism for long-term electronic health records management

2017 ◽  
Vol 111 ◽  
pp. 145-153 ◽  
Author(s):  
Nai-Wei Lo ◽  
Chia-Yi Wu ◽  
Yo-Hsuan Chuang
Keyword(s):  
Electronic Health Records ◽  
Records Management ◽  
Health Records ◽  
Authentication And Authorization ◽  
Electronic Health

A Global Socio-economic-medico-legal Model for the Sustainability of Longitudinal Electronic Health Records

2006 ◽  
Vol 45 (03) ◽  
pp. 240-245 ◽  
Author(s):  
A. Shabo
Keyword(s):  
Electronic Health Records ◽  
Healthcare Providers ◽  
Financial Assets ◽  
Healthcare Organizations ◽  
Health Records ◽  
Record Keeping ◽  
Proposed Model ◽  
Legal Model ◽  
Electronic Health

Summary Objectives: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. Methods: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. Results: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual’s records, and that healthcare providers no longer serve as the legal record keepers. Conclusions: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.

scholarly journals Medium and long-term risks of specific cardiovascular diseases in survivors of 20 adult cancers: a population-based cohort study using multiple linked UK electronic health records databases

The Lancet ◽  
2019 ◽  
Vol 394 (10203) ◽  
pp. 1041-1054 ◽  
Author(s):  
Helen Strongman ◽  
Sarah Gadd ◽  
Anthony Matthews ◽  
Kathryn E Mansfield ◽  
Susannah Stanway ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cardiovascular Diseases ◽  
Electronic Health Records ◽  
Population Based ◽  
Health Records ◽  
Electronic Health

scholarly journals Propuesta metodológica de intercambio electrónico de información clínica basada en estándares de telemedicina/Methodological proposal of electronic data interchange and clinical information based on telemedicine standards

2020 ◽  
Author(s):  
P. Moreno ◽  
G. Bastidas ◽  
P. Moreno
Keyword(s):  
Electronic Health Records ◽  
Information And Communication Technologies ◽  
Web Application ◽  
Medical Information ◽  
Reference Model ◽  
Clinical Information ◽  
Electronic Data Interchange ◽  
Records Management ◽  
Health Records ◽  
Electronic Health

El avance de las tecnologías de la información ha permitido un cambio sustancial en el desarrollo de la Salud, por lo que el uso de estándares de telemedicina como el HL7 y CEN TC 251-13606 permiten que los sistemas de información médica se comuniquen vía mensajes estandarizados facilitando el uso de los mismos. El propósito de este estudio es crear una guía metodológica de intercambio electrónico de información clínica basada en el análisis de los estándares de telemedicina HL7 y CEN TC 251- 13606 para mejorar la eficiencia de la gestión de Historias Clínicas de los pacientes. La metodología consta de 2 fases, la primera plantea el diseño e implementación del modelo de referencia de la Historia Clínica Electrónica, el mismo que define entidades necesarias en la construcción de una Historia Clínica Electrónica, en la fase 2 se define la arquitectura de la historia clínica especificando la estructura y semántica del documento mediante el lenguaje XML, el cual se utiliza en los procesos de gestión de las historias clínicas electrónicas dentro del sistema médico desarrollado. Este sistema permite control clínico a distancia facilitando la interacción médico-paciente. El sistema posee una aplicación web, una aplicación de escritorio y una plataforma hardware e- Salud. La aplicación de la metodología planteada mejora la eficiencia de la gestión de historias clínicas, puesto que el 83.32% de los médicos de la clínica consideran que se agiliza el proceso de acceso, creación e ingreso de historias clínicas y reduce recursos en el proceso de control de pacientes domiciliarios. The advance of Information and Communication Technologies has improved Health Care in last years; by providing new ways of accessing medical information. In particular, the use of telemedicine standards such as HL7 and CENTC 251-13606 allows standard communication, integration, and retrieval of electronic health records among medical systems. This article aims to create a methodological guide for the electronic exchange of clinical information based on telemedicine standards in order to improve the efficiency of electronic health records management. The proposed methodology consists of two phases: The first one states the design and implementation of the reference model of an electronic health records, which defines entities of the electronic health record. In phase 2, this methodology describes electronic health records architecture. The architecture is defined by the structure and semantics of the document using XML. In order to test the proposed methodology, a medical system was implemented that consists of a web application, desktop application, and hardware platform e- Health. This system allows the electronic exchange of clinical information to ease patient-doctor interaction. The results show 83,32% of doctors at the clinic where the system was tested agree the proposed methodology for electronic exchange improves the efficiency of electronic health records management since it speeds up the process of creation and retrieval of an electronic health records. Moreover, the system reduces resources in the control of home patients. Palabras clave: Telemedicina, HCE, HL7, CENTC 251-13606, e-Salud. Keywords: Telemedicine, EHR, HL7, CENTC 251-13606, e-Health.

scholarly journals Impact of Electronic Health Records on Long-Term Care Facilities: Systematic Review

2017 ◽  
Vol 5 (3) ◽  
pp. e35 ◽  
Author(s):  
Clemens Scott Kruse ◽  
Michael Mileski ◽  
Alekhya Ganta Vijaykumar ◽  
Sneha Vishnampet Viswanathan ◽  
Ujwala Suskandla ◽  
...  
Keyword(s):  
Systematic Review ◽  
Electronic Health Records ◽  
Long Term Care ◽  
Term Care ◽  
Health Records ◽  
Care Facilities ◽  
Electronic Health

scholarly journals An Electronic Health Records Study of Long-Term Weight Gain Following Antidepressant Use

2014 ◽  
Vol 71 (8) ◽  
pp. 889 ◽  
Author(s):  
Sarah R. Blumenthal ◽  
Victor M. Castro ◽  
Caitlin C. Clements ◽  
Hannah R. Rosenfield ◽  
Shawn N. Murphy ◽  
...  
Keyword(s):  
Weight Gain ◽  
Electronic Health Records ◽  
Health Records ◽  
Antidepressant Use ◽  
Electronic Health

scholarly journals Challenges in defining Long COVID: Striking differences across literature, Electronic Health Records, and patient-reported information

2021 ◽  
Author(s):  
Halie M. Rando ◽  
Tellen D. Bennett ◽  
James Brian Byrd ◽  
Carolyn Bramante ◽  
Tiffany J. Callahan ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Multiple Organ ◽  
Health Records ◽  
Health Crisis ◽  
Organ Systems ◽  
Wide Range ◽  
Patient Reported ◽  
Electronic Health ◽  
Novel Coronavirus

Since late 2019, the novel coronavirus SARS-CoV-2 has introduced a wide array of health challenges globally. In addition to a complex acute presentation that can affect multiple organ systems, increasing evidence points to long-term sequelae being common and impactful. As the worldwide scientific community forges ahead with efforts to characterize a wide range of outcomes associated with SARS-CoV-2 infection, the proliferation of available data has made it clear that formal definitions are needed in order to design robust and consistent studies of Long COVID that consistently capture variation in long-term outcomes. In the present study, we investigate the definitions used in the literature published to date and compare them against data available from electronic health records and patient-reported information collected via surveys. Long COVID holds the potential to produce a second public health crisis on the heels of the pandemic. Proactive efforts to identify the characteristics of this heterogeneous condition are imperative for a rigorous scientific effort to investigate and mitigate this threat.

scholarly journals Long term extension of a randomised controlled trial of probiotics using electronic health records

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Gareth Davies ◽  
Sue Jordan ◽  
Caroline J. Brooks ◽  
Daniel Thayer ◽  
Melanie Storey ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Electronic Health Records ◽  
Controlled Trial ◽  
Health Records ◽  
Electronic Health ◽  
Randomised Controlled
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