Electronic Patient Information – Pioneers and MuchMore

2004 ◽  
Vol 43 (05) ◽  
pp. 543-552 ◽  
Author(s):  
W. Giere
Keyword(s):  
Bronze Age ◽  
Language Processing ◽  
Iron Age ◽  
Patient Information ◽  
Data Exchange ◽  
Electronic Patient Record ◽  
Salt Lake ◽  
Computer Applications ◽  
Patient Record ◽  
Professor Emeritus

Summary Objectives: This paper must fulfill three different tasks: First, to introduce the topic “Electronic Patient Information – Pioneers and MuchMore”, second, to introduce the invited authors of the symposium, and third, to serve as the author’s academic farewell lecture as professor emeritus. Results: The electronic patient record, with all its different kinds of patient information, can be structured in many ways. Here, an historical approach is presented with a primary focus on the development of an information system for in- and outpatients in Germany, especially in Frankfurt, but also in comparison with US systems. The “Stone Age” and “Bronze Age” of patient-related computer applications started with expensive and insufficient hardware, but some years later, the first systems for patient documentation, text generation, and data acquisition could be implemented. The “iron age” and “golden age” yielded until the mid-1970s, e.g. in Oakland, Boston, Salt Lake City, and Frankfurt, quite successful Hospital Information Systems with some special emphasis on natural language processing. The following dark years were filled primarily with administrative systems, but beginning in the early 1980s, an era of enlightenment started, e.g. with rather inexpensive and easy to use PC application, broadly distributed MUMPS systems, and improved thesaurus-based text analysis. Especially in modern times, the medical text processing and classifying has been extended and successfully applied. Conclusions: Somewhat in contrast to other approaches, in the future the use of medical linguistics for the development of a successful electronic patient record should be better supported. Electronic patient information should be available wherever and whenever needed. For this, intelligent and automated reporting and controlled data exchange is necessary. The computer should do all classification, coding, and administrative work, and the physician should get all relevant information necessary for decision making.

An Electronic Patient Record Management System Using Smart Cards

2009 ◽  
Vol 62-64 ◽  
pp. 67-74
Author(s):  
M.O. Eyinagho ◽  
E. Solomon ◽  
T. Adeyemi ◽  
D. Ebhohimen ◽  
D. Adeniyi ◽  
...  
Keyword(s):  
Smart Card ◽  
Patient Information ◽  
Management System ◽  
Electronic Patient Record ◽  
Visual Basic ◽  
Smart Cards ◽  
Patient Record ◽  
Record Management ◽  
Microsoft Access ◽  
Programming Knowledge

In this paper, a prototype of an electronic patient record management system using smart cards is described. An application using visual basic was developed, a database using Microsoft access was built, the visual-basic-based application was then interfaced to the database. An interface module that allows any person with no programming knowledge to store easily, required information on a smart card was also developed. The application was then interfaced to a smartcard reader. With this system, relevant patient information including, but not limited to allergies, blood-group, and past operations can be retrieved from the smart card.

scholarly journals HARVEST, a longitudinal patient record summarizer

2014 ◽  
Vol 22 (2) ◽  
pp. 263-274 ◽  
Author(s):  
Jamie S Hirsch ◽  
Jessica S Tanenbaum ◽  
Sharon Lipsky Gorman ◽  
Connie Liu ◽  
Eric Schmitz ◽  
...  
Keyword(s):  
Language Processing ◽  
Patient Information ◽  
Clinical Information System ◽  
Point Of Care ◽  
Unmet Need ◽  
Opportunity To Learn ◽  
Patient Record ◽  
Study Patient ◽  
Task Completion ◽  
Informative Feedback

Abstract Objective To describe HARVEST, a novel point-of-care patient summarization and visualization tool, and to conduct a formative evaluation study to assess its effectiveness and gather feedback for iterative improvements. Materials and methods HARVEST is a problem-based, interactive, temporal visualization of longitudinal patient records. Using scalable, distributed natural language processing and problem salience computation, the system extracts content from the patient notes and aggregates and presents information from multiple care settings. Clinical usability was assessed with physician participants using a timed, task-based chart review and questionnaire, with performance differences recorded between conditions (standard data review system and HARVEST). Results HARVEST displays patient information longitudinally using a timeline, a problem cloud as extracted from notes, and focused access to clinical documentation. Despite lack of familiarity with HARVEST, when using a task-based evaluation, performance and time-to-task completion was maintained in patient review scenarios using HARVEST alone or the standard clinical information system at our institution. Subjects reported very high satisfaction with HARVEST and interest in using the system in their daily practice. Discussion HARVEST is available for wide deployment at our institution. Evaluation provided informative feedback and directions for future improvements. Conclusions HARVEST was designed to address the unmet need for clinicians at the point of care, facilitating review of essential patient information. The deployment of HARVEST in our institution allows us to study patient record summarization as an informatics intervention in a real-world setting. It also provides an opportunity to learn how clinicians use the summarizer, enabling informed interface and content iteration and optimization to improve patient care.

scholarly journals Working Off the Record: Physicians??? and Nurses??? Transformations of Electronic Patient Record-Based Patient Information

2006 ◽  
Vol 81 (Suppl) ◽  
pp. S35-S39 ◽  
Author(s):  
Lara Varpio ◽  
Catherine F. Schryer ◽  
Pascale Lehoux ◽  
Lorelei Lingard
Keyword(s):  
Patient Information ◽  
Electronic Patient Record ◽  
Patient Record

Improving Coded Data Entry by an Electronic Patient Record System

1996 ◽  
Vol 35 (02) ◽  
pp. 108-111 ◽  
Author(s):  
F. Puerner ◽  
H. Soltanian ◽  
J. H. Hohnloser
Keyword(s):  
Phase I ◽  
Electronic Patient Record ◽  
Data Entry ◽  
Discharge Summary ◽  
Patient Record ◽  
Phase Iii ◽  
Electronic Patient Record System ◽  
Record System ◽  
Data Encoding ◽  
Discharge Summaries

AbstractData are presented on the use of a browsing and encoding utility to improve coded data entry for an electronic patient record system. Traditional and computerized discharge summaries were compared: during three phases of coding ICD-9 diagnoses phase I, no coding; phase II, manual coding, and phase III, computerized semiautomatic coding. Our data indicate that (1) only 50% of all diagnoses in a discharge summary are encoded manually; (2) using a computerized browsing and encoding utility this percentage may increase by 64%; (3) when forced to encode manually, users may “shift” as much as 84% of relevant diagnoses from the appropriate coding section to other sections thereby “bypassing” the need to encode, this was reduced by up to 41 % with the computerized approach, and (4) computerized encoding can improve completeness of data encoding, from 46 to 100%. We conclude that the use of a computerized browsing and encoding tool can increase data quality and the percentage of documented data. Mechanisms bypassing the need to code can be avoided.

The Excavation of a Settlement of the Later Bronze Age and Iron Age at Myrehead, Falkirk District

1983 ◽  
Vol 10 (1) ◽  
pp. 41-71 ◽  
Author(s):  
G J Barclay
Keyword(s):  
Bronze Age ◽  
Iron Age ◽  
Farming System ◽  
Activity Period ◽  
Limited Evidence ◽  
Ring Groove ◽  
Domestic Activity ◽  
First Millennium ◽  
First Millennium Bc ◽  
Actual Settlement

SUMMARY Myrehead has revealed the eroded remnants of activity from the Beaker period (Period A) onwards, with actual settlement evinced only from about the early first millennium be. The three houses and the cooking pits of Period B may have been constructed and used sequentially. This open settlement was probably replaced during the mid first millennium bc, possibly without a break, by a palisaded enclosure (Period C), which may have contained a ring-groove house and a four-post structure. Continued domestic activity (Period D) was suggested by a single pit outside the enclosure, dated to the late first millennium bc/early first millennium ad. The limited evidence of the economy of the settlements suggests a mixed farming system.

From the bronze age to the iron age

2015 ◽  
Author(s):  
Sheila Grecian ◽  
Safwaan Adam ◽  
Akheel Syed
Keyword(s):  
Bronze Age ◽  
Iron Age ◽  
The Bronze Age

The bronze headbands of Prehistoric Lofkënd and their Aegean and Balkan connections

2010 ◽  
Vol 3 ◽  
pp. 33-54 ◽  
Author(s):  
John K. Papadopoulos
Keyword(s):  
Bronze Age ◽  
Iron Age ◽  
Early Period ◽  
Early Bronze Age ◽  
Early Iron Age ◽  
Southeast Europe ◽  
Young Females ◽  
The Many ◽  
Votive Offerings

This paper begins with an overview of the bronze headbands from the prehistoric (Late Bronze to Early Iron Age) burial tumulus of Lofkënd in Albania, which were found among the richest tombs of the cemetery, all of them of young females or children. It is argued that these individuals represent a class of the special dead, those who have not attained a critical rite de passage: marriage. In their funerary attire these individuals go to the grave as brides, married to death. The significance of the Lofkënd headbands is reviewed, as is their shape and decoration, but it is their context that contributes to a better understanding of Aegean examples, including the many bronze, gold, and silver headbands found in tombs from the Early Bronze Age through the Early Iron Age, as well as those dedicated as votive offerings in sanctuaries. In addition to discussing the evidence for headbands in the Aegean and much of southeast Europe, this paper also attempts to uncover the word used in this early period in Greece for these distinctive items of personal ornament. In memory of Berit Wells.

Nuragic Settlement Dynamics

2020 ◽  
Author(s):  
Cezary Namirski
Keyword(s):  
Bronze Age ◽  
Iron Age ◽  
East Coast ◽  
Early Iron Age ◽  
Central Mediterranean ◽  
Settlement Dynamics ◽  
The Relationship ◽  
The Bronze Age

The book is a study of the Bronze Age and Early Iron Age Nuragic settlement dynamics in two selected areas of the east coast Sardinia, placing them in a wider context of Central Mediterranean prehistory. Among the main issues addressed are the relationship between settlement and ritual sites, the use of coastline, and a chronology of settlement.

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