Architecture Models to Facilitate Communication of Clinical Information

1999 ◽  
Vol 38 (04/05) ◽  
pp. 326-331
Author(s):  
S. Kay
Keyword(s):  
Health Care ◽  
Clinical Information ◽  
Reference Architecture ◽  
Context Model ◽  
Electronic Health

AbstractThis is an account of the development and use of a context model for facilitating the communication of clinical information. Its function is to articulate the principle of context within a reference architecture for the Electronic Health Care Record (EHCR). The work required a re-examination of established models of communication, the purpose being to use them to support an architecture that could be reasonably expected to accommodate future, and by definition unforeseeable, developments in EHCR communication. The Context Model is built upon seven recognized constituents of communication. These constituents, although having their origin in the engineering of signal communication, have been found to be useful for explication both in the verbal and textual communication of narratives between people. The electronic health care record architecture supported by the model is the European prestandard ENV13606-1.

scholarly journals rdrugtrajectory: An R Package for the Analysis of Drug Prescriptions in Electronic Health Care Records

2021 ◽  
Author(s):  
Anthony Nash ◽  
Tingyee E Chang ◽  
Benjamin Wan ◽  
M. Zameel Cader
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Drug Prescription ◽  
Clinical Information ◽  
R Package ◽  
Drug Prescriptions ◽  
Practice Research ◽  
Clinical Practice Research Datalink ◽  
Electronic Health ◽  
Health Care Records

Primary care electronic health care records are rich with patient and clinical information. Studying electronic health care records has resulted in marked improvements to national health care processes and patient-care decision making, and is a powerful supplementary source of data for drug discovery effort. We present the R package rdrugtrajectory, designed to yield demographic and patient-level characteristics of drug prescriptions in the UK Clinical Practice Research Datalink dataset. The package operates over Clinical Practice Research Datalink Gold clinical, referral and therapy datasets and includes features such as first drug prescriptions analysis, cohort-wide prescription information, cumulative drug prescription events, the longitudinal trajectory of drug prescriptions, and a survival analysis timeline builder to identify risks related to drug prescription switching. The rdrugtrajectory package has been made freely available via the GitHub repository.

Business: The Electronic Health Record: Front Line Experience

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Health Record ◽  
Financial Incentives ◽  
Best Practice ◽  
Health Care Systems ◽  
The United States ◽  
Health Record ◽  
Health Trends ◽  
Electronic Health

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.

Institutional Trust of Electronic Health Care Records System Measure

2011 ◽  
Author(s):  
José Manuel Ortega Egea ◽  
María Victoria Román González
Keyword(s):  
Health Care ◽  
Institutional Trust ◽  
Electronic Health ◽  
Health Care Records

Intention to Use Electronic Health Care Records System Measure

2011 ◽  
Author(s):  
José Manuel Ortega Egea ◽  
María Victoria Román González
Keyword(s):  
Health Care ◽  
Intention To Use ◽  
Electronic Health ◽  
Health Care Records

Marking Up is Not Enough

1993 ◽  
Vol 32 (04) ◽  
pp. 272-273 ◽  
Author(s):  
A. L. Rector
Keyword(s):  
Health Care ◽  
Intelligent Processing ◽  
Structured Documents ◽  
Electronic Health ◽  
Health Care Records

Response to: Essin DJ. Intelligent processing of loosely structured documents as a strategy for organizing electronic health care records. Meth Inform Med 1993; 32: 265.

Organizational and legal basis of formation of the electronic system of healthcare in the conditions of medical reform

2020 ◽  
pp. 67-73
Author(s):  
O.O. Punda ◽  
D.A. Arziantseva ◽  
N.P. Zakharkevych
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Information ◽  
Electronic System ◽  
Information Policy ◽  
Cloud Services ◽  
Free Access ◽  
Medical Reform ◽  
Electronic Health ◽  
Care System

The article is devoted to the issues of informatization of health care in the context of medical reform in Ukraine. It was emphasized that the service component of health care reform should open free access to information for patients, in connection with which the eHealth system (electronic health care system) is being introduced in Ukraine. eHealth provides the exchange of medical information and the implementation of the program of medical guarantees of the population. It is substantiated that in order to effectively implement the state information policy in the medical field it is necessary to develop and adopt a legal act at the level of law, for example, the Law of Ukraine “On the functioning of the electronic health care system in Ukraine”. The task of such an act should be to determine the subjects of information policy in this area, the powers of individual bodies and non-governmental organizations or economic entities involved in the development and operation of electronic health care system. An important element of regulation should be to address the issue of cybersecurity when using eHealth and to determine the responsibility of specific entities for possible violations or threats to the system. It is determined that eHealth should cover all areas of medical services, including “military” and “departmental medicine”. It is emphasized that an important element of the reliable functioning of eHealth should be the training of medical staff to work with databases. At the same time, the provision on the possibility of providing “cloud” services related to the functioning of the electronic health care system should be taken into account during the creation of the draft law “On cloud services”. The possibility of using “cloud” storage of medical data and requirements for the use of “cloud” information services provided from territories of a jurisdiction other than the national one requires is assessment.

scholarly journals Administrative coding in electronic health care record‐based research of NAFLD: an expert panel consensus statement

Hepatology ◽  
2021 ◽  
Author(s):  
Hannes Hagström ◽  
Leon A Adams ◽  
Alina M. Allen ◽  
Christopher D. Byrne ◽  
Yoosoo Chang ◽  
...  
Keyword(s):  
Health Care ◽  
Consensus Statement ◽  
Expert Panel ◽  
Electronic Health

scholarly journals Implementing an Integrated Large-Scale Clinical Information System for ISSSTE’s Hospital Network in Mexico

2021 ◽  
Vol 3 (2) ◽  
pp. 444-453
Author(s):  
Arturo Cervantes Trejo ◽  
Sophie Domenge Treuille ◽  
Isaac Castañeda Alcántara
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Services ◽  
Large Scale ◽  
Clinical Information System ◽  
Clinical Information ◽  
Public Hospitals ◽  
Care Services ◽  
Cost Reductions

AbstractThe Institute for Security and Social Services for State Workers (ISSSTE) is a large public provider of health care services that serve around 13.2 million Mexican government workers and their families. To attain process efficiencies, cost reductions, and improvement of the quality of diagnostic and imaging services, ISSSTE was set out in 2019 to create a digital filmless medical image and report management system. A large-scale clinical information system (CIS), including radiology information system (RIS), picture archiving and communication system (PACS), and clinical data warehouse (CDW) components, was implemented at ISSSTE’s network of forty secondary- and tertiary-level public hospitals, applying global HL-7 and Digital Imaging and Communications in Medicine (DICOM) standards. In just 5 months, 40 hospitals had their endoscopy, radiology, and pathology services functionally interconnected within a national CIS and RIS/PACS on secure private local area networks (LANs) and a secure national wide area network (WAN). More than 2 million yearly studies and reports are now in digital form in a CDW, securely stored and always available. Benefits include increased productivity, reduced turnaround times, reduced need for duplicate exams, and reduced costs. Functional IT solutions allow ISSSTE hospitals to leave behind the use of radiographic film and printed medical reports with important cost reductions, as well as social and environmental impacts, leading to direct improvement in the quality of health care services rendered.

scholarly journals Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

2021 ◽  
Vol 1 (1) ◽  
pp. 6-17
Author(s):  
Andrija Pavlovic ◽  
Nina Rajovic ◽  
Jasmina Pavlovic Stojanovic ◽  
Debora Akinyombo ◽  
Milica Ugljesic ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Daily Practice ◽  
Ease Of Use ◽  
Future Research ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

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