Optimizing the data available via Health Canada’s clinical information portal

Introduction: HealthPathways is a clinical information portal developed in New Zealand that enables general practitioners to manage and refer their patients in a local context. We analyzed specialist outpatient appointment costs in Mackay, Queensland before and after HealthPathways implementation. Methods: We retrospectively examined specialist outpatient costs for patients referred by Mackay general practitioners for conditions with varying levels of HealthPathways implementation. Ranked from most clinical pathways available to none, chronic diabetes, cardiology, respiratory, and urology visits from January to March 2015, pre-pathways, and January to March 2017, post-pathways, were assessed. Monte Carlo simulation was used to estimate cost changes. Per-visit costs were multiplied by visit numbers to estimate policy impact. Results: The mean cost per visit increased from $220 to $305 for diabetes and $270 to $323 for respiratory, and decreased from $296 to $257 for cardiology and $444 to $293 for urology. The policy impact for each disease group over 3 months after accounting for visit numbers was a likely saving of $30 360 for diabetes and $10 270 for cardiology, and a likely cost increase of $24 449 for respiratory and $20 536 for urology. Conclusions: We observed that conditions with more comprehensive clinical pathways cost Mackay HHS substantially less following implementation. Costs for low and no pathway implementation referrals increased slightly over the same period.

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An Automated Clinical Information System

Methods of Information in Medicine ◽

10.1055/s-0038-1636234 ◽

1964 ◽

Vol 3 (02) ◽

pp. 45-50 ◽

Cited By ~ 6

Author(s):

D. Yoder ◽

R. Swearingen ◽

E. Schenthal ◽

W. Sweeney ◽

J. Nettleton

Keyword(s):

Natural Language ◽

Clinical Information System ◽

Drug Evaluation ◽

Scientific Information ◽

Clinical Information ◽

Clinical Situation ◽

Field Variable ◽

Record System ◽

New Members ◽

Clinical Terminology

An automated clinical record system must have the following characteristics: as far as the physician is concerned it must operate in natural language on standard sized paper; it must be able to accept information from the physician at a time when he is oriented to clinical terminology and a clinical mode of thinking; it must have an output which is clinically useful for the care and management of a patient; each item of information must be addressable so that it may act as an index for scientific information retrieval; it must be capable of accepting quantative and natural language information.Clinical information constitutes a mathematical set, only a few members of which are applicable to any particular clinical situation, and to which new members are constantly being added. The members of this set are seldom mutually exclusive. An acceptable system which is capable of processing this type of information has been designed utilizing the concepts of self-encoding forms and variable-field, variable-length records. Applications of these principles will expedite hospital automation, the establishment of drug evaluation information systems, and of regional and nationwide medical record systems.

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Architecture Models to Facilitate Communication of Clinical Information

Methods of Information in Medicine ◽

10.1055/s-0038-1634410 ◽

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.

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MS2/Cardio: Towards a Multi-Service Medical Software for Cardiology

Methods of Information in Medicine ◽

10.1055/s-0038-1634856 ◽

1992 ◽

Vol 31 (01) ◽

pp. 18-28 ◽

Cited By ~ 2

Author(s):

C. Combi ◽

G. Pozzi ◽

R. Rossi ◽

F. Pinciroli

Keyword(s):

Statistical Processing ◽

Clinical Information ◽

Daily Practice ◽

Management Unit ◽

Record Management ◽

Medical Software ◽

Software Packages ◽

Ambulatory Patients ◽

Patient Database ◽

Individual Program

Abstract:Many clinics are interested to use software packages in daily practice, but lack of integration of such packages seriously limits their scope. In practice this often entails switching between programs and interrupting the run of an individual program. A multi-task approach would not solve this problem as it would not eliminate the need to input the same data many times, as often occurs when using separate packages. The construction of a Multi-Service Medical Software package (MSx2) is described, which was also developed as an example of practical integration of some clinically relevant functions. The package runs on a personal computer in an MS-DOS environment and integrates a time-oriented medical record management unit (TOMRU) for data of ambulatory patients, and a drug information management unit (DIMU) concerning posology, content, effects, and possible interactions. Of the possible database configurations allowed by MSx2, the cardiology patient database (MSx2/C) and hypertensive patient database (MSx2/H) were developed and described here. Clinical information to be included in the configurations was obtained after discussion and consensus of clinical practitioners. MSx2/C was distributed to several hundred clinical centers during computerized courses to train future users. MSx2 can easily transfer patient data to statistical processing packages.

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Computer-Aided Diagnosis in Jaundice: Comparison of Knowledge-based and Probabilistic Approaches

Methods of Information in Medicine ◽

10.1055/s-0038-1634634 ◽

1996 ◽

Vol 35 (01) ◽

pp. 41-51 ◽

Cited By ~ 3

Author(s):

F. Molino ◽

D. Furia ◽

F. Bar ◽

S. Battista ◽

N. Cappello ◽

...

Keyword(s):

Clinical Presentation ◽

Clinical Information ◽

Diagnostic Value ◽

Clinical Findings ◽

Clinical Documentation ◽

Data Set ◽

Knowledge Based ◽

Number Of Patients ◽

Support Tools ◽

Aided Diagnosis

AbstractThe study reported in this paper is aimed at evaluating the effectiveness of a knowledge-based expert system (ICTERUS) in diagnosing jaundiced patients, compared with a statistical system based on probabilistic concepts (TRIAL). The performances of both systems have been evaluated using the same set of data in the same number of patients. Both systems are spin-off products of the European project Euricterus, an EC-COMACBME Project designed to document the occurrence and diagnostic value of clinical findings in the clinical presentation of jaundice in Europe, and have been developed as decision-making tools for the identification of the cause of jaundice based only on clinical information and routine investigations. Two groups of jaundiced patients were studied, including 500 (retrospective sample) and 100 (prospective sample) subjects, respectively. All patients were independently submitted to both decision-support tools. The input of both systems was the data set agreed within the Euricterus Project. The performances of both systems were evaluated with respect to the reference diagnoses provided by experts on the basis of the full clinical documentation. Results indicate that both systems are clinically reliable, although the diagnostic prediction provided by the knowledge-based approach is slightly better.

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Assigning Value to Clinical Information – A Major Limiting Factor in the Implementation of Decision-Support Systems

Methods of Information in Medicine ◽

10.1055/s-0038-1634631 ◽

1996 ◽

Vol 35 (01) ◽

pp. 1-4 ◽

Cited By ~ 5

Author(s):

F. T. de Dombal

Keyword(s):

Decision Support ◽

Decision Support Systems ◽

Support Systems ◽

Clinical Information ◽

Limiting Factor ◽

Major Difficulty ◽

Computer Aided ◽

Computer Aided Decision

AbstractThis paper deals with a major difficulty and potential limiting factor in present-day decision support - that of assigning precise value to an item (or group of items) of clinical information. Historical determinist descriptive thinking has been challenged by current concepts of uncertainty and probability, but neither view is adequate. Four equations are proposed outlining factors which affect the value of clinical information, which explain some previously puzzling observations concerning decision support. It is suggested that without accommodation of these concepts, computer-aided decision support cannot progress further, but if they can be accommodated in future programs, the implications may be profound.

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A Computer-based Clinical Information System

Methods of Information in Medicine ◽

10.1055/s-0038-1635501 ◽

1987 ◽

Vol 26 (04) ◽

pp. 189-194

Author(s):

S. S. El-Gamal

Keyword(s):

Information System ◽

Hospital Information System ◽

Clinical Information System ◽

Research Work ◽

Clinical Information ◽

Hospital Staff ◽

Vital Role ◽

Daily Routine ◽

Specialized Hospital ◽

Computer Based

SummaryModern information technology offers new opportunities for the storage and manipulation of hospital information. A computer-based hospital information system, dedicated to urology and nephrology, was designed and developed in our center. It involves in principle the employment of a program that allows the analysis of non-restricted, non-codified texts for the retrieval and processing of clinical data and its operation by non-computer-specialized hospital staff.This Hospital Information System now plays a vital role in the efficient provision of a good quality service and is used in daily routine and research work in this hospital. This paper describes this specialized Hospital Information System.

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F.N.A.C. AS DIAGNOSTIC TOOL OF PAROTID TUMORS AND ASSOCIATED PITFALLS IN CORRELATION WITH HISTOPATHOLOGY

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i1.1153 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Bhawana Pant ◽

Sanjay Gaur ◽

Prabhat Pant

Keyword(s):

Preoperative Diagnosis ◽

Histopathological Examination ◽

Clinical Information ◽

Final Diagnosis ◽

Needle Aspiration ◽

Histopathological Diagnosis ◽

Cytological Diagnosis ◽

Tertiary Referral Centre ◽

Clear Cut ◽

Parotid Tumors

F.NA.C has been used for ages as a safe and economical tool for fast preoperative diagnosis of parotid tumors. It has certain pitfall which sometimes leads to misdiagnosis and consequently it may have affect on treatment of the tumors. Keeping in view of the diverse classification of parotid tumors’ information from cytology should be combined with radiology as well as clinical diagnosis. Aim: To discuss some cases where there was discrepancy between cytological diagnosis and histopathological result and also suggest measures to improve the efficacy of F.N.A.C. Material and methods: The study includes 50 cases of parotid tumours who presented to the department of ENT at Government medical college Haldwani which is a tertiary referral centre during 2009 to 2016. Only adult patients were included and inflammatory swelling were excluded from the study. All patients evaluated Contrast enhanced computerized tomography(CECT) and Magnetic resonance imaging (MRI) followed by Fine needle aspiration cytology .Preoperative diagnosis was made upon the findings of the above investigations and different types of parotid surgeries were done. . Final diagnosis was made on histopathological examination. Result :The most common tumour came out to be pleomorphic adenoma (23 cases-46%) followed by mucoepidermoid carcinoma(12cases-24%). In ten cases there was no clear cut association between cytological diagnosis and final histopathological diagnosis. Conclusion: FNAC is highly sensitive and specific technique for diagnosis of many salivary gland swellings. FNAC can be used preoperatively to avoid unnecessary surgery and biopsy. Details of clinical information and radiologic features may help the pathologist to arrive at the appropriate diagnosis and reduce false interpretation. Pitfalls may also occur with improper technique of FNAC which can be overcome by proper caution.

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Developing GIS portal to ensure sanitary and epidemiological surveillance of transferring radio engineering objects

Hygiene and Sanitation ◽

10.33029/0016-9900-2020-99-4-344-350 ◽

2020 ◽

Vol 99 (4) ◽

pp. 344-350

Author(s):

Evgeny V. Zibarev ◽

A. S. Afanasev ◽

O. V. Slusareva ◽

T. I. Muragimov ◽

V. A. Stepanets ◽

...

Keyword(s):

Electromagnetic Fields ◽

Analytical Data ◽

Base Stations ◽

Epidemiological Surveillance ◽

Graphical Form ◽

Residential Areas ◽

Information Portal ◽

Radiofrequency Electromagnetic Fields ◽

Online Mode ◽

Automated Processes

In recent years, in the Russian Federation there has been an increase in the levels of radiofrequency electromagnetic fields in residential areas, including due to an increase in the number of base stations (BS). The purpose of sanitary and epidemiological surveillance at the stages of placement and commissioning of base stations (BS) is to prevent their adverse effects on public health. The increase in the number of base stations, together with the advent of new electronic equipment and antennas, provide opportunities for improving the processes of their accounting at the stage of placement and monitoring of the levels of radiofrequency electromagnetic fields at the operation stage. This automation tool can be a geo-information portal for providing sanitary and epidemiological surveillance of cellular base stations. The prototype of the geo-information portal allows both calculating the size of sanitary protection zones (SPZ) and building restriction zones (RZ) from the BS in online mode, displaying the results of calculations in graphical form and issuing sanitary and epidemiological conclusions for the placement and operation of base stations. The geo-information portal has the ability to synchronize with the data of the radio frequency center. Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing will be able to receive up-to-date analytical data. There will be completely automated processes of collecting, processing and storing information on BS.

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Preservation of Documental Heritage of the Republic of Sakha (Yakutia) Peoples

Bibliotekovedenie [Library and Information Science (Russia)] ◽

10.25281/0869-608x-2009-0-3-34-39 ◽

2009 ◽

pp. 34-39

Author(s):

Galina F. Leveryeva ◽

Afanasii R. Batorov

Keyword(s):

Point Of View ◽

Information Portal ◽

Rare Books ◽

The Republic ◽

Further Development

Questions of creation and development of information portal “Memory of Yakutia” from the point of view of accumulation and preservation of documental heritage of Yakutia nations are considered. Problems of digitization of manuscripts, rare books, audiovisual documents are highlighted and trends of further development are traced.

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