Implementation of Electronic Health Record as a Clinical Information Tool to Improve Gastric Cancer Care

2021 ◽  
Author(s):  
Leila Shahmoradi ◽  
Rogayeh KhoramiMoghadam ◽  
Marjan Ghazisaeedi ◽  
Marsa Gholamzadeh
Keyword(s):  
Gastric Cancer ◽  
Electronic Health Record ◽  
Cancer Care ◽  
Clinical Information ◽  
Health Record ◽  
Functional Requirements ◽  
Record System ◽  
Web Based ◽  
Electronic Health ◽  
And Performance

Aim: According to the high prevalence of gastric cancer in Iran, this study aimed to develop a gastric cancer electronic health record (EHR) to improve outpatient gastric cancer care. Method: This study represented the stepwise process used to develop a web-based gastric cancer EHR to overcome the documentation problems and cancer care complications. These iterative phases included determining the required minimum data sets (MDS), designing, developing and implementation, and usability evaluation. The system functional and non-functional requirements were determined using needs assessment. The MDSs were identified through consensus by a multidisciplinary expert panel. Finally, the web-based system was implemented in PHP language. Results: Initially, the required datasets were verified by experts. Later, an EHR-based gastric cancer system was implemented successfully to support outpatient cancer care. Based on the analysis, the functional requirements and main modules of the system were specified. The designed system reached an acceptable level of usability and performance. Conclusion: The system was successfully implemented in the gastric cancer clinic. Implementation of an electronic health record system can not only provide ease of access to clinical information, but also improve the quality of complicated cancer care.

scholarly journals Functionalities of free and open electronic health record systems

2010 ◽  
Vol 26 (4) ◽  
pp. 382-389 ◽  
Author(s):  
Alejandro Enrique Flores Zuniga ◽  
Khin Than Win ◽  
Willy Susilo
Keyword(s):  
Electronic Health Record ◽  
Open Source ◽  
Security Requirements ◽  
Health Record ◽  
Reference Architecture ◽  
Functional Requirements ◽  
Privacy And Security ◽  
Record System ◽  
Iso Standards ◽  
Electronic Health

Objectives: The aim of this study was to examine open-source electronic health record (EHR) software to determine their level of functionalities according to the International Organization for Standardization (ISO) standards.Methods: ISO standards were used as a guideline to determine and describe the reference architecture and functionalities of a standard electronic health record system as well the environmental context for which the software has been built. Twelve open-source EHR systems were selected and evaluated according to two-dimensional criteria based on ISO/TS 18308:2004 functional requirements and ISO/TR 20514:2005 context of the EHR system.Results: Open EHR software programs mostly fulfill structural, procedural, evolutional, and medicolegal requirements at the minimal and full functionality levels. Communication, privacy, and security requirements are accomplished in less than 23 percent of the cases, mainly at minimal functional level. Ethical, cultural, and consumer requirements still need to be fulfilled by free and open-source EHR applications.Conclusions: Most analyzed systems had several functional limitations. Nevertheless, especially for clinicians and decision makers in developing countries, open-source EHR systems are an option. The limited functionalities are likely to become requirements for further releases of open-source EHR systems.

scholarly journals Web-based electronic health record system

2012 ◽  
Vol 12 (S1) ◽  
Author(s):  
Aniruddha Patil ◽  
Pranav Manikpure ◽  
Shankar Kokare ◽  
Makarand Nale ◽  
MS Chaudhari
Keyword(s):  
Electronic Health Record ◽  
Electronic Health Record System ◽  
Health Record ◽  
Record System ◽  
Web Based ◽  
Electronic Health

Why Do Physicians Reject the Electronic Health Record: A Theoretical Perspective? (Preprint)

2018 ◽  
Author(s):  
Weam Alfayez ◽  
Arwa Alumran ◽  
Dr Saja A. Al-Rayes
Keyword(s):  
Information Technology ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Health Record ◽  
Record System ◽  
Factors Influencing ◽  
Tam Model ◽  
Electronic Health ◽  
Acceptance Model

BACKGROUND Many theories/ models adopted from behavioral sciences literature or developed within the field of information technologies could help in understanding the technology acceptance, usage, and effective adoption. OBJECTIVE The main aim of this paper is to review the different theories/ models that can help in understanding information technology/system acceptance and use, and to choose the most appropriate theoretical framework that could be applied to understand the factors influencing physicians’ use of the Electronic Health Record system (EHR) at King Fahd Military Medical Complex (KFMMC) in Dhahran city, Saudi Arabia. METHODS The theories/ models were reviewed using scientific databases. The inclusion criteria were if the theories/ models used to explain individual behaviors toward accepting and using of information technology including the once conducted within the healthcare. RESULTS The review showed that there were five theories/ models were used within information technology studies to understand the technology acceptance and used. There were Theory of Reasoned Action, Theory of Planned Behaviour, Innovation Diffusion Theory, Unified theory of acceptance and use of technology, and Technology Acceptance Model. Each has different explanatory power of technology use. The most appropriate theoretical framework to understand the reason behind physician use of the EHR at KFMMC would be the Technology Acceptance Model (TAM). TAM model could explain up to 75% of the variation in the behavioral intention (acceptance), and up to 62% of the variation in the actual use. It is the gold standard for assessing the usage of health technologies and systems. In fact, the TAM model is one of the core models used to explore the physician’s perceptions of the Electronic Health Record system adoption. CONCLUSIONS This review showed that there are different theories available in the literature can be used to justify the reason behind electronic health record acceptance. TAM is one of the effective, simplest models used to understand the factors influencing physicians to use the EHR-system. Further studies need to apply the TAM model to check its ability in explaining the reason behind EHR within different hospitals in Saudi Arabia

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