scholarly journals Interoperability of electronic health records using Semantic Knowledge Graphs. A use case applied at the UTPL University Hospital

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Monica Calva ◽  
Nelson Piedra
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Semantic Knowledge ◽  
University Hospital ◽  
Medical Decision ◽  
Use Case ◽  
Semantic Technologies ◽  
Health Records ◽  
Knowledge Graphs ◽  
Electronic Health

Patient medical information is diverse, extensiveand of high value in supporting informed medical decision-making.This information is highly complex, is distributed among differentsystems, presents high heterogeneity, is stored in different formats,and has different structuring levels. The management of thisinformation poses interoperability challenges in tasks related to dataintegration and reuse. In this paper, an alternative is presented toface these challenges using semantic technologies. We propose totransform this heterogeneous, distributed, and unstructuredinformation in a way that ensures high interoperability, reuse, anddirect processing by machine agents. The pilot of this proposal wasdeveloped at the UTPL Hospital.

Satisfaction and perceived usefulness with newly-implemented Electronic Health Records System among pediatricians at a university hospital

2019 ◽  
Vol 169 ◽  
pp. 51-57 ◽  
Author(s):  
Fahad Alsohime ◽  
Mohamad-Hani Temsah ◽  
Ayman Al-Eyadhy ◽  
Fahad A. Bashiri ◽  
Mowafa Househ ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Perceived Usefulness ◽  
University Hospital ◽  
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 Postpartum Hemorrhage: Differences in Definition, Data and Incidence

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Diana Walther ◽  
Patricia Halfon ◽  
David Desseauve ◽  
Yvan Vial ◽  
Bernard Burnand ◽  
...  
Keyword(s):  
Blood Loss ◽  
Electronic Health Records ◽  
Data Quality ◽  
Data Availability ◽  
University Hospital ◽  
Diagnostic Code ◽  
Health Records ◽  
Discharge Data ◽  
Diagnostic Codes ◽  
Electronic Health

IntroductionPostpartum hemorrhage (PPH) remains a major cause of morbidity and mortality worldwide. Geo-temporal comparisons of in-hospital PPH incidence remain a challenge due to differences in definition, data quality and the absence of accurate, validated indicators. Objectives and ApproachTo compare the incidence of PPH using different definitions to assess the need for a validated indicator. Singleton births from 2014-2016 at Lausanne University Hospital, Switzerland, were included. PPH was defined based on 1) clinical diagnosis using International Classification of Diseases (ICD-10-GM) PPH diagnostic codes, 2) volume of blood loss ≥500ml for vaginal births and ≥1000ml for cesareans 3) peripartum Hb change >2g/dl in vaginal births and ≥4g/dl in cesareans and 4) fulfillment of criteria from definition one, two or three. Data were extracted from hospital discharge data and linked with electronic health records. ResultsThere were 2529, 2660 and 2715 singleton births in 2014, 2015 and 2016, respectively, 28.8% were cesareans. Peripartum change in Hb was available for 17% of births. The incidence (95% CI) of PPH in 2014, 2015 and 2016 was, respectively: 1)6.0% (5.1, 7.0), 6.3% (5.4, 7.3) and 7.9% (6.9, 9.0) based on diagnostic codes; 2)7.9% (6.8, 9.0), 7.1% (6.2, 8.2) and 7.2% (6.3, 8.3) based on blood loss volumes; 3)2.4% (1.8, 3.1), 2.7% (2.1, 3.4) and 3.5% (2.9, 4.3) based on change in Hb; 4)11.3% (10.1, 12.6), 10.4% (9.3, 11.6) and 11.0% (9.9, 12.3) based on the combined definition. Differences in PPH incidence by year between definitions one and four, two and four and three and four were all statistically significant (McNemar p-values Conclusion/ImplicationsIncidence varied widely according to definition and data availability, not to mention data quality. Our results highlight the need for a validated PPH indicator to enable monitoring. Future prospects include the validation of a diagnostic code based PPH indicator aided by text mining in electronic health records.

scholarly journals Human Computer Interaction During Clinical Decision Support With Electronic Health Records Improvement

2020 ◽  
Vol 11 (1) ◽  
pp. 93-106
Author(s):  
Katerina V. Bolgova ◽  
Sergey V. Kovalchuk ◽  
Marina A. Balakhontceva ◽  
Nadezhda E. Zvartau ◽  
Oleg G. Metsker
Keyword(s):  
Electronic Health Records ◽  
Human Computer Interaction ◽  
Medical Research ◽  
Medical Information ◽  
Clinical Decision ◽  
Medical Information System ◽  
Health Records ◽  
Electronic Health ◽  
Positive Effect ◽  
Computer Interaction

This study investigated the most common challenges of human-computer interaction (HCI) while using electronic health records (EHR) based on the experience of a large Russian medical research center. The article presents the results of testing DSS implemented in the mode of an additional interface with the EHR. The percentage of erroneous data for two groups of users (with and without notifications) is presented for the entire period of the experiment and the weekly dynamics of changes. The implementation of CDSS in the supplemented interface mode of the main medical information system (MIS) has had a positive effect in reducing user errors in the data. The results of users' survey are presented, showing a satisfactory evaluation of the implemented system. This study is part of a larger project to develop complex CDSS on cardiovascular disorders for medical research centers.

scholarly journals Electronic Health Records: Then, Now, and in the Future

2016 ◽  
Vol 25 (S 01) ◽  
pp. S48-S61 ◽  
Author(s):  
R. S. Evans
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Ethical Issues ◽  
New Technology ◽  
Local Area ◽  
International Standards ◽  
Environmental Data ◽  
Health Records ◽  
Other Information ◽  
Electronic Health

Summary Objectives: Describe the state of Electronic Health Records (EHRs) in 1992 and their evolution by 2015 and where EHRs are expected to be in 25 years. Further to discuss the expectations for EHRs in 1992 and explore which of them were realized and what events accelerated or disrupted/derailed how EHRs evolved. Methods: Literature search based on “Electronic Health Record”, “Medical Record”, and “Medical Chart” using Medline, Google, Wikipedia Medical, and Cochrane Libraries resulted in an initial review of 2,356 abstracts and other information in papers and books. Additional papers and books were identified through the review of references cited in the initial review. Results: By 1992, hardware had become more affordable, powerful, and compact and the use of personal computers, local area networks, and the Internet provided faster and easier access to medical information. EHRs were initially developed and used at academic medical facilities but since most have been replaced by large vendor EHRs. While EHR use has increased and clinicians are being prepared to practice in an EHR-mediated world, technical issues have been overshadowed by procedural, professional, social, political, and especially ethical issues as well as the need for compliance with standards and information security. There have been enormous advancements that have taken place, but many of the early expectations for EHRs have not been realized and current EHRs still do not meet the needs of today’s rapidly changing healthcare environment. Conclusion: The current use of EHRs initiated by new technology would have been hard to foresee. Current and new EHR technology will help to provide international standards for interoperable applications that use health, social, economic, behavioral, and environmental data to communicate, interpret, and act intelligently upon complex healthcare information to foster precision medicine and a learning health system.

scholarly journals The Adoption Level of Electronic Health Records in Turkish Hospitals and the Relation with Hospital Sizes

2019 ◽  
Author(s):  
Ilker Kose ◽  
John Rayner ◽  
Suayip Birinci ◽  
Mustafa Mahir Ulgu ◽  
Ismayil Yilmaz ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Clinical Care ◽  
Public Hospitals ◽  
Maturity Model ◽  
Health Records ◽  
Hospital Size ◽  
Electronic Health ◽  
Adoption Level ◽  
Better Than

Abstract Background Considering the benefits of using electronic health records (EHR) for maintaining the overall quality of clinical care, the nationwide adoption of EHR in hospitals has become a policy priority. The electronic medical record maturity model (EMRAM) is one of the most popular survey tools developed by the Healthcare Information and Management Systems Society (HIMSS) that measures the level of adoption for EHR functions in a hospital or a secondary care setting. This study aims to measure the digital capacity of public hospitals in Turkey and criticize the relation between adoption and hospital size. Methods EMRAM surveys were completed by 600 (68.9%) public hospitals of Turkey between 2014 and 2017. The availability and prevalence of medical information systems and EHR functions were measured. The association between hospital size and the availability/prevalence of EHR functions was also calculated.Results We found that 63.1% of all hospitals in Turkey have at least basic EHR functions, and 36% have comprehensive EHR functions, which is better than the results of Korean hospitals of 2017 but still lower than the USA hospitals of 2015 (1)[1]and 2017. Our findings suggest that small hospitals are better than larger hospitals at adopting certain EHR functions. Conclusion Measuring the overall adoption level of EHR functions is an emerging approach and a beneficial tool for the strategic management of countries. This study is the first one covering all public hospitals in a country by using EMRAM. The results are used by MoH of Turkey to disseminate the benefits of EHR functions overall in the country.

Electronic Health Records System Using HL7 and DICOM in Ophthalmology

2010 ◽  
pp. 42-60
Author(s):  
Isabel de la Torre Díez ◽  
Roberto Hornero Sánchez ◽  
Miguel López Coronado ◽  
María Isabel López Gálvez
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Health Records ◽  
Web Based ◽  
Application Architecture ◽  
Extensible Markup ◽  
Electronic Health ◽  
Internet Connections ◽  
Privacy And Confidentiality ◽  
The University

Health Level Seven (HL7) and Digital Imaging and Communications in Medicine (DICOM) standards are strongly influencing Electronic Health Records (EHRs) standardization. In this chapter, we present a web-based application, TeleOftalWeb 3.2, to store and exchange EHRs in ophthalmology by using HL7 Clinical Document Architecture (CDA) and DICOM standards. EHRs are stored in the native Extensible Markup Language (XML) database, dbXML 2.0. Application architecture is triple-layered with two database servers (MySQL 5.0 and dbXML) and one application server (Tomcat 5.5.9). Physicians can access and retrieve patient medical information and all types of medical images through web browsers. For security, all data transmissions are carried over encrypted Internet connections such as the Secure Sockets Layer (SSL) and Hypertext Transfer Protocol over SSL (HTTPS). The application verifies the standards related to privacy and confidentiality. The application is being tested by physicians from the University Institute of Applied Ophthalmobiology (IOBA), Spain.

The experience in integrating of medical information systems to help a practicing doctor

2019 ◽  
Vol 2019 (6) ◽  
pp. 66-73
Author(s):  
Елена Ларченко ◽  
Elena Larchenko ◽  
Анатолий Нечепуренко ◽  
Anatoliy Nechepurenko ◽  
Максим Иринархов ◽  
...  
Keyword(s):  
Information Systems ◽  
Electronic Health Records ◽  
Remote Monitoring ◽  
Medical Information ◽  
Federal State ◽  
Medical Systems ◽  
Medical Information Systems ◽  
Health Records ◽  
Daily Work ◽  
Electronic Health

The abstract: the paper presents the urgency of the problem of integrating of medical information systems and external specialized software products. The main goal of the paper is to optimize the process of remote monitoring of the patient’s health with an implanted device. As a result, the integration module of the hospital information system of the Federal state budget foundation “Federal center of cardiovascular surgery” of the Ministry of Health of the Russian Federation (Astrakhan) was introduced, in terms of the patient’s Electronic Health Records (EHR) and Medtronic CareLink remote monitoring system. The ability to integrate various medical systems makes it possible to optimize the processing of electronic medical documents, in particular, routine data collection and processing operations in the patient’s electronic medical record (Electronic Health Records, EHR) in the daily work of a medical specialist.

A Study on the Data Design of Residents Electronic Health Records System

2014 ◽  
Vol 989-994 ◽  
pp. 5524-5527
Author(s):  
Ning Liu
Keyword(s):  
Electronic Health Records ◽  
Medical Records ◽  
Medical Information ◽  
Health Records ◽  
Travel Information ◽  
Specific Description ◽  
Extensive Information ◽  
Electronic Health ◽  
Data Design

Residents' health records is different from general hospital medical records, because it is not just about people receive medical service records, or a continuous, sustained, long-term, comprehensive, more extensive information about health information. This article according to the actual situation to the residents of electronic health records system database design are analyzed, and the residents' information table, the doctor information table, a medical information table, health file information table, travel information table and announcement information table 6 design of basic data table made a specific description.

scholarly journals BSF-EHR: Blockchain Security Framework for Electronic Health Records of Patients

Sensors ◽  
2021 ◽  
Vol 21 (8) ◽  
pp. 2865
Author(s):  
Ibrahim Abunadi ◽  
Ramasamy Lakshmana Kumar
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Health Sector ◽  
Personal Data ◽  
Security And Privacy ◽  
Healthcare Sector ◽  
Security Framework ◽  
Health Records ◽  
Blockchain Technology ◽  
Electronic Health

In the current epoch of smart homes and cities, personal data such as patients’ names, diseases and addresses are often violated. This is frequently associated with the safety of the electronic health records (EHRs) of patients. EHRs have numerous benefits worldwide, but at present, EHR information is subject to considerable security and privacy issues. This paper proposes a way to provide a secure solution to these issues. Previous sophisticated techniques dealing with the protection of EHRs usually make data inaccessible to patients. These techniques struggle to balance data confidentiality, patient demand and constant interaction with provider data. Blockchain technology solves the above problems since it distributes information in a transactional and decentralized manner. The usage of blockchain technology could help the health sector to balance the accessibility and privacy of EHRs. This paper proposes a blockchain security framework (BSF) to effectively and securely store and keep EHRs. It presents a safe and proficient means of acquiring medical information for doctors, patients and insurance agents while protecting the patient’s data. This work aims to examine how our proposed framework meets the security needs of doctors, patients and third parties and how the structure addresses safety and confidentiality concerns in the healthcare sector. Simulation outcomes show that this framework efficiently protects EHR data.

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