scholarly journals Blockchain as a Foundation for Sharing Healthcare Data

2018 ◽  
Author(s):  
Marek A Cyran
Keyword(s):  
Electronic Health Record ◽  
Data Sharing ◽  
Data Exchange ◽  
Healthcare Delivery ◽  
Health Record ◽  
Sensitive Data ◽  
Hospital System ◽  
Healthcare Data ◽  
Blockchain Technology ◽  
Electronic Health

Blockchain technology has the potential to transform healthcare delivery by facilitating data sharing between providers and electronic health record (EHR) systems. However, significant roadblocks stand in the way of widespread implementation of this technology across the healthcare industry. Our blockchainbased data-sharing solution addresses two of the most critical challenges associated with using blockchain for health data sharing: protecting sensitive health information and deploying and installing blockchain software across diverse hospital environments. Since transparency is a fundamental feature of blockchain, we enabled user- and group-based secret sharing by adding purpose-built software that leverages a collection of well-established cryptographic algorithms. To streamline deployment, we built a containerized solution that guarantees portability, simplifies installation, and reduces overhead maintenance costs associated with administration. To ensure ease of implementation in a hospital system, we designed our blockchain solution using a distributed microservices architecture that allows us to encapsulate core functions of our system into isolated services that can be scaled independently based on the requirements of a particular hospital system deployment. As part of this architecture, we built core components for securely handling cryptographic secrets, interacting with blockchain nodes, facilitating large file sharing, enabling secondary-index based lookups, and integrating external business logic that governs how users interact with Smart Contracts. The innovative design of our blockchain solution, which addresses critical data security, deployment, and installation challenges, provides the healthcare community with a unique approach that has the power to connect providers while protecting sensitive data. Keywords: Blockchain, Data Sharing, Data Exchange, EHR,electronic health record, Ethereum, interplanetary file system, IPFS  

EEMI - An Electronic Health Record for Pediatricians

2020 ◽  
pp. 614-628
Author(s):  
Juan C. Lavariega ◽  
Roberto Garza ◽  
Lorena G Gómez ◽  
Victor J. Lara-Diaz ◽  
Manuel J. Silva-Cavazos
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Data Sharing ◽  
Medical Records ◽  
Data Exchange ◽  
Data Representation ◽  
Health Record ◽  
Health Records ◽  
Health Area ◽  
Electronic Health

The use of paper health records and handwritten prescriptions are prone to preset errors of misunderstanding instructions or interpretations that derive in affecting patients' health. Electronic Health Records (EHR) systems are useful tools that among other functions can assists physicians' tasks such as finding recommended medicines, their contraindications, and dosage for a given diagnosis, filling prescriptions and support data sharing with other systems. This paper presents EEMI, a Children EHR focused on assisting pediatricians in their daily office practice. EEMI functionality keeps the relationships among diagnosis, treatment, and medications. EEMI also calculates dosages and automatically creates prescriptions which can be personalized by the physician. The system also validates patient allergies. This paper also presents the current use of EHRs in Mexico, the Mexican Norm (NOM-024-SSA3-2010), standards for the development of electronic medical records and its relationships with other standards for data exchange and data representation in the health area.

Health Information Exchange in Practice

2019 ◽  
pp. 264-280
Author(s):  
Mark E. Frisse ◽  
Karl E. Misulis
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Data Exchange ◽  
Health Information Exchange ◽  
Healthcare Delivery ◽  
Health Record ◽  
Healthcare Data ◽  
Electronic Health ◽  
Alternative Settings ◽  
Collaborative Efforts

Even when restricting the focus of care to hospitals and ambulatory clinics, most individuals seek care from many practitioners operating in different locations and often employing different electronic health records. Early efforts at creating interoperable data exchange among these systems have often disappointed users and administrators. Effective collaboration is a prerequisite for effective healthcare delivery. Even if using different EHRs, every clinician and caregiver should share a common clinical record set and means of communicating to other providers. Recent collaborative efforts among major electronic health record vendors are simplifying exchange of information among hospitals and large clinics, but they have not yet sufficiently addressed the necessary broader exchange of healthcare data among the caregivers in alternative settings and in the home.

EEMI – An Electronic Health Record for Pediatricians

2020 ◽  
pp. 249-264
Author(s):  
Juan C. Lavariega ◽  
Roberto Garza ◽  
Lorena G Gómez ◽  
Victor J. Lara-Diaz ◽  
Manuel J. Silva-Cavazos
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Data Sharing ◽  
Medical Records ◽  
Data Exchange ◽  
Data Representation ◽  
Health Record ◽  
Health Records ◽  
Health Area ◽  
Electronic Health

The use of paper health records and handwritten prescriptions are prone to preset errors of misunderstanding instructions or interpretations that derive in affecting patients' health. Electronic Health Records (EHR) systems are useful tools that among other functions can assists physicians' tasks such as finding recommended medicines, their contraindications, and dosage for a given diagnosis, filling prescriptions and support data sharing with other systems. This paper presents EEMI, a Children EHR focused on assisting pediatricians in their daily office practice. EEMI functionality keeps the relationships among diagnosis, treatment, and medications. EEMI also calculates dosages and automatically creates prescriptions which can be personalized by the physician. The system also validates patient allergies. This paper also presents the current use of EHRs in Mexico, the Mexican Norm (NOM-024-SSA3-2010), standards for the development of electronic medical records and its relationships with other standards for data exchange and data representation in the health area.

scholarly journals Opinions, perceptions and attitudes toward an electronic health record system among practicing nurses

2017 ◽  
Vol 8 (3) ◽  
pp. 12
Author(s):  
Ahmad H. Abu Raddaha ◽  
Arwa Obeidat ◽  
Huda Al Awaisi ◽  
Jahara Hayudini
Keyword(s):  
Electronic Health Record ◽  
Clinical Information System ◽  
Research Work ◽  
Healthcare Delivery ◽  
Future Research ◽  
Health Record ◽  
Randomized Sampling ◽  
Positive Attitudes ◽  
Electronic Health ◽  
The Impact

Background: Despite worldwide expanding implementation of electronic health record (EHR) systems, healthcare professionals conducted limited number of studies to explore factors that might facilitate or jeopardize using these systems. This study underscores the impact of nurses’ opinions, perceptions, and computer competencies on their attitudes toward using an EHR system.Methods: With randomized sampling, a cross-sectional exploratory design was used. The sample consisted of 169 nurses who worked at a public teaching hospital in Oman. They completed self-administered questionnaire. Several standardized valid and reliable instruments were utilized.Results: Seventy-four percent of our study nurses had high positive attitudes toward the EHR system. The least ranked perception scores (60.4%) were linked to perceiving that suggestions made by nurses about the system would be taken into account. Nurses who reported that the hospital sought for suggestions for customization of the system [OR: 2.54 (95% CI: 1.09, 5.88), p = .03], who found the system as an easy-to-use clinical information system [OR: 6.53 (95% CI: 1.72, 24.75), p = .01], who reported the presence of good relationship with the system’s managing personnel [OR: 3.59 (95% CI: 1.13, 11.36), p = .03] and who reported that the system provided all needed health information [OR: 2.97 (95% CI: 1.16, 7.62), p = .02] were more likely to develop high positive attitudes toward the system.Conclusions: To better develop plans to foster the EHR system’s use facilitators and overcome its usage barriers by nursing professionals, more involvement of nurses in system’s customization endeavors is highly suggested. When the system did not disrupt workflows, it would decrease clinical errors and expand nursing productivity. In order to maximize the utilization of the system in healthcare delivery, future research work to investigate the effect of the system on other healthcare providers and inter-professional communications is pressingly needed.

scholarly journals ELECTRONIC HEALTH RECORD: BLOCKCHAIN TECHNOLOGY

2019 ◽  
Vol 05 (01) ◽  
pp. 1-4
Author(s):  
Shruti Gaikwad ◽  
Nikita Kirad ◽  
Shubhangi Gayake ◽  
Dr. Pradnya Kulkarni
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Blockchain Technology ◽  
Electronic Health

Implementation of Electronic Health Record (EHR) System in the Healthcare Industry

2016 ◽  
pp. 1001-1016
Author(s):  
Robert P Schumaker ◽  
Kavya P. Reganti
Keyword(s):  
Electronic Health Record ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Health Record ◽  
Healthcare Industry ◽  
Efficient Delivery ◽  
Electronic Health

The purpose of this research is to demonstrate the efficiency of the Electronic Health Record (EHR) software that is adopted in the healthcare industry to provide better patient care. The authors examine the impact of EHRs on the efficient delivery of healthcare services. More specifically, they detail the origin of EHR, its significance in modern healthcare delivery along with the selection and implementation criteria for EHR software. They present a survey on the extent of adoption of EHR by clinicians. They also highlight the challenges and barriers faced by organizations in adopting EHR software such as cost, workflow impact and data security. Finally, the authors contemplate the future of EHR, its role in the implementation of health information exchange and its implementation in the cloud. They conclude that the implementation of EHR in the cloud is an important step towards better health management across the population with the end-goal of better health outcomes.

Why Using Actor Network Theory (ANT) Can Help to Understand the Personally Controlled Electronic Health Record (PCEHR) in Australia

2012 ◽  
Vol 4 (2) ◽  
pp. 44-60 ◽  
Author(s):  
Imran Muhammad ◽  
Say Yen Teoh ◽  
Nilmini Wickramasinghe
Keyword(s):  
Information Technology ◽  
Electronic Health Record ◽  
Network Theory ◽  
Healthcare Delivery ◽  
Actor Network Theory ◽  
Healthcare Systems ◽  
Health Record ◽  
Actor Network ◽  
Healthcare Reforms ◽  
Electronic Health

Globally, healthcare reforms are being initiated to address the tremendous challenges facing healthcare systems. Without exception these reforms include the implementation of a variety of e-health solutions. Such e-health solutions are complex and have far reaching implications. In this paper, the authors argue that while these implementations and adoptions of e-health solutions are necessary, it is essential that an appropriate lens of analysis should be used to maximise and sustain the benefits of IS/IT (information systems/information technology) in healthcare delivery. Hence, in this paper, the authors proffer Actor-Network Theory (ANT) as an appropriate lens to evaluate these various e-health solutions and illustrate, in the context of the Personally Controlled Electronic Health Record (PCEHR), the chosen e-health solution for Australia.

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