scholarly journals A DECENTRALIZED CRYPTOGRAPHIC BLOCKCHAIN APPROACH FOR HEALTH INFORMATION SYSTEM

Author(s):  
Dr.J.Chenni Kumaran ◽  
Antony Eric Machado ◽  
Dharanidharan R ◽  
Rishi Johnson Bose

Blockchain had been an exciting studies vicinity for a long term and the advantages it gives had been utilized by some of diverse industries. Similarly, the healthcare zone stands to advantage immensely from the blockchain generation because of protection, privacy, confidentiality and decentralization. Nevertheless, the Electronic Health Record (EHR) structures face issues concerning records protection, integrity and management. In this paper, we speak how the blockchain generation may be used to convert the EHR structures and might be an answer of those issues. We gift a framework that would be used for the implementation of blockchain generation in healthcare zone for EHR. The goal of our proposed framework is first off to put into effect blockchain generation for EHR and secondly to offer stable garage of digital facts via way of means of defining granular get entry to guidelines for the customers of the proposed framework. Moreover, this framework additionally discusses the scalability trouble confronted via way of means of the blockchain generation in preferred through use of off-chain garage of the facts. This framework gives the EHR device with the advantages of getting a scalable, stable and imperative blockchain-primarily based totally answer with use of sha256 hashing algorithm.

Author(s):  
Juanjo Bote

This chapter introduces a model approach to long-term digital preservation of Electronic Health Record (EHR). The long-term digital preservation is an emerging trend in the environment of digital libraries. However, legal or business needs may cause the use of digital preservation strategies in different fields. This is the case of the EHR as part of the information system of a healthcare institution. After a reasonable space of time without activity, an EHR becomes a passive information unit. Consequently, this passive information unit remains safe in a separate information system where the main purpose is digitally preserving this information on a long-term basis. There are two appropriate methodologies, Trustworthy Repository Audit and Certification Criteria (TRAC) and a Reference Model for Open Archival Information System (OAIS). These methodologies can widely be adopted by health care organizations to preserve EHR in the long-term.


2021 ◽  
Vol 10 (1) ◽  
pp. 97
Author(s):  
Reza Abbasi ◽  
Reza Khajouei ◽  
Monireh Sadeghi Jabali ◽  
Moghadameh Mirzaei

Introduction: One of the well-known problems related to the information quality is the information incompleteness in health information systems. The purpose of this study was to investigate the completeness rate of patients’ information recorded in the hospital information system, sending information from which to Iranian electronic health record system (SEPAS) seemed to be unsuccessful.Methods: This study was conducted in six hospitals associated with Kerman University of Medical Sciences (KUMS) in Iran. In this study, 882 records which had failed to be sent from three hospital information systems to SEPAS were reviewed and the data were collected using a checklist. Data were analyzed using the descriptive and inferential statistics with SPSS.18.Results: A total of 18758 demographic and clinical information elements were examined. The rate of completeness was 55%. The highest completeness rate of demographic information was related to name, surname, gender, nationality, date of birth, father's name, marital status, place of residence, telephone number (79-100%), and in clinical information it was related to the final diagnosis (74%). The completeness rate of some information elements was significantly different among the hospitals (p <0.05). The completeness rate of information communicated to the Iranian national electronic health record was at a moderate level.Conclusion: This study showed that completeness rate is different among hospitals using the same hospital information system. The results of this study can help the health policymakers and developers of the national electronic health record in developing countries to improve completeness rate and also information quality in health information systems.


2011 ◽  
Vol 50 (02) ◽  
pp. 140-149 ◽  
Author(s):  
M. Yuksel ◽  
A. Avcl ◽  
B. Ceyhan ◽  
Ü. Hülür ◽  
Z. Eryllmaz ◽  
...  

Summary Objectives: The objective of this paper is to describe the techniques used in developing the National Health Information System of Turkey (NHIS-T), a nation-wide infrastructure for sharing electronic health records (EHRs). Methods: The UN/CEFACT Core Components Technical Specification (CCTS) methodology was applied to design the logical EHR structure and to increase the reuse of common information blocks in EHRs. Results: The NHIS-T became operational on January 15, 2009. By June 2010, 99% of the public hospitals and 71% of the private and university hospitals were connected to NHIS-T with daily feeds of their patients’ EHRs. Out of the 72 million citizens of Turkey, electronic healthcare records of 43 million citizens have already been created in NHIS-T. Currently, only the general practitioners can access the EHRs of their patients. In the second phase of the implementation and once the legal framework is completed, the proper patient consent mechanisms will be available through the personal health record system that is under development. At this time authorized health-care professionals in secondary and tertiary healthcare systems can access the patients’ EHRs. Conclusions: A number of factors affected the successful implementation of NHIS-T. First, all stakeholders have to adopt the specified standards. Second, the UN /CEFACT CCTS approach was applied which facilitated the development and understanding of rather complex EHR schemas. Finally, the comprehensive testing of vendor-based hospital information systems for their conformance to and interoperability with NHIS-T through an automated testing platform enhanced substantially the fast integration of vendor-based solutions with the NHIS-T.


Author(s):  
Khin Than Win ◽  
Peter Croll

Effective and appropriate implementation of health information systems assists with an organization’s knowledge management. To enhance a user’s trustworthiness and full adoption, a health information system needs to be dependable. This chapter reviews the different development methodologies available for engineering dependable solutions and their application by citing two case studies as an example. Health information systems cover a diverse set of applications. The focus in this chapter is on the development of electronic health record systems, the importance of dependability, and the relationship between dependability and data quality of the health record systems.


2018 ◽  
Vol 5 (1) ◽  
pp. 14
Author(s):  
Saras Anindya Nurhafid ◽  
Tuti Afriyani

Hypertension is a health problem that is still widely encountered in Indonesia. A common problem is the lack of monitoring of health status by hypertensive patients. With the advancement of information technology, has designed mobile health information system known as mHealth which can be integrated with Electronic Health Record (EHR) in health service to improve hypertension monitoring. The author uses literature review non sistematic study writing method. Implementation of mHealth has benefits both for mHealth users and for health teams, especially community nurses who can improve the quality of health services. Therefore, the authors recommend the use of mHealth in health services in Indonesia. Keywords: Electronic Health Record, hypertension, mHealth


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