scholarly journals FLEXEHR: Proposal of a Platform for Interoperability between Information Systems Based on Electronic Medical Records in Panama

Proceedings ◽  
2019 ◽  
Vol 31 (1) ◽  
pp. 13
Author(s):  
Nielsen ◽  
Saavedra ◽  
Villarreal ◽  
Muñoz ◽  
Castillo

The existing technologies, systems, or models in the hospital system, in certain aspects have, in terms of integrity, difficulties in carrying out an adequate, systematic, and automated record of patient data. To this end, the electronic health records (EHR) have been designed to provide updated information to the entire health system. This document is one of the most important that exists within the hospital system throughout the country, and its main objective is the care, treatment, and monitoring of peoples’ health in a simple and conceptualized way. This article proposes the design of a flexible electronic health record system (FLEXEHR), integrating generic systems and totally flexible, based on web services so that different hospital information systems can be interconnected, thus creating a patient data gateway in an orderly and structured way, considering its availability, confidentiality, and integrity. In Panama, existing health systems have the disadvantage that they are not interoperable, which generates duplication of EHR according to the type of health entity visited.

Block-chain is a list of records which are stored in its blocks that are linked through cryptography. It is used previously for bitcoin transactions only. Now the government and also other organizations are going to use this block-chain in different fields. Electronic Health Records (EHRs) are used for storing the information about the patients. In EHR the information is stored in the paper through web which has some disadvantages. Here we use block-chain and Attribute- Based Signatures (ABS) to store the information about the patient’s in the blocks of block-chain which is stored in cloud. By this we can provide security to the patient data and also there are no storage problems and also through ABS we provide some attributes to the users who are going to access the data of patient.


2015 ◽  
Vol 96 (2) ◽  
pp. 227-233
Author(s):  
Sh M Gimadeev ◽  
A I Latypov ◽  
S V Radchenko ◽  
D F Khaziakhmetov

Aim. Comparative assessment of an automation facilities influence on labor input and business processes’ productivity indicators related to primary functions of healthcare facilities of different types.Methods. We performed medical personnel’s work timing in emergency rooms, as well as medical records timing in clinical departments. The automated electronic health records processing while operating hospital information systems created by authors among different types of healthcare facilities was also performed. Output data included personal health record operation periods values and system events timestamps.Results. The data concerning hospital information systems’ influence on electronic health records operating time changes and hospitalization delays was obtained. A correlation between the initial hospitalization delay and hospital capacity was discovered (r=0.917). The emergency room automation significantly reduces hospitalization delays. Under clinical information system operating conditions, the primary examination time recording increases twice, while the time spent for all other electronic health records decreases in higher order. Considerable difference between primary examination recording time and the time, necessary for other personal health record registrations, has satisfactory interpretation within the heterogeneous medical data sources integration model, but not within usability model. In general, the gained data does not confirm results of previously published researches pointing the increased time doctors spent for data management in automation conditions.Conclusion. Hospital information systems implementation improved the specialist’s labor productivity and main working processes work capacity. The obtained data indicate a greater influence of automation in large healthcare facilities and reject usability hypothesis of hospital information systems efficiency.


Author(s):  
Juan C. Lavariega ◽  
Roberto Garza ◽  
Lorena G Gómez ◽  
Victor J. Lara-Diaz ◽  
Manuel J. Silva-Cavazos

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.


2019 ◽  
Vol 1 (2) ◽  
pp. 57-61
Author(s):  
Sangeetha R ◽  
Harshini B ◽  
Shanmugapriya A ◽  
Rajagopal T.K.P.

This paper deals with the Electronic Health Records for storing information of the patient which consist of the medical reports. Electronic Health Records (EHRs) are entirely controlled by Hospitals instead of patients, which complicates seeking medical advices from different hospitals. In the existing system of storing details of the patients are very dependent on the servers of the organization. In the proposed all the information of the patient are stored in the blockchain by using the Metamask and these details are stored in the block chain as a blocks of data. Each block consists of the data which is encrypted data. Electronic Health Record (EHR) systems record health-related information on an individual so that it can be consulted by clinicians or staff for patient care. The data is encrypted by the algorithm known as SHA-256 which is used to encrypt all the data of the patients into a single line 256 bit encrypted text which will be stored in the block at etherscan. These records for not only useful for the consultation but also for creation of historic family health information tree that keeps track of genetic health issues and diseases it can also be used for any health service with the authorization from both the patient and medical organization.


2019 ◽  
Vol 32 (01) ◽  
pp. 082-090
Author(s):  
Jacob Carlson ◽  
Jonathan Laryea

AbstractElectronic health records (EHRs) or electronic medical records (EMRs) contain a vast amount of clinical data that can be useful for multiple purposes including research. Disease registries are collections of data in predefined formats for population management, research, and other purposes. There are differences between EHRs and registries in the data structure, data standards, and protocols. Proprietary EHR systems use different coding systems and data standards, which are usually kept secret. For EHR data to flow seamlessly into registries, there is the need for interoperability between EHR systems and between EHRs and registries. The levels of interoperability required include functional, structural, and semantic interoperability. EHR data can be manually mapped to registry data, but that is a tedious, resource-intensive endeavor. The development of data standards that can be used as building blocks for both EHRs and registries will help overcome the problem of interoperability.


Author(s):  
Prashant Kanade ◽  
Dr Arun Kumar

Details concerning a person's wellbeing, such as prescription history, immunizations, allergies, and medical test records, should be held in a uniform format. A systematic database of a person's health-care records will aid in assessing the appropriate treatment plan for someone who requires treatment at some point in their life. The majority of countries have their own health-carerecord-keeping scheme. The Ministry of Health and Family Welfare (Government of India) framed the guidelines for Electronic Health Records in our country (India) in 2013, and changes were made by April 2016. The need for the removal of the traditional health record system is stated in these guidelines. This paper's main goal is to propose an efficient model for an interoperable electronic health record system. The system is structured to keep track of the health records of patients in a systematic and user-friendly manner. Easy programmes have been written to convert stored data to communication standards such as HL7 and XML. The health-related details of a patient can be viewed and reused using HL7 and XML. There's even talk about getting specific data from the device. EHR systems in use in other countries are researched and used as a guide to develop an EHR system for India.


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