Electronic Healthcare Records

2021 ◽  
Vol 12 (2) ◽  
pp. 44-58
Author(s):  
Aashish Bhardwaj ◽  
Vikas Kumar
Keyword(s):  
Electronic Health Records ◽  
Medical Records ◽  
Medical Information ◽  
Legal Aspects ◽  
Health Records ◽  
Implementation Challenges ◽  
The Third ◽  
International Perspectives ◽  
Electronic Health ◽  
The Right

Patient data is very valuable and must be protected from misuse by the third parties. Also, the rights of patient like privacy, confidentiality of medical information, information about possible risks of medical treatment, to consent or refuse a treatment are very much important. Individuals should have the right to access their health records and get these deleted from hospital records after completing the treatment. Traditional ways of keeping paper-based health records are being replaced by electronic health records as they increase portability and accessibility to medical records. Governments and hospitals across the world and putting huge efforts to implement the electronic health records. The present work explores the different aspects of health privacy and health records. Most important stakeholders, technological and legal aspects have been presented from both the Indian and international perspectives. A comparative analysis has been presented for the available EHR standards with a focus on their roles and implementation challenges.

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 Contribution of Different Patient Information Sources to Create the Best Possible Medication History

2020 ◽  
Vol 33 (6) ◽  
pp. 384 ◽  
Author(s):  
Joelizy Oliveira ◽  
Ana Cristina Cabral ◽  
Marta Lavrador ◽  
Filipa A. Costa ◽  
Filipe Félix Almeida ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Medical Records ◽  
Data Sources ◽  
Sources Of Information ◽  
Medication History ◽  
Cross Sectional ◽  
Health Records ◽  
Hospital Medical ◽  
Time Periods ◽  
Electronic Health

Introduction: Obtaining the best possible medication history is the crucial step in medication reconciliation. Our aim was to evaluate the potential contributions of the main data sources available – patient/caregiver, hospital medical records, and shared electronic health records – to obtain an accurate ‘best possible medication history’.Material and Methods: An observational cross-sectional study was conducted. Adult patients taking at least one medicine were included. Patient interview was performed upon admission and this information was reconciled with hospital medical records and shared electronic health records, assessed retrospectively. Concordance between sources was assessed. In the shared electronic health records, information was collected for four time-periods: the preceding three, six, nine and 12-months. The proportion of omitted data between time-periods was analysed.Results: A total of 148 patients were admitted, with a mean age of 54.6 ± 16.3 years. A total of 1639 medicines were retrieved. Only 29% were collected simultaneously in the three sources of information, 40% were only obtained in shared electronic health records and only 5% were obtained exclusively from patients. The total number of medicines gathered in shared electronic health records considering the different time frames were 778 (three-months), 1397 (six-months), 1748 (nine-months), and 1933 (12-months).Discussion: The use of shared electronic health records provides data that were omitted in the other data sources available and retrieving the information at six months is the most efficient procedure to establish the basis of the best possible medication history.Conclusion: Shared electronic health records should be the preferred source of information to supplement the patient or caregiver interview in order to increase the accuracy of best possible medication history of the patient, particularly if collected within the prior six months.

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 THE IMPACT OF MEETING ACCREDITATION STANDARDS ON THE QUALITY OF THE ELECTRONIC HEALTH RECORDS

2020 ◽  
pp. 114-117
Author(s):  
MOHAMED HOSSAM ATTIA ◽  
ABDELNASSER IBRAHIM
Keyword(s):  
Electronic Health Records ◽  
Patient Information ◽  
Medical Records ◽  
Simple Random Sample ◽  
Health Records ◽  
Entire Study ◽  
Before And After ◽  
Electronic Health ◽  
The Impact

Objective: Electronic health records (EHRs) are considered a way to make the management of patient information easier, improve efficiency, and decrease costs related to medical information management. Compliance with requirements from accreditation bodies on quality of documentation ensures the complete and accurate patient information in the EHR. The purpose of this study is to measure the effect of quality accreditation on the quality of documentation in the EHR. Methods: A simple random sample of 18% of patient records was manually selected each month during the entire study period from the population of discharged patients. The auditing process included 18 months starting from January 2014 until June 2015. The data collection was performed by a quality management unit using a modified medical record completeness checklist adapted from Joint Commission International (JCI) criteria. Results: The results of the study show the improvement in compliance with complete medical records’ documentation after the JCI accreditation. However, after the accreditation, the compliance suffers a dramatic fall which could be referred to the post-accreditation slump. The compliance then improved again to reach higher levels of compliance. Using paired t-test, the mean of total compliance with complete and accurate medical records in October 2014 was less than in May 2015. Conclusion: This study highlighted the performance of one process before and after the first accreditation of the organization showing the real difference between the performance before and after the accreditation and explaining the drop that happened just after the accreditation.

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.

An Empirical Case Analysis on Electronic Health Records on Global Perspectives

2020 ◽  
pp. 160-165
Author(s):  
Arulmurugan Ramu ◽  
Anandakumar Haldorai
Keyword(s):  
Electronic Health Records ◽  
Medical Records ◽  
Data Analytics ◽  
Case Analysis ◽  
Patient Records ◽  
Digital Repository ◽  
Health Records ◽  
Medical Practitioners ◽  
Global Perspectives ◽  
Electronic Health

The maintenance and logging in the health records is always required so that the overall predictive mining can be done on the patient records. In addition, the recording and maintenance of electronic health records is quite mandatory whereby the digital repository related to the patient is very important so that the future based predictions and the analytics can be retained. In addition to this, the patient records are providing the medical practitioners the higher degree of accuracy in the predictions and the aspects related to the knowledge discovery about that particular patient to have the effectiveness. By this way, the overall medical records can be maintained. In this research manuscript, the enormous tools and the vendors are presented usable for the electronic health records. The presented work is having the cavernous analytics on the vendor products associated with the electronic health records whereby the global perspectives and data analytics are cited.

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.

ANALYZING THE SCOPE OF INTEGRATING ELECTRONIC MEDICAL RECORDS (EMR) AND ELECTRONIC HEALTH RECORDS (EHR) WITH MULTIMODAL HUMAN COMPUTER INTERACTION (MMHCI)

2016 ◽  
Vol 78 (6) ◽  
Author(s):  
Vairamuthu S. ◽  
Margret Anouncia
Keyword(s):  
Electronic Health Records ◽  
Human Computer Interaction ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Complex Data ◽  
Medical Systems ◽  
Health Records ◽  
History Of ◽  
Electronic Health ◽  
Computer Interaction

Developing applications using Multi Modal Human Computer Interaction (MMHCI) remains a great challenge due to the advancement of technologies. Enhanced interaction applications and tools employed in medical records will help to improve the quality of patients’ healthcare and it opens a variety of research challenges. Replacing a difficult system to store complex data related to medical history of patients through Electronic Medical Records (EMR)/Electronic Health Records (EHR) would offer several advantages that include confidentiality and patient details reliability along with the mechanisms for quick and flexible retrieval of data/information. The task of designing MMHCI applications for real time environment for EMR/EHR is thus complex. As the inputs to medical systems are heterogeneous, the associated issues grow up with the need for new system since the existing frameworks have many gaps and drawbacks. This paper attempts to discuss the possible guidelines, standards, tools and techniques involved in integrating MMHCI with EMR/EHR.

Electronic Medical Records and Electronic Health Records: Overview for Nurse Practitioners

2014 ◽  
Vol 10 (9) ◽  
pp. 660-665 ◽  
Author(s):  
Patricia C. McMullen ◽  
William O. Howie ◽  
Nayna Philipsen ◽  
Virletta C. Bryant ◽  
Patricia D. Setlow ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Electronic Medical Records ◽  
Nurse Practitioners ◽  
Medical Records ◽  
Health Records ◽  
Electronic Health

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.

Sign in / Sign up

Export Citation Format

Share Document