scholarly journals Preferred names, preferred pronouns, and gender identity in the electronic medical record and laboratory information system: Is pathology ready?

2017 ◽  
Vol 8 (1) ◽  
pp. 42 ◽  
Author(s):  
MatthewD Krasowski ◽  
KatherineL Imborek ◽  
NicoleL Nisly ◽  
MichaelJ Hesseltine ◽  
Jana Grienke ◽  
...  
Keyword(s):  
Information System ◽  
Gender Identity ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Laboratory Information System ◽  
And Gender

scholarly journals PERANCANGAN SISTEM INFORMASI REKAM MEDIS ELEKTRONIK RAWAT JALAN BERBASIS WEB DI KLINIK GIGI BRIGHT SMILES BALI

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Dewa Made Andika Dwi Prawiradirjo ◽  
Bambang Hadi Kartiko ◽  
Gerson Feoh
Keyword(s):  
Information System ◽  
Life Cycle ◽  
Data Management ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Web Based ◽  
Patient Medical Record ◽  
Code Search ◽  
Development Life Cycle ◽  
Icd 10

ABSTRACT<br />The medical record officer at Bright Smiles Bali Clinic is still having difficulty in the process of<br />managing the data of outpatients because the clinic still using manual system that has not been<br />computerized. So it is necessary to design a web-based electronic medical record information system<br />that can help medical record officer in patient data management process. The method used in the<br />design of this system is the system development life cycle (SDLC) which consists of the planning,<br />analysis, design, implementation, and usage phases. The purpose and benefits of this information<br />system design is to produce a web based outpatient medical record information system at Bright<br />Smiles Bali Clinic.This information system facilitate medical record officer in carrying out patient<br />data management covering patient registration process, recording of patient medical record, doctors<br />data recording, code search on ICD 9 CM, code search on ICD 10. Besides, this information system<br />produces various reports as well as patient medical record information that management needs for<br />decision making.<br />Keywords: Information System, Electronic Medical Record, Outpatient, Web.<br />ABSTRAK<br />Petugas rekam medis di Klinik Gigi Bright Smiles Bali masih kesulitan dalam proses pengelolaan data<br />pasien rawat jalan karena masih menggunakan sistem manual yang belum terkomputerisasi. Maka<br />diperlukan sebuah sistem informasi rekam medis elektronik berbasis web yang dapat membantu<br />petugas rekam medis dalam proses pengelolaan data pasien tersebut. Metode perancangan sistem ini<br />menggunakan siklus hidup pengembangan sistem (Systems Development Life Cycle-SDLC) yang<br />terdiri dari tahap perencanaan, analisis, desain, implementasi, dan penggunaan. Sedangkan tujuan dan<br />manfaat dari perancangan sistem informasi ini yaitu menghasilkan sistem informasi rekam medis<br />elektronik rawat jalan berbasis web di Klinik Gigi Bright Smiles Bali. Dengan adanya sistem informasi<br />ini, dapat memudahkan petugas rekam medis dalam pengelolaan data pasien yang meliputi proses<br />pendaftaran pasien, pencatatan rekam medis pasien rawat jalan, pencatatan data dokter, pencarian kode<br />ICD 9 CM, pencarian kode ICD 10. Selain itu sistem informasi ini menghasilkan berbagai laporanlaporan<br />serta informasi rekam medis pasien yang dibutuhkan pihak manajemen untuk pengambilan<br />keputusan.<br />Kata Kunci : Sistem Informasi, Rekam Medis Elektronik, Rawat Jalan, Web.

Providing Inclusive Care for Transgender Patients: Capturing Sex and Gender in the Electronic Medical Record

2020 ◽  
Author(s):  
Khushbu Patel ◽  
Martha E Lyon ◽  
Hung S Luu
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Standards Of Care ◽  
Sex And Gender ◽  
Care Providers ◽  
Care Environment ◽  
Gender Nonconforming ◽  
Gender Information ◽  
And Gender

Abstract Background Providing a positive patient experience for transgender individuals includes making the best care decisions and providing an inclusive care environment in which individuals are welcomed and respected. Over the past decades, introduction of electronic medical record (EMR) systems into healthcare has improved quality of care and patient outcomes through improved communications among care providers and patients and reduced medical errors. Promoting the highest standards of care for the transgender populations requires collecting and documenting detailed information about patient identity, including sex and gender information in both the EMR and laboratory information system (LIS). Content As EMR systems are beginning to incorporate sex and gender information to accommodate transgender and gender nonconforming patients, it is important for clinical laboratories to understand the importance and complexity of this endeavor. In this review, we highlight the current progress and gaps in EMR/LIS to capture relevant sex and gender information. Summary Many EMR and LIS systems have the capability to capture sexual orientation and gender identity (SOGI). Fully integrating SOGI into medical records can be challenging, but is very much needed to provide inclusive care for transgender individuals.

User's satisfaction of the electronic medical record in the hospital information system, Oran, Algeria

2017 ◽  
Vol 65 ◽  
pp. S88-S89
Author(s):  
L. Zemour ◽  
A. Belghitri ◽  
I. Damouche ◽  
K. Reguieg ◽  
N. Malti ◽  
...  
Keyword(s):  
Information System ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Hospital Information System

scholarly journals Crossing the Line to Electronic Medical Records in Subsaharian Africa: An Obstetric and Neonatal Information System with Perinatal Indicators Dashboard

2017 ◽  
Vol 2 (1) ◽  
pp. 14 ◽  
Author(s):  
M. Gueye ◽  
Md Ndiaye Gueye ◽  
M. Mbaye ◽  
M. Abdoulaye ◽  
A. Diouf ◽  
...  
Keyword(s):  
Information System ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Ad Hoc ◽  
Hospital Admissions ◽  
Health Centre ◽  
Neonatal Care ◽  
Ease Of Use ◽  
Easy Access ◽  
Level Ii

Objectives: This study reports our experience in the use of a perinatal electronic medical record, E_Perinatal, by giving examples of its potential for the analysis of clinical data and the involvement of the indicators produced in the improvement of Emergency Obstetric and Neonatal Care in Africa. Methodology: This is a study that was conducted in the scenario of a Level II Health Centre in Senegal. The methodology of the study followed the following steps: an inventory of the use of electronic tools in labour wards in Senegal, an exploratory survey of the scenario of obstetric and neonatal care, simultaneous elaboration of an electronic medical record in obstetrics and neonatology and selection of obstetric and neonatal care indicators to automatically generated and implement the information system. The recording was retrospective and continuous from January 2015 to December 2016. Results: This database automates the storage of obstetric data, including antenatal care, obstetric ultrasound, hospital admissions, prescribing, etc., providing easy access to patient data from anywhere in the hospital, produce timely reports and graphs to refer to clinician correspondents, store and electronically transfer birth data to authorities, and store data for ad hoc queries and search statistics. Conclusion: E_Perinatal has demonstrated in a scenario of an intermediate health facility its usefulness and ease of use. Scaling up in a developing country will help to better understand the real problems and help to reduce maternal and neonatal mortality.

The Patient-centred Oncology Information System – Automating your Oncology Workflow For Optimal Patient Care

2012 ◽  
Vol 08 (04) ◽  
pp. 206 ◽  
Author(s):  
Peter Enever ◽  
Keyword(s):  
Information System ◽  
Radiation Therapy ◽  
Patient Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Critical Role ◽  
Advanced Treatment ◽  
Clinical Workflow ◽  
Treatment Techniques ◽  
Optimal Patient Care

Radiation therapy has become among the safest and most effective methods for treating cancer. Technology continues to play a critical role in managing and supporting advanced treatment techniques and ensuring safer practice. For clinicians, the ability to tailor the technology to meet their specific oncology workflows is a challenge. This article discusses how, by being able to automate clinical workflow in the electronic medical record (EMR), not only delivers greater department efficiency but can help support better outcomes through optimising patient care, before, during and after treatment.

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