Raspberry PI Based ECG Data Acquisition System by Using Block Chain

There have been revolutionary developments in the healthcare industry with the advancement of technology over the past years. Technology has widespread health records that may have been digitized into electronic health records. Internet of Things, Cloud Computing, Block chain technology, lab-on-chip, non-invasive and minimally invasive surgeries and so on has simplified several dreadful diseases. The research as well as healthcare industry has been greatly impacted by these new technologies. In such case accessibility of health data from one provider to another at the right time remains a major challenge, especially when patients are in a critical condition having access to fragmented health records from multiple sources into a single chain. The proposed system aims to exchange health information on a block chain platform to build a smart e-health system. In this system, block chain is a clinical data repository that provides patients a complete, distributed ledger record containing records of all the events and seamless access to their electronic health records through healthcare providers. As an important feature, this system provides high security and integrity through cryptographic hash functions.

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Adoption of Electronic Health Care Records

Information Systems and Technologies for Enhancing Health and Social Care ◽

10.4018/978-1-4666-3667-5.ch010 ◽

2013 ◽

pp. 148-165

Author(s):

Jerald D. Hatton ◽

Thomas M. Schmidt ◽

Jonatan Jelen

Keyword(s):

Electronic Health Records ◽

New Technologies ◽

Phenomenological Study ◽

Cost Effective ◽

Research Quality ◽

Control Cost ◽

Health Records ◽

The Usa ◽

Electronic Health ◽

Support Of Research

Political, economic, and safety concerns have militated for the adoption of Electronic Health Records by physicians in the United States, but current rates of adoption have failed to penetrate the 50% level. A qualitative phenomenological study of practicing physicians reveals stumbling blocks to adoption. Maintaining a physician’s perceived sense of control of the process is key. Electronic Health Records (EHRs) are critical to the support of research, quality control, cost reduction, and implementation of new technologies and methods in healthcare. Progress in the USA towards adoption of standardized EHRs has been halting. The authors discuss the results of a phenomenological study of physicians and draw conclusions that will assist all stakeholders in building a more consistent, comprehensive, and cost-effective healthcare system. When attempting to persuade physicians to migrate to an EMR-based solution, a strong focus on the control that physicians will have should be emphasized. The transition to an EHR system is eased by clearly articulating early in the process the potential benefits and the degree of control physicians can have in the use of the applications.

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Blockchain Usage in the Electronic Health Record System using Attribute-Based Signature

International Journal of Recent Technology and Engineering - 2 ◽

10.35940/ijrte.b1166.0982s1119 ◽

2019 ◽

Vol 8 (2S11) ◽

pp. 993-997

Keyword(s):

Electronic Health Records ◽

Electronic Health Record ◽

Patient Data ◽

Electronic Health Record System ◽

Health Record ◽

Record System ◽

Health Records ◽

Block Chain ◽

Electronic Health ◽

The Government

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.

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Identification of Effective Factors related to Implementation of Electronic Health Records in Imam Khomeini Hospital, Tehran

Quarterly Journal of Management Strategies in Health System ◽

10.18502/mshsj.v4i4.2488 ◽

2020 ◽

Author(s):

Nader Sheikh Eslami ◽

Soheila Sardar ◽

Nahid Abbasabadi

Keyword(s):

Electronic Health Records ◽

New Technologies ◽

External Factors ◽

Successful Implementation ◽

Structural Factors ◽

Health Records ◽

Statistical Population ◽

Factors Affecting ◽

Effective Factors ◽

Electronic Health

Background: With the advancement of science and emergence of new technologies for solving human health and medical problems, one of the most important applications of technology in the field of health care is creation of electronic health records. The purpose of this study was to determine the effective internal and external factors related to successful implementation of the electronic health records in Imam Khomeini Hospital of Tehran, Iran. Methods: This descriptive-analytic research was carried out in 2018-2019. The statistical population consisted of 15 experts from Azad University of Tehran and Imam Khomeini Hospital selected by targeted sampling method. The main data collection tool was a researcher-made questionnaire designed to identify and rank the effective factors. Data were analyzed using SPSS 22, Excel, and Matlab software to perform a structural-interpretive approach. Results: Based on the findings, 6 criteria were identified related to the internal factors affecting successful implementation of the electronic health records. These factors included education, culture, comprehensiveness, safety and confidentiality, constructive communication, and participation approved by experts. According to the experts, 4 criteria were identified as effective external factors: technology / Economic, social / cultural factors, management / structural factors and legal factors. Conclusion: implementation of an electronic health record needs to take into educational, cultivation, comprehensiveness, safety & privacy, constructive communication, collaboration, technology / economic, social / cultural, management / structural, and legal factors.

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Electronic Health Record

User-Driven Healthcare ◽

10.4018/978-1-4666-2770-3.ch003 ◽

2012 ◽

pp. 34-56

Author(s):

Janine R. A. Kamath ◽

Amerett L. Donahoe-Anshus

Keyword(s):

Electronic Health Records ◽

Personal Health Records ◽

Health Record ◽

Healthcare Industry ◽

Future Directions ◽

Health Records ◽

Key Stakeholders ◽

Electronic Personal Health Records ◽

Electronic Health ◽

The Impact

Over the last two decades there has been considerable deliberation, experience, and research in the arena of Health Information Technology (HIT), Electronic Medical Records (EMR), Electronic Health Records (EHR), and more recently, Electronic Personal Health Records (PHR). Despite the challenges involved in adopting these systems and technologies, there is consensus that they bring significant value to the delivery of trusted and affordable healthcare. The investment involved and the impact on customers, clinical and non-clinical staff, and processes are significant and far reaching. This chapter attempts to synthesize the vast amount of information, experience, and implementation perspectives related to Electronic Health Records with the intent of assisting healthcare institutions and key stakeholders make informed choices as they embark on designing, developing, and implementing an EHR. EHR considerations, challenges, opportunities, and future directions are also addressed. The chapter highlights the power of management engineering to facilitate planning, implementation, and sustainability of the EHR, a critical asset for a healthcare organization and the overall healthcare industry.

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Preserving Data Privacy in Electronic Health Records Using Blockchain Technology

Research Anthology on Privatizing and Securing Data ◽

10.4018/978-1-7998-8954-0.ch057 ◽

2021 ◽

pp. 1222-1230

Author(s):

Sathiyabhama B. ◽

Rajeswari K. C. ◽

Reenadevi R. ◽

Arul Murugan R.

Keyword(s):

Electronic Health Records ◽

Data Privacy ◽

Digital Data ◽

Healthcare Industry ◽

Health Issues ◽

Health Records ◽

Blockchain Technology ◽

The People ◽

Predominant Factor ◽

Electronic Health

Technology is a boon to mankind in this fast-growing era. The advancement in technology is the predominant factor for the sophisticated way of living of the people. In spite of technology, revolution happens across the world, and mankind still suffers due to various health issues. Healthcare industries take immense measures to improve the quality of life. An enormous volume of digital data is being handled every day in the healthcare industry. There arises a need for the intervention of technology in the healthcare industry to be taken to a greater extent. The prime duty of any healthcare industry is to store and maintain those data in the form of electronic health records (EHR) in a secured manner.

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Towards a Blockchain Assisted Patient Owned System for Electronic Health Records

Electronics ◽

10.3390/electronics10050580 ◽

2021 ◽

Vol 10 (5) ◽

pp. 580

Author(s):

Tomilayo Fatokun ◽

Avishek Nag ◽

Sachin Sharma

Keyword(s):

Electronic Health Records ◽

Medical Records ◽

Data Exchange ◽

Healthcare Providers ◽

Third Party ◽

Security And Privacy ◽

Healthcare Industry ◽

Health Records ◽

Electronic Health ◽

Patient Centric

Security and privacy of patients’ data is a major concern in the healthcare industry. In this paper, we propose a system that activates robust security and privacy of patients’ medical records as well as enables interoperability and data exchange between the different healthcare providers. The work proposes the shift from patient’s electronic health records being managed and controlled by the healthcare industry to a patient-centric application where patients are in control of their data. The aim of this research is to build an Electronic Healthcare Record (EHR) system that is layered on the Ethereum blockchain platform and smart contract in order to eliminate the need for third-party systems. With this system, the healthcare provider can search for patient’s data and request the patients’ consent to access it. Patients manage their data which enables an expedited data exchange across EHR systems. Each patient’s data are stored on the peer-to-peer node ledger. The proposed patient-centric EHR platform is cross-platform compliant, as it can be accessed via personal computers and mobile devices and facilitates interoperability across healthcare providers as patients’ medical records are gathered from different healthcare providers and stored in a unified format. The proposed framework is tested on a private Ethereum network using Ganache. The results show the effectiveness of the system with respect to security, privacy, performance and interoperability.

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Application of openEHR archetypes to automate data quality rules for electronic health records: a case study

BMC Medical Informatics and Decision Making ◽

10.1186/s12911-021-01481-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Qi Tian ◽

Zhexi Han ◽

Ping Yu ◽

Jiye An ◽

Xudong Lu ◽

...

Keyword(s):

Electronic Health Records ◽

Data Quality ◽

Query Language ◽

Clinical Decision ◽

Data Repository ◽

Health Records ◽

Quality Requirements ◽

Electronic Health ◽

Data Tables

Abstract Background Ensuring data is of appropriate quality is essential for the secondary use of electronic health records (EHRs) in research and clinical decision support. An effective method of data quality assessment (DQA) is automating data quality rules (DQRs) to replace the time-consuming, labor-intensive manual process of creating DQRs, which is difficult to guarantee standard and comparable DQA results. This paper presents a case study of automatically creating DQRs based on openEHR archetypes in a Chinese hospital to investigate the feasibility and challenges of automating DQA for EHR data. Methods The clinical data repository (CDR) of the Shanxi Dayi Hospital is an archetype-based relational database. Four steps are undertaken to automatically create DQRs in this CDR database. First, the keywords and features relevant to DQA of archetypes were identified via mapping them to a well-established DQA framework, Kahn’s DQA framework. Second, the templates of DQRs in correspondence with these identified keywords and features were created in the structured query language (SQL). Third, the quality constraints were retrieved from archetypes. Fourth, these quality constraints were automatically converted to DQRs according to the pre-designed templates and mapping relationships of archetypes and data tables. We utilized the archetypes of the CDR to automatically create DQRs to meet quality requirements of the Chinese Application-Level Ranking Standard for EHR Systems (CARSES) and evaluated their coverage by comparing with expert-created DQRs. Results We used 27 archetypes to automatically create 359 DQRs. 319 of them are in agreement with the expert-created DQRs, covering 84.97% (311/366) requirements of the CARSES. The auto-created DQRs had varying levels of coverage of the four quality domains mandated by the CARSES: 100% (45/45) of consistency, 98.11% (208/212) of completeness, 54.02% (57/87) of conformity, and 50% (11/22) of timeliness. Conclusion It’s feasible to create DQRs automatically based on openEHR archetypes. This study evaluated the coverage of the auto-created DQRs to a typical DQA task of Chinese hospitals, the CARSES. The challenges of automating DQR creation were identified, such as quality requirements based on semantic, and complex constraints of multiple elements. This research can enlighten the exploration of DQR auto-creation and contribute to the automatic DQA.

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A Physician’s Commentary on Electronic Health Records in the United States Medical Practice

Public Health - Open Journal ◽

10.17140/phoj-6-153 ◽

2021 ◽

Vol 6 (1) ◽

pp. 9-11

Author(s):

Irina V. Angel ◽

Keyword(s):

United States ◽

Electronic Health Records ◽

New Technologies ◽

Healthcare Providers ◽

The United States ◽

Point Of View ◽

Health Records ◽

Electronic Health ◽

Healthcare Innovation ◽

The Right

This commentary presents a point of view on how the arrival of electronic health records (EHR) in the United States (U.S.) has changed physicians’ practice. EHR implementation has pros and cons. EHR systems have been a great asset during the pandemic and help with efficiency, safety, and cost reduction. Despite their benefits, healthcare providers and organizations still face challenges, including usability and interoperability across systems, contributing to physicians’ burnout. Can physicians adopt new technologies and adapt to current challenges? Is it the right time for physicians to stop being observers and become active participants in the process of healthcare innovation and implementation?

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