scholarly journals Blockchain-Based Medical Record Management with Biofeedback Information

2020 ◽  
Author(s):  
Hui Li Wang ◽  
Shao-I Chu ◽  
Jiun-Han Yan ◽  
Yu-Jung Huang ◽  
I-Yueh Fang ◽  
...  
Keyword(s):  
Medical Record ◽  
Information Management ◽  
Data Storage ◽  
Medical Records ◽  
Information Exchange ◽  
Distributed Databases ◽  
Record Management ◽  
Management Framework ◽  
Medical Health ◽  
The Cost

Blockchain is a new emerging technology of distributed databases, which guarantees the integrity, security and incorruptibility of data by means of the cryptography. Such features are suitable for secure and reliable data storage. This chapter investigates the blockchain-based architecture with applications to medical health record or biofeedback information management. This framework employs the smart contract to establish a medical record management system to ensure the privacy of patients. Moreover, the blockchain technique accelerates the medical record or information exchange such that the cost of human resource is significant reduced. All patients can manage their individual medical records and information easily in the different hospitals and clinics. They also have the privilege to deal with and authorize personal medical records in the proposed management framework.

scholarly journals Mixed-methods feasibility study of blood pressure self-screening for hypertension detection

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027986 ◽  
Author(s):  
Alice Tompson ◽  
Susannah Fleming ◽  
Mei-Man Lee ◽  
Mark Monahan ◽  
Sue Jowett ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Records ◽  
Feasibility Study ◽  
Medical Records ◽  
Alternative Methods ◽  
Hypertension Detection ◽  
Technical Problems ◽  
The Cost

ObjectiveTo assess the feasibility of using a blood pressure (BP) self-measurement kiosk—a solid-cuff sphygmomanometer combined with technology to integrate the BP readings into patient electronic medical records— to improve hypertension detection.DesignA concurrent mixed-methods feasibility study incorporating observational and qualitative interview components.SettingTwo English general practitioner (GP) surgeries.ParticipantsAdult patients registered at participating surgeries. Staff working at these sites.InterventionsBP self-measurement kiosks were placed in the waiting rooms for a 12-month period between 2015 and 2016 and compared with a 12-month control period prior to installation.Outcome measures(1) The number of patients using the kiosk and agreeing to transfer of their data into their electronic medical records; (2) the cost of using a kiosk compared with GP/practice nurse BP screening; (3) qualitative themes regarding use of the equipment.ResultsOut of 15 624 eligible patients, only 186 (1.2%, 95% CI 1.0% to 1.4%) successfully used the kiosk to directly transfer a BP reading into their medical record. For a considerable portion of the intervention period, no readings were transferred, possibly indicating technical problems with the transfer link. A comparison of costs suggests that at least 52.6% of eligible patients would need to self-screen in order to bring costs below that of screening by GPs and practice nurses. Qualitative interviews confirmed that both patients and staff experienced technical difficulties, and used alternative methods to enter BP results into the medical record.ConclusionsWhile interviewees were generally positive about checking BP in the waiting room, the electronic transfer system as tested was neither robust, effective nor likely to be a cost-effective approach, thus may not be appropriate for a primary care environment. Since most of the cost of a kiosk system lies in the transfer mechanism, a solid-cuff sphygmomanometer and manual entry of results may be a suitable alternative.

scholarly journals PENDOKUMENTASIAN KASUS HAM MELALUI SISTEM INFORMASI BEBASIS WEB

CCIT Journal ◽  
2014 ◽  
Vol 7 (3) ◽  
pp. 452-463
Author(s):  
Padeli Padeli ◽  
Abas Sunarya ◽  
Agus Priyatna
Keyword(s):  
Human Rights ◽  
Research And Development ◽  
Information Management ◽  
Data Storage ◽  
The Other ◽  
Event Data ◽  
Web Based ◽  
Database Server ◽  
The Cost ◽  
Web Based System

The Agency of Human Rights Research and Development as the unit echelon 1  were under the Ministry of Law and Human Rights carry out research and development of human rights. In his duties often requires a human rights event data quickly and accurately. Submission of information on human rights is too long because of too many islands in Indonesia causing become longer to handling in human rights cases. This is because the process is still manual in documenting cases of human rights with form a team to be lowered to the area. The cost to take the data be very large because the data and the information is scattered in various provinces in Indonesia. On the other hand the data and information of human rights is something that is vulnerable, then the access to such information should be restricted to certain parties only. To overcome this must build  web based system. The method used is the waterfall. Data storage using MySQL as a database server that generates 6 tables. This information systems provide access to users to perform information management  of human rights through the provision and dissemination of human rights information and do the validation and publication of information on human rights that have been granted.

scholarly journals The Implementation of Electronic Medical Record (EMR) in The Development Health Care System in Indonesia

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Nuke Amalia ◽  
Muh Zul Azhri Rustam ◽  
Anna Rosarini ◽  
Dina Ribka Wijayanti ◽  
Maya Ayu Riestiyowati
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Records ◽  
Health Sector ◽  
Developed Countries ◽  
The United States ◽  
Long Time ◽  
The Cost

The development of information technology is now growing rapidly, including in the health sector. According to WHO, medical record is an important compilation of facts about a patient's life and health. The development of information technology in medical records is the electronic medical record (EMR). Developed countries, such as the United States and Korea have implemented EMR for a long time. In developing countries such as Indonesia, the development of EMR is still in progress because its implementation requires many factors to build a system or replace from manual medical records. Eventually, it is hoped that in the future all health care will use the EMR to resume patient datas from admission to discharge. The purpose of this study is to analyse the implementation and preparation of EMR in health care in Indonesia. This study is a literature review on the implementation and preparation of EMR in health care in Indonesia. The review is dome from 28 literature sources (Google-Scholar database). Total of 8 articles were obtained from 2017 to 2021. The results show that there are benefits after switching to EMR, even though some health care only used EMR in certain units. The highest benefit is reducing the cost of duplicating paper for printing. Also there is still limited human resources and tools for implementing EMR in Indonesia. The implementation of this EMR will enable the improvements of the service quality of the health care itself, especially in Indonesia.

scholarly journals Pemodelan Ontologi Rekam Medis dengan Pendekatan Landasan Hukum Rekam Medis dan Relational Database

Petir ◽  
2020 ◽  
Vol 13 (2) ◽  
pp. 180-189
Author(s):  
Maksum Rois Adin Saf
Keyword(s):  
Information System ◽  
Medical Record ◽  
Medical Records ◽  
Record Management ◽  
Legal Basis ◽  
Analysis Method ◽  
Management Information ◽  
Information System Design ◽  
Model Database ◽  
Architecture Analysis

ABSTRACT Medical Record is one of confidential file that has a definite legal basis included in its management.Nowdays electronic medical record was developed rapidly, but the implementation of the legal basisfor medical records in the information system has not been carried out properly. Furthermore theconceptualization of the legal basis of medical records into the ontology model produces a modelthat is not easily translated into a medical record management information system design. In thisresearch. This study uses the Architecture Analysis method of Tradeoff Method to create a relationaldatabase model and then converted into an ontology with the RTAXON method. The results of thisresearch are medical record ontology models that meet the legal requirements and have ease ofimplementation in the information system. Based on the OntoQA method on the results of theontology modeling has value of Relationship Richness (RR) = 0.78, this ontology is information richor diverse and has more non-inheritance relations. Value of Attribute Richness (AR) = 6.6 , thisontology has a lot of information with an average of each class having 6 attributes. The value ofInheritance Richness (IR) = 4.5, this ontology has general knowledge, when compared with theprevious ontology there is between PSM and SWETO. ABSTRAK Rekam Medis merupakan bagian dari berkas khusus yang memiliki landasan hukum pasti dalampengelolaanya oleh instansi yang diizinkan. Pesatnya perkembangan teknologi informasi membuatpengembangan sistem informasi pengelolaan rekam medis banyak dilakukan oleh berbagai pihak,akan tetapi implementasi landasan hukum rekam medis ke dalam sistem informasi tersebut belumdilakukan secara baik. Di lain sisi konseptualisasi landasan hukum rekam medis ke dalam modelontologi menghasilkan model yang tidak mudah diterjemahkan ke dalam sebuah rancangan sisteminformasi pengelolaan rekam medis. Pada penelitian ini dilakukan proses konseptualisasi danvisualisasi rekam medis dengan menggabungkan metode pengembangan ontologi denganpendekatan model database relasional untuk menghasilkan sebuah model ontologi yang memenuhiseluruh aspek landasan hukum rekam medis dan juga mudah digunakan untuk pengembangan sisteminformasi pengelolaan rekam medis. Penelitian ini menggunakan metode Architecture TradeoffAnalysis Method untuk menghasilkan rancangan Database Relational yang kemudian dikonversikanmenjadi ontologi dengan metode RTAXON. Hasil dari peneltian ini adalah sebuah model ontologirekam medis yang memenuhi kepatuhan terhadap aturan perundangan dan memiliki kemudahanuntuk diimplementasikan ke dalam sistem informasi. Berdasarkan pengujian dengan metodeOntoQA pada hasil pemodelan ontologi yang dibuat, diperoleh nilai Relationship Richness (RR) = 0,78, yang artinya ontologi ini bersifat kaya informasi atau berragam dan lebih banyak relasi non-inheritance.Dannilai Attribute Richness (AR) = 6,6, yang artinya ontologi ini memiliki informasi yang banyak dengan rata-rata setiap class memiliki 6 attribute. Adapun nilai Inhertitance Richness(IR) = 4,5, yang artinya ontologi ini memiliki pengetahuan yang umum, jika dibandingkan denganontologi terdahulu ada diantara PSM dan SWETO.

scholarly journals Tinjauan Pelaksanaan Review Berkas Rekam Medis Sesuai Standar Manajemen Informasi Dan Rekam Medik (MIRM 13.4) Di Rumah Sakit Imelda Pekerja Indonesia Tahun 2020

2021 ◽  
Vol 6 (1) ◽  
pp. 7-13
Author(s):  
Esraida Simanjuntak ◽  
Mustamil Alwi Dasopang
Keyword(s):  
Medical Record ◽  
Information Management ◽  
Medical Records ◽  
Research Method ◽  
Medical Personnel ◽  
Education Assessment ◽  
Management Standards ◽  
Hospital Worker ◽  
Quality Of Health Services

  One of the parameters for determining the quality of health services in the hospital is data or information from good and complete medical records. Medical records are an important part of helping the implementation of service delivery to patients at the hospital. Standards relating to medical records in SNARS Edition 1 are in the group of hospital management standards, namely Medical Record Information Management (MIRM) regarding medical record document processing including provision, filling of medical records and reviewing medical records. This research method is descriptive with the method of observation. When this research was conducted in July 2020 at the Imelda Hospital Worker Indonesia Medan. The population taken was 705 medical record documents while the sample in this study was 87 medical record documents. Based on the results of the study, in the review the accuracy of returning medical record documents was 57.4% and 42.5% were incorrect. Readability review of ER assessment as much as 63.2%, assessment of Inpatient as much as 56.3%, CPPT as much as 60.9%, approval for action as much as 77%, reports of anesthesia as much as 68.9%. 3 forms of completeness review are complete, namely Education Assessment, rejection and education form (100%). Suggestions in this study are that review officers must be more assertive to remind every doctor or other medical personnel to pay attention to the accuracy of the restoration, the legibility of medical record files and the completeness of medical record documents. As well as regularly socializing the elements of the MIRM 13.4 assessment.

JSON-LD as an Interchange Technology to Facilitate Health Information Exchange

2019 ◽  
Vol 1 (1) ◽  
pp. 66-78
Author(s):  
Daniel L. Kaukinen
Keyword(s):  
Electronic Health Record ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Data Storage ◽  
Information Exchange ◽  
Data Exchange ◽  
Health Record ◽  
Medical Systems ◽  
Record System ◽  
Electronic Health

Sharing information between medical records to form a comprehensive electronic health record leads to effective health management. However, full implementation of an electronic health record has met various barriers including companies wanting to protect their proprietary data storage formats and resisting conversion to a common data exchange format. Through the development of prototype systems, this article investigates the use of JSON-LD as an interpreter to aid in data interchange and data encapsulation. The prototypes demonstrate that JSON-LD can be applied, with nominal code changes, to an existing electronic medical record system employing JSON as a serialization protocol. This article concludes that JSON-LD works as an efficient wrapper that, when well designed, allows for simplified and robust consumption from and serving of data to other JSON-LD enabled medical systems, thereby elevating the usability and effective interconnectivity of new and existing electronic medical record systems.

scholarly journals PERLINDUNGAN HUKUM TERHADAP REKAM MEDIS PASIEN DI RUMAH SAKIT

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Made Dwi Mariani
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Legal Protection ◽  
Medical Data ◽  
Record Management ◽  
Health Minister ◽  
Legal Research ◽  
Library Research ◽  
Analysis Technique ◽  
Research Analysis

Patient as consumers of health service have rights one of the rights is the state of the patients health is being concealed forever including medical data and medical records. Regarding to that, hospital as the health care provider obliged to provide legal protection to all kind of information in the medical record to the possibility of loss of information, data falsification or used by the undue. Based on that, the problem to be studied is: how is the medical record management in the hospital? And how is the medical record legal protection,  which is given by the hospital? This study use normative legal research with statue approach. All of the legal resources based on library research and supported by primary and secondary legal material. Legal research analysis technique in this study use descriptive technique. The study result showed that the medical record management in the hospital have to based on health minister regulation 269/MENKES/PER/III/2008 about medical records. The management of medical record started from the time patient came to the hospital with record all action that given to the patient until all the treatment completed. The data and information on the medical record, hospital has an obligation of giving legal protection about the confidentiality based on Articles 10 health minister regulation 269/MENKES/PER/III/2008 with form of preventive and repressive protection.

scholarly journals ANALYSIS CLAIM BPJS REVIEW FROM COMPLETENESS OF MEDICAL RECORD DOCUMENTS AND ACCURACY DIAGNOSIS CODES IN RSUD. dr. ISKAK TULUNGAGUNG

2018 ◽  
Vol 1 (1) ◽  
pp. 1-12
Author(s):  
Sukiatun Sukiatun
Keyword(s):  
Logistic Regression ◽  
Medical Record ◽  
Medical Records ◽  
Sampling Technique ◽  
Significance Level ◽  
Diagnostic Codes ◽  
Diagnosis Codes ◽  
Study Population ◽  
Diagnosis Accuracy ◽  
The Cost

Hospitals to document incomplete information, it is possible that the diagnostic codes are also inaccurate and have an impact on the cost of health services. The inaccuracies of the diagnostic codes and the completeness of the medical record will affect data and report information that ultimately affects the patient. The objective of the research was to analyze the BPJS Claim in terms of Document Record and Document Diagnosis Accuracy at RSUD dr. Iskak Tulungagung. The research design used was observational analysis. The study population was All Medical Record Document Inpatient BPJS patients in RSUD dr. Iskak Tulungagung. The sample size ware 140 by using systematic random sampling technique. Independent variable of research is Document Record and Document Diagnosis Accuracy. The dependent variable was BPJS Claims. Data was collected using Check list, then the data were analyzed using logistic regression with a significance level of α ≤ 0.05. The result showed that have the most medical record documents are incomplete resume as many as 52,1%, most have anaaccurate diagnosis code as much as 58,6% and the majority of escape document claims after verification by BPJS officials as many as 78,6%. Results logistic regression analysis obtained by vulue off overall statistics (p) 0,794, which means that documents medical records and the accuracy of diagnosis codes did not affect claims BPJS.  There are several factors that make BPJS claims that are not all medical records are subject to BPJS claims, complete medical record documents but still require clarification, any diagnosis if the code may be included on the INA CBG's software and in certain cases a copy of the investigation, action and evidence of medical device is required.

scholarly journals Tinjauan Sistem Penyelenggaraan Rekam Medis Menurut Standart Akreditasi Puskesmas di Puskesmas Pangakalan Berandan Tahun 2020

2021 ◽  
Vol 6 (2) ◽  
pp. 108-118
Author(s):  
Esraida Simanjuntak ◽  
Fajar Insani
Keyword(s):  
Health Center ◽  
Medical Record ◽  
Medical Records ◽  
Clinical Information ◽  
Record Management ◽  
Registration Process ◽  
Accreditation Standards ◽  
Icd 10 ◽  
Research Population ◽  
Access Rights

Puskesmas are required to maintain medical records containing data and information on patient care. Implementation according to accreditation standards, namely criteria 3.2 Registration Process and 3.8 Administration of medical records which are divided into 3.8.1 Coding, 3.8.2 Medical Record Access Rights 3.8.3 Clinical Information Filling and 3.8.4 Storage. The purpose of the study was to find out the implementation of the medical record management system according to the Puskesmas accreditation standards at the Pangkalan Berandan Health Center in 2020. This type of research was qualitative with a Phenomenology approach. The place of research was conducted at the Pangkalan Berandan Health Center. Time of study in July 2020. Research population is all medical record officers at the Pangkalan Berandan Health Center. The research sample is 5 officers. The research instrument was interview guide and check list sheet for observation. The results of the study revealed that the outpatient registration process had been carried out according to criteria 3.2 but there was no inpatient numbering of medical records. Coding was not carried out according to criteria 3.8.1, namely the absence of coding SOPs carried out by doctors using ICD 10, Medical Record Access Rights were carried out according to criteria 3.8. 2 but the implementation is not fully carried out in accordance with the SOP, the lending process is not recorded in the expedition book, Assembling is in accordance with criteria 3.8.3 but recording corrections are carried out using stip-ex and the storage process has been carried out according to criteria 3.8.4 but retention is not carried out according to the guidelines legislation. It is recommended for registration to give medical record numbers to inpatients, coding to make SOPs and given coding training, access rights to medical records to record loans in expedition books, assembling to be given socialization in terms of correcting recording of medical record files and storing tracers as well as in the retention process. given socialization about the implementation of retention.

scholarly journals Patient Privacy Protection Using Anonymous Access Control Techniques

2008 ◽  
Vol 47 (03) ◽  
pp. 235-240 ◽  
Author(s):  
D. Weerasinghe ◽  
K. Elmufti ◽  
V. Rakocevic ◽  
M. Rajarajan
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Healthcare Service ◽  
Medical Information ◽  
Distributed Databases ◽  
Healthcare Services ◽  
Security And Privacy ◽  
Sensitive Information ◽  
Patient Privacy ◽  
Patient Identification

Summary Objective: The objective of this study is to develop a solution to preserve security and privacy in a healthcare environment where health-sensitive information will be accessed by many parties and stored in various distributed databases. The solution should maintain anonymous medical records and it should be able to link anonymous medical information in distributed databases into a single patient medical record with the patient identity. Methods: In this paper we present a protocol that can be used to authenticate and authorize patients to healthcare services without providing the patient identification. Healthcare service can identify the patient using separate temporary identities in each identification session and medical records are linked to these temporary identities. Temporary identities can be used to enable record linkage and reverse track real patient identity in critical medical situations. Results: The proposed protocol provides main security and privacy services such as user anonymity, message privacy, message confidentiality, user authentication, user authorization and message replay attacks. The medical environment validates the patient at the healthcare service as a real and registered patient for the medical services. Using the proposed protocol, the patient anonymous medical records at different healthcare services can be linked into one single report and it is possible to securely reverse track anonymous patient into the real identity. Conclusion: The protocol protects the patient privacy with a secure anonymous authentication to healthcare services and medical record registries according to the European and the UK legislations, where the patient real identity is not disclosed with the distributed patient medical records.

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