Electronic Health Records


Towards semantic interoperability for electronic health records
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Objectives: In the field of open electronic health records (EHRs), openEHR as an archetype- based approach is being increasingly recognised. It is the objective of this paper to shortly describe this approach, and to analyse how openEHR archetypes impact on healthElectronic health records (EHRs) provide opportunities to enhance patient care, embed performance measures in clinical practice, and facilitate clinical research. Concerns have been raised about the increasing recruitment challenges in trials, burdensome and obtrusive

A Case Study for Blockchain in Healthcare: MedRec prototype for electronic health records and medical research data
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A long-standing focus on compliance has traditionally constrained development of fundamental design changes for Electronic Health Records (EHRs). We now face a critical need for such innovation, as personalization and data science prompt patients to engage in

Electronic health records
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Objectives: Since the first concepts for electronic health records (EHRs) in the 1990s, the content, structure, and technology of such records were frequently changed and adapted. The basic idea to support and enhance health care stayed the same over time. To reach

QT interval and antidepressant use: a cross sectional study of electronic health records
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Objective To quantify the impact of citalopram and other selective serotonin reuptake inhibitors on corrected QT interval (QTc), a marker of risk for ventricular arrhythmia, in a large and diverse clinical population. Design A cross sectional study using electrocardiographic

Using electronic health records to improve quality and efficiency: the experiences of leading hospitals
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An examination of nine hospitals that recently implemented a comprehensive electronic health record (EHR) system finds that clinical and administrative leaders built EHR adoption into their strategic plans to integrate inpatient and outpatient care and provide a continuum

Electronic health records medical research, and the Tower of Babel
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We can travel almost anywhere in the world and find a machine that will dispense local currency, taking the money from our home account with the use of a bank card. Yet, when we go from a primary care physician to a specialist in our home town, we must begin at

Electronic medical record / electronic health record use by office-based physicians: United States and preliminary 2009
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Policymakers interest in the progress of health information technology adoption by health care providers has increased since 2004 when the federal government set the goal for most Americans to have electronic health records by 2014 (1). The 2009 American Recovery and

Genome-wide association analyses using electronic health records identify new loci influencing blood pressure variation
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Longitudinal electronic health records on 9 785 Genetic Epidemiology Research on Adult Health and Aging (GERA) cohort individuals provided 34 814 systolic and diastolic blood pressure measurements for a genome-wide association study on long-term average systolic

Mining electronic health records
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With President Obamas Health Information Technology for Economic and Clinical Health (HITECH) initiatives making their way into policy, there has been considerable interest in the US about the promise of electronic health records . Some organizations are ahead of the

Experience implementing electronic health records in three East African countries.
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Introduction: Efficient use of health care resources in lowincome countries by providers and local and national managers requires timely access to patient data. Objective: To implement electronic health records (EHRs) in HIV clinics in Kenya, Tanzania, and Uganda. Results

Adoption of electronic health record systems among US non-federal acute care hospitals: 2008-2012
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Adoption of EHR systems by non-federal acute care hospitals has steadily increased since HITECH. In 201 nearly six in ten (59%) non-federal acute care hospitals had adopted at least a Basic EHR system with clinician notes. This represents a 34% increase from the

Patient access to an electronic health record with secure messaging: impact on primary care utilization
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Yi Yvonne Zhou, PhD; Terhilda Garrido, MPH; Homer L. Chin, MD; Andrew M. Wiesenthal, MD; and Louise L. Liang, MD Objective: To determine whether patient access to secure patient physician messaging affects annual adult primary care office visit and documented

Accelerating the use of electronic health records in physician practices
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193 ful use is still being defined, but the overarching goal is to improve the populations health through a transformed health care delivery system with the use of EHRs to improve local processes, foster quality measurement, and increase communication. North ShoresT he US is making a historic investment in federal support for health information technology, which will likely approach $50 billion. 1 Most of this investment will go out in the form of incentives to providers who adopt electronic health records (EHRs) both outside the hospitalABSTRACT Transgender (Trans, Trans*) persons have a gender identity and a preferred name that differ from those assigned at birth, and/or those listed on their current legal identification (Gender ID, Birth-assigned Sex, Legal Sex). Transgender people who are

A global socio-economic-medico-legal model for the sustainability of longitudinal electronic health records
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Objectives: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and

The potential for blockchain to transform electronic health records
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Push is the idea that a payload of medical information is sent from one provider to another. In the US a secure email standard called Direct is used to provide encrypted transmission between sender (for example, an ER physician) and receiver (for example, your primary

Secondary analysis of electronic health records
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Library of Congress Control Number: 2016947212 The Editor(s) (if applicable) and The Author(s) 2016 This book is published open access. Open Access This book is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License

OASIS role-based access control for electronic health records
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The United Kingdom National Health Service strategy is to have a full electronic health records service available nationally by 2008. Secure, scalable, access control infrastructure will be critical to the success of such an initiative. To this end, a prototype for such a service

Electronic health records : manual for developing countries
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The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organizationo concerning the legal status of any country, territory, city or area or of its

Electronic patient records : moving from islands and bridges towards electronic health records for continuity of care
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Objectives: Electronic patient record (EPR) systems are increasingly used and have matured sufficiently so as to contribute to high quality care and efficient patient management. Our objective is to summarize current trends and major achievements in the field of EPR in the

Patient-centered care and electronic health records : its still about the relationship
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Two of the most important developments in ambulatory practice over the past 20 years are the advent of patient and relationship-centered care (PRCC) and electronic health records (EHRs). However, there is a large gap in knowledge and practice between PRCC and EHR

Why the hell do we need electronic health records
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Background: Progress in the medical sciences, together with related technologies, in the past has led to higher specialization and has created a strong need to exchange health information across institutional borders. The concept of electronic health records (EHR) was

The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records
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Electronic health records (EHRs) have potential to improve quality and safety of healthcare. However, EHR users have experienced safety concerns from EHR design and usability features that are not optimally adapted for the complex work flow of real-world practice. Few

Transitioning between electronic health records : effects on ambulatory prescribing safety
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ABSTRACT BACKGROUND Healthcare providers previously using older electronic health records (EHRs) with electronic prescribing (e-prescribing) are transitioning to newer systems to be eligible for federal meaningful use incentives. Little is known about the safety effects of

Technical Evaluation, Testing, and Validatiaon of the Usability of Electronic Health Records
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This document summarizes the rationale for an Electronic Health Record (EHR) Usability Protocol (EUP) and outlines procedures for design evaluation and human user performance testing of EHR systems. The procedures include general steps and guidance for evaluatingA recent American Medical Association report high-lighted failures in communication of abnormal test results as an important but understudied facet of improving safety in ambulatory care. 1 Because many outpatient test results are not life-threatening and dont

Electronic health in saudi arabia
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Kingdom (UK) (58%), Finland (56%), and Austria (55%).16 The National Health Service (NHS 194 has conducted wide pilot programs of EHRs and patient held electronic records over 2 a guide toward the countrys EHR initiative to access the national electronic patient record

Patient empowerment by electronic health records : first results of a systematic review on the benefit of patient portals.
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Patient portals provide patients with access to a provide-managed electronic health record (EHR). They provide an interesting approach to increase patient empowerment. The objective of this paper is to provide a first overview of the state-of-the-art and the impact of

Variation in electronic health record adoption and readiness for meaningful use: 2008 2011
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ABSTRACT BACKGROUND Federal initiatives are underway that provide physicians with financial incentives for meaningful use (MU) of electronic health records (EHRs) and assistance to purchase and implement EHRs. OBJECTIVE We sought to examine readiness

Personal health records : empowering consumers
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network that includes EHRs for clinicians and insti- tutions, electronic data exchanges all other goals, which he identified as the longitudinal composite health record record accessibility, security and privacy of information and data, and interoperability of records with shared

Electronic health records
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Building an Office Visit Note 123 Activating a New DX Code and Drug in the Office Visit 125 Neyy DX (Cycle 125 Activating a New Diagnosis

What are functional requirements of future shared electronic health records
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Abstract Information processing in health care facilities is usually primarily directed towards the needs of the respective institution. However, patient related medical data are needed by several occupational groups and institutions of the health care system. The application of

Adoption of certified electronic health record systems and electronic information sharing in physician offices: United States and 2014
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The Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009 provides incentive payments to eligible hospitals and providers that demonstrate the meaningful use of a certified electronic health record (EHR) system ( 2). In 20 the Office

Selecting a standardized terminology for the electronic health record that reveals the impact of nursing on patient care
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Using standardized terminology within electronic health records is critical for nurses to communicate their impact on patient care to the multidisciplinary team. The universal requirement for quality patient care, internal control, efficiency and cost containment, has

Using AI to improve electronic health records
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Electronic health record systems for large, integrated healthcare delivery networks today are often viewed as monolithic, inflexible, difficult to use and costly to configure. They are almost always obtained from commercial vendors and require considerable time, money, andMany healthcare facilities enforce security on their electronic health records (EHRs) through a corrective mechanism: some staff nominally have almost unrestricted access to the records but there is a strict ex post facto audit process for inappropriate accesses, ie

Applying deep learning on electronic health records in Swedish to predict healthcare-associated infections
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Detecting healthcare-associated infections pose a major challenge in healthcare. Using natural language processing and machine learning applied on electronic patient records is one approach that has been shown to work. However the results indicate that there was