J Med Syst - A novel system architecture for the national integration of electronic health records: a semi-centralized approach.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ record(1888) medic(1808) patient(1693) }
{ data(1714) softwar(1251) tool(1186) }
{ system(1050) medic(1026) inform(1018) }
{ method(2212) result(1239) propos(1039) }
{ data(3963) clinic(1234) research(1004) }
{ implement(1333) system(1263) develop(1122) }
{ concept(1167) ontolog(924) domain(897) }
{ research(1218) medic(880) student(794) }
{ control(1307) perform(991) simul(935) }
{ model(3404) distribut(989) bayesian(671) }
{ take(945) account(800) differ(722) }
{ patient(2837) hospit(1953) medic(668) }
{ cost(1906) reduc(1198) effect(832) }
{ structur(1116) can(940) graph(676) }
{ drug(1928) target(777) effect(648) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ patient(2315) diseas(1263) diabet(1191) }
{ problem(2511) optim(1539) algorithm(950) }
{ extract(1171) text(1153) clinic(932) }
{ howev(809) still(633) remain(590) }
{ import(1318) role(1303) understand(862) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ model(2656) set(1616) predict(1553) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ can(981) present(881) function(850) }
{ survey(1388) particip(1329) question(1065) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ health(3367) inform(1360) care(1135) }
{ state(1844) use(1261) util(961) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The goal of a national electronic health records integration system is to aggregate electronic health records concerning a particular patient at different healthcare providers' systems to provide a complete medical history of the patient. It holds the promise to address the two most crucial challenges to the healthcare systems: improving healthcare quality and controlling costs. Typical approaches for the national integration of electronic health records are a centralized architecture and a distributed architecture. This paper proposes a new approach for the national integration of electronic health records, the semi-centralized approach, an intermediate solution between the centralized architecture and the distributed architecture that has the benefits of both approaches. The semi-centralized approach is provided with a clearly defined architecture. The main data elements needed by the system are defined and the main system modules that are necessary to achieve an effective and efficient functionality of the system are designed. Best practices and essential requirements are central to the evolution of the proposed architecture. The proposed architecture will provide the basis for designing the simplest and the most effective systems to integrate electronic health records on a nation-wide basis that maintain integrity and consistency across locations, time and systems, and that meet the challenges of interoperability, security, privacy, maintainability, mobility, availability, scalability, and load balancing.

Resumo Limpo

goal nation electron health record integr system aggreg electron health record concern particular patient differ healthcar provid system provid complet medic histori patient hold promis address two crucial challeng healthcar system improv healthcar qualiti control cost typic approach nation integr electron health record central architectur distribut architectur paper propos new approach nation integr electron health record semicentr approach intermedi solut central architectur distribut architectur benefit approach semicentr approach provid clear defin architectur main data element need system defin main system modul necessari achiev effect effici function system design best practic essenti requir central evolut propos architectur propos architectur will provid basi design simplest effect system integr electron health record nationwid basi maintain integr consist across locat time system meet challeng interoper secur privaci maintain mobil avail scalabl load balanc

Resumos Similares

Telemed J E Health - Teledentistry in practice: literature review. ( 0,712487808836402 )
AMIA Annu Symp Proc - Practical choices for infobutton customization: experience from four sites. ( 0,706633324969296 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,706330510589521 )
J Med Syst - Evaluation of the medical records system in an upcoming teaching hospital-a project for improvisation. ( 0,693261855917574 )
J Biomed Inform - Utilizing RxNorm to support practical computing applications: capturing medication history in live electronic health records. ( 0,688410348999744 )
Int J Med Inform - The trends in EMR and CPOE adoption in Japan under the national strategy. ( 0,683135607005649 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,676126197960909 )
Methods Inf Med - Utilizing IHE-based Electronic Health Record systems for secondary use. ( 0,673864239131291 )
AMIA Annu Symp Proc - Evaluation of HL7 v2.5.1 electronic case reports transmitted from a healthcare enterprise to public health. ( 0,67063144690246 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,665508739012067 )
IEEE J Biomed Health Inform - A standardized SOA for clinical data interchange in a cardiac telemonitoring environment. ( 0,65804683089552 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,657584471309925 )
J Am Med Inform Assoc - Using EHRs to integrate research with patient care: promises and challenges. ( 0,653857905708808 )
J Med Syst - Performance assessment of EMR systems based on post-relational database. ( 0,653602734263367 )
J Med Syst - Integrating hospital information systems in healthcare institutions: a mediation architecture. ( 0,652989442473964 )
Perspect Health Inf Manag - Workflow and electronic health records in small medical practices. ( 0,649061544881713 )
J Clin Monit Comput - Implementation of a standards-based anaesthesia record compliant with the health level 7 (HL7) clinical document architecture (CDA). ( 0,648942677483835 )
AMIA Annu Symp Proc - An integrated billing application to streamline clinician workflow. ( 0,646720938169838 )
Int J Med Inform - How physicians document outpatient visit notes in an electronic health record. ( 0,645333333545022 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,642431962574383 )
J Med Syst - Architecture of portable electronic medical records system integrated with streaming media. ( 0,642429672898192 )
Methods Inf Med - Ensuring the continuity of care of cardiorespiratory diseases at home. Monitoring equipment and medical data exchange over semantically annotated web services. ( 0,642184636573045 )
Perspect Health Inf Manag - Lessons learned from implementation of voice recognition for documentation in the military electronic health record system. ( 0,641573540893758 )
J Am Med Inform Assoc - There is no neutral position on fraud! ( 0,639951354882138 )
Perspect Health Inf Manag - Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits. ( 0,63870562989751 )
J Med Syst - Development of fundamental infrastructure for nationwide EHR in Japan. ( 0,633942421972447 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,633742408583032 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,633643920566822 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,632903160161698 )
J Med Syst - Electronic hand-drafting and picture management system. ( 0,630683536197492 )
Health Informatics J - Clinical Document Architecture integration system to support patient referral and reply letters. ( 0,630615966236352 )
BMC Med Inform Decis Mak - Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study. ( 0,630088309069181 )
Health Informatics J - Evaluation of ISO EN 13606 as a result of its implementation in XML. ( 0,627098408034698 )
J Am Med Inform Assoc - Enabling distributed electronic research data collection for a rural Appalachian tobacco cessation study. ( 0,624376616129163 )
J Med Syst - Meeting the security requirements of electronic medical records in the ERA of high-speed computing. ( 0,623314392661699 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,621177446617397 )
J Am Med Inform Assoc - Normalization and standardization of electronic health records for high-throughput phenotyping: the SHARPn consortium. ( 0,620495758620984 )
BMC Med Inform Decis Mak - CIS-based registration of quality of life in a single source approach. ( 0,619866629636961 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,619360174659202 )
J Med Syst - Use and satisfaction with electronic health record by primary care physicians in a health district in Brazil. ( 0,618430821883476 )
J Biomed Inform - The Taiwanese method for providing patients data from multiple hospital EHR systems. ( 0,617048047259641 )
J Am Med Inform Assoc - PEDSnet: a National Pediatric Learning Health System. ( 0,616948586621613 )
BMC Med Inform Decis Mak - On the usage of health records for the design of Virtual Patients: a systematic review. ( 0,615817121508816 )
J Am Med Inform Assoc - Method of electronic health record documentation and quality of primary care. ( 0,615419256398196 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,61452588730586 )
J Med Syst - Emergency healthcare process automation using mobile computing and cloud services. ( 0,611372314345638 )
Perspect Health Inf Manag - Impact of electronic health record systems on information integrity: quality and safety implications. ( 0,608883552406086 )
Healthc (Amst) - Do family physicians electronic health records support meaningful use? ( 0,607644320350791 )
J Am Med Inform Assoc - The NIAID Division of AIDS enterprise information system: integrated decision support for global clinical research programs. ( 0,60641382473353 )
J Am Med Inform Assoc - Same organization, same electronic health records (EHRs) system, different use: exploring the linkage between practice member communication patterns and EHR use patterns in an ambulatory care setting. ( 0,605774271782488 )
Appl Clin Inform - Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes. ( 0,60353477371066 )
J Med Syst - Realizing digital signatures for medical imaging and reporting in a PACS environment. ( 0,60326542835464 )
BMC Med Inform Decis Mak - Applying representational state transfer (REST) architecture to archetype-based electronic health record systems. ( 0,602991721094781 )
BMC Med Inform Decis Mak - Beyond the threshold: real-time use of evidence in practice. ( 0,602907624086085 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,601802334706774 )
J Am Med Inform Assoc - Security practices and regulatory compliance in the healthcare industry. ( 0,601713847835156 )
J Med Syst - Advances and current state of the security and privacy in electronic health records: survey from a social perspective. ( 0,6012005442967 )
J Med Syst - Design and implementation of web-based discharge summary note based on service-oriented architecture. ( 0,601106310327376 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,5999712746858 )
J Am Med Inform Assoc - Reconciliation of the cloud computing model with US federal electronic health record regulations. ( 0,599245917478388 )
Int J Med Inform - Separate may not be equal: a preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers. ( 0,59757290214626 )
J Am Med Inform Assoc - Informatics and operations--let's get integrated. ( 0,597248843693765 )
Healthc (Amst) - Instant replay. ( 0,597078365087443 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,596871230298949 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,596256246553177 )
J Med Syst - Building clinical data groups for electronic medical record in China. ( 0,59623363878386 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,595581732188428 )
AMIA Annu Symp Proc - Piloting a deceased subject integrated data repository and protecting privacy of relatives. ( 0,594884358059453 )
J Am Med Inform Assoc - Factors associated with difficult electronic health record implementation in office practice. ( 0,593167083984703 )
Comput Methods Programs Biomed - Five-year experience with setup and implementation of an integrated database system for clinical documentation and research. ( 0,592278632182373 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,591018968400307 )
J Med Syst - A generative tool for building health applications driven by ISO 13606 archetypes. ( 0,590279564316049 )
J Am Med Inform Assoc - National-scale clinical information exchange in the United Kingdom: lessons for the United States. ( 0,590017330311303 )
J. Med. Internet Res. - Characteristics of patient portals developed in the context of health information exchanges: early policy effects of incentives in the meaningful use program in the United States. ( 0,589633640868759 )
BMC Med Inform Decis Mak - Development and evaluation of a de-identification procedure for a case register sourced from mental health electronic records. ( 0,589371518029922 )
J Am Med Inform Assoc - Using a medical simulation center as an electronic health record usability laboratory. ( 0,589065952135746 )
AMIA Annu Symp Proc - An application for monitoring order set usage in a commercial electronic health record. ( 0,587673216811436 )
Telemed J E Health - E-health-oriented community health information system in china: our challenges, solution, and experience. ( 0,585670472111062 )
Appl Clin Inform - An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications. ( 0,582744590784431 )
AMIA Annu Symp Proc - Private medical record linkage with approximate matching. ( 0,581209812769624 )
Int J Med Inform - The EHR-ARCHE project: satisfying clinical information needs in a Shared Electronic Health Record system based on IHE XDS and Archetypes. ( 0,580866732482316 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,58015680941919 )
BMC Med Inform Decis Mak - Use of a health information exchange system in the emergency care of children. ( 0,580018555078016 )
J Am Med Inform Assoc - Improving the quality of cancer care in America through health information technology. ( 0,579646030448203 )
Artif Intell Med - Creating personalised clinical pathways by semantic interoperability with electronic health records. ( 0,5793534402934 )
Perspect Health Inf Manag - Annual survey on the level and extent of usage of electronic health records in government-related hospitals in Eastern Province, Saudi Arabia. ( 0,57895579618081 )
J Chem Inf Model - Electronic laboratory notebook: the academic point of view. ( 0,578479100491188 )
AMIA Annu Symp Proc - A qualitative analysis of EHR clinical document synthesis by clinicians. ( 0,577940071358314 )
Perspect Health Inf Manag - Integrating research data capture into the electronic health record workflow: real-world experience to advance innovation. ( 0,576158943285239 )
Int J Med Inform - An investigation of the efficacy of electronic consenting interfaces of research permissions management system in a hospital setting. ( 0,575909369790531 )
Int J Med Inform - Scale-up of networked HIV treatment in Nigeria: creation of an integrated electronic medical records system. ( 0,575041169584095 )
Appl Clin Inform - Clinician perceptions of pediatric growth chart use and electronic health records in Kentucky. ( 0,57356341897679 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,57336294215842 )
BMC Med Inform Decis Mak - Towards plug-and-play integration of archetypes into legacy electronic health record systems: the ArchiMed experience. ( 0,572570186582687 )
J Am Med Inform Assoc - The double-edged sword of electronic health records: implications for patient disclosure. ( 0,571792465370641 )
J Clin Monit Comput - A comprehensive operating room information system using the Kinect sensors and RFID. ( 0,571476115471823 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,571177441731903 )
AMIA Annu Symp Proc - Physician Attitudes about Patient-Facing Information Displays at an Urban Emergency Department. ( 0,570669389861179 )
Appl Clin Inform - Rapid implementation of inpatient electronic physician documentation at an academic hospital. ( 0,570190639200867 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,568775535838004 )