AMIA Annu Symp Proc - An EHR prototype using structured ISO/EN 13606 documents to respond to identified clinical information needs of diabetes specialists: a controlled study on feasibility and impact.

Tópicos

{ survey(1388) particip(1329) question(1065) }
{ search(2224) databas(1162) retriev(909) }
{ ehr(2073) health(1662) electron(1139) }
{ patient(1821) servic(1111) care(1106) }
{ system(1050) medic(1026) inform(1018) }
{ patient(2315) diseas(1263) diabet(1191) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ data(1714) softwar(1251) tool(1186) }
{ studi(1410) differ(1259) use(1210) }
{ inform(2794) health(2639) internet(1427) }
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{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ concept(1167) ontolog(924) domain(897) }
{ care(1570) inform(1187) nurs(1089) }
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{ record(1888) medic(1808) patient(1693) }
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{ patient(2837) hospit(1953) medic(668) }
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{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ 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(2212) result(1239) propos(1039) }

Resumo

Cross-institutional longitudinal Electronic Health Records (EHR), as introduced in Austria at the moment, increase the challenge of information overload of healthcare professionals. We developed an innovative cross-institutional EHR query prototype that offers extended query options, including searching for specific information items or sets of information items. The available query options were derived from a systematic analysis of information needs of diabetes specialists during patient encounters. The prototype operates in an IHE-XDS-based environment where ISO/EN 13606-structured documents are available. We conducted a controlled study with seven diabetes specialists to assess the feasibility and impact of this EHR query prototype on efficient retrieving of patient information to answer typical clinical questions. The controlled study showed that the specialists were quicker and more successful (measured in percentage of expected information items found) in finding patient information compared to the standard full-document search options. The participants also appreciated the extended query options.

Resumo Limpo

crossinstitut longitudin electron health record ehr introduc austria moment increas challeng inform overload healthcar profession develop innov crossinstitut ehr queri prototyp offer extend queri option includ search specif inform item set inform item avail queri option deriv systemat analysi inform need diabet specialist patient encount prototyp oper ihexdsbas environ isoen structur document avail conduct control studi seven diabet specialist assess feasibl impact ehr queri prototyp effici retriev patient inform answer typic clinic question control studi show specialist quicker success measur percentag expect inform item found find patient inform compar standard fulldocu search option particip also appreci extend queri option

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