Int J Med Inform - Analysis and evaluation of the Electronic Health Record standard in China: a comparison with the American national standard ASTM E 1384.

Tópicos

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

Resumo

JECTIVE: To analyze and evaluate the newly issued Electronic Health Record (EHR) Architecture and Data Standard of China (Chinese EHR Standard) and identify areas of improvement for future revisions.DESIGN: We compared the Chinese EHR Standard with the standard of the American Society for Testing and Materials Standard Practice for Content and Structure of Electronic Health Records in the United States (ASTM E 1384 Standard).METHODS: The comparison comprised two steps: (1) comparing the conformance of the two standards to the international standard: Health Informatics-Requirements for an Electronic Health Record Architecture (ISO/TS 18308), and showing how the architectures of the two standards satisfy or deviate from the ISO requirements and (2) comparing the detailed data structures between the two standards.RESULTS: Of the 124 requirement items in ISO/TS 18308, the Chinese EHR Standard and the ASTM E 1384 Standard conformed to 77 (62.1%) and 111 (89.5%), respectively. The Chinese EHR Standard conformed to 34 of 50 Structure requirements (68.0%), 22 of 24 Process requirements (91.7%), and 21 of 50 Other requirements (42.0%). The ASTM E 1384 Standard conformed to 49 of 50 Structure requirements (98.0%), 23 of 24 Process requirements (95.8%), and 39 of 40 Other requirements (78.0%).CONCLUSIONS: Further development of the Chinese EHR Standard should focus on supporting privacy and security mechanism, diverse data types, more generic and extensible lower level data structures, and relational attributes for data elements.

Resumo Limpo

jectiv analyz evalu newli issu electron health record ehr architectur data standard china chines ehr standard identifi area improv futur revisionsdesign compar chines ehr standard standard american societi test materi standard practic content structur electron health record unit state astm e standardmethod comparison compris two step compar conform two standard intern standard health informaticsrequir electron health record architectur isot show architectur two standard satisfi deviat iso requir compar detail data structur two standardsresult requir item isot chines ehr standard astm e standard conform respect chines ehr standard conform structur requir process requir requir astm e standard conform structur requir process requir requir conclus develop chines ehr standard focus support privaci secur mechan divers data type generic extens lower level data structur relat attribut data element

Resumos Similares

J Biomed Inform - System engineering approach to documentation: an evaluation of the documentation process in a gastroenterology laboratory. ( 0,781738186374213 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,768419607594422 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,763176752691773 )
Healthc (Amst) - Meaningful use: Floor or ceiling? ( 0,753595877132927 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,752401709173059 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,74624332106243 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,741707894499925 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,737159273002528 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,73414533423994 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,731922570604477 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,730740389697433 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,728066180379954 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,726559034133821 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,725170647215062 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,724431906601019 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,721630785978357 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,720674923849876 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,719734484844379 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,717172203960574 )
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. ( 0,716689959093161 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,7152509155758 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,714995454130488 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,714437883059851 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,713060787649954 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,712506849487542 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,711904761904762 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,710869017456981 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,709216087031948 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,706662031924869 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,705646172371334 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,70247093136982 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,697289792114578 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,694305976231036 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,69421171839271 )
AMIA Annu Symp Proc - Impacts of EHR Certification and Meaningful Use Implementation on an Integrated Delivery Network. ( 0,691417305122309 )
AMIA Annu Symp Proc - Cross-mapping clinical notes between hospitals: an application of the LOINC Document Ontology. ( 0,689283935155193 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,68808916881167 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,687729920102038 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,687374258327453 )
Int J Med Inform - The trends in EMR and CPOE adoption in Japan under the national strategy. ( 0,686655180980065 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,681774634295989 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,68125248047469 )
J Med Syst - Analysis of network type exchange in the health care system: a stakeholder approach. ( 0,678731834829991 )
Telemed J E Health - Teledentistry in practice: literature review. ( 0,677573315831693 )
AMIA Annu Symp Proc - Data Quality and Interoperability Challenges for eHealth Exchange Participants: Observations from the Department of Veterans Affairs' Virtual Lifetime Electronic Record Health Pilot Phase. ( 0,675275696354637 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,674323851415067 )
J Am Med Inform Assoc - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. ( 0,67296234749039 )
J Am Med Inform Assoc - Completeness, accuracy, and computability of National Quality Forum-specified eMeasures. ( 0,672150068277698 )
Comput Methods Programs Biomed - The relationship between usage intention and adoption of electronic health records at primary care clinics. ( 0,670241406376076 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,669471672792927 )
J Biomed Inform - Use patterns of health information exchange through a multidimensional lens: conceptual framework and empirical validation. ( 0,667167589043616 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,666428912782878 )
J Med Syst - Usability evaluation of paper-based Hajji Health Record format. ( 0,665386771911053 )
J Am Med Inform Assoc - Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative. ( 0,662931951823002 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,662476532847811 )
J Med Syst - Factors related to health information exchange participation and use. ( 0,662323515113603 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,661947017855235 )
J Am Med Inform Assoc - The marginal value of pre-visit paper reminders when added to a multifaceted electronic health record based quality improvement system. ( 0,66183123310539 )
J Am Med Inform Assoc - Security practices and regulatory compliance in the healthcare industry. ( 0,660630211370829 )
Perspect Health Inf Manag - Impact of electronic health record systems on information integrity: quality and safety implications. ( 0,659758397981779 )
Perspect Health Inf Manag - Evaluation of inpatient clinical documentation readiness for ICD-10-CM. ( 0,65972616675155 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,65711874194019 )
J Am Med Inform Assoc - How is the electronic health record being used? Use of EHR data to assess physician-level variability in technology use. ( 0,655015777006769 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,654275428001653 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,65420833974723 )
AMIA Annu Symp Proc - Health information exchange, Health Information Technology use, and hospital readmission rates. ( 0,652414836114683 )
Methods Inf Med - Utilizing IHE-based Electronic Health Record systems for secondary use. ( 0,651304924298064 )
J Med Syst - A review of analytics and clinical informatics in health care. ( 0,650112670696882 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,649667436200357 )
Int J Med Inform - Contingency planning for electronic health record-based care continuity: a survey of recommended practices. ( 0,649369663050079 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,649075536457983 )
AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches. ( 0,647539134487692 )
J Am Med Inform Assoc - Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico. ( 0,647063620966614 )
Health Informatics J - Evaluation of ISO EN 13606 as a result of its implementation in XML. ( 0,646716302777107 )
BMC Med Inform Decis Mak - Survey of patient and public perceptions of electronic health records for healthcare, policy and research: study protocol. ( 0,646662052743969 )
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. ( 0,646650213256961 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,645414516029506 )
Appl Clin Inform - Utilizing an electronic health record system to improve vaccination coverage in children. ( 0,643495332291001 )
J Am Med Inform Assoc - There is no neutral position on fraud! ( 0,643402421261706 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,643194393991396 )
Inform Health Soc Care - Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey. ( 0,642816602361354 )
J Am Med Inform Assoc - Factors associated with difficult electronic health record implementation in office practice. ( 0,641804346567726 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,640685473096366 )
J Med Syst - Quality and cost improvement of healthcare via complementary measurement and diagnosis of patient general health outcome using electronic health record data: research rationale and design. ( 0,637794395688056 )
J Am Med Inform Assoc - Validity of electronic health record-derived quality measurement for performance monitoring. ( 0,637012662787914 )
Appl Clin Inform - Clinician perceptions of pediatric growth chart use and electronic health records in Kentucky. ( 0,636887050609767 )
J Biomed Inform - Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. ( 0,635936942820369 )
J Am Med Inform Assoc - Harmonized patient-reported data elements in the electronic health record: supporting meaningful use by primary care action on health behaviors and key psychosocial factors. ( 0,63351964451747 )
J Med Syst - Factors associated with health information exchange system usage in a safety-net ambulatory care clinic setting. ( 0,633432863378454 )
J Am Med Inform Assoc - The NIAID Division of AIDS enterprise information system: integrated decision support for global clinical research programs. ( 0,631996735320272 )
Methods Inf Med - A Regional health care network: eHealth.Braunschweig. Domain fields and architectural challenges. ( 0,629841778632994 )
AMIA Annu Symp Proc - Cognitive analysis of the summarization of longitudinal patient records. ( 0,629776809814774 )
Appl Clin Inform - Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes. ( 0,629753501058012 )
Healthc (Amst) - Instant replay. ( 0,626627785791682 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,626524853883222 )
Healthc (Amst) - Health information exchange among U.S. hospitals: who's in, who's out, and why? ( 0,625808420831582 )
Methods Inf Med - Semantic validation of standard-based electronic health record documents with W3C XML schema. ( 0,625352305348203 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,625015032966677 )
J Am Med Inform Assoc - Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal. ( 0,624669224639441 )
Perspect Health Inf Manag - The impact of electronic health record usage on cancer registry systems in Alabama. ( 0,623836158457443 )