Int J Med Inform - Medical record search engines, using pseudonymised patient identity: an alternative to centralised medical records.

Tópicos

{ system(1050) medic(1026) inform(1018) }
{ record(1888) medic(1808) patient(1693) }
{ studi(1410) differ(1259) use(1210) }
{ data(3008) multipl(1320) sourc(1022) }
{ control(1307) perform(991) simul(935) }
{ search(2224) databas(1162) retriev(909) }
{ process(1125) use(805) approach(778) }
{ clinic(1479) use(1117) guidelin(835) }
{ analysi(2126) use(1163) compon(1037) }
{ decis(3086) make(1611) patient(1517) }
{ can(774) often(719) complex(702) }
{ risk(3053) factor(974) diseas(938) }
{ first(2504) two(1366) second(1323) }
{ sequenc(1873) structur(1644) protein(1328) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ concept(1167) ontolog(924) domain(897) }
{ health(3367) inform(1360) care(1135) }
{ research(1218) medic(880) student(794) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ structur(1116) can(940) graph(676) }
{ data(1737) use(1416) pattern(1282) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ group(2977) signific(1463) compar(1072) }
{ can(981) present(881) function(850) }
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{ imag(1947) propos(1133) code(1026) }
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{ patient(2315) diseas(1263) diabet(1191) }
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{ motion(1329) object(1292) video(1091) }
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{ 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) }
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{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ method(984) reconstruct(947) comput(926) }
{ data(3963) clinic(1234) research(1004) }
{ perform(999) metric(946) measur(919) }
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{ model(2341) predict(2261) use(1141) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ 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) }
{ 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) }
{ health(1844) social(1437) communiti(874) }
{ 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) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

RPOSE: The purpose of our multidisciplinary study was to define a pragmatic and secure alternative to the creation of a national centralised medical record which could gather together the different parts of the medical record of a patient scattered in the different hospitals where he was hospitalised without any risk of breaching confidentiality.METHODS: We first analyse the reasons for the failure and the dangers of centralisation (i.e. difficulty to define a European patients' identifier, to reach a common standard for the contents of the medical record, for data protection) and then propose an alternative that uses the existing available data on the basis that setting up a safe though imperfect system could be better than continuing a quest for a mythical perfect information system that we have still not found after a search that has lasted two decades.RESULTS: We describe the functioning of Medical Record Search Engines (MRSEs), using pseudonymisation of patients' identity. The MRSE will be able to retrieve and to provide upon an MD's request all the available information concerning a patient who has been hospitalised in different hospitals without ever having access to the patient's identity. The drawback of this system is that the medical practitioner then has to read all of the information and to create his own synthesis and eventually to reject extra data.CONCLUSIONS: Faced with the difficulties and the risks of setting up a centralised medical record system, a system that gathers all of the available information concerning a patient could be of great interest. This low-cost pragmatic alternative which could be developed quickly should be taken into consideration by health authorities.

Resumo Limpo

rpose purpos multidisciplinari studi defin pragmat secur altern creation nation centralis medic record gather togeth differ part medic record patient scatter differ hospit hospitalis without risk breach confidentialitymethod first analys reason failur danger centralis ie difficulti defin european patient identifi reach common standard content medic record data protect propos altern use exist avail data basi set safe though imperfect system better continu quest mythic perfect inform system still found search last two decadesresult describ function medic record search engin mrses use pseudonymis patient ident mrse will abl retriev provid upon mds request avail inform concern patient hospitalis differ hospit without ever access patient ident drawback system medic practition read inform creat synthesi eventu reject extra dataconclus face difficulti risk set centralis medic record system system gather avail inform concern patient great interest lowcost pragmat altern develop quick taken consider health author

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