standards
D’Amore JD et al, American journal of public health, 102(5)
Electronic health records in the United States currently isolate digital information in proprietary, institutional databases. Experts have identified inadequate data exchange as a leading challenge to advancements in care quality and efficiency. Recent federal health information technology incentives adopt an extensible standard, called the Continuity of Care Document (CCD), as a new basis for digital interoperability. Although this instrument was designed for individual provider communications, the CCD can be effectively reused for population-based research and public health.
[ More ]
Published:
15 March 2012 |
Keyword(s): CCD, Electronic Health Records, Interoperability, Public Health, Research, Standards, United States
Bouhaddou O et al, Journal of Biomedical Informatics, 2012
The increased need for interoperable electronic health records in health care organizations underscores the importance of standards. The US Department of Veterans Affairs (VA) has a long history of developing and adopting various types of health care data standards. The authors present in detail their experience in this domain. A formal organization within VA is responsible for helping to develop and implement standards. This group has produced a Standards Life Cycle (SLC) process endorsed by VA key business and information technology (IT) stakeholders. It coordinates the identification, description, and implementation of standards aligned with VA business requirements.
[ More ]
Published:
20 January 2012 |
Keyword(s): Adoption, Electronic Health Records, Implementation, Interoperability, Standards, United States, Veterans Affairs
Atalag K et al, electronic Journal of Health Informatics, 7(1)
Maintaining health information systems over time requires significant effort and time. This is especially marked in clinical information systems where most, if not all, functional software requirements are dependent on healthcare concepts and processes which are prone to high rate of change. Software engineering literature indicates that maintenance tasks alone may constitute 70-80% of the total development cost. It has been suggested that openEHR based systems will effectively tackle this by separating domain knowledge from software code. The objective of this paper is to assess the maintainability of an openEHR based clinical application with comparison to another application based on the same functional requirements but implemented using traditional development methods.
[ More ]
Published:
24 January 2012 |
Keyword(s): Electronic Health Records, Endoscopy, Health Information Systems, openEHR, Software Maintainability, Standards
Vreeman DJ et al, Journal of Biomedical Informatics, 2012
Interoperable health information exchange depends on adoption of terminology standards, but international use of such standards can be challenging because of language differences between local concept names and the standard terminology. To address this important barrier, we describe the evolution of an efficient process for constructing translations of LOINC terms names, the foreign language functions in RELMA, and the current state of translations in LOINC. We also present the development of the Italian translation to illustrate how translation is enabling adoption in international contexts. We built a tool that finds the unique list of LOINC Parts that make up a given set of LOINC terms.
[ More ]
Published:
21 February 2012 |
Keyword(s): Adoption, Electronic Health Records, LOINC, Standards, Terminology, Translating
Kobayashi S, Tatsukawa A. Advanced Computational Intelligence and Intelligent Informatics, 16(1)
The openEHR project has developed specifications for future-proof interoperable Electronic Health Record (EHR) systems. This project provides the specifications and implementation on which the ISO/CEN 13606 standards are based. The implementation has been formally described in Eiffel, C# and Java, but not in scripting languages (which are popular because of their higher efficiency and faster development).
[ More ]
Published:
2012 |
Keyword(s): Electronic Health Records, Japan, Open Source Software (OSS), openEHR, Standards
Maldonado JA et al, Journal of Biomedical Informatics, 2011
Possibly the most important requirement to support co-operative work among health professionals and institutions is the ability of sharing EHRs in a meaningful way, and it is widely acknowledged that standardization of data and concepts is a prerequisite to achieve semantic interoperability in any domain. Different international organizations are working on the definition of EHR architectures but the lack of tools that implement them hinders their broad adoption. In this paper we present ResearchEHR, a software platform whose objective is to facilitate the practical application of EHR standards as a way of reaching the desired semantic interoperability.
[ More ]
Published:
28 November 2011 |
Keyword(s): Archetype, CEN/ISO 13606, Electronic healthcare records, Ontology, Semantic Interoperability, Standards
Zhou L et al, Journal of Biomedical Informatics, 2011
Objective
To develop an automated method based on natural language processing (NLP) to facilitate the creation and maintenance of a mapping between RxNorm and a local medication terminology for interoperability and meaningful use purposes.
[ More ]
Published:
28 November 2011 |
Keyword(s): Medication Systems, Natural Language Processing, RxNorm, Standards, Terminology
Changing to ICD-10 diagnosis and procedure coding is a nail-biter for I.T. staff, health information managers, billing departments, and pretty much anyone who has to document anything about patient care.
[ More ]
Published:
1 December 2011 |
Keyword(s): Coding, ICD-10, SNOMED CT, Standards, United States
Acker B et al, Journal of AHIMA
Problem lists facilitate continuity of patient care by providing a comprehensive and accessible list of patient problems in one place. Problem lists used within health records are a list of illnesses, injuries, and other factors that affect the health of an individual patient, usually identifying the time of occurrence or identification and resolution.1 They are an important communication vehicle used throughout the entire healthcare continuum.
[ More ]
Published:
1 September 2011 |
Keyword(s): Coding, Electronic Health Records, Guidelines, HL7, Interoperability, Policy, Standards, United States, Workflow
Jones SS et al, Health Affairs, 2011
The federal government is currently offering bonus payments through Medicare and Medicaid to hospitals, physicians, and other eligible health professionals who meet new standards for “meaningful use” of health information technology. Whether these incentives will improve care, reduce errors, and improve patient safety as intended remains uncertain. We sought to partially fill this knowledge gap by evaluating the relationship between the use of electronic medication order entry and hospital mortality.
[ More ]
Published:
12 September 2011 |
Keyword(s): CPOE, Health Information Technology, Hospitals, Meaningful Use, Standards, United States
Schloeffel P et al, HIC 2006 and HINZ 2006: Proceedings, 2006
With the recent release of the NEHTA report on standards for Shared EHRs, there has been much interest and some confusion over the report’s discussion and recommendations for standards. This paper gives an overview of the roles of the main interoperability standards and specifications discussed in the NEHTA report. It begins with a brief section on the practical importance of interoperability for clinicians and consumers in the increasingly common shared-care environment.
[ More ]
Published:
2006 |
Keyword(s): Australia, CEN 13606, Electronic Health Records, HL7, openEHR, Semantic Interoperability, Standards
Chapman WW et al, J Am Med Inform Assoc, 18(5)
This issue of JAMIA focuses on natural language processing (NLP) techniques for clinical-text information extraction. Several articles are offshoots of the yearly ‘Informatics for Integrating Biology and the Bedside’ (i2b2) (http://www.i2b2.org) NLP shared-task challenge, introduced by Uzuner et al (see page 552) and co-sponsored by the Veteran’s Administration for the last 2 years. This shared task follows long-running challenge evaluations in other fields, such as the Message Understanding Conference (MUC) for information extraction, TREC for text information retrieval, and CASP for protein structure prediction. Shared tasks in the clinical domain are recent and include annual i2b2 Challenges that began in 2006, a challenge for multi-label classification of radiology reports sponsored by Cincinnati Children’s Hospital in 2007, a 2011 Cincinnati Children’s Hospital challenge on suicide notes, and the 2011 TREC information retrieval shared task involving retrieval of clinical cases from narrative records.
[ More ]
Published:
1 September 2011 |
Keyword(s): Annotation, Narrative, NLP, Standards, United States
Li Y-C et al, J Am Med Inform Assoc, 2011
Tourism as well as international business travel creates health risks for individuals and populations both in host societies and home countries. One strategy to reduce health-related risks to travelers is to provide travelers and relevant caregivers timely, ongoing access to their own health information. Many websites offer health advice for travelers. For example, the WHO and US Department of State offer up-to-date health information about countries relevant to travel. However, little has been done to assure travelers that their medical information is available at the right place and time when the need might arise.
[ More ]
Published:
17 August 2011 |
Keyword(s): Electronic Health Records, Personal Health Records, Standards
Sullivan-Taylor P et al, International Perspectives in Health Informatics, 2011
Primary Health Care (PHC) is the most common health care experienced by Canadians and is an important source of chronic disease prevention and management; however, PHC providers say they have little information about their patient populations, especially groups of patients with multiple conditions. The Canadian Institute for Health Information in collaboration with 50 PHC providers examined the ability to extract and use a subset of PHC EMR data from four disparate environments in an agreed and privacy sensitive manner.
[ More ]
Published:
2011 |
Keyword(s): Canada, Electronic Health Records, Electronic Medical Records, Patient Centric, Primary Care, Standards
Gardner E. Health Data Management Magazine, 19(6)
With meaningful use taking up all the top slots on the national EHR to-do list, record retention and preservation don’t even make the first page: Data storage is so cheap, so the popular thinking seems to be, we’ll just keep everything and worry about it later. But Milton Corn, M.D., deputy director for research and education at the National Library of Medicine, thinks we should worry about it now.
[ More ]
Published:
1 June 2011 |
Keyword(s): Data Storage, Electronic Health Records, Genetic Data, Privacy, Research, Secondary Data Use, Standards, United States
Xiao L et al, BMC Medical Informatics and Decision Making, 11
BACKGROUND
In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR.
METHODS
A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function.
[ More ]
Published:
1 February 2011 |
Keyword(s): Archetypes, Decision Support, Drugs, Electronic Health Records, Methadone, openEHR, Standards
Gardner E. Health Data Management Magazine, 19(5)
In Minnesota, Hennepin County Medical Center sends immunization records electronically to the state health department’s registry, part of a test that will eventually allow all of the state’s physicians to both submit that data securely and access complete immunization records on all their patients.
[ More ]
Published:
1 May 2011 |
Keyword(s): Electronic Health Records, Health Information Exchange, Referral, Standards, United States
Reynolds CJ, Wyatt JC. J Med Internet Res, 13(1)
Recognition of the improvements in patient safety, quality of patient care, and efficiency that health care information systems have the potential to bring has led to significant investment. Globally the sale of health care information systems now represents a multibillion dollar industry. As policy makers, health care professionals, and patients, we have a responsibility to maximize the return on this investment. To this end we analyze alternative licensing and software development models, as well as the role of standards.
[ More ]
Published:
31 December 1969 |
Keyword(s): Health Information Systems, Open Source, open standards, Standards
Mccormack J. Health Data Management, 19(3)
The challenges associated with getting lab results in front of clinicians and patients is a lot like peeling an onion. Everytime you peel back a layer, another challenge awaits. And, if you don’t keep going-even when the stench starts to burn your eyes-you might never completely solve the problem.
[ More ]
Published:
1 March 2011 |
Keyword(s): Electronic Health Records, HL7, integration, Laboratory tests, Standards, United States
Nieto Pajares JF. RevistaeSalud, 7(25)
The Complex Care of Avila, has driven the development and implementation of electronic health records system (HCE) of the Regional Health Management of Castilla y León (Sacyl). The project has been implemented based on standard content definition and information hierarchy, integration and interoperability based on standards and the development of a software application called Jimena. The application is currently being upgraded in the four health centers in the area, is integrated with departmental applications and has specialized utilities for navigation, editing and electronic application in each care context.
[ More ]
Published:
21 January 2011 |
Keyword(s): Architecture, Electronic Health Records, Interoperability, Spain, Standards
