Electronic health

These data can then be fed into electronic medical records (EMR) such as those the NHS plans to introduce throughout the UK over the next 2 years. This represents a process that will ultimately both reduce the frequency with which patients have to visit their doctor and improve health care delivery. EMR or electronic personal health records (as they are also known) have already been established, or are being established, in many European nations, such as Denmark. The United States, with its decentralized health care industry, is behind the curve in these efforts. However, in early fall of 2005, IBM and eight other IT companies that form the Technology CEO Council (TCC), including Intel, HP, Dell, Motorola, EMC, Applied Materials, NCR, and Unisys committed to adopt electronic health records based on open standards. In addition to these private sector efforts, the US Department of... 

Cincinnati Children s Hospital Medical Center, the 2003 recipient of the prestigious Healthcare Information Management and Systems Society s (HIMSS) Nicholas E. Davies Award of Excellence for Electronic Health Record (eHR), was able to reduce medication errors by 35% and decrease medication turnaround time by 52% through the use of an integrated clinical information system. 

E 1769-95 Standard Guide for Properties of Electronic Health Records and Record Systems... 

E 1384-99 Standard Guide for Content and Structure of the Electronic Health Record... 

Carets D, Davis M. 2006. Electronic medical records vs. electronic health records Yes, there is a difference, white paper, HIMSS Analytics, Chicago, www. himssanalytics.org. 

Although nanoscale materials promise to revolutionize many of our industries including electronics, health care, energy and more, the near term uses are in environmental remediation and green chemistry applications. One reason for this is that nanomaterials possess unique properties as adsorbents and catalysts, because (1) they possess high surface areas with large surface to bulk ratios so that the nanomaterial is used efficiently (2) nanocrystals have... 

Public health surveillance is an essential process for detection of biological events. The traditional notifiable disease reporting system remains an important component of infectious diseases surveillance however, new approaches are being implemented that may enhance capabilities for early detection of events. The increasing availability of electronic health data and advances in information technologies provide opportunities for active, real-time surveillance systems (Teich et al., 2002). Syndromic surveillance systems that rely on alternative health indicators and detection of unusual patterns have... 

The administrative simpHfication provisions of HIPAA were written with the understanding that improvements in safeguards of electronic health information must go hand in hand with increasing detail and sharing of such electronic data. The traditional paper record was inaccessible to all but the individual having possession of the physical record this created problems when the record was lost, or was necessary at more than one location, but it also provided a natural limit on the accessibility to unauthorized parties. As information becomes available in electronic form, patients have an interest in improved security and confidentiality of their health records. 

Hunt, D.L. Jaeschke, R. McKibbon, K.A. For the evidence-based medicine working group. Users guides to the medical literature XXL Using electronic health information resources in evidence-based practice, JAMA, J. Am. Med. Assoc. 2000. 283 (14), 1875-1879. Westberg, E.E. Miller, R.A. The basis for using the Internet to support the information needs of primary care. JAMA, J. Am. Med. Assoc. 1999, 6, 6-25. http //text.nlm.nih.gov/ (accessed Oct. 2000). www.ncbi.nlm.nih.gov/entrez/query.fcgi db=OMIM (accessed Oct. 2000). 

Hunt DL, Jaeschke R, McKibbon KA. Users guides to the medical literature XXL Using electronic health information resources in evidence-based practice. Evidence-Based Medicine Working Group. JAMA 2000 283 1875-1879. 

AGPI is unique in time and space and is used for integrating, on an individual basis, the de-identified health records gathered from multiple institutions in different jurisdictions and at different times. AGPI is an opaque alphanumeric structure to be used as the primary key to associate (one-way longitudinal integration of personal health records) de-identified health records from various sources to construct personal EHR (electronic health record) as depicted in figure 6.2. 

The horizontal services include (but are not limited to) demographic registries, services for dynamic construction of lifetime personal health record, electronic health record management services, global person identification services, clinical and financial data integration services, information management services, electronic collaboration services, clinical decision services, and interdisciplinary coordination services. 

Longitudinal electronic health records as the term is often used not only to the reference to the digital patient record but also to imply capture and abstraction of clinical data. It may include the ability to encode (categorize) diagnosis and procedures. 

Electronic health record + genomic, lifestyle, etc. —> Anonymous record ... 

The secure electronic data vault hides the content of the electronic health record and other documents from others, including system/data administrators, by storing the documents scrambled (i.e., encrypted) so that only the document owner can decipher (i.e., decrypt) the document. The secure electronic data vault hides the existence of a PHR as well as its content from others, including system/data administrators, by storing the metadata (i.e., the information about the document) encrypted so that only the trusted custodian may get the information about the document and by storing the document encrypted so that only the document owner can decrypt it. 

Again, we spill out the horrendous numbers one out of every 25 in-patients becomes a victim of a medical accident. Some 195,000 people die of medical accidents every year. The actual figure might be twice of that, and medicine has the worst accident rate of any US industry. Substandard care in America kills over 57,000 people and wastes over 9 billion annually. Physicians drive 80% of the cost. So the Bush administration quickly committed 100 million, and congressional bi-partisan effort has been behind the introduction of legislation to stimulate electronic patient record keeping, or electronic health records (EHR). 

DPR Digital patient record, essentially the same as EHR (electronic health record) and EMR (electronic medical record). 

Electronic health records, and digital patient records generally, are important and... 

But the electronic health records issue is still continually controversial. See ... 

A. Shabo, P. Vortman, and B. Robson. 2001. Who s Afraid of Lifetime Electronic Medical Records In Proceedings ofTowards Electronic Health Records Conference, London TEHRE. 

D. Smaltz and E. Berner. 2007. The Executive s Guide to Electronic Health Records. Chicago Health Administration Press, p. 3. 

J. A. Linder, D. W. Bates, B. Middleton, and R. S. Stafford. 2007. Electronic health record use and the quality of ambulatory care in the United States. Arch Internal Medicine 167 1400-1405. 

D. Gans, J. Kralewski,T. Hammons, and B. Dowd. 2005. Medical groups adoption of electronic health records and information systems. Health Affairs (Project Hope) 24(5) 1323-1333. 

---