Preliminary instrumentation for the efficient use of Web-based electronic health records

2004 ◽  
Author(s):  
S. Henrad
Keyword(s):  
Electronic Health Records ◽  
Health Records ◽  
Web Based ◽  
Electronic Health

A Web-Based Application to Exchange Electronic Health Records and Medical Images in Ophthalmology

2009 ◽  
pp. 152-164
Author(s):  
Isabel de la Torre Díez
Keyword(s):  
Electronic Health Records ◽  
Medical Images ◽  
Universal Access ◽  
Diabetic Patients ◽  
Health Records ◽  
Web Based ◽  
Clinical Document ◽  
Extensible Markup ◽  
Electronic Health ◽  
Web Based System

This chapter describes a Web -based application to store and exchange Electronic Health Records (EHR) and medical images in Ophthalmology: TeleOftalWeb 3.2. The Web -based system has been built on Java Servlet and Java Server Pages (JSP) technologies. Its architecture is a typical three-layered with two databases. The user and authentication information is stored in a relational database: MySQL 5.0. The patient records and fundus images are achieved in an Extensible Markup Language (XML) native database: dbXML 2.0. The application uses XML-based technologies and Health Level Seven/Clinical Document Architecture (HL7/CDA) specifications. The EHR standardization is carried out. The main application object is the universal access to the diabetic patients EHR by physicians wherever they are.

Performance Evaluation of a Web-Based System to Exchange Electronic Health Records Using Queueing Model (M/M/1)

2010 ◽  
Vol 36 (2) ◽  
pp. 915-924 ◽  
Author(s):  
Isabel de la Torre ◽  
Francisco Javier Díaz ◽  
Míriam Antón ◽  
Mario Martínez ◽  
José Fernando Díez ◽  
...  
Keyword(s):  
Performance Evaluation ◽  
Electronic Health Records ◽  
Queueing Model ◽  
Health Records ◽  
Web Based ◽  
Electronic Health ◽  
Web Based System

Electronic Health Records System Using HL7 and DICOM in Ophthalmology

2010 ◽  
pp. 42-60
Author(s):  
Isabel de la Torre Díez ◽  
Roberto Hornero Sánchez ◽  
Miguel López Coronado ◽  
María Isabel López Gálvez
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Health Records ◽  
Web Based ◽  
Application Architecture ◽  
Extensible Markup ◽  
Electronic Health ◽  
Internet Connections ◽  
Privacy And Confidentiality ◽  
The University

Health Level Seven (HL7) and Digital Imaging and Communications in Medicine (DICOM) standards are strongly influencing Electronic Health Records (EHRs) standardization. In this chapter, we present a web-based application, TeleOftalWeb 3.2, to store and exchange EHRs in ophthalmology by using HL7 Clinical Document Architecture (CDA) and DICOM standards. EHRs are stored in the native Extensible Markup Language (XML) database, dbXML 2.0. Application architecture is triple-layered with two database servers (MySQL 5.0 and dbXML) and one application server (Tomcat 5.5.9). Physicians can access and retrieve patient medical information and all types of medical images through web browsers. For security, all data transmissions are carried over encrypted Internet connections such as the Secure Sockets Layer (SSL) and Hypertext Transfer Protocol over SSL (HTTPS). The application verifies the standards related to privacy and confidentiality. The application is being tested by physicians from the University Institute of Applied Ophthalmobiology (IOBA), Spain.

scholarly journals How Nurses Identify Hospitalized Patients on Their Personal Notes: Findings From Analyzing ‘Brains’ Headers with Multiple Raters

2018 ◽  
Vol 7 (1) ◽  
pp. 205-209 ◽  
Author(s):  
Ritesh Sarkhel ◽  
Jacob J. Socha ◽  
Austin Mount-Campbell ◽  
Susan Moffatt-Bruce ◽  
Simon Fernandez ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Registered Nurses ◽  
Hospital Setting ◽  
Future Research ◽  
Learning Approaches ◽  
Health Records ◽  
Web Based ◽  
Gender And Age ◽  
Primary Finding ◽  
Electronic Health

The overarching objective of this research is to reduce the burden of documentation in electronic health records by registered nurses in hospitals. Registered nurses have consistently reported that e-documentation is a concern with the introduction of electronic health records. As a result, many nurses use handwritten notes in order to avoid using electronic health records to access information about patients. At the top of these notes are patient identifiers. By identifying aspects of good and suboptimal headers, we can begin to form a model of how to effectively support identifying patients during assessments and care activities. The primary finding is that nurses use room number as the primary patient identifier in the hospital setting, not the patient’s last name. In addition, the last name, gender, and age are sufficiently important identifiers that they are frequently recorded at the top of handwritten notes. Clearly distinguishable field labels and values are helpful in quickly scanning the identifier for identifying information. A web based annotator was designed as a first step towards machine learning approaches to recognize handwritten or printed data on paper sheets in future research.

scholarly journals Patients’ Experiences of Accessing Their Electronic Health Records: National Patient Survey in Sweden (Preprint)

2017 ◽  
Author(s):  
Jonas Moll ◽  
Hanife Rexhepi ◽  
Åsa Cajander ◽  
Christiane Grünloh ◽  
Isto Huvila ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Professionals ◽  
Patient Survey ◽  
Patient Portal ◽  
Health Records ◽  
Web Based ◽  
Number Of Patients ◽  
National Patient ◽  
Electronic Health

BACKGROUND Internationally, there is a movement toward providing patients a Web-based access to their electronic health records (EHRs). In Sweden, Region Uppsala was the first to introduce patient-accessible EHRs (PAEHRs) in 2012. By the summer of 2016, 17 of 21 county councils had given citizens Web-based access to their medical information. Studies on the effect of PAEHRs on the work environment of health care professionals have been conducted, but up until now, few extensive studies have been conducted regarding patients’ experiences of using PAEHRs in Sweden or Europe, more generally. OBJECTIVE The objective of our study was to investigate patients’ experiences of accessing their EHRs through the Swedish national patient portal. In this study, we have focused on describing user characteristics, usage, and attitudes toward the system. METHODS A national patient survey was designed, based on previous interview and survey studies with patients and health care professionals. Data were collected during a 5-month period in 2016. The survey was made available through the PAEHR system, called Journalen, in Sweden. The total number of patients that logged in and could access the survey during the study period was 423,141. In addition to descriptive statistics reporting response frequencies on Likert scale questions, Mann-Whitney tests, Kruskal-Wallis tests, and chi-square tests were used to compare answers between different county councils as well as between respondents working in health care and all other respondents. RESULTS Overall, 2587 users completed the survey with a response rate of 0.61% (2587/423,141). Two participants were excluded from the analysis because they had only received care in a county council that did not yet show any information in Journalen. The results showed that 62.97% (1629/2587) of respondents were women and 39.81% (1030/2587) were working or had been working in health care. In addition, 72.08% (1794/2489) of respondents used Journalen about once a month, and the main reason for use was to gain an overview of one’s health status. Furthermore, respondents reported that lab results were the most important information for them to access; 68.41% (1737/2539) of respondents wanted access to new information within a day, and 96.58% (2454/2541) of users reported that they are positive toward Journalen. CONCLUSIONS In this study, respondents provided several important reasons for why they use Journalen and why it is important for them to be able to access information in this way—several related to patient empowerment, involvement, and security. Considering the overall positive attitude, PAEHRs seem to fill important needs for patients.

A Web-Based Application to Exchange Electronic Health Records and Medical Images in Ophthalmology

2009 ◽  
pp. 1372-1384
Author(s):  
Isabel de la Torre Díez ◽  
Roberto Hornero Sánchez ◽  
Miguel López Coronado ◽  
Jesús Poza Crespo ◽  
María Isabel López Gálvez
Keyword(s):  
Electronic Health Records ◽  
Medical Images ◽  
Universal Access ◽  
Diabetic Patients ◽  
Health Records ◽  
Web Based ◽  
Clinical Document ◽  
Extensible Markup ◽  
Electronic Health ◽  
Web Based System

This chapter describes a Web -based application to store and exchange Electronic Health Records (EHR) and medical images in Ophthalmology: TeleOftalWeb 3.2. The Web -based system has been built on Java Servlet and Java Server Pages (JSP) technologies. Its architecture is a typical three-layered with two databases. The user and authentication information is stored in a relational database: MySQL 5.0. The patient records and fundus images are achieved in an Extensible Markup Language (XML) native database: dbXML 2.0. The application uses XML-based technologies and Health Level Seven/Clinical Document Architecture (HL7/CDA) specifications. The EHR standardization is carried out. The main application object is the universal access to the diabetic patients EHR by physicians wherever they are.

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