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2020, Journal of Computer Science
A huge challenge in the healthcare domain has remained the spread and proliferation of fragmented information systems and multiplicity of data that accumulate from growing quantities of heterogeneous data of patient. This challenge must be addressed as the whole domain gradually transforms into models of delivery of healthcare that is electronic and patient-centered. The presence of inadequate data integration at various levels incapacitates medical personnel from building a wholesome and total understanding of patient condition. In this paper, an integration platform called Integrated Patient Management System (IPMIS) for managing clinical and historical information for patients is incorporated. Previous systems could not undertake the problems like; delay in treatment of patients in cases of emergencies, wrong prescription of drugs due to wrong diagnosis as a result of unavailability of patients' history, lack of health data interoperability and loss of life. Seeking solution to the above problems led to the development of an Integrated Patient Management Information System (IPMIS) that enables patient clinical data sharing, provides streamlined operations, enhances administration and control, permits superior patient care and continuity of treatment, and improved decision making for healthcare institution. This paper enhances patient's referral, with a messaging system that alerts the hospital which the patient has been referred to and also the patient that is referred. The development of the system helps to collate patient's data that are disparately located to a centralized data base for efficient interoperability of care. It also helps for the interoperability of multiple hospitals for effective patient management. The new system enables and provides timely patient health record information sharing where it is need and when it is needed in cases of emergencies, referrals or continuity of treatment and it is presently being used in a federal teaching hospital in Nigeria.
One of the main advantages of using computational systems in the health care activity comes from their ability to provide useful information for decision making to health professionals. Thus, their main purpose is to increment the quality and efficiency of healthcare delivery. In order to achieve these purposes, Health Information Systems must fulfill interoperability standards, quality, security, scalability, reliability and timeliness in data storage and processing terms. One of the main existing problems in this area is the fact that informatics applications do not share information, or share it in a very low level. When communication between different Health Information Systems exists, it is mainly achieved through proprietary integration solutions. In this paper is made a survey of the main advantages of Electronic Health Records and presented a proposal of some general guidelines for building them and promote the integration of different information resources.
German medical science : GMS e-journal, 2004
The department of Medical Informatics of the University Hospital Münster and the Gesakon GmbH (an university offspring) initiated the cooperative development of an electronic health record (EHR) called "akteonline.de" in 2000. From 2001 onwards several clinics of the university hospital have already offered this EHR (within pilot projects) as an additional service to selected subsets of their patients. Based on the experiences of those pilot projects the system architecture and the basic data model underwent several evolutionary enhancements, e.g. implementations of electronic interfaces to other clinical systems (considering for example data interchange methods like the Clinical Document Architecture - standardized within the HL7 group - and also interfacing architectures of German GP systems, such as VCS and D2D). "akteonline.de" in its current structure supports patients as well as health care professionals and aims at providing a collaborative health informat...
International Journal of Advance Research, Ideas and Innovations in Technology, 2017
Patient Management System is an android application, which is proposed for the management of the patients. It includes registration of patient, storing their details into the system, computerized billing and scheduling appointments. Our software has the facility to give a unique id for every patient and stores the details of every patient automatically. The user can search availability of a doctor’s appointment and the could book the appointment using the id. It is accessible either by an administrator or receptionist. It is efficient and error free. The data are well protected for personal use and makes the data processing is well reliable. It also gives the facility of importing and exporting of medical reports. A significant part of the PMS involves the acquisition, management and timely retrieval of the information. It aims at standardizing data, consolidating data ensuring data integrity and reducing inconsistencies
library.uettaxila.edu.pk
Electronic Medical Record (EMR) (sometimes also referred to as Electronic Health Record (HER) or Patient Information System (PIS)) systems are emerging as an essential part of the modern healthcare framework. EMR systems have now become an integrated, enterprise-wide providing access to patient healthcare data. EMR systems also serve as a core component of Clinical Decision Support System (CDSS). EMR systems promise to facilitate healthcare professionals with the necessary information to improve patient care efficiently and effectively. Though there has not been a great deal of research to provide a guideline for successful EMR systems implementation. This review paper provides a literature review of EMR from an architectural perspective and also lists some global EMR standards and protocols widely used in the development of EMR systems.
Yearbook of Medical Informatics, 2007
SummaryElectronic patient record (EPR) systems are increasingly used and have matured sufficiently so as to contribute to high quality care and efficient patient management. Our objective is to summarize current trends and major achievements in the field of EPR in the last year and to discuss their future prospects.Integrating health data from a variety of sources in a comprehensive EPR is a major prerequisite for e-health and eresearch. Current research continues to elaborate architectures, technologies and security concepts. To achieve semantic interoperability standards are developed on different levels, including basic data types, messages, services, architectures, terminologies, ontologies, scope and presentation of EPR content. Standards development organisations have started to harmonize their work to arrive at a consensus standard for EPR systems. Integrating the health care enterprise as a whole will optimize efficient use of resources, logistics and scheduling.The past few...
International Journal of Medical Informatics, 2002
As health records evolve into electronic form, increasing demand is being made to provide patients with access to them. We sought to study the character and impact of such access to determine how patients use such records, what cognitive effects it has on them, and how it affects their relationship with their health care providers. We created the Patient Clinical Information System (PatCIS) to interface with the clinical data repository at New York Presbyterian Hospital (NYPH) to allow patients to add to and review their medical data. We also provided educational resources and automated advice programs. We provided access to the system to thirteen subjects over a 36-month period and reviewed their activities in the system's usage log. We also collected data via questionnaire and telephone interview. We collected data for a total of 223 patient months. We found that patients varied in their use of the system, from once a month or less to one or more times per day. All patients primarily used the system to review laboratory results. Both they and their physicians believed that use of the system enhanced the patients' understanding of their conditions and improved their communication with their physicians. There were no adverse events encountered during the study.
Health care in Nigeria as in many other countries is confronted with growing demand for medical treatment and services. The medical records must appropriately have all of the patients' medical history. Physicians must maintain flawless records, because this document serves a number of purposes. This study on hospital patient datable management system was design to transform the manual way of searching, sorting, keeping and accessing patient medical information (files) into electronic medical record (EMR) in order to solve the problem associate with manual method. The existing system (manual) has been studied and hence a computer based application was provided to replace this manual method. These computer based systems generate the patient report as the patient register in and out of the hospital. This paper generally looks for a more accurate, reliable and efficient method of computer to facilitate patient record's keeping in General Hospitals to ensure efficient outcome that will lessen time consuming. The study proposed that the design of hospital patient database record will be a solution to the problem being experienced by the current manual method of keeping patient medical record.
Managing the patient information in the health care has been developed and improved through different manners such as web pages, computer applications, database servers, etc. Based on available problems from the literature review, system requirements and user requirement, this research analyzes the available problem of the current system in different health care system such as those available in Hospital of university Malaya and Hospital of University Kebangsaan Malaysia. The result of this analyses is a computer application called (A Web based Integrated Health Care Management System), that manages the patient information history (personal information, medical information, treatment information, payment information, and appointment information) with the easiest method and sturdy security. In addition, this computer application gives the patient the opportunity to use the system online and confirm their own appointments by themselves a matter that saves the time and effort of both the patient and the nurse. Moreover, by this computer application patient will be able to check the status of their appointment and doctor availability online.
The computer-based patient-record system can play a significant role in physicians' decision-making process by, for instance, presenting them with information they need from the record, relevant to care situations. However, the patient-record system's contribution in decision making is often reduced to storing and presenting patient information as time-oriented logs of encounter events. As the record accumulates patient information over time, physicians loose overview over the contents, and the information becomes increasingly inaccessible for them.
PATIENT INFORMATION SYSTEM PROPOSAL (Atena Editora), 2022
The article presents some concepts and examples in health information systems in Brazil, bringing the importance of information for health decision making. The systems currently existing in the Brazilian Unified Health System stand out as a reference for the importance of information to improve and develop public policies in this area. It also fulfills the role of bringing to light the importance of an information system for the patient as a protagonist in order to support the improvement and decision-making processes of health professionals in the care of patients and users of the system.
BMC Medical Informatics and Decision Making, 2007
Background The integration of Information Systems (IS) is essential to support shared care and to provide consistent care to individuals – patient-centred care. This paper identifies, appraises and summarises studies examining different approaches to integrate patient data from heterogeneous IS. Methods The literature was systematically reviewed between 1995–2005 to identify articles mentioning patient records, computers and data integration or sharing. Results Of 3124 articles, 84 were included describing 56 distinct projects. Most of the projects were on a regional scale. Integration was most commonly accomplished by messaging with pre-defined templates and middleware solutions. HL7 was the most widely used messaging standard. Direct database access and web services were the most common communication methods. The user interface for most systems was a Web browser. Regarding the type of medical data shared, 77% of projects integrated diagnosis and problems, 67% medical images and 65% lab results. More recently significantly more IS are extending to primary care and integrating referral letters. Conclusion It is clear that Information Systems are evolving to meet people's needs by implementing regional networks, allowing patient access and integration of ever more items of patient data. Many distinct technological solutions coexist to integrate patient data, using differing standards and data architectures which may difficult further interoperability.
Abstract This thesis deals with the creation of an electronic, low cost, health care system primarily intended for use in Southern Africa. From our observations and interactions with hospitals within South Africa, we have noticed a need to update the systems currently in place. Currently, hospitals deploy a paper based record management system, relying heavily on files that are easily lost and are inefficient to use, ultimately to the detriment of the patient.
International Journal of Advanced Trends in Computer Science and Engineering, 2021
The effect of security of health information on patients as well as the society at large cannot be overemphasized. If information gets to the wrong hands, it can lead to various disaster ranging from blackmail, financial loss, stigmatization, medio-legal issues and ultimately death. This research work addresses the problems associated with existing records management system in Federal Teaching Hospital, Ekiti State Nigeria (FETHI), which is manual based. At present, approach to file handling involves junior cadre staff moving files between departments and this is often subject to various degree of mishandling which could lead to loss of important documents, leakage of confidential information among others.The model proposed and implemented in this research addresses the issue of security and privacy in health information system and proffer advantages such as easy storage and retrieval, easy transfer of patients 'records and it also guarantee confidentiality of information at all stages. The user-friendly web-based system was developed using Hypertext Preprocessor (PHP) as the front-end and MySQL as the backend.
There is a growing overlap between hospital information systems and medical information systems in both data storage and function. The development of an integrated system is the best approach to reducing redundancy without compromising function. An initial interface has been established between the hospital information system and a medical information system at Duke Univeristy as the first step toward achieving an integrated data base.
Rwanda Journal of Medicine and Health Sciences, 2020
2011 IEEE 13th International Symposium on High-Assurance Systems Engineering, 2011
This paper discusses the importance of a Patient Centric Health Record system. Such systems can empower patients to participate in improving health care quality. It would also provide an economically viable solution to the need for better healthcare without escalating costs by avoiding duplication. The proposed system is Web-based so patients and healthcare providers can access it from any location. Moreover the architecture is cloudbased so large amount of data can be stored without any restrictions. Also the use of cloud computing architecture will allow consumers to address the challenge of sharing medical data that is overly complex and highly expensive to address with traditional technologies.
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