Electronic Health Records: Then, Now, and in the Future

Evans, R. Scott

doi:10.15265/iys-2016-s006

Cited by 472 publications

(401 citation statements)

References 146 publications

(126 reference statements)

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“…This helps to make information-processing become automated by the use of given specialized software. EHRs have been greatly utilized with major regularity, clinical informatics strategies have subsequently been refined, and subsequently, the EHR field enabled [69,70].…”

Section: Using Electronic Health Record Data In Nephrologymentioning

confidence: 99%

Promises of Big Data and Artificial Intelligence in Nephrology and Transplantation

Thongprayoon

Kaewput

Kovvuru

et al. 2020

JCM

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Kidney diseases form part of the major health burdens experienced all over the world. Kidney diseases are linked to high economic burden, deaths, and morbidity rates. The great importance of collecting a large quantity of health-related data among human cohorts, what scholars refer to as “big data”, has increasingly been identified, with the establishment of a large group of cohorts and the usage of electronic health records (EHRs) in nephrology and transplantation. These data are valuable, and can potentially be utilized by researchers to advance knowledge in the field. Furthermore, progress in big data is stimulating the flourishing of artificial intelligence (AI), which is an excellent tool for handling, and subsequently processing, a great amount of data and may be applied to highlight more information on the effectiveness of medicine in kidney-related complications for the purpose of more precise phenotype and outcome prediction. In this article, we discuss the advances and challenges in big data, the use of EHRs and AI, with great emphasis on the usage of nephrology and transplantation.

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Section: Using Electronic Health Record Data In Nephrologymentioning

confidence: 99%

Promises of Big Data and Artificial Intelligence in Nephrology and Transplantation

Thongprayoon

Kaewput

Kovvuru

et al. 2020

JCM

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“…An EHR is a digital version of a patient's paper chart [8,9]. EHRs are real-time, patient-centred records that make information available instantly and securely to authorised users.…”

Section: Discussionmentioning

confidence: 99%

“…Healthcare systems and services compatible with electronic records are particularly dynamic due to their accessibility, quality, and efficiency provided by information technology developments. Electronic health record (EHR), used during clinical encounters, has become increasingly popular all around the world [8,9]. Information and communication technologies defined as "electronic health" may also increase the capability to identify target groups of patients for specific interventions, improving clinical healthcare quality, especially for specific patient groups [10,11].…”

Section: Introductionmentioning

confidence: 99%

Design and evolution of the Seafarer’s Health Passport for supporting (tele)-medical assistance to seafarers

Nittari

Arcese²,

Battineni

et al. 2019

International Maritime Health

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Background: Seafarers undergo periodic medical examination for their employment. This information in most cases is not effectively used when requesting for medical assistance during service on board ships. The medical history of an individual is important for provision of medical care and can be critical to the outcome. There is growing adoption of digital applications and electronic health records that are adding great value to the care provided. The Seafarer's Health Passport (SHP) is an application specifically designed for improving the quality of medical assistance provided to seafarers both through telemedicine or classic medical checkups in ports/hospitals worldwide. The SHP provides a secure and unique way to archive and retrieve the seafarer's medical history in an electronic support. Materials and methods: The SHP that we have developed is a product with specific hardware and software specifications. The basic features of this software are Linux operating system Debian/Ubuntu, Apache Web server 2.x, Server database MySQL/Maria DB PHP programming language 5.6.xx, and secure connection in https. Results: The SHP represents a helpful hint to physicians providing medical advices to seafarers enabling them to make more decisions that are informed and curtailing possible complications due to misdiagnosis. Conclusions: Provision of high quality medical assistance requires knowledge of patient's medical history. The availability of an easy access and friendly use system of own medical history is useful for a population of travellers, such as seafarers to guarantee a reasonable level of medical care at any time.

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“…After a review of the objective data, specific questions and concerns regarding the complexity of the case are raised by the managing clinician for the MDT members to reach a unified decision. The electronic form of data documentation has been established as a more efficient system of maintaining medical information and has steadily replaced paper‐based documentation . However, the downside to EMR is that it can be expansive and nonspecific, as it contains oncology information embedded within general medical notes.…”

Section: Introductionmentioning

confidence: 99%

“…The electronic form of data documentation has been established as a more efficient system of maintaining medical information and has steadily replaced paperbased documentation. 6 However, the downside to EMR is that it can be expansive and nonspecific, as it contains oncology information embedded within general medical notes. Hence, there is a fundamental need for developing focused oncologic data storage banks.…”

mentioning

confidence: 99%

Electronic tumor board presentations as the basis for the development of a head and neck cancer database

Rangabashyam

Wee

Wang

et al. 2020

Laryngoscope Investig Oto

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Background Multidisciplinary team meetings or tumor boards (TBs) form a pivotal component of oncology practice. The crux of a TB revolves around making treatment decisions based on succinct head and neck cancer (HNC) patient data presentations, which can be challenging and complex. Apart from meticulous TB presentations, discussions and treatment plan documentation is equally important. The aim of this study was to structure an electronic synoptic TB data presentation to address all these areas. The overarching benefits of systematic TB data collection include facilitating audits and research. Methods We utilized a secure web‐based tool that was used for common scientific research purposes but customized to store HNC patient data. The data points were tabulated across eight TB pages: (a) TB scheduling, (b) patient biodata, (c) diagnosis details, (d) index presentation, (e) images, (f) management and histopathology, (g) TB presentation, and (h) TB discussion and decisions. Each data point leads to additional fields by branching logic to permit further relevant data entry. This was integrated within the patient electronic medical records allowing for a direct internal trajectory to recall TB data. Results From October 2015 to October 2018, we recorded over 2000 presentations for 1279 individual patients. This is a quality improvement initiative, and hence, the results are more of a broad analysis of our TB presentation process. The most common cancers were squamous cell (523, 41%), thyroid (207, 16%), and nasopharyngeal (139, 11%) carcinomas. Importantly, this system has formed the basis for a number of clinical and translational research projects and audit outcomes. Conclusion Despite TBs being vital to oncologic practice, little attempt has been made to report TB data management. In this study, we present an efficient system that permits the integration of dual functions: TB data presentation and oncologic data collection for research, recall, and audit purposes.

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Electronic Health Records: Then, Now, and in the Future

Cited by 472 publications

References 146 publications

Promises of Big Data and Artificial Intelligence in Nephrology and Transplantation

Promises of Big Data and Artificial Intelligence in Nephrology and Transplantation

Design and evolution of the Seafarer’s Health Passport for supporting (tele)-medical assistance to seafarers

Electronic tumor board presentations as the basis for the development of a head and neck cancer database

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