Radiology Reporting System Data Exchange With the Electronic Health Record System: A Case Study in Iran

Abstract

Introduction:In order to better designing of electronic health record system in Iran, integration of health information systems based on a common language must be done to interpret and exchange this information with this system is required.Background:This study provides a conceptual model of radiology reporting system using unified modeling language. The proposed model can solve the problem of integration this information system with the electronic health record system. By using this model and design its service based, easily connect to electronic health record in Iran and facilitate transfer radiology report data.Methods:This is a cross-sectional study that was conducted in 2013. The study population was 22 experts that working at the Imaging Center in Imam Khomeini Hospital in Tehran and the sample was accorded with the community. Research tool was a questionnaire that prepared by the researcher to determine the information requirements. Content validity and test-retest method was used to measure validity and reliability of questioner respectively. Data analyzed with average index, using SPSS. Also Visual Paradigm software was used to design a conceptual model.Result:Based on the requirements assessment of experts and related texts, administrative, demographic and clinical data and radiological examination results and if the anesthesia procedure performed, anesthesia data suggested as minimum data set for radiology report and based it class diagram designed. Also by identifying radiology reporting system process, use case was drawn.Conclusion:According to the application of radiology reports in electronic health record system for diagnosing and managing of clinical problem of the patient, with providing the conceptual Model for radiology reporting system; in order to systematically design it, the problem of data sharing between these systems and electronic health records system would eliminate.

An evaluation model for the implementation of hospital information system in public hospitals using multi-criteria-decision-making (MCDM) approaches

“…Even though the HIS has brought the immense change to process of care delivery, it has attempted to increase the quality and safety of care [1], [9], [18][19][20]. However, compared to other technologies in the healthcare domain, the acceptance level of HIS is low [5], [17], [21][22][23][24]. HIS can support patient care planning and enhance decision making of clinical or administrative functions.…”

“…As an example, HIS systems used by nurses are able to control and track carefully the patient's care in an electronic manner. Additionally, nursing documentation as a chief clinical activity, stand to obtain a benefit from HIS [5], [24], [32][33][34][35][36]. Thus, it is imperative that HIS is designed to address the needs of main users in optimally coordinating user activities.…”

“…Iran is a developing country that introduces national plans, including SEPAS and TAKFAB as well as organizational e-Health projects, for instance, HISs in hospitals that are under development. According to several authors in Iran [22], [35], [40][41][42][43][44], the challenges of HIS implementation in Iran related to some fundamental issues of Human, Technology and Organization. Hence, this study is aimed to propose a strategic integrated theoretical model to serve in guiding a proper and successful HIS implementation within public hospitals.…”

Factors Affecting Physicians’ Attitudes Towards the Implementation of Electronic Health Records Using Structural Equation Modeling Modeling (SEM)

“…Several studies have been conducted on EHRs in Iran and other countries, including studies performed by Gorzin et al (2016) on the opportunities and challenges of EHR documentation from the nurses' perspective (11) and Ahmadi et al (2015) on the development of a conceptual model for the radiology reporting system (12). Moreover, Asadi et al (2015) Morton (2008) evaluated the factors affecting physicians' attitudes towards the use and acceptance of EHR, which showed that behavioral and social factors influencing HER planning should be considered (20).…”

Open MRS softwares: effective approaches in management of patients' health information

“…Their goal is to decrease the cost of creating and maintaining electronic health record systems. 4,[8][9][10][11] From the other side, every year, millions of people die due to infectious diseases such as AIDS and Tuberculosis. Most of these people are living in developing countries.…”