Electronic Health Record Architecture: A Systematic Review

Numerous advantages are derived from the electronic health record (EHR).Though achieving such advantages depends on its architecture, at present no unique understanding of the architecture dimensions and specifications is available. Therefore, the aim of the present study is a systematic review of architecture perception of the electronic health record. The authors searched the literature in Science Direct, Scopus, PubMed and Proudest Databases (2000 to Jun 2015).  Data extraction was done by 2 reviewers on content, structure, content/structure relationship, confidentiality and security of the EHR. Subsequent to refining the 87 retrieved studies, 25 studies were finally included in the study. In the studies and paradigms so far proposed for the EHR, a unique comprehensive architecture model from the viewpoint of research criteria has not been investigated and it has been considered only from some dimensions. Hence, we provide a new definition of the EHR architecture

User preferences for adaptive user interfaces in health information systems

An adaptive user interface requires identification of user requirements. Interface designers and engineers must understand end-user interaction with the system to improve user interface design. A combination of interviews and observations is applied for user requirement analysis in health information systems (HIS). Then, user preferences are categorized in this paper as either data entry, language and vocabulary, information presentation, or help, warning and feedback. The user preferences in these categories were evaluated using the focus group method. Focus group sessions with different types of HIS users comprising medical staff (with and without computer skills) and system administrators identified each user group’s preference for the initial adaptation of the HIS user interface. User needs and requirements must be identified to adapt the interface to users during data entry into the system. System designers must understand user interactions with the system to identify their needs and preferences. Without this, interface design cannot be adapted to users and users will not be comfortable using the system and eventually abandon its use

Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

Knowledge Management (KM) has emerged as a possible solution to many of the challenges facing U.S. and international healthcare systems. These challenges include concerns regarding the safety and quality of patient care, critical inefficiency, disparate technologies and information standards, rapidly rising costs and clinical information overload. In this paper, we focus on clinical knowledge management systems (CKMS) research. The objectives of the paper are to evaluate the current state of knowledge management systems diffusion in the clinical setting, assess the present status and focus of CKMS research efforts, and identify research gaps and opportunities for future work across the medical informatics and information systems disciplines. The study analyzes the literature along two dimensions: (1) the knowledge management processes of creation, capture, transfer, and application, and (2) the clinical processes of diagnosis, treatment, monitoring and prognosis. The study reveals that the vast majority of CKMS research has been conducted by the medical and health informatics communities. Information systems (IS) researchers have played a limited role in past CKMS research. Overall, the results indicate that there is considerable potential for IS researchers to contribute their expertise to the improvement of clinical process through technology-based KM approaches

Voice controled electronic health record in dentistry

Název: Elektronický zubní kříž ovládaný hlasem Autor: MUDr. Radek Hippmann Pracoviště: Dětská stomatologická klinika FN Motol Školitel: Prof. MUDr. Taťjana Dostálová, DrSc., MBA E-mail školitele: [email protected] Tato dizertační práce se zabývá tvorbou komplexní elektronické zdravotnické dokumentace (EHR) pro oblast stomatologie. Tento vzniklý systém je navíc vylepšen o hlasové ovládání pomocí systému Automatic speech recognition (ASR) a o modul pro syntézu řeči Text-to-speech (TTS). První část práce je věnována úvodu do tématiky a jsou vymezeny jednotlivé oblasti, jejichž propojení je nutné pro vytvoření EHR systému pro tuto oblast. Jsou to především základním způsobem vymezené oblasti a pojmy ve stomatologii. Dále jsme se věnovali problematice temporomandibulárního kloubu (TMK), která je často opomíjena a jsou popsány i trendy v EHR a hlasových technologiích. V metodické části jsou popsány technologie při tvorbě EHR systému, hlasového rozpoznávání a klasifikace onemocnění TMK. V další části navazuje popis vlastních výsledků, které korespondují se znalostní bází stomatologie a TMK. Z nich vychází vlastní grafické uživatelské rozhranní Dentcross sloužící pro záznam stomatologických dat. Celá aplikace je ovladatelná hlasem a možné je i hlasové zpětné vyvolání informace pomocí modulu TTS....Title: Voice controlled electronic health record in dentistry Author: MUDr. Radek Hippmann Department: Department of paediatric stomatology, Faculty hospital Motol Supervisor: Prof. MUDr. Taťjana Dostalová, DrSc., MBA Supervisor's e-mail: [email protected] This PhD thesis is concerning with development of the complex electronic health record (EHR) for the field of dentistry. This system is also enhanced with voice control based on the Automatic speech recognition (ASR) system and module for speech synthesis Text-to- speech (TTS). In the first part of the thesis is described the whole issue and are defined particular areas, whose combination is essential for EHR system creation in this field. It is mainly basic delimiting of terms and areas in the dentistry. In the next step we are engaged in temporomandibular joint (TMJ) problematic, which is often ignored and trends in EHR and voice technologies are also described. In the methodological part are described delineated technologies used during the EHR system creation, voice recognition and TMJ disease classification. Following part incorporates results description, which are corresponding with the knowledge base in dentistry and TMJ. From this knowledge base originates the graphic user interface DentCross, which is serving for dental data...2. lékařská fakulta UKSecond Faculty of MedicineFirst Faculty of Medicine1. lékařská fakult

Knowledge management for grinding technology

This thesis describes an investigation concerned with development of a grinding knowledge warehouse system (GKWS). Based on a study of previous work on knowledge management and technique for a selection of grinding conditions, the thesis proposes a novel methodology to deal with missing data in surface and cylindrical grinding using Genetic Programming. The GKWS provides a guided tool for users to support the decision-making process to provide suggestions for selecting grinding conditions using rule-based reasoning (RBR) and case-based reasoning (CBR) and it can learn from new and previous grinding cases to improve and expand the CBR cases. The GKWS developed a new methodology to deal with missing data in grinding operations. The new methodology is built on If-Then rules, mathematical equations and modelling using genetic programming (GP). Dealing with missing data improves the performance of knowledge discovery in the GKWS and the results of the CBR. The GP is developed for modelling surface roughness in cylindrical and surface grinding. The developed GP model for surface grinding shows the ability to predict the surface roughness parameter especially when the GP terminals vary and the same material and wheel are used. The discussion forum facilitates and supports transferring tacit knowledge into explicit knowledge where the users can exchange their ideas, send questions and answers, and pass on important links. The tacit knowledge is acquired directly from the knowledge engineers. The debate and discussion in GKWS will create new knowledge that is accessible and available when needed.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Knowledge management for grinding technology

This thesis describes an investigation concerned with development of a grinding knowledge warehouse system (GKWS). Based on a study of previous work on knowledge management and technique for a selection of grinding conditions, the thesis proposes a novel methodology to deal with missing data in surface and cylindrical grinding using Genetic Programming. The GKWS provides a guided tool for users to support the decision-making process to provide suggestions for selecting grinding conditions using rule-based reasoning (RBR) and case-based reasoning (CBR) and it can learn from new and previous grinding cases to improve and expand the CBR cases. The GKWS developed a new methodology to deal with missing data in grinding operations. The new methodology is built on If-Then rules, mathematical equations and modelling using genetic programming (GP). Dealing with missing data improves the performance of knowledge discovery in the GKWS and the results of the CBR. The GP is developed for modelling surface roughness in cylindrical and surface grinding. The developed GP model for surface grinding shows the ability to predict the surface roughness parameter especially when the GP terminals vary and the same material and wheel are used. The discussion forum facilitates and supports transferring tacit knowledge into explicit knowledge where the users can exchange their ideas, send questions and answers, and pass on important links. The tacit knowledge is acquired directly from the knowledge engineers. The debate and discussion in GKWS will create new knowledge that is accessible and available when needed.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Desarrollo y evaluación de una aplicación Web estandarizada para el almacenamiento e intercambio de Historiales Clínicos Electrónicos (HCEs) en oftalmología: TeleOftalWeb

El objetivo de la presente Tesis es el desarrollo, puesta en marcha y evaluación de la aplicación Web, TeleOftalWeb, en sus cuatro versiones, destinada al almacenamiento e intercambio de Historiales Clínicos Electrónicos (HCEs) y retinografías. Cada una de las versiones está desarrollada con diferentes modelos de bases de datos (BDs): dbXML 2.0 más MySQL 5.0, eXist 1.1.1 más MySQL, Xindice 1.2. más MySQL 5.0 y Oracle 10g. A su vez, se estudiarán los estándares de HCE más relevantes entre ellos: Health Level 7 (HL7) y Digital Imaging Communications in Medicine (DICOM). Los resultados de la investigación han sido publicados en revistas indexadas en el Journal Citation Report (JCR), entre ellas Journal of Medical Systems. Mediante el empleo de TeleOftalWeb por oftalmólogos del Instituto de Oftalmobiología Aplicada (IOBA) de la Universidad de Valladolid se comprueba su correcto funcionamiento con la inserción de más de 1000 HCs y más de 2000 retinografías.Departamento de Teoría de la Señal y Comunicaciones e Ingeniería Telemátic