Electronic Health Record Management Systems Research Articles

A hackathon as a tool to enhance research and practice on electronic health record systems' interoperability for chronic disease management and prevention.

The development of a standardized technical framework for exchanging electronic health records is widely recognized as a challenging endeavor that necessitates appropriate technological, semantic, organizational, and legal interventions to support the continuity of health and care. In this context, this study delineates a pan-European hackathon aimed at evaluating the efforts undertaken by member states of the European Union to develop a European electronic health record exchange format. This format is intended to facilitate secure cross-border healthcare and optimize service delivery to citizens, paving the way toward a unified European health data space. The hackathon was conducted within the scope of the X-eHealth project. Interested parties were initially presented with a representative clinical scenario and a set of specifications pertaining to the European electronic health record exchange format, encompassing Laboratory Results Reports, Medical Imaging and Reports, and Hospital Discharge Reports. In addition, five onboarding webinars and two professional training events were organized to support the participating entities. To ensure a minimum acceptable quality threshold, a set of inclusion criteria for participants was outlined for the interested teams. Eight teams participated in the hackathon, showcasing state-of-the-art applications. These teams utilized technologies such as Health Level Seven-Fast Healthcare Interoperability Resources (HL7 FHIR) and Clinical Document Architecture (CDA), alongside pertinent IHE integration profiles. They demonstrated a range of complementary uses and practices, contributing substantial inputs toward the development of future-proof electronic health record management systems. The execution of the hackathon demonstrated the efficacy of such approaches in uniting teams from diverse backgrounds to develop state-of-the-art applications. The outcomes produced by the event serve as proof-of-concept demonstrators for managing and preventing chronic diseases, delivering value to citizens, companies, and the research community.

Highly secured EHR management system based on blockchain technology with digitally signed authentication using data sanitization and polynomial interpolation

With the increased specifications of healthcare services, diagnosis become very common in most of the healthcare sector to provide better treatment for patients. Here, the person’s medical information can be tracked with the help of an Electronic Health Record (EHR). The EHR system maintains the digital medical records of medical organizations. Enterprise-wide data systems, along with other networking activities, are used to exchange medical documents in the current environment where the patient seeks rapid access to their medical records. Moreover, the EHR system faces many problems regarding integrity, management and security. Still, there are some concerns regarding the security and privacy of patient medical records. However, it suffers from managing the large volume of electronically generated healthcare data. Thus, this work adapts blockchain technology, which effectively stores healthcare data. Therefore, decentralized technology was just recently introduced in order to offer an innovative viewpoint on data security and system effectiveness. In this work, a blockchain-related system is developed to secure patients’ health data with high verifiability. A total of two mechanisms are carried out in the developed model to encrypt the privacy of the health data that is Data Sanitization and Polynomial Interpolation-based Cryptography (DSPIC). In the data sanitization mechanism, the optimal key is generated through the Modernized Position-based Coot and Penguins Search Optimization Algorithm (MP-CPeSOA). The polynomial interpolation method is carried out through the estimation of values between two data points to handle the heterogeneity. The objective function is considered for securing the patient's health data with Euclidian distance, hiding ratio, preservation ratio and correlation among the original data and the restored data. In this developed model, the generated key is digitally signed to provide high security for the patient’s health data. At last, the effectiveness of the suggested blockchain-adopted EHR preservation system is enhanced by conducting experiments on different EHR management schemes.

Secure And Efficient Access Control Over Blockchain PHR Cloud Storage System

A novel architecture of blockchain-based secured electronic health record (EHR) management system is presented in this paper. Electronic health data record-keeping in cloud-based storage systems always pose a threat to information security. Intruders can delete EHR of patients, giving benefits to insurance companies or hiding medical malpractices. A secured EHR management system is required that would essentially solve such issues. The blockchain is an emerging technology that can be adapted to develop a secured and an efficient data management system. Storing and sharing health records through electronic systems pose security risks. However, establishing a new blockchain based system replacing the existing system is expensive. In our proposed architecture, we introduced an integration mechanism, named as the blockchain handshaker, between the existing cloud based EHR management system and public blockchain network to develop a secured health record management system. A blockchain-based protocol that secures health records, addressing all of the main security and complementary properties defined in current regulations. A prototype to provide evidence on the feasibility of the proposed concept is presented in this paper. The performance assessments demonstrate the efficiency of our proposed solution in terms of computation, communication, and storage.

Electronic Health Record Management System using RFID: Improving Efficiency and Accuracy in Healthcare

This research presents the development and implementation of an Electronic Health Record Management System (EHRMS) using Radio Frequency Identification (RFID) technology. The study discusses the limitations of traditional paper-based health record systems and highlights the benefits of integrating RFID technology in healthcare settings. The EHRMS streamlines patient identification and data capture processes, enhances data accuracy, and improves overall healthcare delivery. Real-time synchronization ensures up-to-date and easily accessible patient records, empowering healthcare providers to make informed decisions and provide timely interventions. The paper concludes with the potential impact of the RFID-based EHRMS in transforming healthcare record management and improving patient outcomes.

Blockchain-based Electronic Health Record Management System

The Blockchain-based Electronic Health Record (B-EHR) system represents a significant advancement in healthcare data management. Concerns over data confidentiality and security have become increasingly critical in the healthcare sector, given the need for immediate data accessibility. Traditional centralized systems face accessibility issues, necessitating a transformative solution, and blockchain technology emerges as a promising candidate. This research introduces a patient-controlled, blockchain-based system that efficiently manages and safeguards individuals' health-related data. By harnessing the Ethereum network and utilizing tools such as Ganache, Solidity, and web3.js, this system takes a systematic approach to overcome the limitations of centralized systems. Smart contracts, the basis of blockchain technology, serve as the backbone for storing and processing patients' data in a decentralized manner. Transactions are conducted securely through these smart contracts, ensuring patient privacy and data security. Notably, any modifications to transactions can be verified and propagated across the entire distributed network, enhancing data integrity. Complementing this system is a cryptocurrency wallet like MetaMask, providing a centrally controlled repository where records can be swiftly accessed and secured by authorized individuals, including doctors and patients. This integration significantly improves data accessibility and security within the healthcare domain. Ultimately, this research aims to leverage blockchain technology for simultaneous data retrieval, enhancing efficiency, credibility, and accessibility. It offers a robust framework for securely storing data with tailored access permissions and facilitates the safe transfer of patient medical records. In essence, it introduces a swift and secure health record system and an innovative protocol, promoting greater transparency and ownership of sensitive data in the healthcare sector through blockchain integration.

Blockchain Based Electronic Health Record Management System

Blockchain Based Electronic Health Record Management System

Cyber risks to Ukrainian and other health systems

Cyber risks to Ukrainian and other health systems

National Sports AI Health Management Service System Based on Edge Computing

With the development of the economy, people’s living standards continue to improve, and the management awareness of their own health and safety has gradually increased. The human body usually has a long process of transition from being healthy to the appearance of disease, and people’s lifestyle and daily behavior will affect the health of the body to a large extent. This paper studies the national sports AI health management service system based on edge computing. This paper organically combines edge computing, artificial intelligence, and health management service systems. Through detection devices with smart sensors and smart health systems, a comprehensive health management service platform for the masses is constructed to promote the development of sports health management services. Upgrade and transform to make it more in line with the modern intelligent environment. The advancement of modern technology has gradually transformed my country’s traditional health record management service to an intelligent electronic health record management system. From the experimental data, it can be seen that the filing rate and pass rate of residents’ electronic files have reached 88.275% and 87.435%, but the utilization rate of health files is only 31.685%. The establishment of a supporting health management service system is precisely to effectively increase the utilization rate of health files, so that users can truly enjoy intelligent, professional, and real-time health services.

Blockchain Paradigm for Healthcare: Performance Evaluation

Electronic health records (EHRs) have become a popular method to store and manage patients’ data in hospitals. Sharing these records makes the current healthcare data management system more accurate and cost-efficient. Currently, EHRs are stored using the client/server architecture by which each hospital retains the stewardship of the patients’ data. The records of a patient are scattered among different hospitals using heterogeneous database servers. These limitations constitute a burden towards a personalized healthcare, when it comes to offering a cohesive view and a shared, secure and private access to patients’ health history for multiple allied professionals and the patients. The data availability, privacy and security characteristics of the blockchain have a propitious future in the healthcare presenting solutions to the complexity, confidentiality, integrity, interoperability and privacy issues of the current client/server architecture-based EHR management system. This paper analyzes and compares the performance of the blockchain and the client/server paradigms. The results reveal that notable performance can be achieved using blockchain in a patient-centric approach. In addition, the immutable and valid patients’ data in the blockchain can aid allied health professionals in better prognosis and diagnosis support through machine learning and artificial intelligence.

Capturing the Use of Dietary Supplements in Electronic Medical Records: Room for Improvement.

Of importance to federal agencies that administer health care facilities is capturing patient use of dietary supplements (DS) to avoid potential drug - supplement interactions. Digital technologies, such as use of the electronic medical record and the electronic health record (EHR) are key to monitoring health care. The particular electronic software package and the health care professional using this software influences how this documentation is recorded. A survey was conducted to determine how information on DS is being collected, recorded, and processed in EHR across federal agencies. Four federal agencies providing direct health care services to large numbers of men and women in the US were surveyed on current practices regarding the recording and processing of information on DS use either on outpatient or inpatient basis. A point of contact for each of the following federal agencies was identified, and a 13-question survey was sent to each for completion: NIH Clinical Center, Department of Defense (DoD) Military Nutrition Committee, Veterans Health Administration (VHA) Office of Specialty Care Services, and the Indian Health Service (IHS), Office of Information Technology. All four agency representatives completed the survey. No agency used the same EHR software reporting system. Most EHR have searchable fields that are in a structured format, but some information is free text and allowed entry by multiple members of the health-care team. Three different medication formulary or drug knowledge databases were utilized across the agencies. Most agencies using EHR management systems have adequately described procedures for entering and charting information on DS. The responsibility for charting, however, varies across agencies whether captured by the admitting doctor, nurse, dietitian, or pharmacist. Direct linkage between the pharmacy system and the drug knowledge database is a feature of the EHR for several but not all federal agencies. An unmet need still exists in the EHR to implement DS/drug interaction checks as many DS products have multiple active ingredients and when taken with other DS or prescription drugs increase the likelihood of an adverse event. Establishing common EHR practices could facilitate monitoring the use and potential interactions of DS with prescribed drugs.

UTLIZATION OF ANTICOAGULATION AND ANTIPLATELET THERAPIES AT DISCHARGE IN PATIENTS WITH ATRIAL FIBRILLATION AND MYOCARDIAL INFARCTION UNDERGOING PERCUTANEOUS CORONARY INTERVENTION

s S47 METHODS: Observational sub-study of the DERLA-STEMI cluster-randomized controlled trial (REB number: 11-191). Discharge prescriptions of DERLA-STEMI participants from 2 tertiary care hospitals were reviewed on an electronic health records management system. Medication classes, duration of prescription, repeats and errors were recorded. Medication use at 12 months post-STEMI was studied in relation to the initial prescription duration. Adherence data was collected through structured phone calls to the patients by a blinded research coordinator as per a previously published protocol. Themain outcome of interest was the proportion of patients taking all 4 cardiac medication classes (acetylsalicylic acid, angiotensin blocker, statin, and beta-blocker) at 12 months in each prescription group ( 2 months versus>2 months). Analysis was done using Generalized Estimating Equations (GEE) accounting for clustering by family physician, because of the DERLA STEMI study design. The 4 medication classes were coded as 0 or 1 for prescription duration of 2months or>2months, respectively, resulting in a sum score of 0 to 4 for each patient. This variable was used as a covariate in the outcome of 4/4 medications at 12 months. RESULTS: Out of 390 participants reviewed, 315 had prescriptions for 4/4 medications with available follow-up. Of these, 170 patients were prescribed 4/4 medications for >2 months (score 4) at discharge, while 145 had one or more medication that was prescribed for 2 months (scores 0 to 3). 128 (75%) patients with score 4 and 75 (52%) patients with score 0 to 3 were taking all 4 medication classes at 12 months. There was a statistically significant increase in cardiac medication use at 12 months in the group with longer initial prescriptions at discharge (OR 2.9, 95% CI 1.8-4.7, p<0.0001). CONCLUSION: In post-STEMI patients, longer duration of discharge prescriptions was associated with higher adherence at 12 months. The results are limited by the small sample size and the observational design of this study. Nevertheless, giving longer prescriptions at discharge is a simple intervention that could increase long-term medication adherence. 095 UTLIZATION OF ANTICOAGULATION AND ANTIPLATELET THERAPIES AT DISCHARGE IN PATIENTS WITH ATRIAL FIBRILLATION AND MYOCARDIAL INFARCTION UNDERGOING PERCUTANEOUS CORONARY INTERVENTION A Mokhtari, C Patel, JS Paikin, P Rao-Melacini, R Syal, S Knox, MK Natarajan