Health Record Management System 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.

Effects of personal and health characteristics on the intrinsic capacity of older adults in the community: a cross-sectional study using the healthy aging framework

BackgroundIntrinsic capacity (IC) can better reflect the physical functioning of older adults. However, few studies have been able to systematically and thoroughly examine its influencing factors and provide limited evidence for the improvement of intrinsic capacity. The objective of this study was to provide a comprehensive description of the overall decline in intrinsic capacity among older persons in the community. Additionally, the study aimed to analyze the composition of the five domains of reduction, compare the rate of decline among older adults and investigate the factors that influence this decline.MethodsThis was a cross-sectional study conducted in the Chinese community. The self-designed general characteristics questionnaire was created based on the healthy aging framework and a systematic review. Intrinsic capacity was assessed with the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS-15), Community Health Record Management System (CHRMS), Mini Nutritional Assessment Brief Form (MNA-SF), and Short Physical Performance Battery (SPPB). The influencing factors of intrinsic capacity were investigated using stepwise logistic regression.ResultsA total of 968 older adults with a mean age of 71.00 (68.00, 76.75) were examined, and 704 older adults (72.7%) showed a decline in intrinsic capacity. There was a decline in at least one domain in 39.3% of older adults, with reductions in each domain ranging from 5.3% (psychological) to 52.4% (sensory). The study examined the composition of domains that experienced a decline in intrinsic capacity. It was found that a combination of sensory and locomotor domains showed the most significant decrease in 44.5% (n = 106) of individuals who experienced a decline in the two domains. Furthermore, a combination of sensory, cognitive, and locomotor domains exhibited a significant decrease in 51.3% (n = 44) of individuals who experienced a reduction in three domains. Lastly, a combination of sensory, vitality, cognitive, and locomotor domains showed the most significant decline in four domains, accounting for 60.0% (n = 15) of the population. Older adults had a higher risk of intrinsic capacity decline if they were older (95% CI:1.158–2.310), had lower education, lived alone (95% CI: 1.133–3.216), smoked (95% CI: 1.163–3.251), high Charlson Comorbidity Index (95% CI: 1.243–1.807) scores, did not regular exercise (95% CI:1.150–3.084), with lower handgrip strength (95% CI: 0.945–0.982).ConclusionsWe found a relatively high prevalence of intrinsic capacity; more attention should be paid to older adults who are older, less educated, live alone, and have more comorbidities. It is imperative to prioritize a healthy lifestyle among older persons who exhibit smoking habits, lack regular exercise, and possess inadequate handgrip strength.

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.

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.

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

Blockchain Based Electronic Health Record Management System

CoviBlock: A Secure Blockchain-Based Smart Healthcare Assisting System

The recent COVID-19 pandemic has underlined the significance of digital health record management systems for pandemic mitigation. Existing smart healthcare systems (SHSs) fail to preserve system-level medical record openness and privacy while including mitigating measures such as testing, tracking, and treating (3T). In addition, current centralised compute architectures are susceptible to denial of service assaults because of DDoS or bottleneck difficulties. In addition, these current SHSs are susceptible to leakage of sensitive data, unauthorised data modification, and non-repudiation. In centralised models of the current system, a third party controls the data, and data owners may not have total control over their data. The Coviblock, a novel, decentralised, blockchain-based smart healthcare assistance system, is proposed in this study to support medical record privacy and security in the pandemic mitigation process without sacrificing system usability. The Coviblock ensures system-level openness and trustworthiness in the administration and use of medical records. Edge computing and the InterPlanetary File System (IPFS) are recommended as part of a decentralised distributed storage system (DDSS) to reduce the latency and the cost of data operations on the blockchain (IPFS). Using blockchain ledgers, the DDSS ensures system-level transparency and event traceability in the administration of medical records. A distributed, decentralised resource access control mechanism (DDRAC) is also proposed to guarantee the secrecy and privacy of DDSS data. To confirm the Coviblock’s real-time behaviour on an Ethereum test network, a prototype of the technology is constructed and examined. To demonstrate the benefits of the proposed system, we compare it to current cloud-based health cyber–physical systems (H-CPSs) with blockchain. According to the experimental research, the Coviblock maintains the same level of security and privacy as existing H-CPSs while performing considerably better. Lastly, the suggested system greatly reduces latency in operations, such as 32 milliseconds (ms) to produce a new record, 29 ms to update vaccination data, and 27 ms to validate a given certificate through the DDSS.

MediCord: A Web-Based Health Record Management System

Information technology (IT) is vital in managing data for effective and timely decision-making. IT also allows the sharing of data and information more securely and efficiently. Since the coronavirus 2019 (COVID-19) has caused a significant impact on the way people perform tasks and processes in the "new normal," IT solutions have become key to continuing performing and administering different tasks and activities. Information technology applications ensure the safety of every individual in a community through an electronic process that replaces the manual activities of recording and sharing data. This study aimed to design and develop an information technology-based application called MediCord: A Web-Based Health Record Management System. Developmental research was utilized in this study. MediCord has been developed for a health center in one of the municipalities in Nueva Ecija, Philippines. Results showed that proponents successfully designed and developed the system by following the software development life cycle (SDLC) stages. Furthermore, following the SDLC has allowed the proponents to develop several diagrams that have served as vital tools for project construction. Proponents suggested that after the design and development of the system, the remaining stages of SDLC be conducted, and the actual assessment of the project be based on industry-accepted and widely used appropriate standards. This opens opportunities for future studies as a result of the current project.

Evaluation of the Quality of Malaria Case Management at a Rural Health Facility in the Savannah Region of Ghana

A descriptive cross-sectional study was used to evaluate the quality of malaria case management at Damongo Municipal Hospital. The specific objectives were to: determine the mode of malaria diagnosis, assess the treatment of malaria cases and evaluate the health record management system in the Damongo hospital. A sample size of three hundred (300) malaria cases from November to December, 2019 were reviewed using purposive and multi stage sampling methods.

Public Health Record Management System: An Up-Close Monitoring System

The researchers developed a public health record management system for the barangay health center of Sto. Rosario, Paombong, Bulacan, recognize the existing problem, circumstances and reduce the risk of data lost due to unprecedented accidents or human errors and decrease the probability of data redundancy for the patients. The developers used an illustrative and user-friendly design that presents the data in the easiest way possible. Public Health Record Management System (PHRMS) aims to elevate the current state of record management of the public health center by incorporating technology to further enhance the productivity securely and a faster way of data processing to save time and serve more patients. For the acceptability of the developed health information system, the researchers consulted with IT professionals from different fields, IT instructors from Bulacan State University, and the endusers or clients of the developed system such as the midwife, and barangay health workers. The evaluation form has the following criteria for software quality evaluation as follows: (1) functional suitability; (2) performance efficiency; (3) usability; (4) reliability; (5) security; and (6) portability.

Health Record Management System – A Web-based Application

Storage of data and using that data in an effective manner are the major issues in the health management system. Security of health data and the use of this data in a proper way are very important. This project of Health Record Management System is a web application-based project designed for the hospital to manage and use the data of their patients effectively. The main aspect of the project is to provide a system where the data can be stored and retrieved easily. The web application is designed from the scratch without any idea involving the existing systems. The project focuses on developing a simple system where the doctor can upload the data of the patient in the system and can retrieve it when needed. The patient can view the same data from their end. Moreover, the patients can book the appointment with the doctor through the application. The final project consists of a website which attains all the features of a management system. Another focus of the project is to develop a web-based application with application rich UI and UX interfaces which is very accessible even for the new users of the technology. The system is also notable for its great user friendliness.

Health Records Management System Model for Public Health Centres in Uganda

Uganda’s public health centers have no reliable and unified source from which the medical records of patients can be obtained when needed. As a result, many medical workers gamble with medical decisions to give treatment to patients especially in case of an emergence. In spite of the fact that there exists several models/frameworks related to healthcare records, they do not show detailed individual patient care processes to capture all the required records. In addition, some models do not fit in Uganda’s situation due to her limitation in technology distribution and use. Therefore, this paper presents a reliable and accurate model to curb this challenge. We conducted Semi-structured interviews at two health centers. A total of twenty five (25) respondents participated in a bid to investigate the parameters required to capture the medical records of patients. We present the context diagram, a detailed design of a model for online health records management system and use clustered column charts, pie chart and clustered bar chart to examine the themes used. Keywords: Health Record, Record Management System, System Model, Health Center. DOI: 10.7176/JHMN/99-04 Publication date: April 30 th 2022

Cyber risks to Ukrainian and other health systems

Cyber risks to Ukrainian and other health systems

Integrating IoT with Health Record Management System using IPFS and Blockchain

Integrating IoT with Health Record Management System using IPFS and Blockchain

Systematic Review on AI-Blockchain Based E-Healthcare Records Management Systems

Electronic health records (EHRs) are digitally saved health records that provide information about a person’s health. EHRs are generally shared among healthcare stakeholders, and thus are susceptible to power failures, data misuse, a lack of privacy, security, and an audit trail, among other problems. Blockchain, on the other hand, is a groundbreaking technology that provides a distributed and decentralized environment in which nodes in a list of networks can connect to each other without the need for a central authority. It has the potential to overcome the limits of EHR management and create a more secure, decentralized, and safer environment for exchanging EHR data. Further, blockchain is a distributed ledger on which data can be stored and shared in a cryptographically secure, validated, and mutually agreed-upon manner across all mining nodes. The blockchain stores data with a high level of integrity and robustness, and it cannot be altered. When smart contracts are used to make decisions and conduct analytics with machine-learning algorithms, the results may be trusted and unquestioned. However, Blockchain is not always indestructible and suffers from scalability and complexity issues that might render it inefficient. Combining AI and blockchain technology can handled some of the drawbacks of these two technical ecosystems effectively. AI algorithms rely on data or information to learn, analyze, and reach conclusions. The performance of AI algorithms is enhanced through the data obtained from a data repository or a reliable, secure, trustworthy, and credible platform. Researchers have identified three categories of blockchain-based potential solutions for the management of electronic health records: conceptual, prototype, and implemented. The purpose of this research work is to conduct a Systematic Literature Review (SLR) to identify and assess research articles that were either conceptual or implemented to manage EHRs using blockchain technology. The study conducts a comprehensive evaluation of the literature on blockchain technology and enhanced health record management systems utilizing artificial intelligence technologies. The study examined 189 research papers collected from various publication categories. The in-depth analysis focuses on the privacy, security, accessibility, and scalability of publications. The SLR has illustrated that blockchain technology has the potential to deliver decentralization, security, and privacy that are frequently lacking in traditional EHRs. Additionally, the outcomes of the extensive analysis inform future researchers about the type of blockchain to use in their research. Additionally, methods used in healthcare are summarized per application area while their pros and cons are highlighted. Finally, the emphasized taxonomy combines blockchain and artificial intelligence, which enables us to analyze possible blockchain and artificial intelligence applications in health records management systems. The article ends with a discussion on open issues for research and future directions.

Health Record Management System

Health Record Management System

Implementation of Electronic Health Record and Health Insurance Management System using Blockchain Technology

Implementation of Electronic Health Record and Health Insurance Management System using Blockchain Technology

A review on Information Security of Cloud Based Electronic Health Record

The pervasive and service-oriented nature of cloud computing has necessitated its adoption for development, deployment and servicing of Health Records Management solutions. However, these cloud-based systems suffer the same faith as its host, in the area of security, privacy and trust concerns amongst users. The dynamics of Electronic Health Records (EHR) management system makes Privacy preservation and Trust non-negotiable features of a presumably reliable cloud service. The reliability of the services rendered by such systems in the area of improving medical documentation and record keeping, reduce cost and staffing, improve medication management, efficient management in case of emergency or referral and so on, depends significantly on the aforesaid features.

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.

A Privacy-Preserving Healthcare Framework Using Hyperledger Fabric.

Electronic health record (EHR) management systems require the adoption of effective technologies when health information is being exchanged. Current management approaches often face risks that may expose medical record storage solutions to common security attack vectors. However, healthcare-oriented blockchain solutions can provide a decentralized, anonymous and secure EHR handling approach. This paper presents PREHEALTH, a privacy-preserving EHR management solution that uses distributed ledger technology and an Identity Mixer (Idemix). The paper describes a proof-of-concept implementation that uses the Hyperledger Fabric’s permissioned blockchain framework. The proposed solution is able to store patient records effectively whilst providing anonymity and unlinkability. Experimental performance evaluation results demonstrate the scheme’s efficiency and feasibility for real-world scale deployment.