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cloud EHR

Cheng Guo, Ruhan Zhuang, Yingmo Jie, Yizhi Ren, Ting Wu, Kim-Kwang Raymond Choo
An effectively designed e-healthcare system can significantly enhance the quality of access and experience of healthcare users, including facilitating medical and healthcare providers in ensuring a smooth delivery of services. Ensuring the security of patients' electronic health records (EHRs) in the e-healthcare system is an active research area. EHRs may be outsourced to a third-party, such as a community healthcare cloud service provider for storage due to cost-saving measures. Generally, encrypting the EHRs when they are stored in the system (i...
November 2016: Journal of Medical Systems
Rebecca Grochow Mishuris, Jordan Yoder, Dan Wilson, Devin Mann
BACKGROUND: Health information is increasingly being digitally stored and exchanged. The public is regularly collecting and storing health-related data on their own electronic devices and in the cloud. Diabetes prevention is an increasingly important preventive health measure, and diet and exercise are key components of this. Patients are turning to online programs to help them lose weight. Despite primary care physicians being important in patients' weight loss success, there is no exchange of information between the primary care provider (PCP) and these online weight loss programs...
2016: BMC Medical Informatics and Decision Making
Fatemeh Rezaeibagha, Yi Mu
BACKGROUND: Data sharing in electronic health record (EHR) systems is important for improving the quality of healthcare delivery. Data sharing, however, has raised some security and privacy concerns because healthcare data could be potentially accessible by a variety of users, which could lead to privacy exposure of patients. Without addressing this issue, large-scale adoption and sharing of EHR data are impractical. The traditional solution to the problem is via encryption. Although encryption can be applied to access control, it is not applicable for complex EHR systems that require multiple domains (e...
May 2016: International Journal of Medical Informatics
Robert Chen, Hang Su, Mohammed Khalilia, Sizhe Lin, Yue Peng, Tod Davis, Daniel A Hirsh, Elizabeth Searles, Javier Tejedor-Sojo, Michael Thompson, Jimeng Sun
The predictive modeling process is time consuming and requires clinical researchers to handle complex electronic health record (EHR) data in restricted computational environments. To address this problem, we implemented a cloud-based predictive modeling system via a hybrid setup combining a secure private server with the Amazon Web Services (AWS) Elastic MapReduce platform. EHR data is preprocessed on a private server and the resulting de-identified event sequences are hosted on AWS. Based on user-specified modeling configurations, an on-demand web service launches a cluster of Elastic Compute 2 (EC2) instances on AWS to perform feature selection and classification algorithms in a distributed fashion...
2015: AMIA ... Annual Symposium Proceedings
Jake Luo, Min Wu, Deepika Gopukumar, Yiqing Zhao
Big data technologies are increasingly used for biomedical and health-care informatics research. Large amounts of biological and clinical data have been generated and collected at an unprecedented speed and scale. For example, the new generation of sequencing technologies enables the processing of billions of DNA sequence data per day, and the application of electronic health records (EHRs) is documenting large amounts of patient data. The cost of acquiring and analyzing biomedical data is expected to decrease dramatically with the help of technology upgrades, such as the emergence of new sequencing machines, the development of novel hardware and software for parallel computing, and the extensive expansion of EHRs...
2016: Biomedical Informatics Insights
Sherry Mostofi, Andrew L Hoffman
Electronic health record (EHR) solutions provide many potential benefits for dental practices, whether those programs run internally on a dental practice's computers or are cloud-based solutions. However, these programs also create new risks for a dental practice, which may be mitigated through due diligence and adequate contractual provisions to ensure protection for dentists. This article addresses the legal considerations associated with a dentist entering into a service contract with an EHR vendor.
May 2015: Journal of the California Dental Association
Shinji Kobayashi, Naoto Kume, Hiroyuki Yoshihara
In 2001, we developed an EHR system for regional healthcare information inter-exchange and to provide individual patient data to patients. This system was adopted in three regions in Japan. We also developed a Medical Markup Language (MML) standard for inter- and intra-hospital communications. The system was built on a legacy platform, however, and had not been appropriately maintained or updated to meet clinical requirements. To improve future maintenance costs, we reconstructed the EHR system using archetype technology on the Ruby on Rails platform, and generated MML equivalent forms from archetypes...
2015: Studies in Health Technology and Informatics
Isabel de la Torre-Díez, Miguel Lopez-Coronado, Begonya Garcia-Zapirain Soto, Amaia Mendez-Zorrilla
BACKGROUND: The combination of eHealth applications and/or services with cloud technology provides health care staff—with sufficient mobility and accessibility for them—to be able to transparently check any data they may need without having to worry about its physical location. OBJECTIVE: The main aim of this paper is to put forward secure cloud-based solutions for a range of eHealth services such as electronic health records (EHRs), telecardiology, teleconsultation, and telediagnosis...
2015: Journal of Medical Internet Research
Stathis Th Konstantinidis, Per Egil Kummervold, Luis Fernandez Luque, Lars Kristian Vognild
In the era of social media, semantic web and big data, a huge amount of health-related information, knowledge and resources exist on the Web. Patients and healthcare professionals should spend enormous effort and time in order to find health-trusted information, while the appropriate technologies to interlink and retrieve this type of information already exist. In this paper we propose a framework to enrich DIPS, the most deployed Norwegian EHR System, with health-trusted information for patients and state-of-the-art resources for healthcare professionals...
2015: Studies in Health Technology and Informatics
Bogdan Ionescu, Cristian Gadea, Bogdan Solomon, Dan Ionescu, Vasile Stoicu-Tivadar, Mircea Trifan
For more than a decade, the eHealth initiative has been a government concern of many countries. In an Electronic Health Record (EHR) System, there is a need for sharing the data with a group of specialists simultaneously. Collaborative platforms alone are just a part of a solution, while a collaborative platform with parallel editing capabilities and with synchronized data streaming are stringently needed. In this paper, the design and implementation of a collaborative platform used in healthcare is introduced by describing the high level architecture and its implementation...
2015: Studies in Health Technology and Informatics
(no author information available yet)
The pHealth 2015 Conference is the 12th in a series of scientific events bringing together expertise from medical, technological, political, administrative, and social domains, and even from philosophy or linguistics. It opens a new chapter in the success story of the series of international conferences on wearable or implantable micro and nano technologies for personalized medicine by presenting keynotes, invited talks, oral presentations, and short poster presentations provided by close to 100 authors from 20 countries from various parts of the world...
2015: Studies in Health Technology and Informatics
Ashish Atreja, Sameer Khan, Jason D Rogers, Emamuzo Otobo, Nishant P Patel, Thomas Ullman, Jean Fred Colombel, Shirley Moore, Bruce E Sands
BACKGROUND: Inflammatory bowel disease (IBD) is a chronic condition of the bowel that affects over 1 million people in the United States. The recurring nature of disease makes IBD patients ideal candidates for patient-engaged care that is centered on enhanced self-management and improved doctor-patient communication. In IBD, optimal approaches to management vary for patients with different phenotypes and extent of disease and past surgical history. Hence, a single quality metric cannot define a heterogeneous disease such as IBD, unlike hypertension and diabetes...
February 18, 2015: JMIR Research Protocols
Ayman M Eldeib
In dynamic healthcare environments, caregivers and patients are constantly moving. To increase the healthcare quality when it is necessary, caregivers need the ability to reach each other and securely access medical information and services from wherever they happened to be. This paper presents an Interactive Telemedicine Solution (ITS) to facilitate and automate the communication within a healthcare facility via Voice over Internet Protocol (VOIP), regular mobile phones, and Wi-Fi connectivity. Our system has the capability to exchange/provide securely healthcare information/services across geographic barriers through 3G/4G wireless communication network...
2014: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Gianluca Zangara, Pietro Paolo Corso, Francesco Cangemi, Filippo Millonzi, Francesco Collova, Antonio Scarlatella
We introduce a novel framework of electronic healthcare enabled by a Cloud platform able to host both Hospital Information Systems (HIS) and Electronic Medical Record (EMR) systems and implement an innovative model of Electronic Health Record (EHR) that is not only patient-oriented but also supports a better governance of the whole healthcare system. The proposed EHR model adopts the state of the art of the Cloud technologies, being able to join the different clinical data of the patient stored within the HISs and EMRs either placed into a local Data Center or hosted into a Cloud Platform enabling new directions of data analysis...
2014: Studies in Health Technology and Informatics
Isabel de la Torre-Díez, Borja Martínez-Pérez, Miguel López-Coronado, Javier Rodríguez Díaz, Miguel Maldonado López
The growing importance that mobile devices have in daily life has also reached health care and medicine. This is making the paradigm of health care change and the concept of mHealth or mobile health more relevant, whose main essence is the apps. This new reality makes it possible for doctors who are not specialist to have easy access to all the information generated in different corners of the world, making them potential keepers of that knowledge. However, the new daily information exceeds the limits of the human intellect, making Decision Support Systems (DSS) necessary for helping doctors to diagnose diseases and also help them to decide the attitude that has to be taken towards these diagnoses...
January 2015: Journal of Medical Systems
Darin Painter
No abstract text is available yet for this article.
September 10, 2013: Medical Economics
V Koutkias, F Thiessard
OBJECTIVES: To select best papers published in 2013 in the field of big data and smart health strategies, and summarize outstanding research efforts. METHODS: A systematic search was performed using two major bibliographic databases for relevant journal papers. The references obtained were reviewed in a two-stage process, starting with a blinded review performed by the two section editors, and followed by a peer review process operated by external reviewers recognized as experts in the field...
2014: Yearbook of Medical Informatics
Arshdeep Bahga, Vijay K Madisetti
We present a cloud-based approach for the design of interoperable electronic health record (EHR) systems. Cloud computing environments provide several benefits to all the stakeholders in the healthcare ecosystem (patients, providers, payers, etc.). Lack of data interoperability standards and solutions has been a major obstacle in the exchange of healthcare data between different stakeholders. We propose an EHR system - cloud health information systems technology architecture (CHISTAR) that achieves semantic interoperability through the use of a generic design methodology which uses a reference model that defines a general purpose set of data structures and an archetype model that defines the clinical data attributes...
September 2013: IEEE Journal of Biomedical and Health Informatics
Mohammad Bajwa
Although several medical technologies have been around since decades and are in the continuous process of development, some latest technologies are changing the way medicine would be practiced in the future. These technologies would allow medical practice from anywhere, any time and from any device. These include smart phones, Tablet PCs, Touch screens, digital ink, voice recognition, Electronic Health Records (EHRs), Health Information Exchange (HIE), Nationwide Health Information Network (NwHIN), Personal Health Records (PHRs), patient portals, Nanomedicine, genome-based personalized medicine, Geographical Positioning System (GPS), Radiofrequency Identification (RFID), Telemedicine, clinical decision support (CDS), mobile home healthcare, cloud computing, and social media, to name a few significant...
May 2014: Pakistan Journal of Medical Sciences Quarterly
Charlotte A Weaver, Pamela Teenier
Health care organizations have long been limited to a small number of major vendors in their selection of an electronic health record (EHR) system in the national and international marketplace. These major EHR vendors have in common base systems that are decades old, are built in antiquated programming languages, use outdated server architecture, and are based on inflexible data models [1,2]. The option to upgrade their technology to keep pace with the power of new web-based architecture, programming tools and cloud servers is not easily undertaken due to large client bases, development costs and risk [3]...
2014: Studies in Health Technology and Informatics
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