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JOURNAL ARTICLE
Majid Afshar, Sabrina Adelaine, Felice Resnik, Marlon P Mundt, John Long, Margaret Leaf, Theodore Ampian, Graham J Wills, Benjamin Schnapp, Michael Chao, Randy Brown, Cara Joyce, Brihat Sharma, Dmitriy Dligach, Elizabeth S Burnside, Jane Mahoney, Matthew M Churpek, Brian W Patterson, Frank Liao
BACKGROUND: The clinical narrative in electronic health records (EHRs) carries valuable information for predictive analytics; however, its free-text form is difficult to mine and analyze for clinical decision support (CDS). Large-scale clinical natural language processing (NLP) pipelines have focused on data warehouse applications for retrospective research efforts. There remains a paucity of evidence for implementing NLP pipelines at the bedside for health care delivery. OBJECTIVE: We aimed to detail a hospital-wide, operational pipeline to implement a real-time NLP-driven CDS tool and describe a protocol for an implementation framework with a user-centered design of the CDS tool...
April 20, 2023: JMIR Medical Informatics
#22
JOURNAL ARTICLE
Najat Abdrabbo AlYafei, Bushra Naaz Fathima Jaleel, Abdel-Salam G Abdel-Salam, Hamda Ali Al-Saadi, Samya Ahmad Al Abdulla
BACKGROUND: Vitamin D is considered a potent modulator of the immune system, albeit its role in COVID-19 infection is a matter of debate. The present study aimed to estimate the association between serum vitamin D levels and COVID-19 among people in Qatar. METHODS: This case-control study, approved by the Institutional Review Board of Primary Health Care Corporation (PHCC) Qatar, retrospectively evaluated the principal public healthcare sector population data repository retrieved from the cloud-based Electronic Health Record (EHR) software-Cerner, during April 2020-2021...
2022: Qatar Medical Journal
#23
JOURNAL ARTICLE
Subhashis Das, Pamela Hussey
In the midst of a global pandemic, perspectives on how digital can enhance healthcare service delivery and workflow to address the global crisis is underway. Action plans collating existing digital transformation programs are being scrutinized to set in place core infrastructure and foundations for sustainable healthcare solutions. Reforming health and social care to personalize the home care setting can for example assist in avoiding treatment in a crowed acute hospital setting and improve the experience and impact on both health care professionals and service users alike...
November 3, 2022: Studies in Health Technology and Informatics
#24
JOURNAL ARTICLE
Xiaohui Yang, Wenjie Li, Kai Fan
With the development of digital healthcare, sharing electronic medical record data has become an indispensable part of improving medical conditions. Aiming at the centralized power caused by the single attribute authority in current CP-ABE schemes and the problem that cloud servers are curious and even malicious, we design a revocable CP-ABE EHR sharing scheme with multiple authorities (MA-RABE) in blockchain. In this solution, a group of authorities complete user attribute distribution, key generation and user management through secret sharing and transactions...
September 23, 2022: Peer-To-Peer Networking and Applications
#25
JOURNAL ARTICLE
Kirtirajsinh Zala, Hiren Kumar Thakkar, Rajendrasinh Jadeja, Neel H Dholakia, Ketan Kotecha, Deepak Kumar Jain, Madhu Shukla
Traditional healthcare services have changed into modern ones in which doctors can diagnose patients from a distance. All stakeholders, including patients, ward boy, life insurance agents, physicians, and others, have easy access to patients' medical records due to cloud computing. The cloud's services are very cost-effective and scalable, and provide various mobile access options for a patient's electronic health records (EHRs). EHR privacy and security are critical concerns despite the many benefits of the cloud...
2022: Computational Intelligence and Neuroscience
#26
JOURNAL ARTICLE
Andrea H Ramirez, Lina Sulieman, David J Schlueter, Alese Halvorson, Jun Qian, Francis Ratsimbazafy, Roxana Loperena, Kelsey Mayo, Melissa Basford, Nicole Deflaux, Karthik N Muthuraman, Karthik Natarajan, Abel Kho, Hua Xu, Consuelo Wilkins, Hoda Anton-Culver, Eric Boerwinkle, Mine Cicek, Cheryl R Clark, Elizabeth Cohn, Lucila Ohno-Machado, Sheri D Schully, Brian K Ahmedani, Maria Argos, Robert M Cronin, Christopher O'Donnell, Mona Fouad, David B Goldstein, Philip Greenland, Scott J Hebbring, Elizabeth W Karlson, Parinda Khatri, Bruce Korf, Jordan W Smoller, Stephen Sodeke, John Wilbanks, Justin Hentges, Stephen Mockrin, Christopher Lunt, Stephanie A Devaney, Kelly Gebo, Joshua C Denny, Robert J Carroll, David Glazer, Paul A Harris, George Hripcsak, Anthony Philippakis, Dan M Roden
The All of Us Research Program seeks to engage at least one million diverse participants to advance precision medicine and improve human health. We describe here the cloud-based Researcher Workbench that uses a data passport model to democratize access to analytical tools and participant information including survey, physical measurement, and electronic health record (EHR) data. We also present validation study findings for several common complex diseases to demonstrate use of this novel platform in 315,000 participants, 78% of whom are from groups historically underrepresented in biomedical research, including 49% self-reporting non-White races...
August 12, 2022: Patterns
#27
JOURNAL ARTICLE
Christina Sze, Vahan Simonyan, Art Sedrakyan, Bilal Chughtai
Introduction Data extraction from electronic health records (EHRs) for use in clinical research continues to be labor-intensive and to offer little benefit over traditional paper chart reviews. This is largely due to poor integration of EHR systems with hospital process flow, which still relies heavily on traditional paperwork as a means of documentation. Discussion New methods in data collection through mobile applications have streamlined data entry through better data standardization and improved overall data quality...
July 20, 2022: Permanente Journal
#28
JOURNAL ARTICLE
Amna Amanat, Muhammad Rizwan, Carsten Maple, Yousaf Bin Zikria, Ahmad S Almadhor, Sung Won Kim
Healthcare information is essential for both service providers and patients. Further secure sharing and maintenance of Electronic Healthcare Records (EHR) are imperative. EHR systems in healthcare have traditionally relied on a centralized system (e.g., cloud) to exchange health data across healthcare stakeholders, which may expose private and sensitive patient information. EHR has struggled to meet the demands of several stakeholders and systems in terms of safety, isolation, and other regulatory constraints...
2022: Frontiers in Public Health
#29
JOURNAL ARTICLE
Shufen Niu, Fei Yu, Mi Song, Song Han, Caifen Wang
Searchable encryption allows data users to search for encrypted files by keywords without restriction. However, electronic health record (EHR) contains sensitive information, and data users should search for and share EHR with restriction. If data users are not restricted when EHR is searched and shared, there is a high risk that EHR will be misused and reveal large amounts of private patient information. This paper proposes a specified keywords search scheme for EHR sharing based on searchable encryption and proxy re-encryption to address this problem...
July 25, 2022: Soft Computing
#30
JOURNAL ARTICLE
Karrar Hameed Abdulkareem, Ammar Awad Mutlag, Ahmed Musa Dinar, Jaroslav Frnda, Mazin Abed Mohammed, Fawzi Hasan Zayr, Abdullah Lakhan, Seifedine Kadry, Hasan Ali Khattak, Jan Nedoma
COVID-19 has depleted healthcare systems around the world. Extreme conditions must be defined as soon as possible so that services and treatment can be deployed and intensified. Many biomarkers are being investigated in order to track the patient's condition. Unfortunately, this may interfere with the symptoms of other diseases, making it more difficult for a specialist to diagnose or predict the severity level of the case. This research develops a Smart Healthcare System for Severity Prediction and Critical Tasks Management (SHSSP-CTM) for COVID-19 patients...
2022: Computational Intelligence and Neuroscience
#31
JOURNAL ARTICLE
Bala Hota, Paul Casey, Anne F McIntyre, Jawad Khan, Shafiq Rab, Aneesh Chopra, Omar Lateef, Jennifer E Layden
BACKGROUND: Disease surveillance is a critical function of public health, provides essential information about disease burden, clinical and epidemiologic parameters of disease, and is an important element of effective and timely case and contact tracing. The COVID-19 pandemic demonstrates the essential role of disease surveillance in preserving public health. In theory, the standard data formats and exchange methods provided by EHR meaningful use should enable rapid healthcare data exchange in the setting of disruptive healthcare events like a pandemic...
May 7, 2022: JMIR Public Health and Surveillance
#32
JOURNAL ARTICLE
Tian Lim Tan, Iftekhar Salam, Madhusudan Singh
The lack of data outsourcing in healthcare management systems slows down the intercommunication and information sharing between different entities. A standard solution is outsourcing the electronic health record (EHR) to a cloud service provider (CSP). The outsourcing of the EHR should be performed securely without compromising the CSP functionalities. Searchable encryption would be a viable approach to ensure the confidentiality of the data without compromising searchability and accessibility. However, most existing searchable encryption solutions use centralised architecture...
2022: PloS One
#33
JOURNAL ARTICLE
Tobias Brotherton, Samuel Brotherton, Henry Ashworth, Adesh Kadambi, Hassaan Ebrahim, Senan Ebrahim
While electronic health records (EHRs) have been shown to be effective in improving patient care in low-resource settings, there are still barriers to implementing them, including adaptability, usability, and sustainability. Taking a user-centered design process we developed the Hikma Health EHR for low resourced clinics caring for displaced populations. This EHR was built using React Native and Typescript that sync to a Python backend repository which is deployed on Google Cloud SQL. To date the Hikma Health EHR has been deployed for 26,000 patients...
2022: Frontiers in digital health
#34
JOURNAL ARTICLE
Hemant B Mahajan, Ameer Sardar Rashid, Aparna A Junnarkar, Nilesh Uke, Sarita D Deshpande, Pravin R Futane, Ahmed Alkhayyat, Bilal Alhayani
Since the last decade, cloud-based electronic health records (EHRs) have gained significant attention to enable remote patient monitoring. The recent development of Healthcare 4.0 using the Internet of Things (IoT) components and cloud computing to access medical operations remotely has gained the researcher's attention from a smart city perspective. Healthcare 4.0 mainly consisted of periodic medical data sensing, aggregation, data transmission, data sharing, and data storage. The sensitive and personal data of patients lead to several challenges while protecting it from hackers...
February 4, 2022: Applied Nanoscience
#35
JOURNAL ARTICLE
Geoffrey W Cho, Shone O Almeida, Eli S Gang, Yaron Elad, Ray Duncan, Matthew J Budoff, Ronald P Karlsberg
INTRODUCTION: Patient initiated, remote cardiac monitoring has proved to be a significant advance in the diagnosis and management of arrhythmias. Further improvements in ease of use and access to results will further improve health outcomes and cost-effectiveness. Here we describe a proof-of-concept evaluation to assess the feasibility of successfully implementing a cloud-based management system using KardiaPro (KP) for remote electrocardiogram (ECG) monitoring to interface into EPIC, an enterprise electronic health record (EHR) system...
2022: Clinical Medicine Insights. Case Reports
#36
JOURNAL ARTICLE
Lemuel R Waitman, Xing Song, Dammika Lakmal Walpitage, Daniel C Connolly, Lav P Patel, Mei Liu, Mary C Schroeder, Jeffrey J VanWormer, Abu Saleh Mosa, Ernest T Anye, Ann M Davis
OBJECTIVE: The Greater Plains Collaborative (GPC) and other PCORnet Clinical Data Research Networks capture healthcare utilization within their health systems. Here, we describe a reusable environment (GPC Reusable Observable Unified Study Environment [GROUSE]) that integrates hospital and electronic health records (EHRs) data with state-wide Medicare and Medicaid claims and assess how claims and clinical data complement each other to identify obesity and related comorbidities in a patient sample...
December 13, 2021: Journal of the American Medical Informatics Association: JAMIA
#37
JOURNAL ARTICLE
Peter-John Mäntylä Noble, Charlotte Appleton, Alan David Radford, Goran Nenadic
A key goal of disease surveillance is to identify outbreaks of known or novel diseases in a timely manner. Such an outbreak occurred in the UK associated with acute vomiting in dogs between December 2019 and March 2020. We tracked this outbreak using the clinical free text component of anonymised electronic health records (EHRs) collected from a sentinel network of participating veterinary practices. We sourced the free text (narrative) component of each EHR supplemented with one of 10 practitioner-derived main presenting complaints (MPCs), with the 'gastroenteric' MPC identifying cases involved in the disease outbreak...
2021: PloS One
#38
JOURNAL ARTICLE
Olga Generalova, Mohana Roy, Evan Hall, Sumit A Shah, Kristen Cunanan, Touran Fardeen, Brianna Velazquez, Gilbert Chu, Bianca Bruzzone, Anna Cabot, George A Fisher, Sandy Srinivas, Alice C Fan, Sigurdis Haraldsdottir, Heather A Wakelee, Joel W Neal, Sukhmani K Padda, Tyler Johnson, Gregory M Heestand, Robert W Hsieh, Kavitha Ramchandran
BACKGROUND: Patient reported outcomes (PROs) have been associated with improved symptom management and quality of life in patients with cancer. However, the implementation of PROs in an academic clinical practice has not been thoroughly described. Here we report on the execution, feasibility and healthcare utilization outcomes of an electronic PRO (ePRO) application for cancer patients at an academic medical center. METHODS: We conducted a randomized trial comparing an experimental ePRO arm to standard of care in patients with advanced cancer in the thoracic, gastrointestinal, and genitourinary oncology groups at Stanford Cancer Center from March 2018 to November 2019...
September 15, 2021: Journal of Patient-Reported Outcomes
#39
JOURNAL ARTICLE
Basetty Mallikarjuna, Gulshan Shrivastava, Meenakshi Sharma
The healthcare technologies in COVID-19 pandemic had grown immensely in various domains. Blockchain technology is one such turnkey technology, which is transforming the data securely; to store electronic health records (EHRs), develop deep learning algorithms, access the data, process the data between physicians and patients to access the EHRs in the form of distributed ledgers. Blockchain technology is also made to supply the data in the cloud and contact the huge amount of healthcare data, which is difficult and complex to process...
July 23, 2021: Expert systems
#40
JOURNAL ARTICLE
Derlis Gómez, Jesús Romero, Pablo López, José Vázquez, Cristian Cappo, Diego Pinto, Cynthia Villalba
BACKGROUND: Current Electronic Health Record (EHR) systems are built using different data representation and information models, which makes difficult achieving information exchange. OBJECTIVE: Our aim was to propose a scalable architecture that allows the integration of information from different EHR systems. METHODS: A cloud-based EHR interoperable architecture is proposed through the standardization and integration of patient electronic health records...
September 9, 2021: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
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