Problem oriented medical record (POMR) was born in late sixties. Expecting an ordered, complete and updated medical record were some of the goals of its founder. Several healthcare institutions have included problem list into their clinical records but some concerns have been reported. These concerns are in reference to their voluminosity, incompleteness and outdatedness. This study attempts to...

evaluation of nurses point of views about hospital information system (his) in urmia     rahimi b [1] *, ebrahimi z [2] , rashidi a [3]     received: 17 sep, 2012 accepted: 16 nov, 2012     abstract   background & aims : nowadays most hospitals replace their paper-based medical records with electronic health records or update their old hospital information systems (hiss). a descriptive study of...

In natural language processing, stand-off annotation uses the starting and ending positions of an annotation to anchor it to the text and stores the annotation content separately from the text. We address the fundamental problem of efficiently storing stand-off annotations when applying natural language processing on narrative clinical notes in electronic medical records (EMRs) and efficiently ...

Paula J. Edwards Center for Interactive Systems

BACKGROUND Electronic medical record (EMR) systems are used for many purposes including patient care, administration, research, quality improvement and reimbursement. This study aimed to test a data extraction tool (QTools) and to provide information to support the interpretation of EMR data. METHODS Comparison of aggregated practice data for selected EMR fields and interviews with practice s...

A summary card in the form of a four page folder is described for use in the standard medical record envelope. It holds the current continuation card, has space for basic patient data, a problem list and a simple biography and provides an aid to regular screening and other preventive measures.

Despite an agreement on the definition of evidence-based medicine (EBM), there remains considerable debate around what constitutes an evidence-based care. In the current review, we discuss the clinical application of EBM including challenges in retrieving relevant medical information, critically reviewing the data and applying it to the patient. Also discussed are the techniques and issues surr...

OBJECTIVES This study was conducted to evaluate the adoption behavior of a newly developed Electronic Medical Record (EMR)-based information system (IS) at three public hospitals in Korea with a focus on doctors and nurses. METHODS User satisfaction scores from four performance layers were analyzed before and two times after the newly develop system was introduced to evaluate the adoption pro...

Abstract: The system information section filing in UPT Puskesmas Rahayu to submit a medical record file any of the poly, assembling records, store retention records are already inactive. This research aims design and create outpatient terms borrowing return as well facilitate with use qualitative methods. Data used study Rahayu, namely interviews, observation, FGD (Focus Group Discussion). show...