background: in some primary health care settings, even where the health services are not available, provisions are not made to ensure continuity of care. this study aimed to determine the availability and level of continuity of care for maternal health services in the primary health centers (phcs) in nnewi, nigeria. methods: this was a cross‑sectional survey. using multistage sampling technique...

The Department of Veterans Affairs (VA) has a system-wide, patient-centric electronic medical record system (EMR) within which the authors developed the Clinical Case Registries (CCR) to support population-centric delivery and evaluation of VA medical care. To date, the authors have applied the CCR to populations with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). Local compone...

While HL7 CDA is a widely adopted standard for the documentation of clinical information, the archetype approach proposed by CEN/ISO 13606 and openEHR is gaining recognition as a means of describing domain models and medical knowledge. This paper describes our efforts in combining both standards. Using archetypes as an alternative for defining CDA templates permit new possibilities all based on...

Nurses have assumed management positions in many health institutions. To properly accomplish the demands of this role, it is important that they be competent in both management and leadership. For appropriate performance, knowledge of management and supervision styles is a priority. Therefore, the goal of this investigation is to identify the nurse manager's knowledge regarding management and l...

Electronic laboratory interfaces can significantly increase the value of ambulatory electronic health record (EHR) systems by providing laboratory result data automatically and in a computable form. However, many ambulatory EHRs cannot implement electronic laboratory interfaces despite the existence of messaging standards, such as Health Level 7, version 2 (HL7). Among several barriers to imple...

Building up Electronic Health Record (EHR) systems is considered a promising approach to improve health care quality in China. In order to meet the challenges of EHR semantic interoperability, we present a HL7 Clinical Document Architecture (CDA) R2 based EHR system prototype developed for Guangdong Hospital of Traditional Chinese Medicine (GDHTCM). In particular, we demonstrate how semantic te...

Demographic trends towards an aging society motivate the search for alternative health care paradigms. Information technology driven home-care and telecare are popular concepts, and a lot of projects resulted in corresponding systems. Thus the question arises what implications for health information system (HIS) architectures emerge and how sensor technology as a core technology for home and te...

The ever-growing demand for acquiring, managing and exploi ng pa ent health related informa on has led to the development of many e-Health systems and applica ons. However, despite the number of systems already developed and the apparent need for such systems, end users can only collect online and exploit, only a limited set of informa on for health purposes in the context of personalized, prev...