The growing use of electronic health records (EHRs) in healthcare provides rich opportunities for biomedical research. Using EHRs, massive quantities of patient data can be extracted for research without the need to recruit patients, schedule study visits, or rely on self-reporting. However, this innovation poses significant concerns about patient privacy and confidentiality of data. Patients r...

Advances in genomic medicine have the potential to change the way we treat human disease, but translating these advances into reality for improving healthcare outcomes depends essentially on our ability to discover disease- and/or drug-associated clinically actionable genetic mutations. Integration and manipulation of diverse genomic data and comprehensive electronic health records (EHRs) on a ...

With the adoption of Standardized Electronic Health Records (EHRs) databases, recent research studies consider standardization and interoperability. At the same time the need for querying (the archival data) is becoming important. The complex and dynamic nature of these databases give rise to several usability challenges. This study aims to reduce the gap between the designed application flow a...

OBJECTIVES To determine pre-implementation perspectives of institutional, practice and vendor leadership regarding best practice for implementation of two ambulatory electronic health records (EHRs) at an academic institution. DESIGN Semi-structured interviews with ambulatory care network and information systems leadership, medical directors, practice managers and vendors before EHR implement...

This study explored physicians' interactions with EHRs to understand the qualities that contribute to patient satisfaction with their use of the technologies and patient satisfaction with physician. Video-taped observations of 100 medical consultations were used to distinguish interaction patterns between physicians and EHRs. Quantified observational methods were used to contribute to ecologica...

Introduction. An electronic Routine Assessment of Patient Index Data 3 (RAPID 3) was incorporated into our electronic health records (EHRs) which did not replicate the visual presentation of the paper version. This study validated the electronic RAPID 3 compared to the paper version. Methods. Rheumatoid arthritis (RA) patients (n = 50) completed both the electronic RAPID 3 online in the week pr...

background healthcare stakeholders have a great interest in the adoption and use of electronic personal health records (ephrs) because of the potential benefits associated with them. little is known, however, about the level of adoption of ephrs in canada and there is limited evidence concerning their benefits and implications for the healthcare system. this study aimed to describe the current ...

Sensitive health information is kept in Electronic Health Records (EHRs) which makes the data accessible, enabling its transfer against patient consent. Hence, the need for privacy-preserving mechanisms is a top priority. As a first step towards the development of privacy-preserving access control language, we used qualitative research methods to characterize scenarios of requests for disclosur...

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 that was signed into law as part of the "stimulus package" represents the largest US initiative to date that is designed to encourage widespread use of electronic health records (EHRs). In light of the changes anticipated from this policy initiative, the purpose of this paper is to review and summarize the l...

T he quantity of available healthcare data is rising rapidly, far exceeding the capacity to deliver personal or public health benefits from analyzing this data [1]. Three key elements of the rise are electronic health records (EHRs), biotechnologies, and scientific outputs. We discuss these in turn below, leading to our proposal for a unified modeling approach that can take full advantage of a ...