Our longitudinal study examines the changing roles of health care professionals (physicians, nurses, medical assistants, practice managers, and secretaries) before and after an EHR implementation in a large, multi-location group practice. We take a social informatics perspective and focus on the changing social identities of health care professionals as they adapt to their EHR-enabled roles. A ...

To identify studies conductedusing the direct, electronic extraction of health record (EHR) datato data capture (EDC) systems, also known as eSource, and toidentify any gaps or limitations present for promoting standardized healthinformation exchange in clinical research.Materials Methods:Articleswere included only if solution described (1) utilized eSource to directlyexchange electronically fr...

A large portion of every day as a physician is spent interacting with an electronic health record (EHR). Understanding how to use an EHR effectively and efficiently is quickly becoming required knowledge for the modern physician. Studies show that most physicians now spend a higher percentage of their time entering and reviewing data in the EHR than any other activity, with estimates as high as...

The past decade has seen an explosion in the amount of digital information stored in electronic health records (EHR). While primarily designed for archiving patient clinical information and administrative healthcare tasks, many researchers have found secondary use of these records for various clinical informatics tasks. Over the same period, the machine learning community has seen widespread ad...

This work describes an implementation of a proof-of-concept layer to export medical data from a health information system in a CEN prEN 13606 compliant format. The resulting EHR extracts are deposited in a local repository. The export-layer is based on Oracle PL/SQL and the PL/SQL DOM API. EHR extracts are described by means of two XML Schemas and are transformed into Archetype compliant EHR ex...

Electronic health record (EHR) advocates argue that EHRs lead to reduced errors and reduced costs. Many reports suggest otherwise. The EHR often leads to higher billings and declines in provider productivity with no change in provider-to-patient ratios. Error reduction is inconsistent and has yet to be linked to savings or malpractice premiums. As interest in patient-centeredness, shared decisi...

Published requirements for the EHR are principally available via ISO 18308. They are statements defining the generic features necessary in any Electronic Health Record for it to be communicable and complete, retain integrity across systems, countries and time, and be a useful and effective ethico-legal record of care. Examples of requirements are provided in four themes: EHR functional requirem...

OBJECTIVE This paper provides a review of EHR (electronic health record) implementations around the world and reports on findings including benefits and issues associated with EHR implementation. MATERIALS AND METHODS A systematic literature review was conducted from peer-reviewed scholarly journal publications from the last 10 years (2001-2011). The search was conducted using various publica...

BACKGROUND There is a major campaign involving large expenditures of public money to increase the adoption rate of electronic health record (EHR) systems in Canada. To maximize the chances of success in this effort, physician views on EHRs must be addressed, since user perceptions are key to successful implementation of technology innovations. OBJECTIVE We propose a theoretical model comprisi...

Traditional electronic health record (EHR) data are produced from various hospital information systems. They could not have existed independently without an information system until the incarnation of XML technology. The interoperability of a healthcare system can be divided into two dimensions: functional interoperability and semantic interoperability. Currently, no single EHR standard exists ...