As the health information management (HIM) profession continues to expand and become more specialized, there is an ever-increasing need to identify emerging HIM workforce roles that require a codified level of proficiency and professional standards. The Commission on Certification for Health Informatics and Information Management (CCHIIM) explored one such role-clinical documentation improvemen...

Microarray gene expression signatures hold great promise to improve diagnosis and prognosis of disease. However, current documentation standards of such signatures do not allow for an unambiguous application to study-external patients. This hinders independent evaluation, effectively delaying the use of signatures in clinical practice. Data from eight publicly available clinical microarray stud...

In this project standards for nursing records in general hospitals were formulated and then validated by a group of nurses. An instrument was then designed to evaluate to what extent the standards are reached in a particular hospital. The instrument was then tested in a sample of nine hospitals. The reliability and validity of the instrument is discussed.

OBJECTIVES To demonstrate and promote the importance of applying a scientific process to health IT design and implementation, and of basing this on research principles and techniques. METHODS A review by international experts linked to the IMIA Working Group on Technology Assessment and Quality Development. RESULTS Four approaches are presented, linking to the creation of national professio...

OBJECTIVE We aimed to explore stakeholder views, attitudes, needs, and expectations regarding likely benefits and risks resulting from increased structuring and coding of clinical information within electronic health records (EHRs). MATERIALS AND METHODS Qualitative investigation in primary and secondary care and research settings throughout the UK. Data were derived from interviews, expert d...

In this paper we report on ongoing verification and validation work within the MULTIDOC project. This project is situated in the field of multilingual automotive product documentation. One central task is the evaluation of existing off-the-shelf and research based language technology (LT) products and components for the purpose of supporting or even reorganising the documentation production cha...

This paper outlines a framework for integrating forensic scene documentation with mobile technology. Currently there are no set standards for documenting a forensic scene. Nonetheless, there is a conceptual framework that forensic scientists and engineers use that includes note taking, scene sketches, photographs, video, and voice interview recordings. This conceptual framework will be the basi...

background and objectives: many iranian public hospitals are faced with serious financial challenges such as shortage of income and heavy debts. nevertheless, many of the healthcare services are often remained unearned for not being included in the clinical records or patient bill, resulting in considerable loss of legitimate hospital in­come. given the limited studies in this area in iran, the...