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Electronic Health Record: Standards, Coding Systems, Frameworks, and Infrastructures [Kõva köide]

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  • Formaat: Hardback, 376 pages, kõrgus x laius x paksus: 236x160x25 mm, kaal: 726 g
  • Ilmumisaeg: 29-Jan-2013
  • Kirjastus: Wiley-IEEE Press
  • ISBN-10: 1118281349
  • ISBN-13: 9781118281345
Teised raamatud teemal:
Electronic Health Record: Standards, Coding Systems, Frameworks, and InfrastructuresSuurem pilt
  • Formaat: Hardback, 376 pages, kõrgus x laius x paksus: 236x160x25 mm, kaal: 726 g
  • Ilmumisaeg: 29-Jan-2013
  • Kirjastus: Wiley-IEEE Press
  • ISBN-10: 1118281349
  • ISBN-13: 9781118281345
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9781118281345.html
Märksõnad:
"The book offers most comprehensive coverage of available EHR (Electronic Health Record) Standards including ISO, European Union Standards, and national initiatives by Sweden, Netherlands, Canada, Australia and many others"--Provided by publisher.

Discover How Electronic Health Records Are Built to Drive the Next Generation of Healthcare Delivery

The increased role of IT in the healthcare sector has led to the coining of a new phrase "health informatics," which deals with the use of IT for better healthcare services. Health informatics applications often involve maintaining the health records of individuals, in digital form, which is referred to as an Electronic Health Record (EHR). Building and implementing an EHR infrastructure requires an understanding of healthcare standards, coding systems, and frameworks. This book provides an overview of different health informatics resources and artifacts that underlie the design and development of interoperable healthcare systems and applications.

Electronic Health Record: Standards, Coding Systems, Frameworks, and Infrastructures compiles, for the first time, study and analysis results that EHR professionals previously had to gather from multiple sources. It benefits readers by giving them an understanding of what roles a particular healthcare standard, code, or framework plays in EHR design and overall IT-enabled healthcare services along with the issues involved.

This book on Electronic Health Record:

  • Offers the most comprehensive coverage of available EHR Standards including ISO, European Union Standards, and national initiatives by Sweden, the Netherlands, Canada, Australia, and many others
  • Provides assessment of existing standards
  • Includes a glossary of frequently used terms in the area of EHR
  • Contains numerous diagrams and illustrations to facilitate comprehension
  • Discusses security and reliability of data
Preface xvii
Acronyms xxvii
PART ONE Introduction
1 Introduction to EHR
3(12)
1.1 Introduction
3(1)
1.2 Definition of EHR
4(1)
1.3 Functions of EHR
5(1)
1.4 Significance of EHR
6(1)
1.5 Factors Affecting Implementation of EHR
7(1)
1.6 Role of Standards
8(1)
1.7 Role of Clinical Coding Systems
9(1)
1.8 Role of Standard Frameworks
9(1)
1.9 Case Studies of National EHR Implementations
10(5)
Bibliography
10(5)
PART TWO EHR Standards
2 Standard for EHR Architecture Requirements
15(8)
2.1 Introduction
15(1)
2.2 ISO/TS 18308 Requirement Specification
16(2)
2.2.1 Content Structure Model
16(1)
2.2.2 Inclusion of Clinical and Record Processes
17(1)
2.2.3 Content Exchange
17(1)
2.2.4 Privacy and Security
17(1)
2.2.5 Legal Considerations
17(1)
2.2.6 Ethical, Consumer/Cultural Aspects
18(1)
2.2.7 Future-proof Framework
18(1)
2.3 Discussion
18(2)
2.4 Conclusion
20(3)
Bibliography
20(3)
3 Standard for Healthcare Concepts
23(10)
3.1 Introduction
23(1)
3.2 CEN/TC EN 13940-1
24(4)
3.2.1 Actors in Continuity of Care
24(1)
3.2.2 Health Issues and Their Management
25(1)
3.2.3 Concepts Related to Responsibility
25(1)
3.2.4 Time-Related Concepts
26(1)
3.2.5 Concepts Related to Knowledge, Activities, and Decision Support
27(1)
3.2.6 Health Data Management
28(1)
3.3 CEN/TC prEN 13940-2
28(2)
3.3.1 Healthcare Process
29(1)
3.4 Discussion
30(2)
3.5 Conclusion
32(1)
Bibliography
32(1)
4 Standard for EHR Functional Specifications
33(10)
4.1 Introduction
33(1)
4.2 HL7 EHR-S Functional Model
34(4)
4.2.1 Functional Profiles
34(2)
4.2.2 Exchange
36(1)
4.2.3 Security/Privacy
37(1)
4.3 Comparison of HL7 EHR-S FM and ISO/TS 18308
38(1)
4.4 Discussion
39(1)
4.5 Conclusion
40(3)
Bibliography
41(2)
5 Standard for EHR Communication
43(14)
5.1 Introduction
43(2)
5.2 CEN/ISO EN 13606 Requirement Specification
45(6)
5.2.1 Part 1: Reference Model
45(1)
5.2.2 Part 2: Archetypes Interchange Specification
46(3)
5.2.3 Part 3: Reference Archetypes and Term Lists
49(1)
5.2.4 Part 4: Security
49(1)
5.2.5 Part 5: Exchange Models
50(1)
5.3 Discussion
51(2)
5.4 Conclusion
53(4)
Bibliography
54(3)
6 Messaging Standard for Healthcare Data
57(12)
6.1 Introduction
57(1)
6.2 HL7 v2.x
58(6)
6.2.1 Message Structure
60(1)
6.2.2 Auxiliary Messaging Protocols
61(1)
6.2.3 Usage Scenario
62(1)
6.2.4 Example of HL7 v2.x Message
62(2)
6.3 Discussion
64(3)
6.4 Conclusion
67(2)
Bibliography
67(2)
7 Model-Based Messaging Standard for Healthcare Data
69(12)
7.1 Introduction
69(1)
7.2 HL7 v3
69(6)
7.2.1 Message Structure
70(4)
7.2.2 Interaction Model
74(1)
7.2.3 Role-Based Access Control
74(1)
7.2.4 HL7 v3 and SNOMEDCT
75(1)
7.2.5 HL7 v3 and Service-Oriented Architecture (SOA)
75(1)
7.3 HL7 v2.x and v3 Comparison
75(1)
7.4 Discussion
75(2)
7.5 Conclusion
77(4)
Bibliography
78(3)
8 Clinical Document Standards
81(12)
8.1 Introduction
81(1)
8.2 Clinical Document Architecture (CDA)
82(3)
8.2.1 Document Structures
82(1)
8.2.2 Example of CDA Component
83(2)
8.3 Continuity of Care Document (CCD)
85(2)
8.3.1 Example of CCD Component
86(1)
8.4 Clinical Document Exchange
87(1)
8.5 Discussion
87(2)
8.6 Conclusion
89(4)
Bibliography
89(4)
9 Standard for Medical Imaging and Communication
93(10)
9.1 Introduction
93(1)
9.2 DICOM
94(2)
9.2.1 Information Model
94(2)
9.2.2 Message Exchange Model
96(1)
9.3 Improvements in DICOM Standard
96(1)
9.4 Discussion
96(4)
9.5 Conclusion
100(3)
Bibliography
100(3)
10 Standard for Patient Health Summary
103(10)
10.1 Introduction
103(1)
10.2 Continuity of Care Record (CCR)
103(4)
10.2.1 Structural Model
104(2)
10.2.2 Exchange
106(1)
10.3 Discussion
107(1)
10.4 Conclusion
108(5)
Bibliography
108(5)
PART THREE Coding Systems
11 Coding System for Classification of Diseases and Related Health Problems
113(6)
11.1 Introduction
113(1)
11.2 ICD
114(1)
11.2.1
Chapters
114(1)
11.2.2 Blocks
114(1)
11.3 Improvements in ICD-10
114(2)
11.4 Discussion
116(1)
11.5 Conclusion
116(3)
Bibliography
117(2)
12 Coding System for Laboratory Tests and Observations
119(6)
12.1 Introduction
119(1)
12.2 LOINC
120(2)
12.2.1 Code Classification
120(1)
12.2.2 Code Structure
120(2)
12.2.3 Regenstrief LOINC Mapping Assistant (RELMA)
122(1)
12.3 Discussion
122(1)
12.4 Conclusion
123(2)
Bibliography
123(2)
13 Coding System for Patient Care Procedures
125(6)
13.1 Introduction
125(1)
13.2 CPT
126(3)
13.2.1 Data Model
127(1)
13.2.2 CPT Sections
128(1)
13.2.3 CPT Index
128(1)
13.2.4 CPT Symbols
128(1)
13.2.5 CPT Modifiers
128(1)
13.2.6 Descriptive Qualifiers
129(1)
13.3 Discussion
129(1)
13.4 Conclusion
130(1)
Bibliography
130(1)
14 Extended Coding System for Patient Care Procedures
131(6)
14.1 Introduction
131(1)
14.2 HCPCS
132(2)
14.2.1 Level I Codes
132(1)
14.2.2 Level II Codes
132(2)
14.3 Discussion
134(1)
14.4 Conclusion
134(3)
Bibliography
134(3)
15 Comprehensive Coding System for Clinical Terms
137(8)
15.1 Introduction
137(1)
15.2 SNOMED CT
138(3)
15.2.1 Concepts
138(2)
15.2.2 Structure of SNOMED CT Code
140(1)
15.3 SNOMED CT Database Browsers
141(1)
15.4 Discussion
141(1)
15.5 Conclusion
142(3)
Bibliography
142(3)
16 Unified Medical Language System
145(8)
16.1 Introduction
145(1)
16.2 UMLS-Supported Coding Systems
146(1)
16.3 UMLS Architecture
146(4)
16.3.1 Metathesaurus
146(2)
16.3.2 Semantic Network
148(1)
16.3.3 Specialist Lexicon and Lexical Tools
149(1)
16.4 UMLS Licensing
150(1)
16.5 Discussion
150(1)
16.6 Conclusion
151(2)
Bibliography
151(2)
17 Other Coding Systems
153(10)
17.1 Introduction
153(1)
17.2 AHFS Drug Information (AHFS DI)
154(1)
17.3 Current Dental Terminology (CDT)
154(1)
17.4 International Classification of Diseases for Oncology (ICD-O)
155(1)
17.5 International Classification of Functioning, Disability and Health (ICF)
155(1)
17.6 Coding Systems for Nursing Practices
156(1)
17.6.1 North American Nursing Diagnosis Association (NANDA)
156(1)
17.6.2 Nursing Interventions Classification (NIC)
156(1)
17.6.3 Nursing Outcomes Classification (NOC)
156(1)
17.7 Radiology Lexicon (RADLEX)
157(1)
17.8 RxNorm
157(1)
17.9 Discussion
157(1)
17.10 Conclusion
158(5)
Bibliography
158(5)
PART FOUR Standard Frameworks
18 OpenEHR
163(12)
18.1 Introduction
163(1)
18.2 openEHR Process Model
164(2)
18.3 openEHR Architecture
166(4)
18.3.1 EHR Information Model
168(2)
18.3.2 Exchange
170(1)
18.4 Discussion
170(2)
18.5 Conclusion
172(3)
Bibliography
172(3)
19 Integrating the Healthcare Enterprise (IHE)
175(14)
19.1 Introduction
175(1)
19.2 IHE Domains
176(4)
19.2.1 Integration Profiles
176(3)
19.2.2 Integration Statements
179(1)
19.2.3 Technical Frameworks
179(1)
19.3 IHE Initiatives on Electronic Health Record
180(1)
19.4 Exchange
180(1)
19.4.1 Cross-Enterprise Document Sharing (XDS)
180(1)
19.5 Security
181(1)
19.5.1 Audit Trail & Node Authentication (ATNA)
181(1)
19.6 Discussion
182(1)
19.7 Conclusion
183(6)
Bibliography
184(5)
PART FIVE Case Studies: National EHR Efforts
20 Australia's HealthConnect
189(10)
20.1 Introduction
189(1)
20.2 Overview
190(1)
20.3 Architecture
190(5)
20.3.1 EHR Concept
190(1)
20.3.2 EHR Design
191(2)
20.3.3 e-Health Services
193(1)
20.3.4 National Privacy Principles (NPP)
194(1)
20.3.5 Exchange
194(1)
20.4 Discussion
195(1)
20.5 Conclusion
196(3)
Bibliography
196(3)
21 Austria's ELGA
199(12)
21.1 Introduction
199(1)
21.2 Overview
200(1)
21.3 Architecture
200(3)
21.3.1 Master Patient Index
201(1)
21.3.2 HSP Index
201(1)
21.3.3 Authorization System
202(1)
21.3.4 HSP System
202(1)
21.3.5 Storage (Document Registry)
202(1)
21.3.6 Network
202(1)
21.3.7 ELGA Portal
203(1)
21.4 Functional Implementation
203(2)
21.4.1 Healthcare Services
205(1)
21.5 Exchange
205(1)
21.6 Discussion
205(2)
21.7 Conclusion
207(4)
Bibliography
208(3)
22 Canada's EHRS Blueprint
211(10)
22.1 Introduction
211(1)
22.2 Overview
211(1)
22.3 Architecture
212(5)
22.3.1 Electronic Health Record Solution (EHRS)
212(1)
22.3.2 Electronic Health Record Infostructure (EHRi)
213(3)
22.3.3 Exchange
216(1)
22.3.4 Legal Framework
217(1)
22.4 Discussion
217(2)
22.5 Conclusion
219(2)
Bibliography
219(2)
23 Denmark's MedCom
221(8)
23.1 Introduction
221(1)
23.2 Overview
221(1)
23.3 Architecture
222(3)
23.3.1 EHR Concept
222(1)
23.3.2 EHR Design
223(1)
23.3.3 Danish Health Data Network
223(1)
23.3.4 Security Infrastructure
224(1)
23.3.5 National Health Portal (Sundheds.dk)
224(1)
23.3.6 Exchange
225(1)
23.4 Discussion
225(1)
23.5 Conclusion
226(3)
Bibliography
226(3)
24 Hong Kong's eHR Sharing System
229(10)
24.1 Introduction
229(1)
24.2 Overview
229(1)
24.3 Architecture
230(4)
24.3.1 E-Health Engagement Initiative (EEI)
230(1)
24.3.2 eHR Sharing System
231(2)
24.3.3 Exchange
233(1)
24.3.4 Security/Privacy Guidelines
233(1)
24.4 Discussion
234(1)
24.5 Conclusion
235(4)
Bibliography
235(4)
25 India's Health IT Initiatives
239(14)
25.1 Introduction
239(1)
25.2 Overview
240(1)
25.3 ITIH Framework
240(2)
25.4 Recommendations on Guidelines, Standards, and Practices for Telemedicine in India
242(2)
25.5 iHIND
244(3)
25.5.1 Architecture
245(1)
25.5.2 Confidentiality, Access, and Security
246(1)
25.5.3 Standards
246(1)
25.6 Other Initiatives
247(2)
25.6.1 Integrated Disease Surveillance Project
247(1)
25.6.2 National Rural Telemedicine Network (NRTN)
247(1)
25.6.3 National Medical College Network
248(1)
25.6.4 Standardization of EHR
248(1)
25.7 Discussion
249(2)
25.8 Conclusion
251(2)
Bibliography
251(2)
26 Netherlands' Aorta
253(6)
26.1 Introduction
253(1)
26.2 Overview
253(1)
26.3 Architecture
254(2)
26.3.1 Dutch Electronic Patient Dossier (EPD) System
254(1)
26.3.2 NICTIZ Healthcare IT Infrastructure Workflow
255(1)
26.3.3 Exchange
256(1)
26.3.4 Security/Privacy Guidelines
256(1)
26.4 Discussion
256(1)
26.5 Conclusion
257(2)
Bibliography
258(1)
27 Singapore's NEHR
259(8)
27.1 Introduction
259(1)
27.2 Overview
259(1)
27.3 Architecture
260(3)
27.3.1 Health Clusters
260(1)
27.3.2 EMR Exchange (EMRX)
260(1)
27.3.3 National Electronic Health Record (NEHR)
261(2)
27.4 Discussion
263(1)
27.5 Conclusion
264(3)
Bibliography
264(3)
28 Sweden's NPO
267(10)
28.1 Introduction
267(1)
28.2 Overview
268(1)
28.3 Architecture
269(4)
28.3.1 Clinical Process Model
269(1)
28.3.2 Information Model
270(1)
28.3.3 Sjunet
271(1)
28.3.4 Electronic Catalog For Health and Social Care
271(1)
28.3.5 Secure it in Health Services
271(1)
28.3.6 Basic Services for Information
271(1)
28.3.7 Regulatory Framework for Information Interoperability in Healthcare
272(1)
28.3.8 National Patient Summary
273(1)
28.4 Discussion
273(1)
28.5 Conclusion
274(3)
Bibliography
275(2)
29 Taiwan's Health Information Network
277(10)
29.1 Introduction
277(1)
29.2 Overview
278(1)
29.3 Architecture
278(2)
29.3.1 National Health Information Network (HIN)2.0
279(1)
29.4 Exchange
280(2)
29.4.1 TMT Standard
280(2)
29.5 Discussion
282(2)
29.6 Conclusion
284(3)
Bibliography
285(2)
30 United Kingdom's Spine
287(8)
30.1 Introduction
287(1)
30.2 Overview
287(1)
30.3 Architecture
288(4)
30.3.1 Spine Infrastructure
288(2)
30.3.2 Structure of Summary Care Record
290(1)
30.3.3 Content of Summary Care Record
290(1)
30.3.4 Security Infrastructure
291(1)
30.3.5 Exchange
292(1)
30.4 Discussion
292(2)
30.5 Conclusion
294(1)
Bibliography
294(1)
31 USA's EHR Meaningful Use
295(18)
31.1 Introduction
295(1)
31.2 Overview
296(1)
31.3 EHR Meaningful Use
296(5)
31.3.1 Requirement Specifications
297(4)
31.4 National Health Information Network (NHIN)
301(3)
31.4.1 NHIN Architecture
301(2)
31.4.2 Exchange Services
303(1)
31.4.3 Transaction Profiles
303(1)
31.4.4 Authorization Framework
304(1)
31.4.5 NHIN Trial Project
304(1)
31.4.6 NHIN Direct Project
304(1)
31.5 Discussion
304(3)
31.6 Conclusion
307(6)
Bibliography
307(6)
PART SIX Findings and Conclusion
32 Findings and Conclusion
313(14)
32.1 EHR Standards
313(4)
32.2 Coding Systems
317(1)
32.3 Standard Frameworks
318(1)
32.4 Case Studies: National EHR Efforts
319(6)
32.4.1 Quantitative Assessment
320(4)
32.4.2 Qualitative Assessment
324(1)
32.5 Recommended Phases for Implementing A National EHR System
325(2)
Glossary 327(12)
Index 339
PRADEEP K. SINHA, PhD, is the Senior Director (High Performance Computing) at the Centre for Develop- ment of Advanced Computing (C-DAC), India, and coordinator and mentor to several high-technology R&D groups there.

GAUR SUNDER heads research and development at Medical Informatics Group (MIG) at C-DAC, India, and is a member of the eHealth Committee of the Bureau of Indian Standards and the National EHR Standards Committee of the Union Health Ministry of India.

PRASHANT BENDALE is involved in the research and development of the distribution and integration model for building EHR stores at C-DAC.

MANISHA D. MANTRI is involved in the research and development of an evolving EHR model, compliance to eHealth standards, and security policies for EHR systems at C-DAC.

ATREYA C. DANDE is involved in the research and development of EHR standards, national EHR frameworks, distributed technologies, and optimal search algorithms in healthcare at C-DAC.