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Using Hospitalists to Maximize Inpatient Information Technology, Part 1

“This is a two-part series on the symbiotic relationship between hospitalists and health information technology. This week, the author explains how hospitalists can help an organization derive full value from its IT investments. Next week, he illustrates how technology assists hospitalists in caring for patients.”
Article
Brian Levy, HHNMostWired, 7 May 2008

Tagged: and ; posted on Saturday, May 10th, 2008 at 8:48 am
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Electronic health records in complementary and alternative medicine

Objectives
This paper investigates the potential for a standardised electronic health record (EHR) designed for conventional medicine also to be used by complementary and alternative medicine.
Method
The research was undertaken using anonymised samples of patient records from homoeopathy practices, to investigate if the patient data could be modelled using the forthcoming joint European and International Standard for EHR Communications (ISO/EN 13606). The research deliberately did not consider the effectiveness of complementary and alternative medicine or the clinical evidence for any particular CAM practice or treatment. The focus was purely on the patient data captured routinely by CAM therapists, to determine whether current approaches to the representation and communication of EHRs could incorporate such records.
Results
Five homoeopathic patient records, authored by different practitioners in different practice settings, were re-represented in a structured form in conformance with the ISO/EN 13606 reference Model. A sixth practitioner confirmed that the transposition had been as faithful to the original records as was possible given some limitations in the clarity of the originals.
Conclusion
The authors conclude that the ISO/EN 13606 model can be used to represent patient records from homoeopathy, including the evidence and reasoning used to arrive at a formulation and to determine the appropriate remedy. It is therefore feasible that future EHR systems adopting this standard could enable patient records to be shared between complementary and conventional medical practice, in support of integrated healthcare.
Abstract
Ken Smith and Dipak Kalra, International Journal of Medical Informatics, In Press, Corrected Proof, Available online 31 January 2008,doi:10.1016/j.ijmedinf.2007.11.005

Tagged: , and ; posted on Monday, February 4th, 2008 at 9:39 am
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