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Sample records for patient record system

  1. TeleMed: A distributed virtual patient record system

    SciTech Connect

    Forslund, D.W.; Phillips, R.L.; Kilman, D.G.; Cook, J.L.

    1996-06-01

    TeleMed is a distributed diagnosis and analysis system, which permits physicians who are not collocated to consult on the status of a patient. The patient`s record is dynamically constructed from data that may reside at several sites but which can be quickly assembled for viewing by pointing to the patient`s name. Then, a graphical patient record appears, through which consulting physicians can retrieve textual and radiographic data with a single mouse click. TeleMed uses modern distributed object technology and emerging telecollaboration tools. The authors describe in this paper some of the motivation for this change, what they mean by a virtual patient record, and some results of some early implementations of a virtual patient record.

  2. Health-based payment and computerized patient record systems.

    PubMed

    Hornbrook, M C; Goodman, M J; Fishman, P A; Meenan, R T

    1998-01-01

    Health care information technology is changing rapidly and dramatically. A small but growing number of clinicians, especially those in staff and group model HMOs and hospital-affiliated practices, are automating their patient medical records in response to pressure to improve quality and reduce costs. Computerized patient record systems in HMOs track risks, diagnoses, patterns of care, and outcomes across large populations. These systems provide access to large amounts of clinical information; as a result, they are very useful for risk-adjusted or health-based payment. The next stage of evolution in health-based payment is to switch from fee-for-service (claims) to HMO technology in calculating risk coefficients. This will occur when HMOs accumulate data sets containing records on provider-defined disease episodes, with every service linked to its appropriate disease episode for millions of patients. Computerized patient record systems support clinically meaningful risk-assessment models and protect patients and medical groups from the effects of adverse selection. They also offer significant potential for improving quality of care. PMID:10187225

  3. A clerking tool for the patient record system.

    PubMed

    McDermott, D; Heathfield, H; Kirby, J

    1995-01-01

    1. BACKGROUND. The goal of the PEN&PAD (Elderly Care) project is to develop a patient record system to assist the many different professionals that care for patients in a hospital setting. At the core of the project is the use of structured data which can be reused in a variety of ways--both within the system for further manipulation and display, and externally for auditing and statistical purposes. To accommodate these needs, a compositional method of data entry called Structured Data Entry (SDE) was used in this application. SDE was developed in an earlier project PEN&PAD (GP)(1). Our application utilizes a network representation of the medical semantics that can be queried to obtain what is sensible to "say" about a particular concept. This functionality is contained within a separate application known as the Terminology Server (TeS), which has been developed within the GALEN project (2). The client application (the patient record system) requests information from the TeS which can then be used to produce compositional data entry forms that require the user to choose values for given attributes (e.g., if information pertaining to chest pain were being recorded, the attribute 'location' and a choice of possible values i.e., 'left' 'right' and 'bilateral' might appear on the form). Given the importance of capturing clinical information in a highly structured format, SDE is a valuable tool. However, its long term success depends on a very comprehensive model of the medical terminology corpus. This component is currently being studied by the GALEN team. 2. CURRENT WORK. We are developing a clerking tool to be used to create records for the newly admitted patient. The clinician seeks to identify a patient's problems based on physical examination and information obtained through conversation with the patient. Patients are usually admitted with a presenting complaint and obtaining more information about this complaint is an important part of the clerking process. While

  4. Accelerometer recorder and display system for ambulatory patients

    NASA Astrophysics Data System (ADS)

    Berka, Martin; Żyliński, Marek; Niewiadomski, Wiktor; Cybulski, Gerard

    2015-09-01

    This paper presents the design of a compact, wearable, rechargeable acceleration recorder to support long-term monitoring of ambulatory patients with motor disorders, and of software to display and analyze its output. The device consists of a microcontroller, operational amplifier, accelerometer, SD card, indicator LED, rechargeable battery, and associated minor components. It can operate for over a day without charging and can continuously collect data for three weeks without downloading to an outside system, as currently configured. With slight modifications, this period could be extended to several months. The accompanying software provides flexible visualization of the acceleration data over long periods, basic file operations and compression for easier archiving, annotation of segments of interest, and functions for calculation of various parameters and detection of immobility and vibration frequencies. Applications in analysis of gait and other movements are discussed.

  5. Comparing the security risks of paper-based and computerized patient record systems

    NASA Astrophysics Data System (ADS)

    Collmann, Jeff R.; Meissner, Marion C.; Tohme, Walid G.; Winchester, James F.; Mun, Seong K.

    1997-05-01

    How should hospital administrators compare the security risks of paper-based and computerized patient record systems. There is a general tendency to assume that because computer networks potentially provide broad access to hospital archives, computerized patient records are less secure than paper records and increase the risk of breaches of patient confidentiality. This assumption is ill-founded on two grounds. Reasons exist to say that the computerized patient record provides better access to patient information while enhancing overall information system security. A range of options with different trade-offs between access and security exist in both paper-based and computerized records management systems. The relative accessibility and security of any particular patient record management system depends, therefore, on administrative choice, not simply on the intrinsic features of paper or computerized information management systems.

  6. Impact of a Computer-based Patient Record System on Data Collection, Knowledge Organization, and Reasoning

    PubMed Central

    Patel, Vimla L.; Kushniruk, Andre W.; Yang, Seungmi; Yale, Jean-Francois

    2000-01-01

    Objective: To assess the effects of a computer-based patient record system on human cognition. Computer-based patient record systems can be considered "cognitive artifacts," which shape the way in which health care workers obtain, organize, and reason with knowledge. Design: Study 1 compared physicians' organization of clinical information in paper-based and computer-based patient records in a diabetes clinic. Study 2 extended the first study to include analysis of doctor–patient–computer interactions, which were recorded on video in their entirety. In Study 3, physicians' interactions with computer-based records were followed through interviews and automatic logging of cases entered in the computer-based patient record. Results: Results indicate that exposure to the computer-based patient record was associated with changes in physicians' information gathering and reasoning strategies. Differences were found in the content and organization of information, with paper records having a narrative structure, while the computer-based records were organized into discrete items of information. The differences in knowledge organization had an effect on data gathering strategies, where the nature of doctor-patient dialogue was influenced by the structure of the computer-based patient record system. Conclusion: Technology has a profound influence in shaping cognitive behavior, and the potential effects of cognition on technology design needs to be explored. PMID:11062231

  7. Graphical electrocardiogram waveforms as part of an integrated hospital system's patient record.

    PubMed Central

    Enison, E. J.; Dayhoff, R.; Fletcher, R. D.

    1993-01-01

    The U.S. Department of Veterans Affairs (VA) has an ongoing project to integrate diagnostic images into its existing text-based hospital information system. High-quality images from cardiology, pulmonary medicine, gastroenterology, endoscopy, pathology, radiology, hematology and nuclear medicine can be displayed for clinicians quickly and conveniently on workstations throughout the hospital. As a part of this endeavor, diagnostic-quality computer generated 12-lead electrocardiograms, including both median and rhythm data, can be viewed as a part of the on-line patient record of an integrated hospital information system. Now computer generated graphics can be included in the longitudinal patient record. Incorporating generated graphics and images into a text based patient record is another step towards the next generation of integrated hospital information system with multimedia patient records. PMID:8130498

  8. [Electronic patient records and teleophthalmology : part 1: introduction to the various systems and standards].

    PubMed

    Schargus, M; Michelson, G; Grehn, F

    2011-05-01

    Electronic storage of patient-related data will replace paper-based patient records in the near future. Some steps in medical practice can even now not be achieved without electronic data processing. Both systems, conventional paper-based and electronic-based records, have advantages and disadvantages which have to be taken into consideration. The advantages of electronic-based records are e.g. good availability of data, structured storage of data, scientific analysis of long-term data and possible data exchange with colleagues in the context of teleconsultation systems. Problems have to be solved in the field of data security, initial high investment costs and time consumption in learning to use the system as well as in incompatibility of existing IT systems. PMID:21590353

  9. Biomedical recording system

    NASA Technical Reports Server (NTRS)

    Vick, H. A.

    1970-01-01

    System collects medical data directly from patients and permanently records and displays several parameters - electrocardiograph, electroencephalograph, heart rate, respiration rate, auscultatory blood pressure, leg circumference changes, body temperature, and time. Components and operation of the system are described.

  10. Develop security architecture for both in-house healthcare information systems and electronic patient record

    NASA Astrophysics Data System (ADS)

    Zhang, Jianguo; Chen, Xiaomeng; Zhuang, Jun; Jiang, Jianrong; Zhang, Xiaoyan; Wu, Dongqing; Huang, H. K.

    2003-05-01

    In this paper, we presented a new security approach to provide security measures and features in both healthcare information systems (PACS, RIS/HIS), and electronic patient record (EPR). We introduced two security components, certificate authoring (CA) system and patient record digital signature management (DSPR) system, as well as electronic envelope technology, into the current hospital healthcare information infrastructure to provide security measures and functions such as confidential or privacy, authenticity, integrity, reliability, non-repudiation, and authentication for in-house healthcare information systems daily operating, and EPR exchanging among the hospitals or healthcare administration levels, and the DSPR component manages the all the digital signatures of patient medical records signed through using an-symmetry key encryption technologies. The electronic envelopes used for EPR exchanging are created based on the information of signers, digital signatures, and identifications of patient records stored in CAS and DSMS, as well as the destinations and the remote users. The CAS and DSMS were developed and integrated into a RIS-integrated PACS, and the integration of these new security components is seamless and painless. The electronic envelopes designed for EPR were used successfully in multimedia data transmission.

  11. Issues in identification and linkage of patient records across an integrated delivery system.

    PubMed

    Arellano, M G; Weber, G I

    1998-01-01

    Historically, the health information systems community has viewed linking personal records as a mundane task. The oversimplified view that routine database manipulation can accurately identify multiple records for a single individual is erroneous, an assumption based on a misperception of the quality of the underlying data. Such data have been adversely affected by the evolution of individual facility patient indexes from multiple systems and the results of backload procedures, and the lack of focus on the need for data integrity by users of the automated systems. Much of the random, invalid data we identify on a daily basis is directly associated with the need for system users to place data in the patient record while they face the situation of having no obvious data field in which to place them. Combined with an underlying lack of standards for the collection of personal identification information, this results in pure chaos when reviewing an MPI file containing a million records at the start of a linkage evaluation project. We have documented the considerable effort that must therefore be made in standardizing the MPI files using stringent analytical procedures and applying common edit routines before commencing record linkage. This preprocessing effort must then be supplemented with sophisticated matching procedures that can handle the dual challenge of minimizing false negatives (the failure to identify true linkages) and false positives (the incorrect linking of records that do not represent the same person). The identification of pairs of linked records does not, however, complete an EPI loading. Because it is fairly common for a multiple facility linkage evaluation to identify more than two medical record numbers for the same patient, and the primary goal of an EPI is to assign a unique identifier for the patient which will link that patient's multiple files, it becomes necessary to develop a means of readily associating three or more records for the same

  12. Predicting length of stay from an electronic patient record system: a primary total knee replacement example

    PubMed Central

    2014-01-01

    Background To investigate whether factors can be identified that significantly affect hospital length of stay from those available in an electronic patient record system, using primary total knee replacements as an example. To investigate whether a model can be produced to predict the length of stay based on these factors to help resource planning and patient expectations on their length of stay. Methods Data were extracted from the electronic patient record system for discharges from primary total knee operations from January 2007 to December 2011 (n = 2,130) at one UK hospital and analysed for their effect on length of stay using Mann-Whitney and Kruskal-Wallis tests for discrete data and Spearman’s correlation coefficient for continuous data. Models for predicting length of stay for primary total knee replacements were tested using the Poisson regression and the negative binomial modelling techniques. Results Factors found to have a significant effect on length of stay were age, gender, consultant, discharge destination, deprivation and ethnicity. Applying a negative binomial model to these variables was successful. The model predicted the length of stay of those patients who stayed 4–6 days (~50% of admissions) with 75% accuracy within 2 days (model data). Overall, the model predicted the total days stayed over 5 years to be only 88 days more than actual, a 6.9% uplift (test data). Conclusions Valuable information can be found about length of stay from the analysis of variables easily extracted from an electronic patient record system. Models can be successfully created to help improve resource planning and from which a simple decision support system can be produced to help patient expectation on their length of stay. PMID:24708853

  13. [Automated anesthesia record system].

    PubMed

    Zhu, Tao; Liu, Jin

    2005-12-01

    Based on Client/Server architecture, a software of automated anesthesia record system running under Windows operation system and networks has been developed and programmed with Microsoft Visual C++ 6.0, Visual Basic 6.0 and SQL Server. The system can deal with patient's information throughout the anesthesia. It can collect and integrate the data from several kinds of medical equipment such as monitor, infusion pump and anesthesia machine automatically and real-time. After that, the system presents the anesthesia sheets automatically. The record system makes the anesthesia record more accurate and integral and can raise the anesthesiologist's working efficiency. PMID:16422117

  14. Time accuracy of a radio frequency identification patient tracking system for recording operating room timestamps.

    PubMed

    Marjamaa, Riitta A; Torkki, Paulus M; Torkki, Markus I; Kirvelä, Olli A

    2006-04-01

    A patient tracking system is a promising tool for managing patient flow and improving efficiency in the operating room. Wireless location systems, using infrared or radio frequency transmitters, can automatically timestamp key events, thereby decreasing the need for manual data input. In this study, we measured the accuracy and precision of automatically documented timestamps compared with manual recording. Each patient scheduled for urgent surgery was given an active radio frequency/infrared transmitter. The prototype software tracked the patient throughout the perioperative process, automatically documenting the timestamps. Both automatic and traditional data entry were compared with the reference data. The absolute value of median error was 64% smaller (P < 0.01), and the average quartile deviation of error was 69% smaller in automatic documentation. The average delay between an activity and the documentation was 80 seconds in automatic documentation and 735 seconds in manual documentation. Both the accuracy and the precision were better in automatic documentation and the data were immediately available. Automatic documentation with the Indoor Positioning System can help in managing patient flow and in increasing transparency with faster availability and better accuracy of data. PMID:16551921

  15. Use of an Electronic Patient Record system to evaluate restorative treatment following root canal therapy.

    PubMed

    Shelley, Peter Q; Johnson, Bradford R; BeGole, Ellen A

    2007-10-01

    Electronic Patient Record (EPR) systems are rapidly gaining acceptance as an important tool for managing patient information. The purpose of this project was to evaluate the use of an EPR system for assessment of quality of care in an academic dental institution. The primary outcome of interest was the timeliness and completeness of restorative care following completion of nonsurgical root canal therapy. An initial query of the EPR database was performed using the following inclusion criteria: root canal treatment performed in the postgraduate endodontics clinic between September 2002 and June 2004, patient age > or =18 years old, and posterior tooth (premolars and molars). A total of 925 patients with 1,014 endodontically treated teeth met the inclusion criteria. A random sample of 30 percent of the treated teeth (302 teeth on 281 patients) was selected for detailed review. This sample of 302 teeth was then screened to determine if any restorative treatment had been performed between September 2002 and November 2005. Forty-eight percent (n=146) of the 302 teeth did not receive any form of permanent restoration over the time period studied. Twenty-five percent (n=75) of the teeth received a buildup only, and 27 percent (n=82) received the recommended treatment, a full occlusal coverage restoration. This study documents the use of an EPR system to objectively and efficiently assess one aspect of quality of care in a dental school environment. PMID:17923711

  16. Transforming XML-based electronic patient records for use in medical case based reasoning systems.

    PubMed

    Abidi, S S; Manickam, S

    2000-01-01

    Electronic patient records (EPR) can be regarded as an implicit source of clinical behaviour and problem-solving knowledge, systematically compiled by clinicians. We present an approach, together with its computational implementation, to pro-actively transform XML-based EPR into specialised Clinical Cases (CC) in the realm of Medical Case Base Systems. The 'correct' transformation of EPR to CC involves structural, terminological and conceptual standardisation, which is achieved by a confluence of techniques and resources, such as XML, UMLS (meta-thesaurus) and medical knowledge ontologies. We present below the functional architecture of a Medical Case-Base Reasoning Info-Structure (MCRIS) that features two distinct, yet related, functionalities: (1) a generic medical case-based reasoning system for decision-support activities; and (2) an EPR-CC transformation system to transform typical EPR's to CC. PMID:11187645

  17. An electronic medical record system with treatment recommendations based on patient similarity.

    PubMed

    Wang, Yu; Tian, Yu; Tian, Li-Li; Qian, Yang-Ming; Li, Jing-Song

    2015-05-01

    As the core of health information technology (HIT), electronic medical record (EMR) systems have been changing to meet health care demands. To construct a new-generation EMR system framework with the capability of self-learning and real-time feedback, thus adding intelligence to the EMR system itself, this paper proposed a novel EMR system framework by constructing a direct pathway between the EMR workflow and EMR data. A prototype of this framework was implemented based on patient similarity learning. Patient diagnoses, demographic data, vital signs and structured lab test results were considered for similarity calculations. Real hospitalization data from 12,818 patients were substituted, and Precision @ Position measurements were used to validate self-learning performance. Our EMR system changed the way in which orders are placed by establishing recommendation order menu and shortcut applications. Two learning modes (EASY MODE and COMPLEX MODE) were provided, and the precision values @ position 5 of both modes were 0.7458 and 0.8792, respectively. The precision performance of COMPLEX MODE was better than that of EASY MODE (tested using a paired Wilcoxon-Mann-Whitney test, p < 0.001). Applying the proposed framework, the EMR data value was directly demonstrated in the clinical workflow, and intelligence was added to the EMR system, which could improve system usability, reliability and the physician's work efficiency. This self-learning mechanism is based on dynamic learning models and is not limited to a specific disease or clinical scenario, thus decreasing maintenance costs in real world applications and increasing its adaptability. PMID:25762458

  18. Exploring the Relationships between the Electronic Health Record System Components and Patient Outcomes in an Acute Hospital Setting

    ERIC Educational Resources Information Center

    Wiggley, Shirley L.

    2011-01-01

    Purpose: The purpose of this study was to examine the relationship between the electronic health record system components and patient outcomes in an acute hospital setting, given that the current presidential administration has earmarked nearly $50 billion to the implementation of the electronic health record. The relationship between the…

  19. Wireless connection of continuous glucose monitoring system to the electronic patient record

    NASA Astrophysics Data System (ADS)

    Murakami, Alexandre; Gutierrez, Marco A.; Lage, Silvia G.; Rebelo, Marina S.; Granja, Luiz A. R.; Ramires, Jose A. F.

    2005-04-01

    The control of blood sugar level (BSL) at near-normal levels has been documented to reduce both acute and chronic complications of diabetes mellitus. Recent studies suggested, the reduction of mortality in a surgical intensive care unit (ICU), when the BSL are maintained at normal levels. Despite of the benefits appointed by these and others clinical studies, the strict BSL control in critically ill patients suffers from some difficulties: a) medical staff need to measure and control the patient"s BSL using blood sample at least every hour. This is a complex and time consuming task; b) the inaccuracy of standard capillary glucose monitoring (fingerstick) in hypotensive patients and, if frequently used to sample arterial or venous blood, may lead to excess phlebotomy; c) there is no validated procedure for continuously monitoring of BSL levels. This study used the MiniMed CGMS in ill patients at ICU to send, in real-time, BSL values to a Web-Based Electronic Patient Record. The BSL values are parsed and delivered through a wireless network as an HL7 message. The HL7 messages with BSL values are collected, stored into the Electronic Patient Record and presented into a bed-side monitor at the ICU together with other relevant patient information.

  20. A portable, GUI-based, object-oriented client-server architecture for computer-based patient record (CPR) systems.

    PubMed

    Schleyer, T K

    1995-01-01

    Software applications for computer-based patient records require substantial development investments. Portable, open software architectures are one way to delay or avoid software application obsolescence. The Clinical Management System at Temple University School of Dentistry uses a portable, GUI-based, object-oriented client-server architecture. Two main criteria determined this approach: preservation of investment in software development and a smooth migration path to a Computer-based Patient Record. The application is separated into three layers: graphical user interface, database interface, and application functionality Implementation with generic cross-platform development tools ensures maximum portability. PMID:7662879

  1. Automated Methods to Extract Patient New Information from Clinical Notes in Electronic Health Record Systems

    ERIC Educational Resources Information Center

    Zhang, Rui

    2013-01-01

    The widespread adoption of Electronic Health Record (EHR) has resulted in rapid text proliferation within clinical care. Clinicians' use of copying and pasting functions in EHR systems further compounds this by creating a large amount of redundant clinical information in clinical documents. A mixture of redundant information (especially outdated…

  2. Identifying patients with asthma in primary care electronic medical record systems

    PubMed Central

    Xi, Nancy; Wallace, Rebecca; Agarwal, Gina; Chan, David; Gershon, Andrea; Gupta, Samir

    2015-01-01

    Objective To develop and test a variety of electronic medical record (EMR) search algorithms to allow clinicians to accurately identify their patients with asthma in order to enable improved care. Design A retrospective chart analysis identified 5 relevant unique EMR information fields (electronic disease registry, cumulative patient profile, billing diagnostic code, medications, and chart notes); asthma-related search terms were designated for each field. The accuracy of each term was tested for its ability to identify the asthma patients among all patients whose charts were reviewed. Increasingly sophisticated search algorithms were then designed and evaluated by serially combining individual searches with Boolean operators. Setting Two large academic primary care clinics in Hamilton, Ont. Participants Charts for 600 randomly selected patients aged 16 years and older identified in an initial EMR search as likely having asthma (n = 150), chronic obstructive pulmonary disease (n = 150), other respiratory conditions (n = 150), or nonrespiratory conditions (n = 150) were reviewed until 100 patients per category were identified (or until all available names were exhausted). A total of 398 charts were reviewed in full and included. Main outcome measures Sensitivity and specificity of each search for asthma diagnosis (against the reference standard of a physician chart review–based diagnosis). Results Two physicians reviewed the charts identified in the initial EMR search using a standardized data collection form and ascribed the following diagnoses in 398 patients: 112 (28.1%) had asthma, 81 (20.4%) had chronic obstructive pulmonary disease, 104 (26.1%) had other respiratory conditions, and 101 (25.4%) had nonrespiratory conditions. Concordance between reviewers in chart abstraction diagnosis was high (κ = 0.89, 95% CI 0.80 to 0.97). Overall, the algorithm searching for patients who had asthma in their cumulative patient profiles or for whom an asthma billing code

  3. Photonic Data Recording Systems

    NASA Astrophysics Data System (ADS)

    Fanning, J.; Chang, J.; Davis, P.; Holmgren, D.; Bruns, D.; Watson, D.; Lechner, M.; Graham, R.; Kemme, S.

    1989-02-01

    Steady advancement has been made in bringing photonic recorder technologies from a pure research and development stage to the practical laboratory and fielding environment. Streak camera-based systems have been incorporated into large data recording systems and have shown significant improvement in channel density and single-shot bandwidth. In particular, remote photonic sensing using fiber optic cables to transmit the information to the recorder has shown advantages over conventional coax cable methods. One streak camera-based recorder system has been designed into the underground test (UGT) data acquisition system. The design allowed for video rate readout, redundant digitized image storage, UGT system compatibility, and full real time system diagnostics. Another stand-alone streak camera-based recorder has been designed that incorporates an IEEE-488 interface and a unique software package. Operation of this photonic recorder system (PRS-1000), as either a streak imaging recorder or as a high-speed multi-channel data recorder (HSMCDR), has been greatly simplified through use of the icon-driven, window-based custom software. An overview of photonic recording methods will be presented along with the details of the PRS-1000 and the associated system software.

  4. Implementation of Indigenous Electronic Medical Record System to Facilitate Care of Sickle Cell Disease Patients in Chhattisgarh

    PubMed Central

    Choubey, Mona; Mishra, Hrishikesh; Soni, Khushboo

    2016-01-01

    Introduction Sickle cell disease (SCD) is prevalent in central India including Chhattisgarh. Screening for SCD is being carried out by Government of Chhattisgarh. Electronic Medical Record (EMR) system was developed and implemented in two phases. Aim Aim was to use informatics techniques and indigenously develop EMR system to improve the care of SCD patients in Chhattisgarh. EMR systems had to be developed to store and manage: i) huge data generated through state wide screening for SCD; ii) clinical data for SCD patients attending the outpatient department (OPD) of institute. Materials and Methods ‘State Wide Screening Data Interface’ (SWSDI) was designed and implemented for storing and managing data generated through screening program. Further, ‘Sickle Cell Patients Temporal Data Management System’ (SCPTDMS) was developed and implemented for storing, managing and analysing sickle cell disease patients’ data at OPD. Both systems were developed using VB.Net and MS SQL Server 2012. Results Till April 2015, SWSDI has data of 1294558 persons, out of which 121819 and 4087 persons are carriers and patients of sickle cell disease respectively. Similarly till June 2015, SCPTDMS has data of 3760 persons, of which 923 are sickle cell disease patients (SS) and 1355 are sickle cell carriers (AS). Conclusion Both systems are proving to be useful in efficient storage, management and analysis of data for clinical and research purposes. The systems are an example of beneficial usage of medical informatics solutions for managing large data at community level. PMID:27042486

  5. Towards Standardized Patient Data Exchange: Integrating a FHIR Based API for the Open Medical Record System.

    PubMed

    Kasthurirathne, Suranga N; Mamlin, Burke; Grieve, Grahame; Biondich, Paul

    2015-01-01

    Interoperability is essential to address limitations caused by the ad hoc implementation of clinical information systems and the distributed nature of modern medical care. The HL7 V2 and V3 standards have played a significant role in ensuring interoperability for healthcare. FHIR is a next generation standard created to address fundamental limitations in HL7 V2 and V3. FHIR is particularly relevant to OpenMRS, an Open Source Medical Record System widely used across emerging economies. FHIR has the potential to allow OpenMRS to move away from a bespoke, application specific API to a standards based API. We describe efforts to design and implement a FHIR based API for the OpenMRS platform. Lessons learned from this effort were used to define long term plans to transition from the legacy OpenMRS API to a FHIR based API that greatly reduces the learning curve for developers and helps enhance adhernce to standards. PMID:26262234

  6. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA

    PubMed Central

    Middleton, Blackford; Bloomrosen, Meryl; Dente, Mark A; Hashmat, Bill; Koppel, Ross; Overhage, J Marc; Payne, Thomas H; Rosenbloom, S Trent; Weaver, Charlotte; Zhang, Jiajie

    2013-01-01

    In response to mounting evidence that use of electronic medical record systems may cause unintended consequences, and even patient harm, the AMIA Board of Directors convened a Task Force on Usability to examine evidence from the literature and make recommendations. This task force was composed of representatives from both academic settings and vendors of electronic health record (EHR) systems. After a careful review of the literature and of vendor experiences with EHR design and implementation, the task force developed 10 recommendations in four areas: (1) human factors health information technology (IT) research, (2) health IT policy, (3) industry recommendations, and (4) recommendations for the clinician end-user of EHR software. These AMIA recommendations are intended to stimulate informed debate, provide a plan to increase understanding of the impact of usability on the effective use of health IT, and lead to safer and higher quality care with the adoption of useful and usable EHR systems. PMID:23355463

  7. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.

    PubMed

    Middleton, Blackford; Bloomrosen, Meryl; Dente, Mark A; Hashmat, Bill; Koppel, Ross; Overhage, J Marc; Payne, Thomas H; Rosenbloom, S Trent; Weaver, Charlotte; Zhang, Jiajie

    2013-06-01

    In response to mounting evidence that use of electronic medical record systems may cause unintended consequences, and even patient harm, the AMIA Board of Directors convened a Task Force on Usability to examine evidence from the literature and make recommendations. This task force was composed of representatives from both academic settings and vendors of electronic health record (EHR) systems. After a careful review of the literature and of vendor experiences with EHR design and implementation, the task force developed 10 recommendations in four areas: (1) human factors health information technology (IT) research, (2) health IT policy, (3) industry recommendations, and (4) recommendations for the clinician end-user of EHR software. These AMIA recommendations are intended to stimulate informed debate, provide a plan to increase understanding of the impact of usability on the effective use of health IT, and lead to safer and higher quality care with the adoption of useful and usable EHR systems. PMID:23355463

  8. Development of a clinical event monitor for use with the Veterans Affairs Computerized Patient Record System and other data sources.

    PubMed Central

    Payne, T. H.; Savarino, J.

    1998-01-01

    We are developing an event monitor to operate with the Veterans Affairs Computerized Patient Record System (CPRS). The event monitor is designed to receive messages when important patient events such as posting of new results, patient movement, and orders occur. Our design separates the event monitor from CPRS itself, using communication via a network connection to receive HL7 messages, to access other data needed to run rules, and to communicate with providers by message display, electronic mail and other mechanisms. Results from operation of the event monitor using patient data in our test account show that a wide variety of data can be accessed by the event monitor with acceptable response times. Images Figure 1 PMID:9929199

  9. Assessing the efficacy of the electronic patient record system EDeR: implementation study—study protocol

    PubMed Central

    Job, Oliver; Bachmann, Lucas M; Schmid, Martin K; Thiel, Michael A; Ivic, Sandra

    2013-01-01

    Introduction Despite many innovations in information technology, many clinics still rely on paper-based medical records. Critics, however, claim that they are hard to read, because of illegible handwriting, and uncomfortable to use. Moreover, a chronological overview is not always easily possible, content can be destroyed or get lost. There is an overall opinion that electronic medical records (EMRs) should solve these problems and improve physicians’ efficiency, patients’ safety and reduce the overall costs in practice. However, to date, the evidence supporting this view is sparse. Methods and analysis In this protocol, we describe a study exploring differences in speed and accuracy when searching clinical information using the paper-based patient record or the Elektronische DateneRfassung (EDeR). Designed as a randomised vignette study, we hypothesise that the EDeR increases efficiency, that is, reduces time on reading the patient history and looking for relevant examination results, helps finding mistakes and missing information quicker and more reliably. In exploratory analyses, we aim at exploring factors associated with a higher performance. Ethics and dissemination The ethics committee of the Canton Lucerne, Switzerland, approved this study. We presume that the implementation of the EMR software EDeR will have a positive impact on the efficiency of the doctors, which will result in an increase of consultations per day. We believe that the results of our study will provide a valid basis to quantify the added value of an EMR system in an ophthalmological environment. PMID:23578684

  10. Use of electronic personal health record systems to encourage HIV screening: an exploratory study of patient and provider perspectives

    PubMed Central

    2011-01-01

    Background When detected, HIV can be effectively treated with antiretroviral therapy. Nevertheless in the U.S. approximately 25% of those who are HIV-infected do not know it. Much remains unknown about how to increase HIV testing rates. New Internet outreach methods have the potential to increase disease awareness and screening among patients, especially as electronic personal health records (PHRs) become more widely available. In the US Department of Veterans' Affairs medical care system, 900,000 veterans have indicated an interest in receiving electronic health-related communications through the PHR. Therefore we sought to evaluate the optimal circumstances and conditions for outreach about HIV screening. In an exploratory, qualitative research study we examined patient and provider perceptions of Internet-based outreach to increase HIV screening among veterans who use the Veterans Health Administration (VHA) health care system. Findings We conducted two rounds of focus groups with veterans and healthcare providers at VHA medical centers. The study's first phase elicited general perceptions of an electronic outreach program to increase screening for HIV, diabetes, and high cholesterol. Using phase 1 results, outreach message texts were drafted and then presented to participants in the second phase. Analysis followed modified grounded theory. Patients and providers indicated that electronic outreach through a PHR would provide useful information and would motivate patients to be screened for HIV. Patients believed that electronic information would be more convenient and understandable than information provided verbally. Patients saw little difference between messages about HIV versus about diabetes and cholesterol. Providers, however, felt patients would disapprove of HIV-related messages due to stigma. Providers expected increased workload from the electronic outreach, and thus suggested adding primary care resources and devising methods to smooth the flow of

  11. Monitoring reasons for encounter via an electronic patient record system: the case of a rural practice initiative.

    PubMed

    Klinis, Spyridon; Markaki, Adelais; Kounalakis, Dimitrios; Symvoulakis, Emmanouil K

    2012-01-01

    The objective of this brief communication was to tabulate common reasons for encounter in a Greek rural general practice, as result of a recently adopted electronic patient record (EPR) application. Twenty encounter reasons accounted for 3,797 visits (61% of all patient encounters), whereas 565 other reasons accounted for the remaining 2,429 visits (39%). Number one reason for encounter was health maintenance or disease prevention seeking services, including screening examinations for malignancies, immunization and provision of medical opinion reports. Hypertension, lipid disorder and ischemic heart disease without angina were among the most common reasons for seeking care. A strengths/weaknesses/opportunities/threats (SWOT) analysis on the key role of an EPR system in collecting data from rural and remote primary health care settings is also presented. PMID:23091407

  12. Linking Electronic Health Records to Better Understand Breast Cancer Patient Pathways Within and Between Two Health Systems

    PubMed Central

    Thompson, Caroline A.; Kurian, Allison W.; Luft, Harold S.

    2015-01-01

    Introduction: In a fragmented health care system, research can be challenging when one seeks to follow cancer patients as they seek care which can continue for months or years and may reflect many physician and patient decisions. Claims data track patients, but lack clinical detail. Linking routine electronic health record (EHR) data with clinical registry data allows one to gain a more complete picture of the patient journey through a cancer care episode. However, valid analytical approaches to examining care trajectories must be longitudinal and account for the dynamic nature of what is “seen” in the EHR. Methods: The Oncoshare database combines clinical detail from the California Cancer Registry and EHR data from two large health care organizations in the same catchment area—a multisite community practice and an academic medical center—for all women treated in either organization for breast cancer from 2000 to 2012. We classified EHR encounters data according to typical periods of the cancer care episode (screening, diagnosis, treatment) and posttreatment surveillance, as well as by facility used to better characterize patterns of care for patients seen at both organizations. Findings: We identified a “treated” cohort consisting of women receiving interventions for their initial cancer diagnosis, and classified their encounters over time across multiple dimensions (type of care, provider of care, and timing of care with respect to their cancer diagnosis). Forty-three percent of the patients were treated at the academic center only, 42 percent at the community center only, and 16 percent of the patients obtained care at both health care organizations. Compared to women seen at only one organization, the last group had similar-length initial care episodes, but more frequently had multiple episodes and longer observation periods. Discussion: Linking EHR data from neighboring systems can enhance our information on care trajectories, but careful

  13. Protecting Patient Records from Unwarranted Access

    NASA Astrophysics Data System (ADS)

    Gardner, Ryan; Garera, Sujata; Rubin, Aviel D.; Rajan, Anand; Rozas, Carlos V.; Sastry, Manoj

    Securing access to medical information is vital to protecting patient privacy. However, Electronic Patient Record (EPR) systems are vulnerable to a number of inside and outside threats. Adversaries can compromise EPR client machines to obtain a variety of highly sensitive information including valid EPR login credentials, without detection. Furthermore, medical staff can covertly view records of their choosing for personal interest or more malicious purposes. In particular, we observe that the lack of integrity measurement and auditability in these systems creates a potential threat to the privacy of patient information. We explore the use of virtualization and trusted computing hardware to address these problems. We identify open problems and encourage further research in the area.

  14. HARVEST, a longitudinal patient record summarizer

    PubMed Central

    Hirsch, Jamie S; Tanenbaum, Jessica S; Lipsky Gorman, Sharon; Liu, Connie; Schmitz, Eric; Hashorva, Dritan; Ervits, Artem; Vawdrey, David; Sturm, Marc; Elhadad, Noémie

    2015-01-01

    Objective To describe HARVEST, a novel point-of-care patient summarization and visualization tool, and to conduct a formative evaluation study to assess its effectiveness and gather feedback for iterative improvements. Materials and methods HARVEST is a problem-based, interactive, temporal visualization of longitudinal patient records. Using scalable, distributed natural language processing and problem salience computation, the system extracts content from the patient notes and aggregates and presents information from multiple care settings. Clinical usability was assessed with physician participants using a timed, task-based chart review and questionnaire, with performance differences recorded between conditions (standard data review system and HARVEST). Results HARVEST displays patient information longitudinally using a timeline, a problem cloud as extracted from notes, and focused access to clinical documentation. Despite lack of familiarity with HARVEST, when using a task-based evaluation, performance and time-to-task completion was maintained in patient review scenarios using HARVEST alone or the standard clinical information system at our institution. Subjects reported very high satisfaction with HARVEST and interest in using the system in their daily practice. Discussion HARVEST is available for wide deployment at our institution. Evaluation provided informative feedback and directions for future improvements. Conclusions HARVEST was designed to address the unmet need for clinicians at the point of care, facilitating review of essential patient information. The deployment of HARVEST in our institution allows us to study patient record summarization as an informatics intervention in a real-world setting. It also provides an opportunity to learn how clinicians use the summarizer, enabling informed interface and content iteration and optimization to improve patient care. PMID:25352564

  15. A multimedia Electronic Patient Record (ePR) system for Image-Assisted Minimally Invasive Spinal Surgery

    PubMed Central

    Documet, Jorge; Le, Anh; Liu, Brent; Chiu, John; Huang, HK

    2009-01-01

    Purpose This paper presents the concept of bridging the gap between diagnostic images and image-assisted surgical treatment through the development of a one-stop multimedia electronic patient record (ePR) system that manages and distributes the real-time multimodality imaging and informatics data that assists the surgeon during all clinical phases of the operation from planning Intra-Op to post-care follow-up. We present the concept of this multimedia ePR for surgery by first focusing on Image-Assisted Minimally Invasive Spinal Surgery as a clinical application. Methods Three clinical Phases of Minimally Invasive Spinal Surgery workflow in Pre-Op, Intra-Op, and Post Op are discussed. The ePR architecture was developed based on the three-phased workflow, which includes the Pre-Op, Intra-Op, and Post-Op modules and four components comprising of the input integration unit, fault-tolerant gateway server, fault-tolerant ePR server, and the visualization and display. A prototype was built and deployed to a Minimally Invasive Spinal Surgery clinical site with user training and support for daily use. Summary A step-by step approach was introduced to develop a multi-media ePR system for Imaging-Assisted Minimally Invasive Spinal Surgery that includes images, clinical forms, waveforms, and textual data for planning the surgery, two real-time imaging techniques (digital fluoroscopic, DF) and endoscope video images (Endo), and more than half a dozen live vital signs of the patient during surgery. Clinical implementation experiences and challenges were also discussed. PMID:20033507

  16. A Standards-Based Architecture Proposal for Integrating Patient mHealth Apps to Electronic Health Record Systems

    PubMed Central

    Fontelo, P.; Rossi, E.; Ackerman, MJ

    2015-01-01

    Summary Background Mobile health Applications (mHealth Apps) are opening the way to patients’ responsible and active involvement with their own healthcare management. However, apart from Apps allowing patient’s access to their electronic health records (EHRs), mHealth Apps are currently developed as dedicated “island systems”. Objective Although much work has been done on patient’s access to EHRs, transfer of information from mHealth Apps to EHR systems is still low. This study proposes a standards-based architecture that can be adopted by mHealth Apps to exchange information with EHRs to support better quality of care. Methods Following the definition of requirements for the EHR/mHealth App information exchange recently proposed, and after reviewing current standards, we designed the architecture for EHR/mHealth App integration. Then, as a case study, we modeled a system based on the proposed architecture aimed to support home monitoring for congestive heart failure patients. We simulated such process using, on the EHR side, OpenMRS, an open source longitudinal EHR and, on the mHealth App side, the iOS platform. Results The integration architecture was based on the bi-directional exchange of standard documents (clinical document architecture rel2 – CDA2). In the process, the clinician “prescribes” the home monitoring procedures by creating a CDA2 prescription in the EHR that is sent, encrypted and de-identified, to the mHealth App to create the monitoring calendar. At the scheduled time, the App alerts the patient to start the monitoring. After the measurements are done, the App generates a structured CDA2-compliant monitoring report and sends it to the EHR, thus avoiding local storage. Conclusions The proposed architecture, even if validated only in a simulation environment, represents a step forward in the integration of personal mHealth Apps into the larger health-IT ecosystem, allowing the bi-directional data exchange between patients and

  17. A record system for contact tracing.

    PubMed Central

    Satin, A

    1977-01-01

    A system for recording information on patients and contacts was developed during a research project designed to measure the effectiveness of contact tracing. The record system has proved valuable in contact tracing, cross-referencing patients and their contacts, defining the characteristics of the patient and contact populations, and providing information for research and management. The value of a standardised system has been accepted by health workers who appreciate that its purpose is to increase efficiency and improve the care of infected persons. By October 1976 health workers in 16 clinics in the United Kingdom had started to use the system. PMID:576849

  18. Paperless medical records: reinventing the patient experience.

    PubMed

    Tobey, Mary Ellen

    2004-01-01

    At North Shore Magnetic Imaging Center, the patient paper medical record system was becoming very cumbersome, and it served as a source of frustration for everyone involved: patients, technologists, radiologists, and staff members. The center's mapping of a typical patient experience indicated that, from the initial phone call scheduling an exam to a completed visit (claim processed and payment received), a record could be handled by as many as 20 sets of hands! In June 2002, the center's growth and a concern that patients were losing a one-on-one experience with the medical staff led to an evaluation of workflow processes existing at that time. The evaluation began with a survey of staff members, center management, radiologists, and referring physicians. Their responses indicated 3 common themes: stress, overload, and frustration over systems in place. Comments from the survey were grouped into 3 areas: Continue to Do, Stop Doing, and Start Doing. The Start Doing responses provided solid objectives. The center set out to establish a breakthrough project that included all stakeholders--patients, staff, management, and radiologists. The Reinvention Project had 2 primary goals: move to a paperless environment and increase the level of patient care. The project was divided into internal and external teams. The internal team, called the Reinvention Team, was responsible for the actual hands-on aspects of the process. There were numerous external teams; each had defined roles and specific outcomes for achievement. The external teams' responsibilities included implementing an Internet protocol telephone system; researching voice recognition; restructuring job descriptions, training manuals, and performance evaluations; and conducting a patient-centered focus group. PMID:15259685

  19. Automating occupational protection records systems

    SciTech Connect

    Lyon, M.; Martin, J.B.

    1991-10-01

    Occupational protection records have traditionally been generated by field and laboratory personnel, assembled into files in the safety office, and eventually stored in a warehouse or other facility. Until recently, these records have been primarily paper copies, often handwritten. Sometimes, the paper is microfilmed for storage. However, electronic records are beginning to replace these traditional methods. The purpose of this paper is to provide guidance for making the transition to automated record keeping and retrieval using modern computer equipment. This paper describes the types of records most readily converted to electronic record keeping and a methodology for implementing an automated record system. The process of conversion is based on a requirements analysis to assess program needs and a high level of user involvement during the development. The importance of indexing the hard copy records for easy retrieval is also discussed. The concept of linkage between related records and its importance relative to reporting, research, and litigation will be addressed. 2 figs.

  20. [Patients' access to their medical records].

    PubMed

    Laranjo, Liliana; Neves, Ana Luisa; Villanueva, Tiago; Cruz, Jorge; Brito de Sá, Armando; Sakellarides, Constantitno

    2013-01-01

    Until recently, the medical record was seen exclusively as being the property of health institutions and doctors. Its great technical and scientific components, as well as the personal characteristics attributed by each doctor, have been the reasons appointed for that control. However, nowadays throughout the world that paradigm has been changing. In Portugal, since 2007 patients are allowed full and direct access to their medical records. Nevertheless, the Deontological Code of the Portuguese Medical Association (2009) explicitly states that patients' access to their medical records should have a doctor as intermediary and that the records are each physician's intellectual property. Furthermore, several doctors and health institutions, receiving requests from patients to access their medical records, end up requesting the legal opinion of the Commission for access to administrative documents. Each and every time, that opinion goes in line with the notion of full and direct patient access. Sharing medical records with patients seems crucial and inevitable in the current patient-centred care model, having the potential to improve patient empowerment, health literacy, autonomy, self-efficacy and satisfaction with care. With the recent technological developments and the fast dissemination of Personal Health Records, it is foreseeable that a growing number of patients will want to access their medical records. Therefore, promoting awareness on this topic is essential, in order to allow an informed debate between all the stakeholders. PMID:23815842

  1. Patient records: from single events to elements for health planning.

    PubMed

    Pisanelli, D M; Ricci, F L

    1994-12-01

    Data collected in patient records are not only the kernel of a ward information system, but also the groundwork for planning and evaluating services in health care. The aim of this study was to analyze the problem of aggregate data generation starting from separate items in patient records. After describing the different uses of patient record data, we outline the process which generates aggregates data starting from individual records. This process leads to the definition of the "view on aggregation" as an intermediate step between patient records and aggregate data. A simplified schema is presented based on the Entity-Relationship model representing a conceptual model of the integration of aggregate data and patient record items. Finally, the role is discussed of automation in this process and the perspectives for its implementation. PMID:7869944

  2. Computerised patient record with distributed objects.

    PubMed

    Gornik, T; Orel, A; Roblek, D; Verhovsek, R

    1999-01-01

    The vast spectrum of information and functionality requirements imposed on a Computerised Patient Record (CPR), fueled by an ever changing and expanding business model demands information system interoperability. The management of information, created across the continuum of care, and associated information system functionality, can not be provided by data interchange to and from monolithic applications. WebDoctor is a Computerised Patient Record (CPR) which is fully used at the Institute of Oncology in Ljubljana, Slovenia--a hospital with 500 beds and more than 200 users, all of them medical professionals. The data are stored in an underlying Oracle hospital data base. For logging the username and password security is used. WebDoctor uses Internationalization APIs. Currently GUI is currently written in Slovenian language, but can be easily adapted to any other language. It is available in either Metal or Windows look. Search for patients is based on CPR No. or partial data from demographics. All the available patients data can be found on a single screen divided into several tab sections. The tab sections cover general and speciality data. The general data include demographics, admissions and diagnoses, meanwhile the speciality data are divided into Labs where data are represented numerically by date or by type and graphically with the ability of detailed view in separate window, Radiology where results are represented in textual form as well as pictures together with a special viewer to provide detailed analyses and Radioisotopes where results are also being represented in textual form together with a graphical representation. WebDoctor is running on virtually any platform. It achieved the 100% Java Certification which places the application among the firsts if not the first of this kind in the healthcare industry. It excels with a small and light client which doesn't exceed the 150K. PMID:10725016

  3. Patient Perceptions of Electronic Health Records

    ERIC Educational Resources Information Center

    Lulejian, Armine

    2011-01-01

    Research objective. Electronic Health Records (EHR) are expected to transform the way medicine is delivered with patients/consumers being the intended beneficiaries. However, little is known regarding patient knowledge and attitudes about EHRs. This study examined patient perceptions about EHR. Study design. Surveys were administered following…

  4. Patient information: confidentiality and the electronic record.

    PubMed

    Griffith, Richard

    The rise of the electronic record now allows nurses to access a large archive of patient information that was more difficult to obtain when records consisted of manually held paper files. There have been several instances where curiosity and, occasionally, more malicious motivations have led nurses to access these records and read the notes of a celebrity or a person they know. In this article, Richard Griffith considers whether nurses' accessing and reading of the record of someone who is not in their care is in breach of their duty of confidentiality. PMID:26419719

  5. Project Records Information System (PRIS)

    SciTech Connect

    Smith, P.S.; Schwarz, R.K.

    1990-11-01

    The Project Records Information System (PRIS) is an interactive system developed for the Information Services Division (ISD) of Martin Marietta Energy Systems, Inc., to perform indexing, maintenance, and retrieval of information about Engineering project record documents for which they are responsible. This PRIS User's Manual provides instruction on the use of this system. This manual presents an overview of PRIS, describing the system's purpose; the data that it handles; functions it performs; hardware, software, and access; and help and error functions. This manual describes the interactive menu-driven operation of PRIS. Appendixes A, B, C, and D contain the data dictionary, help screens, report descriptions, and a primary menu structure diagram, respectively.

  6. Information integrity and privacy for computerized medical patient records

    SciTech Connect

    Gallegos, J.; Hamilton, V.; Gaylor, T.; McCurley, K.; Meeks, T.

    1996-09-01

    Sandia National Laboratories and Oceania, Inc. entered into a Cooperative Research and Development Agreement (CRADA) in November 1993 to provide ``Information Integrity and Privacy for Computerized Medical Patient Records`` (CRADA No. SC93/01183). The main objective of the project was to develop information protection methods that are appropriate for databases of patient records in health information systems. This document describes the findings and alternative solutions that resulted from this CRADA.

  7. Continuous Holter telemetry of atrial electrograms and marker annotations using a common Holter recording system: impact on Holter electrocardiogram interpretation in patients with dual chamber pacemakers.

    PubMed

    Wiegand, Uwe K H; Bonnemeier, Hendrik; Bode, Frank; Eberhardt, Frank; Chun, Julian K R; Katus, Hugo A; Peters, Werner

    2002-12-01

    The impact of continuous telemetry of atrial electrogram and marker annotations on Holter ECG interpretation was assessed in 98 patients with bipolar dual chamber pacemakers (VDD pacemakers n = 29, DDD(R) systems n = 69). Atrial electrogram and marker annotations were continuously sampled by a telemetry coil that was externally positioned on the pacemaker pocket, amplified, and transduced to a three-channel Holter ECG recorder in addition to an ECG recording. Holter tapes were analyzed by two experienced investigators for quality of P wave recognition and episodes suspicious of pacemaker dysfunction. Initially, only the ECG channel was analyzed. Thereafter, results were compared to those achieved on the basis of the complete recording including atrial electrogram and marker annotations. Recognition of atrial rhythm was markedly improved by Holter telemetry. During 99.3% of recording time telemetry showed a satisfying quality, whereas ECG alone allowed a reliable P wave recognition only during 84.4% of recording time (P < 0.001). One hundred twenty-nine episodes suspicious of pacemaker malfunction occurred in 17 of 98 patients. By analysis of ECG, only 78.3% of episodes were concordantly classified by the investigators. However, 98.4% of all episodes were properly identified when atrial electrogram and marker annotations were added to the analysis (P < 0.001). In particular, discrimination between atrial undersensing, sinus bradycardia, and atrial sensed events within the refractory periods was facilitated. Holter telemetry of atrial electrogram and marker annotations facilitates the analysis of Holter ECGs in pacemaker recipients and improves the detection of pacemaker dysfunctions. PMID:12520673

  8. Electronic Health Records and Patient Safety

    PubMed Central

    Gans, D.; White, J.; Nath, R.; Pohl, J.

    2015-01-01

    Summary Background The role of electronic health records (EHR) in enhancing patient safety, while substantiated in many studies, is still debated. Objective This paper examines early EHR adopters in primary care to understand the extent to which EHR implementation is associated with the workflows, policies and practices that promote patient safety, as compared to practices with paper records. Early adoption is defined as those who were using EHR prior to implementation of the Meaningful Use program. Methods We utilized the Physician Practice Patient Safety Assessment (PPPSA) to compare primary care practices with fully implemented EHR to those utilizing paper records. The PPPSA measures the extent of adoption of patient safety practices in the domains: medication management, handoffs and transition, personnel qualifications and competencies, practice management and culture, and patient communication. Results Data from 209 primary care practices responding between 2006–2010 were included in the analysis: 117 practices used paper medical records and 92 used an EHR. Results showed that, within all domains, EHR settings showed significantly higher rates of having workflows, policies and practices that promote patient safety than paper record settings. While these results were expected in the area of medication management, EHR use was also associated with adoption of patient safety practices in areas in which the researchers had no a priori expectations of association. Conclusions Sociotechnical models of EHR use point to complex interactions between technology and other aspects of the environment related to human resources, workflow, policy, culture, among others. This study identifies that among primary care practices in the national PPPSA database, having an EHR was strongly empirically associated with the workflow, policy, communication and cultural practices recommended for safe patient care in ambulatory settings. PMID:25848419

  9. Linking medical records to an expert system

    NASA Technical Reports Server (NTRS)

    Naeymi-Rad, Frank; Trace, David; Desouzaalmeida, Fabio

    1991-01-01

    This presentation will be done using the IMR-Entry (Intelligent Medical Record Entry) system. IMR-Entry is a software program developed as a front-end to our diagnostic consultant software MEDAS (Medical Emergency Decision Assistance System). MEDAS (the Medical Emergency Diagnostic Assistance System) is a diagnostic consultant system using a multimembership Bayesian design for its inference engine and relational database technology for its knowledge base maintenance. Research on MEDAS began at the University of Southern California and the Institute of Critical Care in the mid 1970's with support from NASA and NSF. The MEDAS project moved to Chicago in 1982; its current progress is due to collaboration between Illinois Institute of Technology, The Chicago Medical School, Lake Forest College and NASA at KSC. Since the purpose of an expert system is to derive a hypothesis, its communication vocabulary is limited to features used by its knowledge base. The development of a comprehensive problem based medical record entry system which could handshake with an expert system while creating an electronic medical record at the same time was studied. IMR-E is a computer based patient record that serves as a front end to the expert system MEDAS. IMR-E is a graphically oriented comprehensive medical record. The programs major components are demonstrated.

  10. Shallow medication extraction from hospital patient records.

    PubMed

    Boytcheva, Svetla

    2011-01-01

    This paper presents methods for shallow Information Extraction (IE) from the free text zones of hospital Patient Records (PRs) in Bulgarian language in the Patient Safety through Intelligent Procedures in medication (PSIP) project. We extract automatically information about drug names, dosage, modes and frequency and assign the corresponding ATC code to each medication event. Using various modules for rule-based text analysis, our IE components in PSIP perform a significant amount of symbolic computations. We try to address negative statements, elliptical constructions, typical conjunctive phrases, and simple inferences concerning temporal constraints and finally aim at the assignment of the drug ACT code to the extracted medication events, which additionally complicates the extraction algorithm. The prototype of the system was used for experiments with a training corpus containing 1,300 PRs and the evaluation results are obtained using a test corpus containing 6,200 PRs. The extraction accuracy (f-score) for drug names is 98.42% and for dose 93.85%. PMID:21685617

  11. Recent perspectives of electronic medical record systems

    PubMed Central

    ZHANG, XIAO-YING; ZHANG, PEIYING

    2016-01-01

    Implementation of electronic medical record (EMR) systems within developing contexts as part of efforts to monitor and facilitate the attainment of health-related aims has been on the increase. However, these efforts have been concentrated on urban hospitals. Recent findings showed that development processes of EMR systems are associated with various discrepancies between protocols and work practices. These discrepancies were mainly caused by factors including high workload, lack of medical resources, misunderstanding of the protocols by health workers, and client/patient practices. The present review focused on the effects of EMRs on patient care work, and on appropriate EMR designs principles and strategies to ameliorate these systems. PMID:27284289

  12. SU-E-T-502: Biometrically Accepted Patient Records

    SciTech Connect

    Basavatia, A; Kalnicki, S; Garg, M; Lukaj, A; Hong, L; Fret, J; Yaparpalvi, R; Tome, W

    2014-06-01

    Purpose: To implement a clinically useful palm vein pattern recognition biometric system to treat the correct treatment plan to the correct patient each and every time and to check-in the patient into the department to access the correct medical record. Methods: A commercially available hand vein scanning system was paired to Aria and utilized an ADT interface from the hospital electronic health system. Integration at two points in Aria, version 11 MR2, first at the appointment tracker screen for the front desk medical record access and second at the queue screen on the 4D treatment console took place for patient daily time-out. A test patient was utilized to check accuracy of identification as well as to check that no unintended interactions take place between the 4D treatment console and the hand vein scanning system. This system has been in clinical use since December 2013. Results: Since implementation, 445 patients have been enrolled into our biometric system. 95% of patients learn the correct methodology of hand placement on the scanner in the first try. We have had two instances of patient not found because of a bad initial scan. We simply erased the scanned metric and the patient enrolled again in those cases. The accuracy of the match is 100% for each patient, we have not had one patient misidentified. We can state this because we still use patient photo and date of birth as identifiers. A QA test patient is run monthly to check the integrity of the system. Conclusion: By utilizing palm vein scans along with the date of birth and patient photo, another means of patient identification now exits. This work indicates the successful implementation of technology in the area of patient safety by closing the gap of treating the wrong plan to a patient in radiation oncology. FOJP Service Corporation covered some of the costs of the hardware and software of the palm vein pattern recognition biometric system.

  13. Giving Patients Access to Their Medical Records via the Internet

    PubMed Central

    Masys, Daniel; Baker, Dixie; Butros, Amy; Cowles, Kevin E.

    2002-01-01

    Objective: The Patient-Centered Access to Secure Systems Online (pcasso) project is designed to apply state-of-the-art-security to the communication of clinical information over the Internet. Design: The authors report the legal and regulatory issues associated with deploying the system, and results of its use by providers and patients. Human subject protection concerns raised by the Institutional Review Board focused on three areas—unauthorized access to information by persons other than the patient; the effect of startling or poorly understood information; and the effect of patient access to records on the record-keeping behavior of providers. Measurements: Objective and subjective measures of security and usability were obtained. Results: During its initial deployment phase, the project enrolled 216 physicians and 41 patients; of these, 68 physicians and 26 patients used the system one or more times. The system performed as designed, with no unauthorized information access or intrusions detected. Providers rated the usability of the system low because of the complexity of the secure login and other security features and restrictions limiting their access to those patients with whom they had a professional relationship. In contrast, patients rated the usability and functionality of the system favorably. Conclusion: High-assurance systems that serve both patients and providers will need to address differing expectations regarding security and ease of use. PMID:11861633

  14. Cockpit Ocular Recording System (CORS)

    NASA Technical Reports Server (NTRS)

    Rothenheber, Edward; Stokes, James; Lagrossa, Charles; Arnold, William; Dick, A. O.

    1990-01-01

    The overall goal was the development of a Cockpit Ocular Recording System (CORS). Four tasks were used: (1) the development of the system; (2) the experimentation and improvement of the system; (3) demonstrations of the working system; and (4) system documentation. Overall, the prototype represents a workable and flexibly designed CORS system. For the most part, the hardware use for the prototype system is off-the-shelf. All of the following software was developed specifically: (1) setup software that the user specifies the cockpit configuration and identifies possible areas in which the pilot will look; (2) sensing software which integrates the 60 Hz data from the oculometer and heat orientation sensing unit; (3) processing software which applies a spatiotemporal filter to the lookpoint data to determine fixation/dwell positions; (4) data recording output routines; and (5) playback software which allows the user to retrieve and analyze the data. Several experiments were performed to verify the system accuracy and quantify system deficiencies. These tests resulted in recommendations for any future system that might be constructed.

  15. The electronic patient record: a strategic planning framework.

    PubMed

    Gordon, D B; Marafioti, S; Carter, M; Kunov, H; Dolan, A

    1995-01-01

    Sunnybrook Health Science Center (Sunnybrook) is a multifacility academic teaching center. In May 1994, Sunnybrook struck an electronic patient record taskforce to develop a strategic plan for the implementation of a comprehensive, facility wide electronic patient record (EPR). The taskforce sought to create a conceptual framework which provides context and integrates decision-making related to the comprehensive electronic patient record. The EPR is very much broader in scope than the traditional paper-based record. It is not restricted to simply reporting individual patient data. By the Institute of Medicine's definition, the electronic patient record resides in a system specifically designed to support users through availability of complete and accurate data, practitioner reminders and alerts, clinical decision support systems, links to bodies of medical knowledge, and other aids [1]. It is a comprehensive resource for patient care. The taskforce proposed a three domain model for determining how the EPR affects Sunnybrook. The EPR enables Sunnybrook to have a high performance team structure (domain 1), to function as an integrated organization (domain 2), and to reach out and develop new relationships with external organizations to become an extended enterprise (domain 3) [2]. Domain 1: Sunnybrook's high performance teams or patient service units' (PSUs) are decentralized, autonomous operating units that provide care to patients grouped by 'like' diagnosis and resource needs. The EPR must provide functions and applications which promote patient focused care, such as cross functional charting and care maps, group scheduling, clinical email, and a range of enabling technologies for multiskilled workers. Domain 2: In the integrated organization domain, the EPR should facilitate closer linkages between the arrangement of PSUs into clinical teams and with other facilities within the center in order to provide a longitudinal record that covers a continuum of care

  16. Patient-Reported Safety Events in Chronic Kidney Disease Recorded With an Interactive Voice-Inquiry Dial-Response System: Monthly Report Analysis

    PubMed Central

    Doerfler, Rebecca M; Yoffe, Marni R; Diamantidis, Clarissa J; Blumenthal, Jacob B; Siddiqui, Tariq; Gardner, James F; Snitker, Soren; Zhan, Min

    2016-01-01

    Background Monitoring patient-reported outcomes (PROs) may improve safety of chronic kidney disease (CKD) patients. Objective Evaluate the performance of an interactive voice-inquiry dial-response system (IVRDS) in detecting CKD-pertinent adverse safety events outside of the clinical environment and compare the incidence of events using the IVDRS to that detected by paper diary. Methods This was a 6-month study of Stage III-V CKD patients in the Safe Kidney Care (SKC) study. Participants crossed over from a paper diary to the IVDRS for recording patient-reported safety events defined as symptoms or events attributable to medications or care. The IVDRS was adapted from the SKC paper diary to record event frequency and remediation. Participants were auto-called weekly and permitted to self-initiate calls. Monthly reports were reviewed by two physician adjudicators for their clinical significance. Results 52 participants were followed over a total of 1384 weeks. 28 out of 52 participants (54%) reported events using the IVDRS versus 8 out of 52 (15%) with the paper diary; hypoglycemia was the most common event for both methods. All IVDRS menu options were selected at least once except for confusion and rash. Events were reported on 121 calls, with 8 calls reporting event remediation by ambulance or emergency room (ER) visit. The event rate with the IVDRS and paper diary, with and without hypoglycemia, was 26.7 versus 4.7 and 18.3 versus 0.8 per 100 person weeks, respectively (P=.002 and P<.001). The frequent users (ie, >10 events) largely differed by method, and event rates excluding the most frequent user of each were 16.9 versus 2.5 per 100 person weeks, respectively (P<.001). Adjudicators found approximately half the 80 reports clinically significant, with about a quarter judged as actionable. Hypoglycemia was often associated with additional reports of fatigue and falling. Participants expressed favorable satisfaction with the IVDRS. Conclusions Use of the IVDRS

  17. Physicians’ Attitudes regarding Patient Access to Electronic Medical Records

    PubMed Central

    Dorr, David A.; Rowan, Belle; Weed, Matt; James, Brent; Clayton, Paul

    2003-01-01

    Prior to the implementation of Electronic Medical Record (EMR) web access for patients at a large integrated delivery systems, we surveyed physicians’ attitudes. Our web based questionnaire revealed largely positive attitudes about access. The exceptions included abnormal reports, progress notes, and e-care. A factor analysis identified the group of physicians who didn’t view patients as partners felt most negative about the process. PMID:14728337

  18. Improving diabetes management with electronic health records and patients' health records.

    PubMed

    Benhamou, P-Y

    2011-12-01

    The lack of patient engagement and clinical inertia both contribute to suboptimal diabetes care. However, both obstacles are amenable to informatics- and Internet-based interventions. The use of electronic medical records (EMRs) is now established as being useful for improving diabetes care. Intelligent records that integrate computerized decision-support systems are now able to recommend care protocols tailored to risk levels. Web-based personal health record (PHR) systems, shared with healthcare providers, could also provide added value by promoting self-management of the behaviours related to diabetes. These Web-based programmes include patients' access to EMRs, uploading of glucose monitoring results, a glucose diary, secure e-mail with providers, manual or automated feedback on blood glucose readings and other risk factors, an educational website, and an online diary for entering personal information on exercise, diet and medication. The integration of Web-based patients' systems into the EMR used by physicians is the next frontier. In addition, the input from "smartphones" that are able to provide real-time support to patients could contribute to the reorganization of diabetes care. Convincing data on HbA(1c) improvements with such systems are available for type 2 diabetes, but are still equivocal for type 1 diabetes. Obstacles include patients' compliance with the technology, their ergonomic design and the need to reimburse providers for their care. Designing appropriate electronic tools and tailoring them to the conditions in France merits our attention. PMID:22208711

  19. Aerial Photography Summary Record System

    USGS Publications Warehouse

    U.S. Geological Survey

    1998-01-01

    The Aerial Photography Summary Record System (APSRS) describes aerial photography projects that meet specified criteria over a given geographic area of the United States and its territories. Aerial photographs are an important tool in cartography and a number of other professions. Land use planners, real estate developers, lawyers, environmental specialists, and many other professionals rely on detailed and timely aerial photographs. Until 1975, there was no systematic approach to locate an aerial photograph, or series of photographs, quickly and easily. In that year, the U.S. Geological Survey (USGS) inaugurated the APSRS, which has become a standard reference for users of aerial photographs.

  20. Patient experiences with electronic medical records: Lessons learned

    PubMed Central

    Rose, Dale; Richter, Louiseann T; Kapustin, Jane

    2014-01-01

    Purpose To describe the lived experience of patients communicating with their nurse practitioners and physicians while using paper health records (PHRs) and electronic health records (EHRs) in the examination rooms. The significance of the study lies in the salience of communication between the patient and provider in promoting optimal clinical outcomes and the highest level of patient satisfaction. Data sources The study used a qualitative, phenomenological design. Audio-taped focus group interviews were conducted with 21 patients from a diabetes clinic in Baltimore, Maryland. Patients had visits with the provider before and after implementation of EHRs in the clinic. Conclusions The four themes that emerged from the three focus groups included communication issues, patient preferences for electronic records, safety and security concerns, and transition problems with implementation of EHRs. Implications for practice Potential benefits for nurse practitioners implementing the recommendations in this study include enhanced communication between patients and providers while using EHRs, increased patient satisfaction, higher levels of nurse practitioner and physician satisfaction, and avoidance of communication issues during implementation of EHR systems. PMID:25234112

  1. An imaging informatics-based ePR (electronic patient record) system for providing decision support in evaluating dose optimization in stroke rehabilitation

    NASA Astrophysics Data System (ADS)

    Liu, Brent J.; Winstein, Carolee; Wang, Ximing; Konersman, Matt; Martinez, Clarisa; Schweighofer, Nicolas

    2012-02-01

    Stroke is one of the major causes of death and disability in America. After stroke, about 65% of survivors still suffer from severe paresis, while rehabilitation treatment strategy after stroke plays an essential role in recovery. Currently, there is a clinical trial (NIH award #HD065438) to determine the optimal dose of rehabilitation for persistent recovery of arm and hand paresis. For DOSE (Dose Optimization Stroke Evaluation), laboratory-based measurements, such as the Wolf Motor Function test, behavioral questionnaires (e.g. Motor Activity Log-MAL), and MR, DTI, and Transcranial Magnetic Stimulation (TMS) imaging studies are planned. Current data collection processes are tedious and reside in various standalone systems including hardcopy forms. In order to improve the efficiency of this clinical trial and facilitate decision support, a web-based imaging informatics system has been implemented together with utilizing mobile devices (eg, iPAD, tablet PC's, laptops) for collecting input data and integrating all multi-media data into a single system. The system aims to provide clinical imaging informatics management and a platform to develop tools to predict the treatment effect based on the imaging studies and the treatment dosage with mathematical models. Since there is a large amount of information to be recorded within the DOSE project, the system provides clinical data entry through mobile device applications thus allowing users to collect data at the point of patient interaction without typing into a desktop computer, which is inconvenient. Imaging analysis tools will also be developed for structural MRI, DTI, and TMS imaging studies that will be integrated within the system and correlated with the clinical and behavioral data. This system provides a research platform for future development of mathematical models to evaluate the differences between prediction and reality and thus improve and refine the models rapidly and efficiently.

  2. [Continuous ECG recording for freely moving patients].

    PubMed

    Shi, Bo; Liu, Shengyang; Chen, Jianfang; Zhang, Genxuan; Tsau, Young

    2013-04-01

    As more and more people are becoming aged in China and many of them tend to suffer from chronic cardiac problems, the long-term dynamic cardiac monitoring for freely moving patients becomes essential. A new design for continuous ECG recording on the freely moving patients at home and/or at work is proposed here. It is miniature in size, using digital technologies of the low gain amplifier, the high resolution analog to digital converter and the real-time digital filter that features > 100dB input signal dynamic range (ISDR), > 100dB common-mode rejection ratio (CMRR), and < 5microV (RMS) internal noise. The device works continuously more than 24 hours with a pair of AAA batteries, and is capable of storing the recorded data into a storage card. The preliminary tests showed that the P-QRS-T waveforms were captured and displayed smoothly in resting, walking, and activities, making the device useful in monitoring and analyzing for the patients on the move. PMID:23858751

  3. How Patients Can Improve the Accuracy of their Medical Records

    PubMed Central

    Dullabh, Prashila M.; Sondheimer, Norman K.; Katsh, Ethan; Evans, Michael A.

    2014-01-01

    Objectives: Assess (1) if patients can improve their medical records’ accuracy if effectively engaged using a networked Personal Health Record; (2) workflow efficiency and reliability for receiving and processing patient feedback; and (3) patient feedback’s impact on medical record accuracy. Background: Improving medical record’ accuracy and associated challenges have been documented extensively. Providing patients with useful access to their records through information technology gives them new opportunities to improve their records’ accuracy and completeness. A new approach supporting online contributions to their medication lists by patients of Geisinger Health Systems, an online patient-engagement advocate, revealed this can be done successfully. In late 2011, Geisinger launched an online process for patients to provide electronic feedback on their medication lists’ accuracy before a doctor visit. Patient feedback was routed to a Geisinger pharmacist, who reviewed it and followed up with the patient before changing the medication list shared by the patient and the clinicians. Methods: The evaluation employed mixed methods and consisted of patient focus groups (users, nonusers, and partial users of the feedback form), semi structured interviews with providers and pharmacists, user observations with patients, and quantitative analysis of patient feedback data and pharmacists’ medication reconciliation logs. Findings/Discussion: (1) Patients were eager to provide feedback on their medications and saw numerous advantages. Thirty percent of patient feedback forms (457 of 1,500) were completed and submitted to Geisinger. Patients requested changes to the shared medication lists in 89 percent of cases (369 of 414 forms). These included frequency—or dosage changes to existing prescriptions and requests for new medications (prescriptions and over-the counter). (2) Patients provided useful and accurate online feedback. In a subsample of 107 forms

  4. Using Electronic Patient Records to Discover Disease Correlations and Stratify Patient Cohorts

    PubMed Central

    Schmock, Henriette; Dalgaard, Marlene; Andreatta, Massimo; Hansen, Thomas; Søeby, Karen; Bredkjær, Søren; Juul, Anders; Werge, Thomas; Jensen, Lars J.; Brunak, Søren

    2011-01-01

    Electronic patient records remain a rather unexplored, but potentially rich data source for discovering correlations between diseases. We describe a general approach for gathering phenotypic descriptions of patients from medical records in a systematic and non-cohort dependent manner. By extracting phenotype information from the free-text in such records we demonstrate that we can extend the information contained in the structured record data, and use it for producing fine-grained patient stratification and disease co-occurrence statistics. The approach uses a dictionary based on the International Classification of Disease ontology and is therefore in principle language independent. As a use case we show how records from a Danish psychiatric hospital lead to the identification of disease correlations, which subsequently can be mapped to systems biology frameworks. PMID:21901084

  5. 20 CFR 345.208 - System records.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 1 2011-04-01 2011-04-01 false System records. 345.208 Section 345.208... EMPLOYERS' CONTRIBUTIONS AND CONTRIBUTION REPORTS Individual Employer Records § 345.208 System records... charges, pooled credits, and unallocated charges for the experience rating system and will publish...

  6. 20 CFR 345.208 - System records.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false System records. 345.208 Section 345.208... EMPLOYERS' CONTRIBUTIONS AND CONTRIBUTION REPORTS Individual Employer Records § 345.208 System records... charges, pooled credits, and unallocated charges for the experience rating system and will publish...

  7. Patient-Reported Use of Personalized Video Recordings to Improve Neurosurgical Patient-Provider Communication

    PubMed Central

    Porter, Randall

    2015-01-01

    Background: Providing patients with a video recording of their visit with a medical professional is a common-sense method for improving patient-provider communication. Objective: To describe the patient and provider experiences to video recording clinical medical encounters and providing the patient with a copy of the video for informational purposes. Methods: Since 2009, over 2,800 patients of eight different neurosurgeons chose to be video recorded during their encounter with the doctor and were provided access to the recording to watch over again as a way to recall what the doctor had said. The video system was set up as a handheld video camera, and video files were downloaded and made accessible to patients via a secure Internet patient portal. Between 2012 and 2014, patients who participated were surveyed regarding their use of the video and what was recorded on the video. The experience of the providers from a clinical and medico-legal standpoint was also reviewed. Results: Three hundred and thirty-three responses to the survey were received (39.2% response rate). More than half of patients (N=333; 56.2%) watched their video more than once, and over two-thirds (N=333; 68.6%) shared their video with a family member, friend, or another physician. Patients self-reported improved memory after watching their videos (N=299; 73.6% could remember more) and 50.2% responded that having the video made them feel more “at ease” with their medical problem (N=299). Overall, 88.0% of respondents indicated that their video had been helpful to them, and 98.5% would recommend having future visits video recorded. No patient made a comment that the video was intrusive or had prevented them from being open with their doctor. Finally, in the high-risk specialty of neurosurgery, none of the 2,807 patients who have been recorded since 2009 have used a video in a medico-legal action. Conclusions: Patient responses to the recording system and having a copy of their video

  8. The effect of electronic patient records on hepatitis B vaccination completion rates at a genitourinary medicine clinic.

    PubMed

    Kuria, Patrick; Brook, Gary; McSorley, John

    2016-05-01

    The study was conducted to assess whether the introduction of an electronic patient records-based system affected hepatitis B vaccination completion rates and post-vaccination return rates, when compared to a paper-based system. Data were gathered for three groups of patients: those commencing vaccination (a) when paper records were in use (paper records group), (b) after electronic patient records were introduced (basic electronic patient records group) and (c) after electronic patient records were enhanced with recall (enhanced electronic patient records group). Compared to the paper records group, the third dose completion rates for patients managed using electronic patient records did not differ significantly: 74/119 (62.2%) paper vs. 58/98 (59.2%) basic electronic patient records, p = 0.652 and 89/130 (68.5%) enhanced electronic patient records, p = 0.298. On sub-group analysis, completion rates in patients of black ethnicity in the enhanced electronic patient records group were significantly higher than those in the paper records group: 16/19 (84.2%) enhanced electronic patient records vs. 11/23 (47.8%) paper, p = 0.014. Patients in the enhanced electronic patient records group were more likely than those in the paper records group to attend for measurement of hepatitis B surface antibody levels: 61/130 (46.9%) vs. 39/119 (32.8%), p = 0.023. PMID:26085502

  9. A computer-based patient record: Emory's approach.

    PubMed

    Bennett, J J; Alligood, R; Beck, K L; Dardeen, K; Payne, L

    1993-05-01

    The replacement of the paper medical record at Emory will be gradual over the next several years. We foresee milestone events after which portions of the patient record are no longer retained in paper form. As these milestones are identified, the HIM professionals at the three institutions will begin the formidable task of managing the transition to a paperless system. Evaluation of business processes and the skill sets needed by staff members can be accomplished and a plan for each phase of transition developed. PMID:10139112

  10. Analog disc recorder system: operator's reference manual

    SciTech Connect

    O'Brien, J.D.; Smith, E.L.

    1984-07-01

    The FM Analog Disc Recorder System is a cost-efficient means of capturing analog transient data from many channels; it has high-frequency response and long record time. It can digitize recorded signals, correct internal distortion, and present the data as plots either on a CRT, hardcopy plot, or both. The system is easy to use, self-contained, and compact.

  11. Integrating cockpit display and video recorder systems

    NASA Astrophysics Data System (ADS)

    Bailey, David C.; Jones, Romie; Testerman, David

    1995-06-01

    A pair of flight data recording and playback systems are described for the F-22 and F-15. These systems employ multiplexing techniques to expand the amount of data recorded and inherent benefit therefrom. Variations between the system accommodate the different avionics architecture of each aircraft.

  12. 78 FR 45454 - Patient Access to Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-29

    ...The Department of Veterans Affairs (VA) amends its regulation governing disclosure of information to veterans and other beneficiaries. The current regulation provides for a special procedure for evaluating sensitive records and determining whether an individual may gain access to his or her own records. The special procedure allows VA to prevent an individual's access to his or her own records......

  13. Personal Health Records for Patients with Chronic Disease

    PubMed Central

    Rozenblum, R.; Park, A.; Dunn, M.; Bates, D.W.

    2014-01-01

    Summary Background Personal health records (PHRs) connected to a physician’s electronic health record system hold substantial promise for supporting and engaging patients with chronic disease. Objectives: To explore how U.S. health care organizations are currently utilizing PHRs for chronic disease populations. Methods A mixed methods study including semi-structured interviews and a questionnaire was conducted. A purposive sample was developed of health care organizations which were recognized as exemplars for PHRs and were high performers in national patient satisfaction surveys (H-CAHPS or CAHPS). Within each organization, participants were health IT leaders or those managing high-risk or chronic disease populations. Results Interviews were conducted with 30 informants and completed questionnaires were received from 16 organizations (84% response rate). Most PHRs allowed patients to access health records and educational material, message their provider, renew prescriptions and request appointments. Patient generated data was increasingly being sought and combined with messaging, resulted in greater understanding of patient health and functioning outside of the clinic visit. However for chronic disease populations, there was little targeted involvement in PHR design and few tools to help interpret and manage their conditions beyond those offered for all. The PHR was largely uncoupled from high risk population management interventions and no clear framework for future PHR development emerged. Conclusion This technology is currently underutilized and represents a major opportunity given the potential benefits of patient engagement and shared decision making. A coherent patient-centric PHR design and evaluation strategy is required to realize its potential and maximize this natural hub for multidisciplinary care co-ordination. PMID:25024758

  14. Patient access to complex chronic disease records on the Internet

    PubMed Central

    2012-01-01

    Background Access to medical records on the Internet has been reported to be acceptable and popular with patients, although most published evaluations have been of primary care or office-based practice. We tested the feasibility and acceptability of making unscreened results and data from a complex chronic disease pathway (renal medicine) available to patients over the Internet in a project involving more than half of renal units in the UK. Methods Content and presentation of the Renal PatientView (RPV) system was developed with patient groups. It was designed to receive information from multiple local information systems and to require minimal extra work in units. After piloting in 4 centres in 2005 it was made available more widely. Opinions were sought from both patients who enrolled and from those who did not in a paper survey, and from staff in an electronic survey. Anonymous data on enrolments and usage were extracted from the webserver. Results By mid 2011 over 17,000 patients from 47 of the 75 renal units in the UK had registered. Users had a wide age range (<10 to >90 yrs) but were younger and had more years of education than non-users. They were enthusiastic about the concept, found it easy to use, and 80% felt it gave them a better understanding of their disease. The most common reason for not enrolling was being unaware of the system. A minority of patients had security concerns, and these were reduced after enrolling. Staff responses were also strongly positive. They reported that it aided patient concordance and disease management, and increased the quality of consultations with a neutral effect on consultation length. Neither patient nor staff responses suggested that RPV led to an overall increase in patient anxiety or to an increased burden on renal units beyond the time required to enrol each patient. Conclusions Patient Internet access to secondary care records concerning a complex chronic disease is feasible and popular, providing an increased

  15. Voice-Recognition System Records Inspection Data

    NASA Technical Reports Server (NTRS)

    Rochester, Larry L.

    1993-01-01

    Main Injector Voice Activated Record (MIVAR) system acts on vocal commands and processes spoken inspection data into electronic and printed inspection reports. Devised to improve acquisition and recording of data from borescope inspections of interiors of liquid-oxygen-injecting tubes on main engine of Space Shuttle. With modifications, system used in other situations to relieve inspectors of manual recording of data. Enhances flow of work and quality of data acquired by enabling inspector to remain visually focused on workpiece.

  16. On the usage of health records for the design of virtual patients: a systematic review

    PubMed Central

    2013-01-01

    Background The process of creating and designing Virtual Patients for teaching students of medicine is an expensive and time-consuming task. In order to explore potential methods of mitigating these costs, our group began exploring the possibility of creating Virtual Patients based on electronic health records. This review assesses the usage of electronic health records in the creation of interactive Virtual Patients for teaching clinical decision-making. Methods The PubMed database was accessed programmatically to find papers relating to Virtual Patients. The returned citations were classified and the relevant full text articles were reviewed to find Virtual Patient systems that used electronic health records to create learning modalities. Results A total of n = 362 citations were found on PubMed and subsequently classified, of which n = 28 full-text articles were reviewed. Few articles used unformatted electronic health records other than patient CT or MRI scans. The use of patient data, extracted from electronic health records or otherwise, is widespread. The use of unformatted electronic health records in their raw form is less frequent. Patient data use is broad and spans several areas, such as teaching, training, 3D visualisation, and assessment. Conclusions Virtual Patients that are based on real patient data are widespread, yet the use of unformatted electronic health records, abundant in hospital information systems, is reported less often. The majority of teaching systems use reformatted patient data gathered from electronic health records, and do not use these electronic health records directly. Furthermore, many systems were found that used patient data in the form of CT or MRI scans. Much potential research exists regarding the use of unformatted electronic health records for the creation of Virtual Patients. PMID:24011027

  17. Solutions and systems for recording interactive TV

    NASA Astrophysics Data System (ADS)

    Tan, Jingwei; Shi, Jun; Gan, Liang; Kell, Declan; Newton, Philip

    2005-09-01

    Digital TV is now being enhanced with interactivity based on such standards as Multimedia Home Platform (MHP) and Digital TV Application Software Environment (DASE). However, recording interactive DTV programme is not that straightforward as it seems. The user will expect the interactivity to still be accessible when a recorded programme is played back from storage. Due to the complexity of the iTV broadcasting, there are many problems for recording interactive TV programme. In this paper we analyze the MHP transport stream structure, describe the recording solution and storage format. Implementation system examples both for recording and playing back are depicted as well.

  18. Nurses’ Perceptions of Usefulness of Nursing Information System: Module of Electronic Medical Record for Patient Care in Two University Hospitals of Iran

    PubMed Central

    Kahouei, Mehdi; Baba Mohammadi, Hassan; Askari Majdabadi, Hesamedin; Solhi, Mahnaz; Parsania, Zeinab; Said Roghani, Panoe; Firozeh, Mehri

    2014-01-01

    Introduction: For almost fifteen years, the application of computer in hospitals increasingly has become popular. Nurses’ beliefs and attitudes towards computer is one of the most important indicators of the application of nursing information system. The purpose of this study was to investigate the perceptions of nurses on the usefulness of nursing information system for patient care. Methods: Here, a descriptive study was carried out. Sample was consisted of 316 nurses working in teaching hospitals in an urban area of Iran. This study was conducted during 2011 to 2012. A reliable and valid questionnaire was developed as a data collection tool. The collected data was analyzed using descriptive and inferential statistics. Results: It was not believed that nursing information system was useful for patient care. However, it was mentioned that nursing information system is useful in some aspects of patient care such as expediting care, making early diagnosis and formulating diet plan. A significant association was found between the demographic background of sample and their perceptions of the usefulness of nursing information system (P<0.05). Conclusion: Totally, it can be concluded that nursing information system has a potential for improving patient care in hospital settings. Therefore, policy makers should consider implementing nursing information system in teaching hospitals. PMID:24757398

  19. Extracting Temporal Information from Electronic Patient Records

    PubMed Central

    Li, Min; Patrick, Jon

    2012-01-01

    A method for automatic extraction of clinical temporal information would be of significant practical importance for deep medical language understanding, and a key to creating many successful applications, such as medical decision making, medical question and answering, etc. This paper proposes a rich statistical model for extracting temporal information from an extremely noisy clinical corpus. Besides the common linguistic, contextual and semantic features, the highly restricted training sample expansion and the structure distance between the temporal expression & related event expressions are also integrated into a supervised machine-learning approach. The learning method produces almost 80% F- score in the extraction of five temporal classes, and nearly 75% F-score in identifying temporally related events. This process has been integrated into the document-processing component of an implemented clinical question answering system that focuses on answering patient-specific questions (See demonstration at http://hitrl.cs.usyd.edu.au/ICNS/). PMID:23304326

  20. 42 CFR 137.178 - May Self-Governance Tribes store patient records at the Federal Records Centers?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false May Self-Governance Tribes store patient records at... SELF-GOVERNANCE Operational Provisions Records § 137.178 May Self-Governance Tribes store patient records at the Federal Records Centers? Yes, at the option of a Self-Governance Tribe, patient records...

  1. 42 CFR 137.178 - May Self-Governance Tribes store patient records at the Federal Records Centers?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false May Self-Governance Tribes store patient records at... SELF-GOVERNANCE Operational Provisions Records § 137.178 May Self-Governance Tribes store patient records at the Federal Records Centers? Yes, at the option of a Self-Governance Tribe, patient records...

  2. 42 CFR 137.178 - May Self-Governance Tribes store patient records at the Federal Records Centers?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false May Self-Governance Tribes store patient records at... SELF-GOVERNANCE Operational Provisions Records § 137.178 May Self-Governance Tribes store patient records at the Federal Records Centers? Yes, at the option of a Self-Governance Tribe, patient records...

  3. 42 CFR 137.178 - May Self-Governance Tribes store patient records at the Federal Records Centers?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false May Self-Governance Tribes store patient records at... SELF-GOVERNANCE Operational Provisions Records § 137.178 May Self-Governance Tribes store patient records at the Federal Records Centers? Yes, at the option of a Self-Governance Tribe, patient records...

  4. 42 CFR 137.178 - May Self-Governance Tribes store patient records at the Federal Records Centers?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false May Self-Governance Tribes store patient records at... SELF-GOVERNANCE Operational Provisions Records § 137.178 May Self-Governance Tribes store patient records at the Federal Records Centers? Yes, at the option of a Self-Governance Tribe, patient records...

  5. Peripheral Vascular Diagnostic Laboratory Record, Office Accounting and Research System

    PubMed Central

    Lofink, Raymond M.; Wolfson, Sidney K.; Lahoda, Edward J.

    1981-01-01

    A computerized Record, Office Accounting, and Research system (“ROAR”) has been developed for use in the Peripheral Vascular Diagnostic Laboratory of Montefiore Hospital, Pittsburgh, Pennsylvania. The interactive, menu-driven system utilizes an in-office microcomputer for maintaining patient records with a dial-up link to a time-sharing system at the University of Pittsburgh for performing research activities. Formats for internal storage, screen editing, and printed reports are easily specified to permit additions of new forms and upward-compatible versions of old forms. An on-line patient directory and an expandable library of floppy diskettes provide a large capacity of storage for permanent patient records. An interestingly simple, cost-effective, but powerful combination of three processors using commercial and custom-written software is presented.

  6. Digital optical recorder-reproducer system

    NASA Technical Reports Server (NTRS)

    Reddersen, Brad R. (Inventor); Zech, Richard G. (Inventor); Roberts, Howard N. (Inventor)

    1980-01-01

    A mass archival optical recording and reproduction system includes a recording light source such as a laser beam focussed and directed upon an acousto-optic linear modulator array (or page composer) that receives parallel blocks of data converted from a serial stream of digital data to be stored. The page composer imparts to the laser beam modulation representative of a plurality of parallel channels of data and through focussing optics downstream of the page composer parallel arrays of optical spots are recorded upon a suitable recording medium such as a photographic film floppy disc. The recording medium may be substantially frictionlessly and stably positioned for recording at a record/read station by an air-bearing platen arrangement which is preferably thermodynamically non-throttling so that the recording film may be positioned in the path of the information-carrying light beam in a static or dynamic mode. During readout, the page composer is bypassed and a readout light beam is focussed directly upon the recording medium containing an array of previously recorded digital spots, a sync bit, data positioning bits, and a tracking band. The readout beam which has been directed through the recording medium is then imaged upon a photodetector array, the output of which may be coupled to suitable electronic processing circuitry, such as a digital multiplexer, whereby the parallel spot array is converted back into the original serial data stream.

  7. The challenges in making electronic health records accessible to patients

    PubMed Central

    Beard, Leslie; Schein, Rebecca; Morra, Dante; Wilson, Kumanan

    2011-01-01

    It is becoming increasingly apparent that there is a tension between growing consumer demands for access to information and a healthcare system that may not be prepared to meet these demands. Designing an effective solution for this problem will require a thorough understanding of the barriers that now stand in the way of giving patients electronic access to their health data. This paper reviews the following challenges related to the sharing of electronic health records: cost and security concerns, problems in assigning responsibilities and rights among the various players, liability issues and tensions between flexible access to data and flexible access to physicians. PMID:22120207

  8. Electronic Dental Records System Adoption.

    PubMed

    Abramovicz-Finkelsztain, Renata; Barsottini, Claudia G N; Marin, Heimar Fatima

    2015-01-01

    The use of Electronic Dental Records (EDRs) and management software has become more frequent, following the increase in prevelance of new technologies and computers in dental offices. The purpose of this study is to identify and evaluate the use of EDRs by the dental community in the São Paulo city area. A quantitative case study was performed using a survey on the phone. A total of 54 offices were contacted and only one declinedparticipation in this study. Only one office did not have a computer. EDRs were used in 28 offices and only four were paperless. The lack of studies in this area suggests the need for more usability and implementation studies on EDRs so that we can improve EDR adoption by the dental community. PMID:26262001

  9. The impact on patient safety of free-text entry of nursing orders into an electronic medical record in an integrated delivery system.

    PubMed

    Reynolds, Katherine; Peres, Alan; Tatham, Judith M

    2005-01-01

    The introduction of Computerized Provider Order Entry (CPOE) has been shown to reduce the incidence of medication-related errors in hospitals. Successful implementation of CPOE and electronic health records requires redesigning workflows and analysis of information collected and training of staff to use these new systems. However, well intentioned processes that seem to solve a unique problem can sometimes go in an unanticipated direction for several reasons. This can have unintentional consequences, especially when the built-in safeguards are not engaged. This poster describes one organization's efforts to identify the causes of one such breakdown, and how the obvious solutions were inappropriate. PMID:16779382

  10. Ultrasonic recording system without intrinsic limits.

    PubMed

    Andreassen, Tórur; Surlykke, Annemarie; Hallam, John; Brandt, David

    2013-06-01

    Today state-of-the-art bioacoustic research requires high-sample-rate, multi-channel, and often long-term recording systems. Commercial systems are very costly. This paper proposes and demonstrates an ultrasonic recording system design that is arbitrarily scalable. The system is modular and based on retail components and open source software/hardware. Each module has four microphones and modules can be combined to extend the coverage area, obtain higher spatial recording resolution, and/or add recording redundancy. The system is designed to have no inherent scalability limits. The system has been deployed in four different test settings. The first setup tests the system's ability to make medium-term recordings (1 to 2 min) with many microphones. The second setup tests the robustness of the system, being deployed throughout the Danish winter with only minor issues. The third setup integrates the system in a mobile robot as an echolocating guidance system, while the fourth setup demonstrates full-spectrum transducer calibration. In most respects this system's hardware specification surpasses all competitors on the market at a quarter of the price. Tests demonstrate that large deployments are feasible and accurate ultrasonic measurements can be obtained. PMID:23742354

  11. Engaging Primary Care Patients to Use a Patient-Centered Personal Health Record

    PubMed Central

    Krist, Alex H.; Woolf, Steven H.; Bello, Ghalib A.; Sabo, Roy T.; Longo, Daniel R.; Kashiri, Paulette; Etz, Rebecca S.; Loomis, John; Rothemich, Stephen F.; Peele, J. Eric; Cohn, Jeffrey

    2014-01-01

    PURPOSE Health care leaders encourage clinicians to offer portals that enable patients to access personal health records, but implementation has been a challenge. Although large integrated health systems have promoted use through costly advertising campaigns, other implementation methods are needed for small to medium-sized practices where most patients receive their care. METHODS We conducted a mixed methods assessment of a proactive implementation strategy for a patient portal (an interactive preventive health record [IPHR]) offered by 8 primary care practices. The practices implemented a series of learning collaboratives with practice champions and redesigned workflow to integrate portal use into care. Practice implementation strategies, portal use, and factors influencing use were assessed prospectively. RESULTS A proactive and customized implementation strategy designed by practices resulted in 25.6% of patients using the IPHR, with the rate increasing 1.0% per month over 31 months. Fully 23.5% of IPHR users signed up within 1 day of their office visit. Older patients and patients with comorbidities were more likely to use the IPHR, but blacks and Hispanics were less likely. Older age diminished as a factor after adjusting for comorbidities. Implementation by practice varied considerably (from 22.1% to 27.9%, P <.001) based on clinician characteristics and workflow innovations adopted by practices to enhance uptake. CONCLUSIONS By directly engaging patients to use a portal and supporting practices to integrate use into care, primary care practices can match or potentially surpass the usage rates achieved by large health systems. PMID:25354405

  12. Patient Records in the Mental Health Disciplines.

    ERIC Educational Resources Information Center

    Reynolds, John Frederick; Mair, David

    1989-01-01

    Examines reports written in mental health hospitals and community mental health centers. Analyzes a total of 150 randomly selected samples of 5 basic mental health records, and evaluates the rhetorical contexts for each with regard to author, purpose, audience and use. (KEH)

  13. The standard data model approach to patient record transfer.

    PubMed Central

    Canfield, K.; Silva, M.; Petrucci, K.

    1994-01-01

    This paper develops an approach to electronic data exchange of patient records from Ambulatory Encounter Systems (AESs). This approach assumes that the AES is based upon a standard data model. The data modeling standard used here is IDEFIX for Entity/Relationship (E/R) modeling. Each site that uses a relational database implementation of this standard data model (or a subset of it) can exchange very detailed patient data with other such sites using industry standard tools and without excessive programming efforts. This design is detailed below for a demonstration project between the research-oriented geriatric clinic at the Baltimore Veterans Affairs Medical Center (BVAMC) and the Laboratory for Healthcare Informatics (LHI) at the University of Maryland. PMID:7949973

  14. Consumers' Perceptions of Patient-Accessible Electronic Medical Records

    PubMed Central

    Vaughon, Wendy L; Czaja, Sara J; Levy, Joslyn; Rockoff, Maxine L

    2013-01-01

    Background Electronic health information (eHealth) tools for patients, including patient-accessible electronic medical records (patient portals), are proliferating in health care delivery systems nationally. However, there has been very limited study of the perceived utility and functionality of portals, as well as limited assessment of these systems by vulnerable (low education level, racial/ethnic minority) consumers. Objective The objective of the study was to identify vulnerable consumers’ response to patient portals, their perceived utility and value, as well as their reactions to specific portal functions. Methods This qualitative study used 4 focus groups with 28 low education level, English-speaking consumers in June and July 2010, in New York City. Results Participants included 10 males and 18 females, ranging in age from 21-63 years; 19 non-Hispanic black, 7 Hispanic, 1 non-Hispanic White and 1 Other. None of the participants had higher than a high school level education, and 13 had less than a high school education. All participants had experience with computers and 26 used the Internet. Major themes were enhanced consumer engagement/patient empowerment, extending the doctor’s visit/enhancing communication with health care providers, literacy and health literacy factors, improved prevention and health maintenance, and privacy and security concerns. Consumers were also asked to comment on a number of key portal features. Consumers were most positive about features that increased convenience, such as making appointments and refilling prescriptions. Consumers raised concerns about a number of potential barriers to usage, such as complex language, complex visual layouts, and poor usability features. Conclusions Most consumers were enthusiastic about patient portals and perceived that they had great utility and value. Study findings suggest that for patient portals to be effective for all consumers, portals must be designed to be easy to read, visually

  15. Patient Access to Their Health Record Using Open Source EHR.

    PubMed

    Chelsom, John; Dogar, Naveed

    2015-01-01

    In both Europe and North America, patients are beginning to gain access to their health records in electronic form. Using the open source cityEHR as an example, we have focussed on the needs of clinical users to gather requirements for patient access and have implemented these requirements in a new application called cityEHR-PA. The development of a separate application for patient access was necessary to address requirements for security and ease of use. The use of open standards throughout the design of the EHR allows the possibility of third parties to develop applications for patient access, consuming the individual patient record extracted from the full EHR. PMID:25676956

  16. A multimedia electronic patient record (ePR) system to improve decision support in pre- and rehabilitation through clinical and movement analysis

    NASA Astrophysics Data System (ADS)

    Liu, Brent; Documet, Jorge; McNitt-Gray, Sarah; Requejo, Phil; McNitt-Gray, Jill

    2011-03-01

    Clinical decisions for improving motor function in patients both with disability as well as improving an athlete's performance are made through clinical and movement analysis. Currently, this analysis facilitates identifying abnormalities in a patient's motor function for a large amount of neuro-musculoskeletal pathologies. However definitively identifying the underlying cause or long-term consequences of a specific abnormality in the patient's movement pattern is difficult since this requires information from multiple sources and formats across different times and currently relies on the experience and intuition of the expert clinician. In addition, this data must be persistent for longitudinal outcomes studies. Therefore a multimedia ePR system integrating imaging informatics data could have a significant impact on decision support within this clinical workflow. We present the design and architecture of such an ePR system as well as the data types that need integration in order to develop relevant decision support tools. Specifically, we will present two data model examples: 1) A performance improvement project involving volleyball athletes and 2) Wheelchair propulsion evaluation of patients with disabilities. The end result is a new frontier area of imaging informatics research within rehabilitation engineering and biomechanics.

  17. 76 FR 73604 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency... Information Systems Agency proposes to delete one system of records notice from its inventory of record... Systems Agency is deleting one system of records notice in its existing inventory of record...

  18. Development of a standardized format for archiving and exchange of electronic patient records in Sweden.

    PubMed

    Wigefeldt, T; Larnholt, S; Peterson, H

    1997-01-01

    This paper describes an effort to standardize the long term archiving format of the electronic patient record. A format is given in SGML (Standard Generalized Markup Language) and also tested as a prototype in a production system. PMID:10179549

  19. A new system for ambulatory pulmonary artery pressure recording

    PubMed Central

    Simon, J; Gibbs, R; MacLachlan, Donald; Fox, Kim M

    1992-01-01

    Objective—To develop a complete system for the measurement, recording, and analysis of ambulatory pulmonary artery pressure. Design—The new system consists of a pulmonary artery catheter, an ambulatory recorder, and a desktop computer. Pulmonary artery pressure is measured by a micromanometer tipped catheter with an in vivo calibration system to allow correction for zero drift. This catheter is plugged into a small battery powered recorder. The recorder has two input channels, one for pressure and one for an event marker. The pressure wave is sampled 32 times/s, processed by an in built computer, compressed, and stored in semiconductor memory. On completion of a recording, data is transferred from the ambulatory recorder through a serial data link to an Acorn Archimedes desktop computer on which further data processing, statistical analysis, graphics, and printouts can be obtained. Results—The system has been used in 18 patients, with technically successful recording in 14, less than 15 minutes of data loss in three, and 12 hours of data loss in one. Conclusions—A new system for ambulatory pulmonary artery monitoring has been developed and used clinically with success. It may provide new perspectives on the pathophysiology of disease as it applies to everyday life. PMID:1389746

  20. Patient ECG recording control for an automatic implantable defibrillator

    NASA Technical Reports Server (NTRS)

    Fountain, Glen H. (Inventor); Lee, Jr., David G. (Inventor); Kitchin, David A. (Inventor)

    1986-01-01

    An implantable automatic defibrillator includes sensors which are placed on or near the patient's heart to detect electrical signals indicative of the physiology of the heart. The signals are digitally converted and stored into a FIFO region of a RAM by operation of a direct memory access (DMA) controller. The DMA controller operates transparently with respect to the microprocessor which is part of the defibrillator. The implantable defibrillator includes a telemetry communications circuit for sending data outbound from the defibrillator to an external device (either a patient controller or a physician's console or other) and a receiver for sensing at least an externally generated patient ECG recording command signal. The patient recording command signal is generated by the hand held patient controller. Upon detection of the patient ECG recording command, DMA copies the contents of the FIFO into a specific region of the RAM.

  1. 76 FR 61132 - Privacy Act; System of Records: State-77, Country Clearance Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ... Country Clearance Records, a user must first be granted access to the Department of State computer system... Act; System of Records: State-77, Country Clearance Records SUMMARY: Notice is hereby given that the Department of State proposes to create a system of records, Country Clearance Records, State-77, pursuant...

  2. Increasing the availability of the computerized patient record.

    PubMed Central

    Giuse, D. A.; Mickish, A.

    1996-01-01

    The MARS clinical repository, originally developed at the University of Pittsburgh, provides electronic access to the patient record at Vanderbilt University Medical Center. The original client interface we developed runs on all standard clinical workstations in the medical center, but is operating-system dependent. Porting and maintaining it on the variety of hardware- and software combinations found on VUMC personal computers would be fairly costly. To broaden the availability of the system to faculty and health care providers in all areas, and to support future access from Vanderbilt-affiliated providers outside the main campus, we are developing a new Web-based client. The new client provides good functionality and performance, and will be a strategic asset in our long-term commitment to making relevant clinical information immediately available to authorized health care providers. PMID:8947743

  3. Effect of introduction of a new electronic anesthesia record (Epic) system on the safety and efficiency of patient care in a gastrointestinal endoscopy suite-comparison with historical cohort

    PubMed Central

    Goudra, B; Singh, PM; Borle, A; Gouda, G

    2016-01-01

    Background: Use of electronic medical record systems has increased in the recent years. Epic is one such system gaining popularity in the USA. Epic is a private company, which invented the electronic documentation system adopted in our hospital. In spite of many presumed advantages, its use is not critically analyzed. Some of the perceived advantages are increased efficiency and protection against litigation as a result of accurate documentation. Materials and Methods: In this study, retrospective data of 305 patients who underwent endoscopic retrograde cholangiopancreatography (wherein electronic charting was used - “Epic group”) were compared with 288 patients who underwent the same procedure with documentation saved on a paper chart (“paper group”). Time of various events involved in the procedure such as anesthesia start, endoscope insertion, endoscope removal, and transfer to the postanesthesia care unit were routinely documented. From this data, the various time durations were calculated. Results: Both “anesthesia start to scope insertion” times and “scope removal to transfer” times were significantly less in the Epic group compared to the paper group. Use of Epic system led to a saving of 4 min of procedure time per patient. However, the mean oxygen saturation was significantly less in the Epic group. Conclusion: In spite of perceived advantages of Epic documentation system, significant hurdles remain with its use. Although the system allows seamless flow of patients, failure to remove all artifacts can lead to errors and become a source of potential litigation hazard. PMID:27051360

  4. A new radiation exposure record system

    SciTech Connect

    Lyon, M.; Berndt, V.L.; Trevino, G.W.; Oakley, B.M.

    1993-04-01

    The Hanford Radiological Records Program (HRRP) serves all Hanford contractors as the single repository for radiological exposure for all Hanford employees, subcontractors, and visitors. The program administers and preserves all Hanford radiation exposure records. The program also maintains a Radiation Protection Historical File which is a historical file of Hanford radiation protection and dosimetry procedures and practices. Several years ago DOE declared the existing UNIVAC mainframe computer obsolete and the existing Occupational Radiation Exposure (ORE) system was slated to be redeveloped. The new system named the Radiological Exposure (REX) System is described in this document.

  5. Five-day recorder seismic system

    USGS Publications Warehouse

    Criley, Ed; Eaton, Jerry P.; Ellis, Jim

    1978-01-01

    The 10-day recorder seismic system used by the USGS since 1965 has been modified substantially to improve its dynamic range and frequency response, to decrease its power consumption and physical complexity, and to make its recordings more compatible with other NCER systems to facilitate data processing. The principal changes include: 1. increasing tape speed from 15/160 ips to 15/80 ips (reducing running time from 10 days to 5 days with a 14' reel of 1 mil tape), 2. increasing the FM center frequency by a factor of 4, from 84.4 Hz to 337.6 Hz, 3. replacing the original amplifiers and FM modulators with new low-power units, 4. replacing the chronometer with a higher quality time code generator (with IRIG-C) to permit automation of data retrieval, 5. eliminating the amplifier/WWVB radio field case by incorporating these elements, along with the new TCG, in the weatherproof tape-recorder box, 6. reducing the power consumption of the motor-drive circuit by removal of a redundant component. In the new system, the tape-recorder case houses all components except the seismometers, the WWVB antenna, the 70-amp-hour 12-VDC battery (which powers the system for 5 days), and the cables to connect these external elements to the recorder box. The objectives of this report are: 1. to describe the new 5-day-recorder seismic system in terms of its constituent parts and their functions, 2. to describe modifications to parts of the original system that were retained and to document new or replacement components with appropriate circuit diagrams and constructional details, 3. to provide detailed instructions for the correct adjustment or alignment of the system in the laboratory, and 4. to provide detailed instructions for installing and operating the system in the field.

  6. The MBRCC Student Records System Works!

    ERIC Educational Resources Information Center

    Traicoff, George; And Others

    The software cooperative described in this report was established to provide each of the member colleges of the Massachusetts Board of Regional Community Colleges (MBRCC) with a cost-effective computer-assisted records system. After a brief outline of the planning efforts undertaken by the MBRCC in developing and testing the software system, the…

  7. Identifying patient smoking status from medical discharge records.

    PubMed

    Uzuner, Ozlem; Goldstein, Ira; Luo, Yuan; Kohane, Isaac

    2008-01-01

    The authors organized a Natural Language Processing (NLP) challenge on automatically determining the smoking status of patients from information found in their discharge records. This challenge was issued as a part of the i2b2 (Informatics for Integrating Biology to the Bedside) project, to survey, facilitate, and examine studies in medical language understanding for clinical narratives. This article describes the smoking challenge, details the data and the annotation process, explains the evaluation metrics, discusses the characteristics of the systems developed for the challenge, presents an analysis of the results of received system runs, draws conclusions about the state of the art, and identifies directions for future research. A total of 11 teams participated in the smoking challenge. Each team submitted up to three system runs, providing a total of 23 submissions. The submitted system runs were evaluated with microaveraged and macroaveraged precision, recall, and F-measure. The systems submitted to the smoking challenge represented a variety of machine learning and rule-based algorithms. Despite the differences in their approaches to smoking status identification, many of these systems provided good results. There were 12 system runs with microaveraged F-measures above 0.84. Analysis of the results highlighted the fact that discharge summaries express smoking status using a limited number of textual features (e.g., "smok", "tobac", "cigar", Social History, etc.). Many of the effective smoking status identifiers benefit from these features. PMID:17947624

  8. A web-based electronic patient record (ePR) system for data integration in movement analysis research on wheel-chair users to minimize shoulder pain

    NASA Astrophysics Data System (ADS)

    Deshpande, Ruchi R.; Requejo, Philip; Sutisna, Erry; Wang, Ximing; Liu, Margaret; McNitt-Gray, Sarah; Ruparel, Puja; Liu, Brent J.

    2012-02-01

    Patients confined to manual wheel-chairs are at an added risk of shoulder injury. There is a need for developing optimal bio-mechanical techniques for wheel-chair propulsion through movement analysis. Data collected is diverse and in need of normalization and integration. Current databases are ad-hoc and do not provide flexibility, extensibility and ease of access. The need for an efficient means to retrieve specific trial data, display it and compare data from multiple trials is unmet through lack of data association and synchronicity. We propose the development of a robust web-based ePR system that will enhance workflow and facilitate efficient data management.

  9. Patient record access: making it work for you and the NHS

    PubMed Central

    2011-01-01

    Background Patient record access is NHS policy. It is now a reality in the UK, although it remains a rarity. Setting This article summarises the current state of patient record access in the UK, focusing on a particular system for which there is most data available. It also explores possibilities for expanded functionality in the near future. This will offer both patients and the NHS a more interactive approach that offers significant benefits to both. Results Patient record access not only appears safe, but also offers benefits to patients. These include improved safety; a more accurate record; better relationships between patients and clinicians; better data sharing and integration across the NHS; improved self-care and shared decision-making; and better compliance. Practices gain by saving time. In addition, they gain by having empowered patients who can do more for themselves. However, clinicians in general, and GPs in particular, are anxious about enabling record access, fearing loss of control, litigation and breaches of the daa protection act. Conclusions Patient record access with added transactional services is likely to benefit patients and practices across the NHS. It supports QIPP. It is likely to become routine, but cannot substitute for good traditional communication with and support for patients. PMID:25949647

  10. 78 FR 43258 - Privacy Act; System of Records: Human Resources Records, State-31

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-19

    ... Resources Records'' (previously published as 65 FR 69359). The information collected and maintained in this... Act; System of Records: Human Resources Records, State-31 SUMMARY: Notice is hereby given that the Department of State proposes to amend an existing system of records, Human Resources Records, State-...

  11. Paleomagnetic recording fidelity of nonideal magnetic systems

    PubMed Central

    Muxworthy, Adrian R; Krása, David; Williams, Wyn; Almeida, Trevor P

    2014-01-01

    A suite of near-identical magnetite nanodot samples produced by electron-beam lithography have been used to test the thermomagnetic recording fidelity of particles in the 74–333 nm size range; the grain size range most commonly found in rocks. In addition to controlled grain size, the samples had identical particle spacings, meaning that intergrain magnetostatic interactions could be controlled. Their magnetic hysteresis parameters were indicative of particles thought not to be ideal magnetic recorders; however, the samples were found to be excellent thermomagnetic recorders of the magnetic field direction. They were also found to be relatively good recorders of the field intensity in a standard paleointensity experiment. The samples' intensities were all within ∼15% of the expected answer and the mean of the samples within 3% of the actual field. These nonideal magnetic systems have been shown to be reliable records of the geomagnetic field in terms of both direction and intensity even though their magnetic hysteresis characteristics indicate less than ideal magnetic grains. Key Points Nonideal magnetic systems accurately record field direction Weak-field remanences more stable than strong-field remanences PMID:26300699

  12. Cognitive analysis of the summarization of longitudinal patient records.

    PubMed

    Reichert, Daniel; Kaufman, David; Bloxham, Benjamin; Chase, Herbert; Elhadad, Noémie

    2010-01-01

    Electronic health records contain an abundance of valuable information that can be used to guide patient care. However, the large volume of information embodied in these records also renders access to relevant information a time-consuming and inefficient process. Our ultimate objective is to develop an automated summarizer that succinctly captures all relevant information in the patient record. In this paper, we present a cognitive study of 8 clinicians who were asked to create summaries based on data contained in the patients' electronic health record. The study characterized the primary sources of information that were prioritized by clinicians, the temporal strategies used to develop a summary and the cognitive operations used to guide the summarization process. Although we would not expect the automated summarizer to emulate human performance, we anticipate that this study will inform its development in instrumental ways. PMID:21347062

  13. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued) EQUAL... individual records in a record system. (a) Any person who wishes to be notified if a system of records..., either in person or by mail, in accordance with the instructions set forth in the system notice...

  14. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued) EQUAL... individual records in a record system. (a) Any person who wishes to be notified if a system of records..., either in person or by mail, in accordance with the instructions set forth in the system notice...

  15. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued) EQUAL... individual records in a record system. (a) Any person who wishes to be notified if a system of records..., either in person or by mail, in accordance with the instructions set forth in the system notice...

  16. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued) EQUAL... individual records in a record system. (a) Any person who wishes to be notified if a system of records..., either in person or by mail, in accordance with the instructions set forth in the system notice...

  17. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued) EQUAL... individual records in a record system. (a) Any person who wishes to be notified if a system of records..., either in person or by mail, in accordance with the instructions set forth in the system notice...

  18. 78 FR 21599 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency... INFORMATION: The Defense Information Systems Agency systems of records notices subject to the Privacy Act of... Systems Agency is deleting three systems of records notices in its existing inventory of record...

  19. 5 CFR 2606.103 - Systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... system, comprised of Computer Systems Activity and Access Records; and the OGE/INTERNAL-5 system... Government Ethics maintains two executive branch Governmentwide systems of records: the OGE/GOVT-1 system of...-Retrieved Ethics Program Records; and the OGE/GOVT-2 system of records, comprised of Executive...

  20. Development framework for a patient-centered record.

    PubMed

    Puentes, John; Roux, Michèle; Montagner, Julien; Lecornu, Laurent

    2012-12-01

    Patient records have been developed to support the physician-oriented medical activity scheme. One recommended yet rarely studied alternative, expected to improve healthcare, is the patient-centered record. We propose a development framework for such record, which includes domain-specific database models at the conceptual level, analyzing the fundamental role of complementary information destined to ensure proper patient understanding of related clinical situations. A patient-centered awareness field study of user requirements and medical workflow was carried out in three medical services and two technical units to identify the most relevant elements of the framework, and compared to the definitions of a theoretical approach. Three core data models - centered on the patient, medical personnel, and complementary patient information, corresponding to the determined set of entities, information exchanges and actors roles, constitute the technical recommendations of the development framework. An open source proof of concept prototype was developed to show the model feasibility. The resulting patient-centered record development framework implies particular medical personnel contributions to supply complementary information. PMID:22795581

  1. 75 FR 70342 - Privacy Act; System of Records: Equal Employment Opportunity Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... Act; System of Records: Equal Employment Opportunity Records SUMMARY: Notice is hereby given that the Department of State proposes to amend an existing system of records, Equal Employment Opportunity Records... Office of Management and Budget on October 20, 2010. It is proposed that the current system will...

  2. System Synchronizes Recordings from Separated Video Cameras

    NASA Technical Reports Server (NTRS)

    Nail, William; Nail, William L.; Nail, Jasper M.; Le, Doung T.

    2009-01-01

    A system of electronic hardware and software for synchronizing recordings from multiple, physically separated video cameras is being developed, primarily for use in multiple-look-angle video production. The system, the time code used in the system, and the underlying method of synchronization upon which the design of the system is based are denoted generally by the term "Geo-TimeCode(TradeMark)." The system is embodied mostly in compact, lightweight, portable units (see figure) denoted video time-code units (VTUs) - one VTU for each video camera. The system is scalable in that any number of camera recordings can be synchronized. The estimated retail price per unit would be about $350 (in 2006 dollars). The need for this or another synchronization system external to video cameras arises because most video cameras do not include internal means for maintaining synchronization with other video cameras. Unlike prior video-camera-synchronization systems, this system does not depend on continuous cable or radio links between cameras (however, it does depend on occasional cable links lasting a few seconds). Also, whereas the time codes used in prior video-camera-synchronization systems typically repeat after 24 hours, the time code used in this system does not repeat for slightly more than 136 years; hence, this system is much better suited for long-term deployment of multiple cameras.

  3. Global positioning system recorder and method

    DOEpatents

    Hayes, D.W.; Hofstetter, K.J.; Eakle, R.F. Jr.; Reeves, G.E.

    1998-12-22

    A global positioning system recorder (GPSR) is disclosed in which operational parameters and recorded positional data are stored on a transferable memory element. Through this transferrable memory element, the user of the GPSR need have no knowledge of GPSR devices other than that the memory element needs to be inserted into the memory element slot and the GPSR must be activated. The use of the data element also allows for minimal downtime of the GPSR and the ability to reprogram the GPSR and download data therefrom, without having to physically attach it to another computer. 4 figs.

  4. Redundancy-aware topic modeling for patient record notes.

    PubMed

    Cohen, Raphael; Aviram, Iddo; Elhadad, Michael; Elhadad, Noémie

    2014-01-01

    The clinical notes in a given patient record contain much redundancy, in large part due to clinicians' documentation habit of copying from previous notes in the record and pasting into a new note. Previous work has shown that this redundancy has a negative impact on the quality of text mining and topic modeling in particular. In this paper we describe a novel variant of Latent Dirichlet Allocation (LDA) topic modeling, Red-LDA, which takes into account the inherent redundancy of patient records when modeling content of clinical notes. To assess the value of Red-LDA, we experiment with three baselines and our novel redundancy-aware topic modeling method: given a large collection of patient records, (i) apply vanilla LDA to all documents in all input records; (ii) identify and remove all redundancy by chosing a single representative document for each record as input to LDA; (iii) identify and remove all redundant paragraphs in each record, leaving partial, non-redundant documents as input to LDA; and (iv) apply Red-LDA to all documents in all input records. Both quantitative evaluation carried out through log-likelihood on held-out data and topic coherence of produced topics and qualitative assessment of topics carried out by physicians show that Red-LDA produces superior models to all three baseline strategies. This research contributes to the emerging field of understanding the characteristics of the electronic health record and how to account for them in the framework of data mining. The code for the two redundancy-elimination baselines and Red-LDA is made publicly available to the community. PMID:24551060

  5. Deep Patient: An Unsupervised Representation to Predict the Future of Patients from the Electronic Health Records.

    PubMed

    Miotto, Riccardo; Li, Li; Kidd, Brian A; Dudley, Joel T

    2016-01-01

    Secondary use of electronic health records (EHRs) promises to advance clinical research and better inform clinical decision making. Challenges in summarizing and representing patient data prevent widespread practice of predictive modeling using EHRs. Here we present a novel unsupervised deep feature learning method to derive a general-purpose patient representation from EHR data that facilitates clinical predictive modeling. In particular, a three-layer stack of denoising autoencoders was used to capture hierarchical regularities and dependencies in the aggregated EHRs of about 700,000 patients from the Mount Sinai data warehouse. The result is a representation we name "deep patient". We evaluated this representation as broadly predictive of health states by assessing the probability of patients to develop various diseases. We performed evaluation using 76,214 test patients comprising 78 diseases from diverse clinical domains and temporal windows. Our results significantly outperformed those achieved using representations based on raw EHR data and alternative feature learning strategies. Prediction performance for severe diabetes, schizophrenia, and various cancers were among the top performing. These findings indicate that deep learning applied to EHRs can derive patient representations that offer improved clinical predictions, and could provide a machine learning framework for augmenting clinical decision systems. PMID:27185194

  6. Maternity patients' access to their electronic medical records: use and perspectives of a patient portal.

    PubMed

    Megan Forster, Megan; Dennison, Kerrie; Callen, Joanne; Andrew, Andrew; Westbrook, Johanna I

    2015-01-01

    Patients have been able to access clinical information from their paper-based health records for a number of years. With the advent of Electronic Medical Records (EMRs) access to this information can now be achieved online using a secure electronic patient portal. The purpose of this study was to investigate maternity patients' use and perceptions of a patient portal developed at the Mater Mothers' Hospital in Brisbane, Australia. A web-based patient portal, one of the first developed and deployed in Australia, was introduced on 26 June 2012. The portal was designed for maternity patients booked at Mater Mothers' Hospital, as an alternative to the paper-based Pregnancy Health Record. Through the portal, maternity patients are able to complete their hospital registration form online and obtain current health information about their pregnancy (via their EMR), as well as access a variety of support tools to use during their pregnancy such as tailored public health advice. A retrospective cross-sectional study design was employed. Usage statistics were extracted from the system for a one year period (1 July 2012 to 30 June 2013). Patients' perceptions of the portal were obtained using an online survey, accessible by maternity patients for two weeks in February 2013 (n=80). Descriptive statistics were employed to analyse the data. Between July 2012 and June 2013, 10,892 maternity patients were offered a patient portal account and access to their EMR. Of those 6,518 created one (60%; 6,518/10,892) and 3,104 went on to request access to their EMR (48%; 3,104/6,518). Of these, 1,751 had their access application granted by 30 June 2013. The majority of maternity patients submitted registration forms online via the patient portal (56.7%). Patients could view their EMR multiple times: there were 671 views of the EMR, 2,781 views of appointment schedules and 135 birth preferences submitted via the EMR. Eighty survey responses were received from EMR account holders, (response

  7. Perfusion Electronic Record Documentation Using Epic Systems Software

    PubMed Central

    Steffens, Thomas G.; Gunser, John M.; Saviello, George M.

    2015-01-01

    Abstract: This paper describes the design and use of Epic Systems software for documentation of perfusion activities as part of the patient electronic medical record. The University of Wisconsin Hospital and Clinics adapted the Anesthesia software module and developed an integrated perfusion/anesthesia record for the documentation of cardiac and non-cardiac surgical procedures. This project involved multiple committees, approvals, and training to successfully implement. This article will describe our documentation options, concepts, design, challenges, training, and implementation during our initial experience. PMID:26834288

  8. 21 CFR 820.186 - Quality system record.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Quality system record. 820.186 Section 820.186...) MEDICAL DEVICES QUALITY SYSTEM REGULATION Records § 820.186 Quality system record. Each manufacturer shall maintain a quality system record (QSR). The QSR shall include, or refer to the location of, procedures...

  9. 77 FR 47641 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ...In accordance with the requirements of the Privacy Act of 1974, as amended (Privacy Act), the Federal Housing Finance Agency (FHFA) gives notice of and requests comments on the proposed revision of one existing system of records, the establishment of four new systems of records, and the removal of three existing systems of records notices. The revised existing system of records is ``Fraud......

  10. 78 FR 14288 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... 11, 1997, 62 FR 31793). Reason: Records are covered by DoD System of Records Notice A0600-8-1C AHRC DoD, Defense Casualty Information Processing System (DCIPS) (May 3, 2011, 76 FR 24865). Additional... Force System of Records Notice F036 AF PC C, Military Personnel Records System (October 13, 2000, 65...

  11. 75 FR 79345 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-20

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of Defense... proposes to alter a system of records in its inventory of record systems subject to the Privacy Act of 1974... INFORMATION: The Office of the Secretary of Defense notices for systems of records subject to the Privacy...

  12. 78 FR 32635 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... Screening Records System, system of records notice published in the Federal Register (76 FR 77846, December 14, 2011). Exemptions claimed for the system: Exempt materials from JUSTICE/FBI-019 Terrorist... copies of exempt records from JUSTICE/FBI-019, Terrorist Screening Records System are entered into...

  13. 21 CFR 820.186 - Quality system record.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Quality system record. 820.186 Section 820.186...) MEDICAL DEVICES QUALITY SYSTEM REGULATION Records § 820.186 Quality system record. Each manufacturer shall maintain a quality system record (QSR). The QSR shall include, or refer to the location of, procedures...

  14. 76 FR 46756 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... Catalog System Records (December 15, 2008, 73 FR 76009) Reason: This system of records application does... of the Secretary Privacy Act of 1974; System of Records AGENCY: Missile Defense Agency, Department of Defense (DoD). ACTION: Notice to Delete a System of Records. SUMMARY: The Missile Defense Agency...

  15. Patient clustering with uncoded text in electronic medical records.

    PubMed

    Henao, Ricardo; Murray, Jared; Ginsburg, Geoffrey; Carin, Lawrence; Lucas, Joseph E

    2013-01-01

    We propose a mixture model for text data designed to capture underlying structure in the history of present illness section of electronic medical records data. Additionally, we propose a method to induce bias that leads to more homogeneous sets of diagnoses for patients in each cluster. We apply our model to a collection of electronic records from an emergency department and compare our results to three other relevant models in order to assess performance. Results using standard metrics demonstrate that patient clusters from our model are more homogeneous when compared to others, and qualitative analyses suggest that our approach leads to interpretable patient sub-populations when applied to real data. Finally, we demonstrate an example of our patient clustering model to identify adverse drug events. PMID:24551361

  16. Patient Clustering with Uncoded Text in Electronic Medical Records

    PubMed Central

    Henao, Ricardo; Murray, Jared; Ginsburg, Geoffrey; Carin, Lawrence; Lucas, Joseph E.

    2013-01-01

    We propose a mixture model for text data designed to capture underlying structure in the history of present illness section of electronic medical records data. Additionally, we propose a method to induce bias that leads to more homogeneous sets of diagnoses for patients in each cluster. We apply our model to a collection of electronic records from an emergency department and compare our results to three other relevant models in order to assess performance. Results using standard metrics demonstrate that patient clusters from our model are more homogeneous when compared to others, and qualitative analyses suggest that our approach leads to interpretable patient sub-populations when applied to real data. Finally, we demonstrate an example of our patient clustering model to identify adverse drug events. PMID:24551361

  17. Prevalence and Record of Alcoholism Among Emergency Department Patients

    PubMed Central

    Boniatti, Márcio Manozzo; Diogo, Luciano Passamani; Almeida, Caroline Lorenzoni; de Oliveira Cardoso, Michelle

    2009-01-01

    OBJECTIVES: The purpose of this study was to investigate the prevalence of alcoholism among inpatients, to identify social and demographic factors associated with this prevalence and to determine its rate of recognition by the medical team. METHODS: The study population consisted of all patients admitted to the emergency room at Hospital São Lucas, Porto Alegre, Brazil, between July and September of 2005. The data were collected in two steps: an interview with the patient and a review of the medical records to investigate the cases of alcoholism recorded by the medical team. The questionnaire consisted of questions concerning social and demographic data, smoking habits and Alcohol Use Disorders Identification Test. RESULTS: We interviewed 248 patients. Twenty-eight (11.3%) were identified as alcoholics. Compared to the patients with a negative Alcohol Use Disorders Identification Test value (less than 8), those with a positive Alcohol Use Disorders Identification Test were more likely to be male, illiterate and smokers. The medical records of 217 (87.5%) patients were reviewed. Only 5 (20.0%) of the 25 patients with a positive Alcohol Use Disorders Identification Test whose medical records were reviewed were identified as alcoholics by the medical team. The diagnosis made by the medical team, compared to Alcohol Use Disorders Identification Test, shows only a 20% sensitivity, 93% specificity and positive and negative predictive values of 29% and 90%, respectively. CONCLUSION: Alcoholism has been underrecognized in patients who are hospitalized, and, as such, this opportunity for possible early intervention is often lost. Key social and demographic factors could provide physicians with risk factors and, when used together with a standardized diagnostic instrument, could significantly improve the rate of identification of alcoholic patients. PMID:19142548

  18. Using a computerized patient record to reengineer an outpatient clinic.

    PubMed Central

    Borowitz, S. M.

    1994-01-01

    By employing process flow analysis and work redesign techniques during the design and implementation of a computerized patient record in the pediatric outpatient clinics at the University of Virginia Health Sciences Center, we have developed a database of clinical observations while simultaneously shortening the time that patients spend waiting in the pediatric clinics and decreasing the number of support staff employed within the clinics. PMID:7949936

  19. Are low income patients receiving the benefits of electronic health records? A statewide survey.

    PubMed

    Butler, Matthew J; Harootunian, Gevork; Johnson, William G

    2013-06-01

    There are concerns that physicians serving low-income, Medicaid patients, in the United States are less likely to adopt electronic health records and, if so, that Medicaid patients will be denied the benefits from electronic health record use. This study seeks to determine whether physicians treating Medicaid patients were less likely to have adopted electronic health records. Physician surveys completed during physicians' license renewal process in Arizona were merged with the physician licensing data and Medicaid administrative claims data. Survey responses were received from 50.7 percent (6,780 out of 13,380) of all physicians practicing in Arizona. Physician survey responses were used to identify whether the physician used electronic health records and the degree to which the physician exchanged electronic health records with other health-care providers. Medicaid claims data were used to identify which physicians provided health care to Medicaid beneficiaries. The primary outcome of interest was whether Medicaid providers were more or less likely to have adopted electronic health records. Logistic regression analysis was used to estimate average marginal effects. In multivariate analysis, physicians with 20 or more Medicaid patients during the survey cycle were 4.1 percent more likely to use an electronic health record and 5.2 percent more likely to be able to transmit electronic health records to at least one health-care provider outside of their practice. These effects increase in magnitude when the analysis is restricted to solo practice physicians This is the first study to find a pro-Medicaid gap in electronic health record adoption suggesting that the low income patients served by Arizona's Health Care Cost Containment System are not at a disadvantage with regard to electronic health record access and that Arizona's model of promoting electronic health record adoption merits further study. PMID:23715209

  20. Deep Patient: An Unsupervised Representation to Predict the Future of Patients from the Electronic Health Records

    PubMed Central

    Miotto, Riccardo; Li, Li; Kidd, Brian A.; Dudley, Joel T.

    2016-01-01

    Secondary use of electronic health records (EHRs) promises to advance clinical research and better inform clinical decision making. Challenges in summarizing and representing patient data prevent widespread practice of predictive modeling using EHRs. Here we present a novel unsupervised deep feature learning method to derive a general-purpose patient representation from EHR data that facilitates clinical predictive modeling. In particular, a three-layer stack of denoising autoencoders was used to capture hierarchical regularities and dependencies in the aggregated EHRs of about 700,000 patients from the Mount Sinai data warehouse. The result is a representation we name “deep patient”. We evaluated this representation as broadly predictive of health states by assessing the probability of patients to develop various diseases. We performed evaluation using 76,214 test patients comprising 78 diseases from diverse clinical domains and temporal windows. Our results significantly outperformed those achieved using representations based on raw EHR data and alternative feature learning strategies. Prediction performance for severe diabetes, schizophrenia, and various cancers were among the top performing. These findings indicate that deep learning applied to EHRs can derive patient representations that offer improved clinical predictions, and could provide a machine learning framework for augmenting clinical decision systems. PMID:27185194

  1. Confidentiality of Alcohol and Drug Abuse Patient Records. Participant Manual.

    ERIC Educational Resources Information Center

    Coggins, Patrick C.; And Others

    This participant manual is designed to provide an overview of federal laws and regulations pertaining to the confidentiality of alcohol and drug abuse patient records. The relationship of federal laws to state laws and regulations is also discussed. The materials, useful for persons involved in the fields of substance abuse treatment or…

  2. 42 CFR 491.10 - Patient health records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Patient health records. 491.10 Section 491.10 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CERTIFICATION OF CERTAIN HEALTH FACILITIES Rural Health...

  3. 42 CFR 491.10 - Patient health records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Patient health records. 491.10 Section 491.10 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CERTIFICATION OF CERTAIN HEALTH FACILITIES Rural Health...

  4. 42 CFR 491.10 - Patient health records.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Patient health records. 491.10 Section 491.10 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CERTIFICATION OF CERTAIN HEALTH FACILITIES Rural Health...

  5. 42 CFR 491.10 - Patient health records.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Patient health records. 491.10 Section 491.10 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CERTIFICATION OF CERTAIN HEALTH FACILITIES Rural Health...

  6. 42 CFR 491.10 - Patient health records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Patient health records. 491.10 Section 491.10 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CERTIFICATION OF CERTAIN HEALTH FACILITIES Rural Health...

  7. Economic outcomes of a dental electronic patient record.

    PubMed

    Langabeer, James R; Walji, Muhammad F; Taylor, David; Valenza, John A

    2008-10-01

    The implementation of an electronic patient record (EPR) in many sectors of health care has been suggested to have positive relationships with both quality of care and improved pedagogy, although evaluation of actual results has been somewhat disillusioning. Evidence-based dentistry clearly suggests the need for tools and systems to improve care, and an EPR is a critical tool that has been widely proposed in recent years. In dental schools, EPR systems are increasingly being adopted, despite obstacles such as high costs, time constraints necessary for process workflow change, and overall project complexity. The increasing movement towards cost-effectiveness analyses in health and medicine suggests that the EPR should generally cover expenses, or produce total benefits greater than its combined costs, to ensure that resources are being utilized efficiently. To test the underlying economics of an EPR, we utilized a pre-post research design with a probability-based economic simulation model to analyze changes in performance and costs in one dental school. Our findings suggest that the economics are positive, but only when student fees are treated as an incremental revenue source. In addition, other performance indicators appeared to have significant changes, although most were not comprehensively measured pre-implementation, making it difficult to truly understand the performance differential-such pre-measurement of expected benefits is a key lesson learned. This article also provides recommendations for dental clinics and universities that are about to embark on this endeavor. PMID:18923100

  8. 75 FR 13090 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-18

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to add a system of records. SUMMARY: The Defense Information Systems Agency is... Information Systems Agency system of records notices subject to the Privacy Act of 1974, (5 U.S.C. 552a),...

  9. 78 FR 43866 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-22

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to delete a System of Records notice. SUMMARY: The Defense Information Systems... INFORMATION: The Defense Information Systems Agency systems of records notices subject to the Privacy Act...

  10. 75 FR 25845 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-10

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Defense Information Systems Agency... Information Systems Agency systems of records notices subject to the Privacy Act of 1974 (5 U.S.C. 552a),...

  11. 77 FR 34357 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Information Systems Agency.... SUPPLEMENTARY INFORMATION: The Defense Information Systems Agency notices for system of records subject to...

  12. 75 FR 57740 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-22

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to add a system of records. SUMMARY: The Defense Information Systems Agency is... INFORMATION: The Defense Information Systems Agency system of records notices subject to the Privacy Act...

  13. 12 CFR 792.54 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... individual records in a system of records. 792.54 Section 792.54 Banks and Banking NATIONAL CREDIT UNION... system of records. (a) Individuals desiring to know if a system of records contains records pertaining to them, and individuals requesting access to records in a system of records pertaining to them...

  14. 12 CFR 792.54 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... individual records in a system of records. 792.54 Section 792.54 Banks and Banking NATIONAL CREDIT UNION... system of records. (a) Individuals desiring to know if a system of records contains records pertaining to them, and individuals requesting access to records in a system of records pertaining to them...

  15. 12 CFR 792.54 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... individual records in a system of records. 792.54 Section 792.54 Banks and Banking NATIONAL CREDIT UNION... system of records. (a) Individuals desiring to know if a system of records contains records pertaining to them, and individuals requesting access to records in a system of records pertaining to them...

  16. 12 CFR 792.54 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... individual records in a system of records. 792.54 Section 792.54 Banks and Banking NATIONAL CREDIT UNION... system of records. (a) Individuals desiring to know if a system of records contains records pertaining to them, and individuals requesting access to records in a system of records pertaining to them...

  17. 75 FR 3972 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ... Register 67 FR 66712. VA is amending the system records by revising the Routine Uses of Records Maintained... allow VA to disclose information from this system of records to the Department of Justice (DoJ), either... information from this system of records to the Department of Justice (DoJ), either on VA's initiative or...

  18. 75 FR 43497 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: National Geospatial-Intelligence...-Intelligence Agency (NGA) proposes to add a system of records to its inventory of record systems subject to...

  19. 77 FR 15086 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... Systems Access, Authorization, and Control Records (April 11, 2007, 72 FR 18209). Reason: Records have... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ] ACTION: Notice to Delete a System of Records. SUMMARY: The Defense Intelligence Agency is deleting...

  20. 76 FR 10010 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-23

    ... (February 27, 2007, 72 FR 8699). Reason: The records contained in this system of records have been... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to Delete a System of Records. SUMMARY: The Defense Intelligence Agency proposes to...

  1. “Nothing About Me Without Me”: An Interpretative Review of Patient Accessible Electronic Health Records

    PubMed Central

    Callahan, Ryan; Sevdalis, Nick; Mayer, Erik K; Darzi, Ara

    2015-01-01

    Background Patient accessible electronic health records (PAEHRs) enable patients to access and manage personal clinical information that is made available to them by their health care providers (HCPs). It is thought that the shared management nature of medical record access improves patient outcomes and improves patient satisfaction. However, recent reviews have found that this is not the case. Furthermore, little research has focused on PAEHRs from the HCP viewpoint. HCPs include physicians, nurses, and service providers. Objective We provide a systematic review of reviews of the impact of giving patients record access from both a patient and HCP point of view. The review covers a broad range of outcome measures, including patient safety, patient satisfaction, privacy and security, self-efficacy, and health outcome. Methods A systematic search was conducted using Web of Science to identify review articles on the impact of PAEHRs. Our search was limited to English-language reviews published between January 2002 and November 2014. A total of 73 citations were retrieved from a series of Boolean search terms including “review*” with “patient access to records”. These reviews went through a novel scoring system analysis whereby we calculated how many positive outcomes were reported per every outcome measure investigated. This provided a way to quantify the impact of PAEHRs. Results Ten reviews covering chronic patients (eg, diabetes and hypertension) and primary care patients, as well as HCPs were found but eight were included for the analysis of outcome measures. We found mixed outcomes across both patient and HCP groups, with approximately half of the reviews showing positive changes with record access. Patients believe that record access increases their perception of control; however, outcome measures thought to create psychological concerns (such as patient anxiety as a result of seeing their medical record) are still unanswered. Nurses are more likely than

  2. Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association.

    PubMed

    Miller, R A; Gardner, R M

    1997-01-01

    In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention. PMID:9391932

  3. 32 CFR 327.5 - Systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., fulfills the requirements of 32 CFR part 285. (i) Records disposal. (1) DeCA records containing personal...-government personnel. (2) Personnel records maintained by DeCA computer room or stand alone systems, will...

  4. Patients want granular privacy control over health information in electronic medical records

    PubMed Central

    Caine, Kelly; Hanania, Rima

    2013-01-01

    Objective To assess patients’ desire for granular level privacy control over which personal health information should be shared, with whom, and for what purpose; and whether these preferences vary based on sensitivity of health information. Materials and methods A card task for matching health information with providers, questionnaire, and interview with 30 patients whose health information is stored in an electronic medical record system. Most patients’ records contained sensitive health information. Results No patients reported that they would prefer to share all information stored in an electronic medical record (EMR) with all potential recipients. Sharing preferences varied by type of information (EMR data element) and recipient (eg, primary care provider), and overall sharing preferences varied by participant. Patients with and without sensitive records preferred less sharing of sensitive versus less-sensitive information. Discussion Patients expressed sharing preferences consistent with a desire for granular privacy control over which health information should be shared with whom and expressed differences in sharing preferences for sensitive versus less-sensitive EMR data. The pattern of results may be used by designers to generate privacy-preserving EMR systems including interfaces for patients to express privacy and sharing preferences. Conclusions To maintain the level of privacy afforded by medical records and to achieve alignment with patients’ preferences, patients should have granular privacy control over information contained in their EMR. PMID:23184192

  5. Integration of electronic patient record context with message context.

    PubMed

    De Clercq, Etienne; Bangels, Marc; France, Francis Roger

    2004-01-01

    A methodology to construct specific messages with clear objectives inside clinical processes, while simultaneously including contextual information, remains a problem today. This paper addresses the issue of combining specific message context (process driven) with the context of a patient record (patient centered). In Belgium, simplified conceptual models for Electronic Patient Record (EPR) architecture and for message architecture, based on previous comprehensive and international work, have been produced, validated and mapped into an integrated message format. The resulting model described in this paper highlights the main conceptual links between both basic models: at the action level and at the Transaction level. Using XML, some parts of the model have already been implemented in various national projects. Key lessons learned may be imported at the international level. PMID:15360968

  6. 76 FR 52378 - Privacy Act; System of Records: State-76, Personal Services Contractor Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-22

    ..., a user must first be granted access to the Department of State computer system. ] Remote access to... Act; System of Records: State-76, Personal Services Contractor Records SUMMARY: Notice is hereby given that the Department of State proposes to create a new system of records, Personal Services...

  7. 75 FR 66131 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... FBI Laboratory, Quantico, VA 22135; FBI Criminal Justice Information Services (CJIS) Division, 1000... Privacy Act of 1974; System of Records AGENCY: Federal Bureau of Investigation, Department of Justice... an existing system of records entitled ``Data Integration and Visualization System,''...

  8. 28 CFR 700.15 - Records in exempt systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Records Under the Privacy Act of 1974 § 700.15 Records in exempt systems of records. (a) Law-enforcement... to a law-enforcement record that has been exempted from access pursuant to 5 U.S.C. 552a(k)(2), the... eligible or to which he would otherwise be entitled under federal law. If so, the Office shall notify...

  9. 77 FR 56630 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Information Systems Agency... contained in this system of records should address written inquiries to the Defense Information...

  10. 75 FR 25219 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427... records are controlled by computer system software. RETENTION AND DISPOSAL: Computer records are destroyed... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force,...

  11. 75 FR 39502 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-09

    ... Records (March 27, 2003; 68 FR 14959). Changes: * * * * * Retrievability: Delete and replace with ``By... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD. ACTION... of records notice in its existing inventory of records systems subject to the Privacy Act of 1974,...

  12. 77 FR 26260 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... FR 32317). Reason: The records contained in this system of records have been incorporated into LDIA 10-0002, Foreign Intelligence and Counterintelligence Operation Records (June 15, 2010, 75 FR 33791... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency,...

  13. 77 FR 66432 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-05

    ... (USAID) is deleting the AID-15 Employee Payroll Records, system of records in its existing inventory... Act systems of records. As a result of this review, USAID is deleting the AID-15 Employee Payroll...--Chief Privacy Officer. AID-15 Deletion: Employee Payroll Records Reason: Based upon a review of...

  14. Overcoming barriers to implementing patient-reported outcomes in an electronic health record: a case report.

    PubMed

    Harle, Christopher A; Listhaus, Alyson; Covarrubias, Constanza M; Schmidt, Siegfried Of; Mackey, Sean; Carek, Peter J; Fillingim, Roger B; Hurley, Robert W

    2016-01-01

    In this case report, the authors describe the implementation of a system for collecting patient-reported outcomes and integrating results in an electronic health record. The objective was to identify lessons learned in overcoming barriers to collecting and integrating patient-reported outcomes in an electronic health record. The authors analyzed qualitative data in 42 documents collected from system development meetings, written feedback from users, and clinical observations with practice staff, providers, and patients. Guided by the Unified Theory on the Adoption and Use of Information Technology, 5 emergent themes were identified. Two barriers emerged: (i) uncertain clinical benefit and (ii) time, work flow, and effort constraints. Three facilitators emerged: (iii) process automation, (iv) usable system interfaces, and (v) collecting patient-reported outcomes for the right patient at the right time. For electronic health record-integrated patient-reported outcomes to succeed as useful clinical tools, system designers must ensure the clinical relevance of the information being collected while minimizing provider, staff, and patient burden. PMID:26159464

  15. Semantic extraction and processing of medical records for patient-oriented visual index

    NASA Astrophysics Data System (ADS)

    Zheng, Weilin; Dong, Wenjie; Chen, Xiangjiao; Zhang, Jianguo

    2012-02-01

    To have comprehensive and completed understanding healthcare status of a patient, doctors need to search patient medical records from different healthcare information systems, such as PACS, RIS, HIS, USIS, as a reference of diagnosis and treatment decisions for the patient. However, it is time-consuming and tedious to do these procedures. In order to solve this kind of problems, we developed a patient-oriented visual index system (VIS) to use the visual technology to show health status and to retrieve the patients' examination information stored in each system with a 3D human model. In this presentation, we present a new approach about how to extract the semantic and characteristic information from the medical record systems such as RIS/USIS to create the 3D Visual Index. This approach includes following steps: (1) Building a medical characteristic semantic knowledge base; (2) Developing natural language processing (NLP) engine to perform semantic analysis and logical judgment on text-based medical records; (3) Applying the knowledge base and NLP engine on medical records to extract medical characteristics (e.g., the positive focus information), and then mapping extracted information to related organ/parts of 3D human model to create the visual index. We performed the testing procedures on 559 samples of radiological reports which include 853 focuses, and achieved 828 focuses' information. The successful rate of focus extraction is about 97.1%.

  16. Personal Health Records: Beneficial or Burdensome for Patients and Healthcare Providers?

    PubMed Central

    Lester, Melissa; Boateng, Samuel; Studeny, Jana; Coustasse, Alberto

    2016-01-01

    Personal health records (PHRs) have been mandated to be made available to patients to provide increased access to medical care information, encourage participation in healthcare decision making, and enable correction of errors within medical records. The purpose of this study was to analyze the usefulness of PHRs from the perspectives of patients and providers. The methodology of this qualitative study was a literature review using 34 articles. PHRs are powerful tools for patients and healthcare providers. Better healthcare results and correction of medical records have been shown to be positive outcomes of the use of PHRs. PHRs have also been shown to be difficult for patients to use and understand, and providers had concerns about correct information transferring to the portals and patients eliminating information from the record. Concerns regarding patient understanding of medical records, legal liability, and the response time required of providers were also identified. For the PHR to succeed in the US healthcare system, assurance that the information will be protected, useful, and easily accessed is necessary. PMID:27134613

  17. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... AND PUBLIC RELATIONS ARMY PRIVACY ACT PROGRAM § 505.3 Privacy Act systems of records. (a) Systems of... Register in a system of records notice, which will provide the public an opportunity to comment before DA... Register on new, amended, altered, or deleted systems of records to inform the public of the Privacy...

  18. 75 FR 77855 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... Alcohol Program System (August 4, 2006, 71 FR 44267). Changes: * * * * * System location: Delete entry and... Department of the Navy Privacy Act of 1974; System of Records AGENCY: Department of the Navy, DoD. ACTION... records in its inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. Sec. 552a),...

  19. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 3 2014-07-01 2014-07-01 false Privacy Act systems of records. 505.3 Section... AUTHORITIES AND PUBLIC RELATIONS ARMY PRIVACY ACT PROGRAM § 505.3 Privacy Act systems of records. (a) Systems... assigned to an individual. (2) Privacy Act systems of records must be— (i) Authorized by Federal statute...

  20. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 3 2012-07-01 2009-07-01 true Privacy Act systems of records. 505.3 Section 505... AND PUBLIC RELATIONS ARMY PRIVACY ACT PROGRAM § 505.3 Privacy Act systems of records. (a) Systems of... assigned to an individual. (2) Privacy Act systems of records must be— (i) Authorized by Federal statute...

  1. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 3 2013-07-01 2013-07-01 false Privacy Act systems of records. 505.3 Section... AUTHORITIES AND PUBLIC RELATIONS ARMY PRIVACY ACT PROGRAM § 505.3 Privacy Act systems of records. (a) Systems... assigned to an individual. (2) Privacy Act systems of records must be— (i) Authorized by Federal statute...

  2. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AND PUBLIC RELATIONS ARMY PRIVACY ACT PROGRAM § 505.3 Privacy Act systems of records. (a) Systems of... Register in a system of records notice, which will provide the public an opportunity to comment before DA... Register on new, amended, altered, or deleted systems of records to inform the public of the Privacy...

  3. The design and implementation of a ubiquitous personal health record system for South Africa.

    PubMed

    Kyazze, Michael; Wesson, Janet; Naude, Kevin

    2014-01-01

    Doctors can experience difficulty in accessing medical information of new patients. One reason for this is that, the management of medical records is mostly institution-centred. The lack of access to medical information may affect patients in several ways, such as: new medical tests may be carried out at a cost to the patient, and doctors may prescribe drugs to which the patient is allergic. This paper presents the design and implementation of a ubiquitous Personal Health Record system for South Africa. The design was informed by a literature review of existing personal health record standards, applications and the need to ensure patient privacy. Three medical practices in Port Elizabeth were interviewed with the aim of contextualizing the personal health record standards from the literature study. The findings of this research provide an insight as to how patients can bridge the gap created by institution-centred management of medical records. PMID:25365669

  4. The Regenstrief Medical Record System: a quarter century experience.

    PubMed

    McDonald, C J; Overhage, J M; Tierney, W M; Dexter, P R; Martin, D K; Suico, J G; Zafar, A; Schadow, G; Blevins, L; Glazener, T; Meeks-Johnson, J; Lemmon, L; Warvel, J; Porterfield, B; Warvel, J; Cassidy, P; Lindbergh, D; Belsito, A; Tucker, M; Williams, B; Wodniak, C

    1999-06-01

    Entrusted with the records for more than 1.5 million patients, the Regenstrief Medical Record System (RMRS) has evolved into a fast and comprehensive data repository used extensively at three hospitals on the Indiana University Medical Center campus and more than 30 Indianapolis clinics. The RMRS routinely captures laboratory results, narrative reports, orders, medications, radiology reports, registration information, nursing assessments, vital signs, EKGs and other clinical data. In this paper, we describe the RMRS data model, file structures and architecture, as well as recent necessary changes to these as we coordinate a collaborative effort among all major Indianapolis hospital systems, improving patient care by capturing city-wide laboratory and encounter data. We believe that our success represents persistent efforts to build interfaces directly to multiple independent instruments and other data collection systems, using medical standards such as HL7, LOINC, and DICOM. Inpatient and outpatient order entry systems, instruments for visit notes and on-line questionnaires that replace hardcopy forms, and intelligent use of coded data entry supplement the RMRS. Physicians happily enter orders, problems, allergies, visit notes, and discharge summaries into our locally developed Gopher order entry system, as we provide them with convenient output forms, choice lists, defaults, templates, reminders, drug interaction information, charge information, and on-line articles and textbooks. To prepare for the future, we have begun wrapping our system in Web browser technology, testing voice dictation and understanding, and employing wireless technology. PMID:10405881

  5. Matching Patient Records to Clinical Trials Using Ontologies

    NASA Astrophysics Data System (ADS)

    Patel, Chintan; Cimino, James; Dolby, Julian; Fokoue, Achille; Kalyanpur, Aditya; Kershenbaum, Aaron; Ma, Li; Schonberg, Edith; Srinivas, Kavitha

    This paper describes a large case study that explores the applicability of ontology reasoning to problems in the medical domain. We investigate whether it is possible to use such reasoning to automate common clinical tasks that are currently labor intensive and error prone, and focus our case study on improving cohort selection for clinical trials. An obstacle to automating such clinical tasks is the need to bridge the semantic gulf between raw patient data, such as laboratory tests or specific medications, and the way a clinician interprets this data. Our key insight is that matching patients to clinical trials can be formulated as a problem of semantic retrieval. We describe the technical challenges to building a realistic case study, which include problems related to scalability, the integration of large ontologies, and dealing with noisy, inconsistent data. Our solution is based on the SNOMED CT® ontology, and scales to one year of patient records (approx. 240,000 patients).

  6. Developing a handheld record for patients with cystic fibrosis

    PubMed Central

    Narayan, Omendra; Davies, Siobhan; Tibbins, Carly; Rees, JH Martyn; Lenney, Warren; Gilchrist, Francis J

    2015-01-01

    Patient handheld records (PHHRs) promote self-management and empower the holder to take a more active role in the management of their disease. They have been used successfully in improving preventative care for children and have contributed to improved adherence in a number of chronic illnesses. Despite the potential advantages, there are no standard PHHRs for patients with cystic fibrosis (CF). We report the consultation process that led to the development of a CF PHHR, describe the final document, and analyze the feedback from their use at our center. We have made the CF PHHR freely available online. PMID:26316833

  7. Developing image-based electronic patient records for collaborative medical applications

    NASA Astrophysics Data System (ADS)

    Zhang, Jianguo; Sun, Jianyong; Yong, Yuanyuan; Chen, Xiaomeng; Yu, Fenghai; Zhang, Xiaoyan; Lian, Ping; Sun, Kun; Huang, H. K.

    2004-04-01

    We developed a Web-based system to interactively display image-based electronic patient records (EPR) for intranet and Internet collaborative medical applications. The system consists of four major components: EPR DICOM gateway (EPR-GW), Image-based EPR repository server (EPR-Server), Web Server and EPR DICOM viewer (EPR-Viewer). We have successfully used this system two times for the teleconsultation on Severe acute respiratory syndrome (SARS) in Shanghai Xinhua Hospital and Shanghai Infection Hospital. During the consultation, both the physicians in infection control area and the experts outside the control area could interactively study, manipulate and navigate the EPR of the SARS patients to make more precise diagnosis on images with this system assisting. This presentation gave a new approach to create and manage image-based EPR from actual patient records, and also presented a way to use Web technology and DICOM standard to build an open architecture for collaborative medical applications.

  8. Evaluation of a Holter system to record ST-segment changes.

    PubMed

    Hammill, S C

    1987-10-01

    This study was performed to establish the accuracy of the Avionics 445B recorder and Innovator 750 scanner for identifying ST-segment changes in patients undergoing treadmill exercise testing. A series of 143 patients underwent treadmill exercise testing with 12-lead ECG monitoring and 2-lead Holter monitoring. The mean age of the patients (134 men and 9 women) was 59.3 years (range, 27 to 77). The frequency range of the recorder was 0.08 to 30 Hz. A modified V2 and V5 bipolar lead system was used for the Holter recording. The Holter tape was then scanned using the Innovator 750 scanner. The technician adjusted the baseline-reference point and J-point and then did not interact further with the recording. Treadmill exercise testing was undertaken using a submaximal Bruce protocol with 12 standard ECG leads recorded. Forty-two patients had positive ST-segment changes recorded by both the 12-lead ECG and the Holter monitor. Ninety-two patients had no ST-segment changes recorded by either of the systems. With the 12-lead ECG recorded during the treadmill exercise test used as the standard, the sensitivity of the Holter system was 89%, specificity 96%, and positive predictive accuracy 91%. The Holter recorder and automated scanning system should reliably detect episodes of ST-segment change occurring during ambulatory ECG monitoring. PMID:3694091

  9. 77 FR 27756 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ...In accordance with the Privacy Act of 1974, as amended (Privacy Act), the Department of Education (Department) deletes one system of records from its existing inventory of systems of records subject to the Privacy...

  10. 32 CFR 322.7 - Exempt systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... records. (a) All systems of records maintained by the NSA/CSS and its components shall be exempt from the... (General Exemption) (1) System name: NSA/CSS Office of Inspector General Investigations and Complaints....

  11. 32 CFR 322.7 - Exempt systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... records. (a) All systems of records maintained by the NSA/CSS and its components shall be exempt from the... (General Exemption) (1) System name: NSA/CSS Office of Inspector General Investigations and Complaints....

  12. 32 CFR 322.7 - Exempt systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... records. (a) All systems of records maintained by the NSA/CSS and its components shall be exempt from the... safety of witnesses and informants. (r) GNSA 23. (1) System name: NSA/CSS Operations Security Support...

  13. 32 CFR 322.7 - Exempt systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... records. (a) All systems of records maintained by the NSA/CSS and its components shall be exempt from the... (General Exemption) (1) System name: NSA/CSS Office of Inspector General Investigations and Complaints....

  14. 75 FR 21250 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-23

    ...The National Security Agency/Central Security Service is proposing to amend a system of records notice in its existing inventory of records systems subject to the Privacy Act of 1974, (5 U.S.C. 552a), as...

  15. Structured data entry in a workflow-enabled electronic patient record.

    PubMed

    Webster, C; Copenhaver, J

    2001-01-01

    Touch-screen technology is used with a structured data entry system for electronic patient records. This article describes a program that coordinates pre-set screens for detailed history, physical examination, treatment and prescription modules. It also presents "pick lists" that allow further customization and individualization of data inputs. PMID:11771069

  16. A survey of user acceptance of electronic patient anesthesia records

    PubMed Central

    Jin, Hyun Seung; Lee, Suk Young; Jeong, Hui Yeon; Choi, Soo Joo; Lee, Hye Won

    2012-01-01

    Background An anesthesia information management system (AIMS), although not widely used in Korea, will eventually replace handwritten records. This hospital began using AIMS in April 2010. The purpose of this study was to evaluate users' attitudes concerning AIMS and to compare them with manual documentation in the operating room (OR). Methods A structured questionnaire focused on satisfaction with electronic anesthetic records and comparison with handwritten anesthesia records was administered to anesthesiologists, trainees, and nurses during February 2011 and the responses were collected anonymously during March 2011. Results A total of 28 anesthesiologists, 27 trainees, and 47 nurses responded to this survey. Most participants involved in this survey were satisfied with AIMS (96.3%, 82.2%, and 89.3% of trainees, anesthesiologists, and nurses, respectively) and preferred AIMS over handwritten anesthesia records in 96.3%, 71.4%, and 97.9% of trainees, anesthesiologists, and nurses, respectively. However, there were also criticisms of AIMS related to user-discomfort during short, simple or emergency surgeries, doubtful legal status, and inconvenient placement of the system. Conclusions Overall, most of the anesthetic practitioners in this hospital quickly accepted and prefer AIMS over the handwritten anesthetic records in the OR. PMID:22558502

  17. 32 CFR 327.5 - Systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 2 2011-07-01 2011-07-01 false Systems of records. 327.5 Section 327.5 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) PRIVACY PROGRAM DEFENSE COMMISSARY AGENCY PRIVACY ACT PROGRAM § 327.5 Systems of records. (a) System of records. To be subject to the provisions of this part,...

  18. 75 FR 2118 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ... Officer, Department of Defense. F052 USAFA A SYSTEM NAME: Cadet Chaplain Records (June 11, 1997; 62 FR... burning. Computer records are destroyed by erasing, deleting overwriting or degaussing.'' SYSTEM MANAGER(S... computer system software. RETENTION AND DISPOSAL: Records are destroyed one year after graduation...

  19. 75 FR 34684 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-18

    ... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary, USDA. ACTION: Notice of Revision of Privacy Act Systems of Records. SUMMARY: Notice is hereby given that the United States Department of Agriculture (USDA) is revising one Privacy Act (PA) system of records...

  20. 77 FR 37885 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Threat Reduction Agency, DoD. ACTION: Notice to Delete a System of Records. SUMMARY: The Defense Threat Reduction Agency is deleting a...) 767-1771. SUPPLEMENTARY INFORMATION: The Defense Threat Reduction Agency systems of records...

  1. 75 FR 63824 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-18

    ... Related Investigative Records (June 11, 1997; 62 FR 31793). Reason: This system is covered by systems of records notices F031 AF SP M, Personnel Security Access Records (October 9, 1997; 62 FR 52695) and V5-05, Joint Personnel Adjudication System (JPAS) (July 1, 2005; 70 FR 38120). BILLING CODE 5001-06-P...

  2. 78 FR 14287 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ..., Nonsupport Paternity (June 11, 1997, 62 FR 31793). Reason: Records of this type are no longer maintained by... Notice F036 AF PC C, Military Personnel Records System (October 13, 2000, 65 FR 60916). Correspondence... DFAS Systems of Records Notice T5500b, Integrated Garnishment System (IGS) (September 19, 2012, 77...

  3. 78 FR 37799 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-24

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Finance and Accounting...: The Defense Finance and Accounting Service systems of records notices subject to the Privacy Act...

  4. 76 FR 53454 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-26

    ... information (PII), presently covered by two OIG systems of records, FCC/OIG-1, ``Criminal Investigative Files... consolidate the systems of records that the OIG currently uses to house all of its criminal and general... systems of records, FCC/OIG-1, ``Criminal Investigative Files'' and FCC/OIG-2, ``General...

  5. 78 FR 69392 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Defense Finance and Accounting.... SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service systems of records notices subject to...

  6. 78 FR 41917 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-12

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Finance and Accounting.... SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service systems of records notices subject to...

  7. 78 FR 27194 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ...--Accounting (DTRS-A) Records (October 1, 2008, 73 FR 57070) Reason: System was retired and replaced by T7225a... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to delete two Systems of Records. SUMMARY: The Defense Finance and...

  8. 75 FR 3899 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ... February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: January 20, 2010. Mitchell S. Bryman, Alternate... of the Secretary Privacy Act of 1974; System of Records AGENCY: National Geospatial-Intelligence...-Intelligence Agency proposes to add a system of records to its inventory of record systems subject to...

  9. 75 FR 81247 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    .... Deletions: DCIFA 01 System name: CIFA Operational and Analytical Records (February 25, 2005, 70 FR 9281.../Counterintelligence/Operation Record System (June 15, 2010, 75 FR 33791). BILLING CODE 5001-06-P ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency,...

  10. 75 FR 33792 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ... Maintaining Records About Individuals'' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: June 8... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to add a system of records. SUMMARY: The Defense Intelligence proposes to add a system...

  11. 76 FR 62394 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ... Defense. Deletion: DMDC 14 Health Record Tracking System (HRTS) (December 27, 2010, 75 FR 81246). Reason... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary, Department of Defense (DoD). ACTION: Notice to Delete a System of Records. SUMMARY: The Office of the...

  12. 76 FR 24865 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ... Responsibilities for Maintaining Records About Individuals,'' February 20, 1996, 61 FR 6427. Dated: April 27, 2011...D System name: Defense Casualty Information Processing System (DCIPS)(April 25, 2005, 70 FR 21183..., retaining, and disposing of records in the system: Storage: Paper records in file folders and on...

  13. 75 FR 22562 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: April.... S335.01 System name: Training and Employee Development Record System (November 18, 2003; 68 FR 65047... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency,...

  14. 75 FR 47797 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-09

    ... CAHS System name: Employee Assistance Program Records (August 27, 1999; 64 FR 46889). Reason: This... Defense Logistics Agency Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to delete a system of records. ] SUMMARY: The Defense Logistics Agency proposes to...

  15. 42 CFR 495.346 - Access to systems and records.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Access to systems and records. 495.346 Section 495... PROGRAM Requirements Specific to the Medicaid Program § 495.346 Access to systems and records. The State agency must allow HHS access to all records and systems operated by the State in support of this...

  16. 42 CFR 495.346 - Access to systems and records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Access to systems and records. 495.346 Section 495... PROGRAM Requirements Specific to the Medicaid Program § 495.346 Access to systems and records. The State agency must allow HHS access to all records and systems operated by the State in support of this...

  17. 42 CFR 495.346 - Access to systems and records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Access to systems and records. 495.346 Section 495... PROGRAM Requirements Specific to the Medicaid Program § 495.346 Access to systems and records. The State agency must allow HHS access to all records and systems operated by the State in support of this...

  18. 42 CFR 495.346 - Access to systems and records.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Access to systems and records. 495.346 Section 495... PROGRAM Requirements Specific to the Medicaid Program § 495.346 Access to systems and records. The State agency must allow HHS access to all records and systems operated by the State in support of this...

  19. 75 FR 39669 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-12

    ... Education. ACTION: Notice of an altered system of records. SUMMARY: In accordance with the Privacy Act of... (18-10-04), 64 FR 30157-59 (June 4, 1999). The Department proposes to amend this system of records... routine uses of the information in the altered system of records described in this notice, in...

  20. 45 CFR 705.3 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... records in a system of records. 705.3 Section 705.3 Public Welfare Regulations Relating to Public Welfare... requests pertaining to individual records in a system of records. (a) An individual seeking notification of whether a system of records contains a record pertaining to him or her or an individual seeking access...

  1. 45 CFR 705.3 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... records in a system of records. 705.3 Section 705.3 Public Welfare Regulations Relating to Public Welfare... requests pertaining to individual records in a system of records. (a) An individual seeking notification of whether a system of records contains a record pertaining to him or her or an individual seeking access...

  2. 45 CFR 705.3 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... records in a system of records. 705.3 Section 705.3 Public Welfare Regulations Relating to Public Welfare... requests pertaining to individual records in a system of records. (a) An individual seeking notification of whether a system of records contains a record pertaining to him or her or an individual seeking access...

  3. 45 CFR 705.3 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... records in a system of records. 705.3 Section 705.3 Public Welfare Regulations Relating to Public Welfare... requests pertaining to individual records in a system of records. (a) An individual seeking notification of whether a system of records contains a record pertaining to him or her or an individual seeking access...

  4. 78 FR 46929 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Information Systems Agency is...). Changes: * * * * * System location: Delete entry and replace with ``Defense Information Systems...

  5. 75 FR 62111 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-07

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to delete four systems of records. SUMMARY: The Defense Information Systems...-Jenkins at (703) 681-2103. SUPPLEMENTARY INFORMATION: The Defense Information Systems Agency systems...

  6. Meeting the health information needs of prostate cancer patients using personal health records

    PubMed Central

    Pai, H.H.; Lau, F.; Barnett, J.; Jones, S.

    2013-01-01

    Background There is interest in the use of health information technology in the form of personal health record (phr) systems to support patient needs for health information, care, and decision-making, particularly for patients with distressing, chronic diseases such as prostate cancer (pca). We sought feedback from pca patients who used a phr. Methods For 6 months, 22 pca patients in various phases of care at the BC Cancer Agency (bcca) were given access to a secure Web-based phr called provider, which they could use to view their medical records and use a set of support tools. Feedback was obtained using an end-of-study survey on usability, satisfaction, and concerns with provider. Site activity was recorded to assess usage patterns. Results Of the 17 patients who completed the study, 29% encountered some minor difficulties using provider. No security breaches were known to have occurred. The two most commonly accessed medical records were laboratory test results and transcribed doctor’s notes. Of survey respondents, 94% were satisfied with the access to their medical records, 65% said that provider helped to answer their questions, 77% felt that their privacy and confidentiality were preserved, 65% felt that using provider helped them to communicate better with their physicians, 83% found new and useful information that they would not have received by talking to their health care providers, and 88% said that they would continue to use provider. Conclusions Our results support the notion that phrs can provide cancer patients with timely access to their medical records and health information, and can assist in communication with health care providers, in knowledge generation, and in patient empowerment. PMID:24311957

  7. 75 FR 21264 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-23

    ... Management Information System Records System location: Software Engineering Center, Functional Processing... Management Information System will be used to automate the Army's Food Service Program. The system... should address written inquiries to Army Food Management Information System, Supervisor, 401 First...

  8. 76 FR 13991 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... Lists (May 26, 2009, 74 FR 24831). Changes: * * * * * System location: Delete entry and replace with... guarded cabinets. The electronic records systems employ user identification and password or smart...

  9. Implementing electronic medical record systems in developing countries.

    PubMed

    Fraser, Hamish S F; Biondich, Paul; Moodley, Deshen; Choi, Sharon; Mamlin, Burke W; Szolovits, Peter

    2005-01-01

    The developing world faces a series of health crises including HIV/AIDS and tuberculosis that threaten the lives of millions of people. Lack of infrastructure and trained, experienced staff are considered important barriers to scaling up treatment for these diseases. In this paper we explain why information systems are important in many healthcare projects in the developing world. We discuss pilot projects demonstrating that such systems are possible and can expand to manage hundreds of thousands of patients. We also pass on the most important practical lessons in design and implementation from our experience in doing this work. Finally, we discuss the importance of collaboration between projects in the development of electronic medical record systems rather than reinventing systems in isolation, and the use of open standards and open source software. PMID:15992493

  10. Automated identification of patients with a diagnosis of binge eating disorder from narrative electronic health records

    PubMed Central

    Bellows, Brandon K; LaFleur, Joanne; Kamauu, Aaron W C; Ginter, Thomas; Forbush, Tyler B; Agbor, Stephen; Supina, Dylan; Hodgkins, Paul; DuVall, Scott L

    2014-01-01

    Binge eating disorder (BED) does not have an International Classification of Diseases, 9th or 10th edition code, but is included under ‘eating disorder not otherwise specified’ (EDNOS). This historical cohort study identified patients with clinician-diagnosed BED from electronic health records (EHR) in the Department of Veterans Affairs between 2000 and 2011 using natural language processing (NLP) and compared their characteristics to patients identified by EDNOS diagnosis codes. NLP identified 1487 BED patients with classification accuracy of 91.8% and sensitivity of 96.2% compared to human review. After applying study inclusion criteria, 525 patients had NLP-identified BED only, 1354 had EDNOS only, and 68 had both BED and EDNOS. Patient characteristics were similar between the groups. This is the first study to use NLP as a method to identify BED patients from EHR data and will allow further epidemiological study of patients with BED in systems with adequate clinical notes. PMID:24201026

  11. 78 FR 44100 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427... new system of records, DWHS P50, iCompass, Learning Management System (LMS), to its inventory of.... DWHS P50 System name: iCompass, Learning Management System (LMS). System location: Verizon...

  12. 76 FR 49455 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency... information. FOR FURTHER INFORMATION CONTACT: Ms. Jeanette M. Weathers-Jenkins, Defense Information Systems.... SUPPLEMENTARY INFORMATION: The Defense Information Systems Agency systems of records notices subject to...

  13. 75 FR 64711 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-20

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency; DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Information Systems Agency... Defense Information Systems Agency, 5600 Columbia Pike, Room 505, Falls Church, VA 22041-2705....

  14. 76 FR 79660 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-22

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Defense Information Systems Agency is... Information Systems Agency, 6916 Cooper Avenue, Fort Meade, MD 20755-7901, or by phone at (301)...

  15. 76 FR 8352 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-14

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to delete three systems of records. SUMMARY: The Defense Information Systems...: Ms. Jeanette M. Weathers-Jenkins at (703) 681-2103, or Defense Information Systems Agency,...

  16. 75 FR 49482 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Information Systems Agency... Information Systems Agency-Europe, APO AE 09131-4103.'' * * * * * Authority for maintenance of the...

  17. 78 FR 17385 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-21

    ... Personnel System (March 4, 2011, 76 FR 12078). Changes: * * * * * System name: Delete entry and replace with... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Logistics Agency is amending a system...

  18. 77 FR 77047 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... Records (November 20, 1997, 62 FR 62003). Reason The Defense Contract Audit Agency contracts our Employee... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Contract Audit Agency, DoD. ACTION: Notice to delete a Systems of Records. SUMMARY: The Defense Contract Audit Agency (DCAA)...

  19. 76 FR 81950 - Privacy Act; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ...In accordance with the Privacy Act of 1974, as amended, the Office of Inspector General gives notice of a proposed amendment to its Privacy Act system of records entitled ``Consolidated Data Repository'' (09-90-1000). This system of records is being amended to include records regarding Federal and State benefit programs and service providers in Federal health care...

  20. 49 CFR 1007.7 - Content of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Content of systems of records. 1007.7 Section 1007.7 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION... INDIVIDUALS § 1007.7 Content of systems of records. (a) The Board will maintain in its records only...

  1. 78 FR 69393 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated... compromising the information that is being stored. Access to the computer system containing the records in this... of the Secretary Privacy Act of 1974; System of Records AGENCY: National...

  2. 76 FR 63287 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated...: Electronic media, data and/or electronic records are maintained in a controlled area. The computer system is... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of...

  3. 76 FR 43666 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-21

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427..., 74 FR 39657). Changes: * * * * * Categories of records in the system: Delete entry and replace with... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of...

  4. 75 FR 78683 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... 14234) Air Force: F036 AF PC C, Military Personnel Records System (October 13, 2000, 65 FR 60916... Information Files (February 22, 1993, 58 FR 10227). Reason: The Defense Systems Management College (DSMC... Records (June 19, 2006, 71 FR 35342). Army: A 0600-8-1046 ANRC, Official Military Personnel Record...

  5. 22 CFR 1507.7 - Contents of records systems.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Contents of records systems. 1507.7 Section 1507.7 Foreign Relations AFRICAN DEVELOPMENT FOUNDATION RULES SAFEGUARDING PERSONAL INFORMATION § 1507.7 Contents of records systems. (a) The Foundation will maintain in its records only such information about...

  6. 75 FR 52518 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-26

    ... System: Records consist of name, date and place of birth, personal address, home and cell phone numbers... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427... Department of the Navy Privacy Act of 1974; System of Records AGENCY: Department of the Navy, DoD....

  7. 75 FR 2114 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 2996, 61 FR 6427... of Defense. T7320 System Name: Electronic Funds Transfer (EFT) Records (October 15, 2004, 69 FR 61225... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Finance and...

  8. 17 CFR 146.7 - Content of systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 17 Commodity and Securities Exchanges 1 2013-04-01 2013-04-01 false Content of systems of records. 146.7 Section 146.7 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION RECORDS MAINTAINED ON INDIVIDUALS § 146.7 Content of systems of records. (a) The Commission will maintain in...

  9. 17 CFR 146.7 - Content of systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 1 2011-04-01 2011-04-01 false Content of systems of records. 146.7 Section 146.7 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION RECORDS MAINTAINED ON INDIVIDUALS § 146.7 Content of systems of records. (a) The Commission will maintain in...

  10. 17 CFR 146.7 - Content of systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 17 Commodity and Securities Exchanges 1 2012-04-01 2012-04-01 false Content of systems of records. 146.7 Section 146.7 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION RECORDS MAINTAINED ON INDIVIDUALS § 146.7 Content of systems of records. (a) The Commission will maintain in...

  11. 17 CFR 146.7 - Content of systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 2 2014-04-01 2014-04-01 false Content of systems of records. 146.7 Section 146.7 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION (CONTINUED) RECORDS MAINTAINED ON INDIVIDUALS § 146.7 Content of systems of records. (a) The Commission will...

  12. 17 CFR 146.7 - Content of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Content of systems of records. 146.7 Section 146.7 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION RECORDS MAINTAINED ON INDIVIDUALS § 146.7 Content of systems of records. (a) The Commission will maintain in...

  13. 75 FR 17904 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427... Defense. LDIA 07-0004 System name: Secure Facilities Repository Records (November 14, 2007; 72 FR 64054... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency,...

  14. 77 FR 57077 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... Responsibilities for Maintaining Records About Individuals, ``dated February 8, 1996 (February 20, 1996, 61 FR 6427... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to Add a System of Records. SUMMARY: The Defense Intelligence Agency is proposing the...

  15. 76 FR 3618 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-20

    ... House Records (May 11, 1999, 64 FR 25299). MIL00002, Unaccompanied Personnel Housing Registration System (February 22, 1993, 58 FR 10630). Reason: These records are covered under system of records notice NM11101-1, DON Family and Bachelor Housing Program (April 1, 2008, 73 FR 17334), therefore these notices can...

  16. 75 FR 61865 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ...As required by the Privacy Act of 1974, 5 U.S.C. 552a(e)(4), notice is hereby given that the Department of Veterans Affairs (VA) proposes to update system of records, ``Veterans Assistance Discharge System--VA'' (45VA21). VA is amending the system of records by revising the Purpose(s), System Manager and address, and Routine Uses of Records Maintained in the System. VA is republishing the......

  17. 75 FR 9185 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-01

    ... travel payments, financial record data folders, miscellaneous vouchers, debtor financial records, credit... FR 64050) CHANGES: * * * * * SYSTEM LOCATION: Delete entry and replace with ``Financial Services and..., 1983 (48 FR 15556, April, 1983); the Interagency Agreement for Federal Salary Offset Initiative...

  18. 36 CFR 1202.60 - When does NARA disclose a record in a Privacy Act system of records?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... record in a Privacy Act system of records? 1202.60 Section 1202.60 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION GENERAL RULES REGULATIONS IMPLEMENTING THE PRIVACY ACT OF 1974 Disclosure of Records § 1202.60 When does NARA disclose a record in a Privacy Act system of records?...

  19. Reviewing 741 patients records in two hours with FASTVISU

    PubMed Central

    Escudié, Jean-Baptiste; Jannot, Anne-Sophie; Zapletal, Eric; Cohen, Sarah; Malamut, Georgia; Burgun, Anita; Rance, Bastien

    2015-01-01

    The secondary use of electronic health records opens up new perspectives. They provide researchers with structured data and unstructured data, including free text reports. Many applications been developed to leverage knowledge from free-text reports, but manual review of documents is still a complex process. We developed FASTVISU a web-based application to assist clinicians in reviewing documents. We used FASTVISU to review a set of 6340 documents from 741 patients suffering from the celiac disease. A first automated selection pruned the original set to 847 documents from 276 patients’ records. The records were reviewed by two trained physicians to identify the presence of 15 auto-immune diseases. It took respectively two hours and two hours and a half to evaluate the entire corpus. Inter-annotator agreement was high (Cohen’s kappa at 0.89). FASTVISU is a user-friendly modular solution to validate entities extracted by NLP methods from free-text documents stored in clinical data warehouses. PMID:26958189

  20. Using Electronic Health Record Systems in Diabetes Care: Emerging Practices.

    PubMed

    Veinot, Tiffany C; Zheng, Kai; Lowery, Julie C; Souden, Maria; Keith, Rosalind

    2010-01-01

    While there has been considerable attention devoted to the deployment of electronic health record (EHR) systems, there has been far less attention given to their appropriation for use in clinical encounters - particularly in the context of complex, chronic illness. The Department of Veterans' Affairs (VA) has been at the forefront of EHR adoption and, as such, provides a unique opportunity to examine a mature EHR system in widespread use. Moreover, with a high prevalence of diabetes in its patient population, the VA provides a useful platform for examining EHR use in the context of chronic disease care. We conducted a sequential, exploratory qualitative study at two VA Medical Centers in the Midwest. First, we conducted observations of 64 clinical consultations with diabetes patients. These observations involved 31 different health care providers. Second, using insights from these observations, we conducted in-depth, semi-structured interviews with 39 health care providers focusing on their use of information in diabetes patient care. Field notes and interview transcripts were analyzed using a grounded theory approach. Our analysis generated several categories of EHR use in clinical encounters: priming, structuring, assessing, informing, and continuing. We also outline some mismatches between EHR system design and VA diabetes care practices. We conclude by discussing implications of these emergent system uses for improving the software design of EHRs to better support chronic disease care, as well as for our understanding of the integration of technologies in health care. PMID:25264545

  1. 76 FR 20994 - Privacy Act of 1974; Deletion of an Existing System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-14

    ...In accordance with the requirements of the Privacy Act of 1974, HRSA is deleting an existing system of records titled Record of Patient's Personal Valuables and Monies, HRSA SOR 09-15-0002, established at Vol. 59, No. 61 Federal Register pp 6854-6, December 28,...

  2. 42 CFR 2.1 - Statutory authority for confidentiality of drug abuse patient records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... abuse patient records. 2.1 Section 2.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS Introduction § 2.1 Statutory authority for confidentiality of drug abuse patient records. The restrictions of...

  3. 42 CFR 2.1 - Statutory authority for confidentiality of drug abuse patient records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... abuse patient records. 2.1 Section 2.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS Introduction § 2.1 Statutory authority for confidentiality of drug abuse patient records. The restrictions of...

  4. 42 CFR 2.1 - Statutory authority for confidentiality of drug abuse patient records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... abuse patient records. 2.1 Section 2.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS Introduction § 2.1 Statutory authority for confidentiality of drug abuse patient records. The restrictions of...

  5. 42 CFR 2.1 - Statutory authority for confidentiality of drug abuse patient records.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... abuse patient records. 2.1 Section 2.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS Introduction § 2.1 Statutory authority for confidentiality of drug abuse patient records. The restrictions of...

  6. 42 CFR 2.1 - Statutory authority for confidentiality of drug abuse patient records.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... abuse patient records. 2.1 Section 2.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS Introduction § 2.1 Statutory authority for confidentiality of drug abuse patient records. The restrictions of...

  7. 75 FR 61861 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ...As required by the Privacy Act of 1974 (5 U.S.C. 552a(e)(4)), notice is hereby given that the Department of Veterans Affairs (VA) is updating a system of records in its inventory entitled ``Repatriated American Prisoners of War--VA'' (60VA21). VA is amending the system of records by revising the Purpose(s), System Manager and address, and Routine Uses of Records Maintained in the System. VA is......

  8. 78 FR 78946 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ...The Office of the Inspector General (OIG) is amending a system of records notice, CIG-21, Congressional Correspondence Tracking System, in its existing inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as amended. This system maintains records of all Congressional inquiries and the OIG, DoD response, and to conduct the necessary research to provide information......

  9. 75 FR 32915 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ... FR 10474). Change: * * * * * Contesting record procedures: Delete entry and replace with ``The DLA... system: None. S500.30 System name: Incident Investigation/Police Inquiry Files. (April 8, 2010; 75 FR... 22060-6221. S335.01 System name: Training and Employee Development Record System (April 29, 2010; 75...

  10. 28 CFR 25.7 - Querying records in the system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Querying records in the system. 25.7 Section 25.7 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.7 Querying records in the system. (a) The...

  11. 28 CFR 25.7 - Querying records in the system.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Querying records in the system. 25.7 Section 25.7 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.7 Querying records in the system. (a) The...

  12. 28 CFR 25.7 - Querying records in the system.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Querying records in the system. 25.7 Section 25.7 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.7 Querying records in the system. (a) The...

  13. 28 CFR 25.7 - Querying records in the system.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Querying records in the system. 25.7 Section 25.7 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.7 Querying records in the system. (a) The...

  14. 28 CFR 25.7 - Querying records in the system.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Querying records in the system. 25.7 Section 25.7 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.7 Querying records in the system. (a) The...

  15. 75 FR 53262 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-31

    ...; ] DEPARTMENT OF JUSTICE 28 CFR Part 16 Privacy Act of 1974; System of Records AGENCY: Federal Bureau of... published a notice of a new Privacy Act system of records, JUSTICE/FBI- 021, the Data Integration and... Visualization System (DIVS), Justice/FBI-021. The system enhances the analysis and presentation of...

  16. 17 CFR 146.11 - Public notice of records systems.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... systems. 146.11 Section 146.11 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION... systems of records, which notice shall include— (1) The name and location of the system; (2) The categories of individuals on whom records are maintained in the system; (3) The categories of...

  17. 17 CFR 146.11 - Public notice of records systems.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... systems. 146.11 Section 146.11 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION... systems of records, which notice shall include— (1) The name and location of the system; (2) The categories of individuals on whom records are maintained in the system; (3) The categories of...

  18. 17 CFR 146.11 - Public notice of records systems.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... systems. 146.11 Section 146.11 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION... systems of records, which notice shall include— (1) The name and location of the system; (2) The categories of individuals on whom records are maintained in the system; (3) The categories of...

  19. 17 CFR 146.11 - Public notice of records systems.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... systems. 146.11 Section 146.11 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION... each of its systems of records, which notice shall include— (1) The name and location of the system; (2) The categories of individuals on whom records are maintained in the system; (3) The categories...

  20. 17 CFR 146.11 - Public notice of records systems.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... systems. 146.11 Section 146.11 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION... systems of records, which notice shall include— (1) The name and location of the system; (2) The categories of individuals on whom records are maintained in the system; (3) The categories of...

  1. 75 FR 17906 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ..., 2004; 69 FR 67112). Changes: System identifier: Delete ``CAAS'' from entry. * * * * * System location... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency proposes to amend...

  2. To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports?

    PubMed Central

    2011-01-01

    Background Patient record review is believed to be the most useful method for estimating the rate of adverse events among hospitalised patients. However, the method has some practical and financial disadvantages. Some of these disadvantages might be overcome by using existing reporting systems in which patient safety issues are already reported, such as incidents reported by healthcare professionals and complaints and medico-legal claims filled by patients or their relatives. The aim of the study is to examine to what extent the hospital reporting systems cover the adverse events identified by patient record review. Methods We conducted a retrospective study using a database from a record review study of 5375 patient records in 14 hospitals in the Netherlands. Trained nurses and physicians using a method based on the protocol of The Harvard Medical Practice Study previously reviewed the records. Four reporting systems were linked with the database of reviewed records: 1) informal and 2) formal complaints by patients/relatives, 3) medico-legal claims by patients/relatives and 4) incident reports by healthcare professionals. For each adverse event identified in patient records the equivalent was sought in these reporting systems by comparing dates and descriptions of the events. The study focussed on the number of adverse event matches, overlap of adverse events detected by different sources, preventability and severity of consequences of reported and non-reported events and sensitivity and specificity of reports. Results In the sample of 5375 patient records, 498 adverse events were identified. Only 18 of the 498 (3.6%) adverse events identified by record review were found in one or more of the four reporting systems. There was some overlap: one adverse event had an equivalent in both a complaint and incident report and in three cases a patient/relative used two or three systems to complain about an adverse event. Healthcare professionals reported relatively more

  3. Immunizations: the first step in a personal health record to empower patients.

    PubMed

    Popovich, Michael L; Aramini, Jeffery J; Garcia, Michael

    2008-01-01

    Despite the promise of better health care through information-centric patient empowerment, little progress has been made. The issue is not that the data do not exist in a useable form, nor that technologies are lacking that would enable access to this information. There are two primary challenges standing in the way of patient empowerment: (1) in the private sector there is no proven revenue model for providing this access and (2) in the public sector the standard argument is confidentiality of information. The lack of a priority by either private or public health providers to empower individuals will lead to these initiatives being consumer driven. Access to immunization records through health informatics and supporting compunetics presents an easy-win opportunity to significantly empower individuals with their own health information. Scientific Technologies Corporation (STC) has been implementing and supporting immunization registries in North America for over fifteen years. As the leading expert in this area, STC has developed a process for achieving successful large-scale access to personal immunization records with minimal investment. As a first step to empower individuals with on-line access to their immunization records, the STC approach leverages the technical frameworks established for health insurance and 3rd party payer environments linking to statewide immunization information systems. The individual is provided access to their records through their insurer's health portal. This is populated through electronic exports of member immunization records as retrieved from state or provincial registries that contain provider-supplied patient records, allowing individuals to utilize these hosted services or download their provider administered records into their personal health record. Individuals have the ability to review their immunization and their family immunization histories. They have the ability to know when an immunization is due, where vaccines are

  4. Characterization of patients who suffer asthma exacerbations using data extracted from electronic medical records.

    PubMed

    Himes, Blanca E; Kohane, Isaac S; Ramoni, Marco F; Weiss, Scott T

    2008-01-01

    The increasing availability of electronic medical records offers opportunities to better characterize patient populations and create predictive tools to individualize health care. We determined which asthma patients suffer exacerbations using data extracted from electronic medical records of the Partners Healthcare System using Natural Language Processing tools from the "Informatics for Integrating Biology to the Bedside" center (i2b2). Univariable and multivariable analysis of data for 11,356 patients (1,394 cases, 9,962 controls) found that race, BMI, smoking history, and age at initial observation are predictors of asthma exacerbations. The area under the receiver operating characteristic curve (AUROC) corresponding to prediction of exacerbations in an independent group of 1,436 asthma patients (106 cases, 1,330 controls) is 0.67. Our findings are consistent with previous characterizations of asthma patients in epidemiological studies, and demonstrate that data extracted by natural language processing from electronic medical records is suitable for the characterization of patient populations. PMID:18999057

  5. 75 FR 14579 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-26

    ... Records (June 14, 2006; 71 FR 34318) Changes: * * * * * Categories of records in the system: Delete entry... Register and are available from the Records and Privacy Act Services (DAN-1A), 200 MacDill Blvd... inquiries to the DIA Freedom of Information Office (DAN-1A), Defense Intelligence Agency, 200 MacDill...

  6. 78 FR 21600 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... System name: DLA Drug-Free Workplace Program Records (May 20, 2010; 75 FR 28242) Reason: Records are... ] Register on June 21, 2010, at 75 FR 35099. Therefore, S380.50, DLA Drug-Free Workplace Program Records can... Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644,...

  7. 77 FR 4285 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... Records Cases (BCMR) (May 9, 2003, 68 FR 24949). Reason: Documents are no longer required to be maintained... Records Cases (BCMR) (May 9, 2003, 68 FR 24949) therefore can be deleted. Records in this system will not..., ATTN: SAF/XCPPI, 1800 Air Force Pentagon, Washington, DC 20330-1800 or at (202) 404-...

  8. 75 FR 57163 - Privacy Act Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-20

    ... Act. The systems notices and proposed exemption rule are published at 75 FR 16853 and 16698. Public... records maintained, and the exemptions proposed. ODNI is sensitive to EPIC's view that the fourteen new... exemptions to exempt apparently non-sensitive records on a blanket basis, thus denying record...

  9. 75 FR 43494 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    .../CSS Access, Authority and Release of Information File (February 22, 1993; 58 FR 10531). Reason: The records contained in this system of records are covered by GNSA 11, NSA/CSS Key Accountability Records, GNSA 10, NSA/CSS Personnel Security File and DPR 39 DoD, DoD Personnel Accountability &...

  10. 6 CFR 5.31 - Security of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AND INFORMATION Privacy Act § 5.31 Security of systems of records. (a) In general. Each component... during business hours to prevent unauthorized persons from having access to them; (3) Records are inaccessible to unauthorized persons outside of business hours; and (4) Records are not disclosed...

  11. A review of approaches to identifying patient phenotype cohorts using electronic health records

    PubMed Central

    Shivade, Chaitanya; Raghavan, Preethi; Fosler-Lussier, Eric; Embi, Peter J; Elhadad, Noemie; Johnson, Stephen B; Lai, Albert M

    2014-01-01

    Objective To summarize literature describing approaches aimed at automatically identifying patients with a common phenotype. Materials and methods We performed a review of studies describing systems or reporting techniques developed for identifying cohorts of patients with specific phenotypes. Every full text article published in (1) Journal of American Medical Informatics Association, (2) Journal of Biomedical Informatics, (3) Proceedings of the Annual American Medical Informatics Association Symposium, and (4) Proceedings of Clinical Research Informatics Conference within the past 3 years was assessed for inclusion in the review. Only articles using automated techniques were included. Results Ninety-seven articles met our inclusion criteria. Forty-six used natural language processing (NLP)-based techniques, 24 described rule-based systems, 41 used statistical analyses, data mining, or machine learning techniques, while 22 described hybrid systems. Nine articles described the architecture of large-scale systems developed for determining cohort eligibility of patients. Discussion We observe that there is a rise in the number of studies associated with cohort identification using electronic medical records. Statistical analyses or machine learning, followed by NLP techniques, are gaining popularity over the years in comparison with rule-based systems. Conclusions There are a variety of approaches for classifying patients into a particular phenotype. Different techniques and data sources are used, and good performance is reported on datasets at respective institutions. However, no system makes comprehensive use of electronic medical records addressing all of their known weaknesses. PMID:24201027

  12. 44 CFR 6.6 - Safeguarding systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... service or affecting the employee's status and service, including information on experience, education... a lockable metal filing cabinet. (2) System managers, at their discretion, may designate additional... systems of records. (a) Systems managers shall ensure that appropriate administrative, technical,...

  13. 77 FR 65370 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-26

    ... Defense. DPA 01 System name: Public Affairs Management Information System (PAMIS). System location: Office... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR...

  14. 76 FR 115 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-03

    ..., Department of Defense. RDCAA 240.3 System name: Legal Opinions (May 18, 1999, 64 FR 26947). Changes... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Contract Audit Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Contract Audit Agency is proposing...

  15. 77 FR 6543 - Privacy Act of 1974: Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-08

    ... Privacy Act System of Records entitled, COMMERCE/ NTIA-1 ``Applications Related to Coupons for Digital-to-Analog Converter Boxes.'' The Digital-to-Analog Converter Box Program has been terminated and this system... Privacy Act System of Records, entitled COMMERCE/NTIA-1, ``Applications Related to Coupons for...

  16. 77 FR 37004 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ..., 1996, 61 FR 6427). Dated: June 15, 2012. Aaron Siegel, Alternate OSD Federal Register Liaison Officer... that is being stored. Access to the computer system containing the records in this system is limited to... of the Secretary Privacy Act of 1974; System of Records AGENCY: National...

  17. 75 FR 42722 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-22

    ..., Department of Defense. F021 AFSPC A System name: Cable Affairs Personnel/Agency Records (June 11, 1997; 62 FR... in locked rooms and cabinets. Those in computer storage devices are protected by computer system... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force,...

  18. 78 FR 68039 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-13

    ... February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: November 6, 2013. Aaron Siegel, Alternate OSD... computer system containing the records in this system is limited to those individuals who have a need to... of the Secretary Privacy Act of 1974; System of Records AGENCY: National...

  19. 76 FR 66752 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-27

    ... 10, 1998 (63 FR 68299). The JUSTICE-OPR-001 system is maintained to provide for the resolution of... Privacy Act of 1974; System of Records AGENCY: Office of Professional Responsibility, United States... Professional Responsibility (``OPR''), proposes to amend the system of records entitled ``Office...

  20. 76 FR 39392 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-06

    ... FR 4852). Changes: * * * * * Authority for maintenance of the system: Delete entry and replace with... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD. ACTION: Notice to Amend a System of Records. SUMMARY: The Department of the Army is proposing to amend a...

  1. 77 FR 73464 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-10

    ..., 1996 (61 FR 6427, 6435 February 20, 1996), FHFA has submitted a report describing the one system of... AGENCY Privacy Act of 1974; System of Records AGENCY: Federal Housing Finance Agency. ACTION: Notice of proposed establishment of new system of records; Request for comments. SUMMARY: In accordance with...

  2. 75 FR 13094 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-18

    ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to add a system of records. SUMMARY: The Department of the Air Force proposes to add a...-7557. SUPPLEMENTARY INFORMATION: The Department of the Air Force's notices for systems of...

  3. 77 FR 27741 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ..., 66 FR 65180). Reason: The IRMC Student/Faculty/Senior Staff Biography System has now ] transferred to... Management College Record System (December 18, 2001, 66 FR 65180). Reason: The Information Resources... records are covered under SORN DNDU 01 (September 21, 2010, 75 FR 57458). Therefore, the system of...

  4. 77 FR 1487 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-10

    .... Personal contact information, including but not limited to, individual's name, personal cell phone number(s... COMMISSION Privacy Act System of Records AGENCY: Federal Communications Commission (FCC or Commission). ACTION: Notice; one new Privacy Act system(s) of records. SUMMARY: Pursuant to subsection (e)(4) of...

  5. 76 FR 42737 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-19

    ... Security Number, date of birth, citizenship, home address, personal phone/cell numbers, employing entity... (12) Privacy Act systems of records notices on December 28, 2007 (72 FR 73887); fourteen (14) Privacy Act systems of records notices on April 2, 2010 (75 FR 16853) and now adds six (6) systems of...

  6. 75 FR 38792 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-06

    ... contractors. Categories of records in the system: First and last name, home, work and cell phone numbers... FR 2117). Changes: * * * * * System location: Delete entry and replace with ``30 Space Communications... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force,...

  7. 77 FR 13570 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... Defense. Deletion: F036 AFPC D System name: Correction of Military Records System (June 11, 1997, 62 FR... SAFPC A, Military Records Processed by the Air Force Correction Board (May 7, 1999, 64 FR 24605). Case... System (June 11, 1997, 62 FR 31793) therefore can be deleted. BILLING CODE 5001-06-P...

  8. 12 CFR 792.67 - Security of systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Security of systems of records. 792.67 Section 792.67 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING THE OPERATIONS OF....67 Security of systems of records. (a) Each system manager, with the approval of the head of...

  9. 77 FR 51949 - Privacy Act, Exempt Record System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-28

    ... of Criminal Investigations, HHS Office of Inspector General, the Department of Justice, or other... of civil or criminal law. FDA's new system of records will be modeled after the system of records... inappropriately (59 FR 36717, July 19, 1994). Likewise, FDA believes that exempting the new system, ``FDA...

  10. 77 FR 26580 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... Privacy Act of 1974; System of Records AGENCY: United States Department of Justice. ACTION: Modified... Department of Justice (``Department'' or ``DOJ'') proposes to modify the system of records entitled ``Freedom... Officer, United States Department of Justice. JUSTICE/DOJ-004 SYSTEM NAME: Freedom of Information...

  11. 76 FR 51128 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... July 17, 2009, at 74 FR 34867. The systems of records were last published in their entirety on July 23, 2008, at 73 FR 42904-42921. Systems Covered by this Notice This notice covers all systems of records... of a violation or potential violation of civil or criminal law or regulation; (14) A...

  12. 77 FR 59251 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-26

    ... updated at 75 FR 37842 (June 30, 2010)). PBGC is also amending eight systems of records to make technical... systems of records. PBGC's Prefatory Statement of General Routine Uses was last published at 75 FR 37842... this system to the Department of Treasury, the Department of Justice, a credit agency, and a...

  13. 76 FR 4880 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-27

    ... Complaint and Appeal Records, 67 FR 49338 (July 30, 2002); (4) EPA-GOVT-2: Federal Docket Management System... Verification Identity Management System (PIV IDMS), 71 FR 56983 (September 28, 2006); (11) GSA/GOVT-8: Excluded Parties List System (EPLS), 71 FR 70515 (December 5, 2006); (12) MSPB/GOVT-1: Appeals and Case Records,...

  14. 78 FR 27194 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to delete a System of Records. SUMMARY: The Defense Finance and Accounting... Outlaw, (317)510-4591. SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service systems...

  15. 78 FR 79412 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ... alter a System of Records. SUMMARY: The Defense Finance and Accounting Service proposes to alter a system of records, T7205, General Accounting and Finance System--Report Database for Financial Statements... Finance and Accounting Service financial mission. DATES: This proposed action will be effective on...

  16. 78 FR 31905 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Finance and Accounting... Outlaw, (317)510-4591. SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service systems...

  17. 77 FR 70136 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-23

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Privacy Act of 1974, System of Records AGENCY: United States Agency for International Development. ACTION: Altered system of records. SUMMARY: The United States Agency for International Development (USAID) is issuing public notice of its intent to alter a system...

  18. 77 FR 43814 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ...The Defense Intelligence Agency is proposing to alter a system in its existing inventory of records systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as amended. The blanket (k)(1) exemption applies to this systems of records to accurately describe the basis for exempting disclosure of classified information that is or may be contained in the...

  19. 75 FR 13089 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-18

    ... 0435 System name: DIA Military Awards Files (July 19, 2006; 71 FR 41001). Changes: * * * * * Categories... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Intelligence Agency, (DoD). ACTION: Notice to amend a system of records. SUMMARY: The Defense Intelligence Agency proposes to amend...

  20. 77 FR 29615 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... Virtual University (JIVU II), (April 12, 2012, 77 FR 21974) Changes: * * * * * ] System name: Delete entry... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Intelligence Agency is amending...

  1. 78 FR 73890 - Amendment to System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-09

    ... electronic system. These files may include panelist contracts, copies of which are forwarded to IMLS' Office...: STORAGE: Electronic records in this system are maintained off-site by the Department of Interior, Interior... number, or date of birth. SAFEGUARDS: Access to the electronic records in this system is controlled...

  2. 78 FR 73507 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... the instructions for submitting comments. Mail: Federal Docket Management System Office, 4800 Mark... INFORMATION: The Office of the Secretary of Defense notices for systems of records subject to the Privacy Act... Practices Records (October 27, 2011, 76 FR 66696). Changes: System name: Delete entry and replace...

  3. 75 FR 81246 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... (February 20, 1996, 61 FR 6427). Dated: December 21, 2010. Morgan F. Park, Alternate OSD Federal Register Liaison Officer, Department of Defense. DMDC 14 DOD System Name: Health Record Tracking System (HRTS... amended. Purpose: The Health Record Tracking System (HRTS) allows the Military Services to request...

  4. 75 FR 56517 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ... 10, 2008; 73 FR 12712). Changes: * * * * * System Location: Delete entry and replace with ``Special... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Threat Reduction Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: Defense Threat Reduction Agency proposes to amend...

  5. 78 FR 61345 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-03

    ...&M 01 System name: Civil Liberties Program Case Management System (January 19, 2011, 76 FR 3099... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated... proposes to alter a system of records, DA&M 01, entitled ``Civil Liberties Program Case Management...

  6. 75 FR 37842 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-30

    ... existing system of records, PBGC-6, Plan Participant and Beneficiary Data-PBGC (last updated at 68 FR 12389... at 73 FR 51024 (Aug. 29, 2008)), and PBGC-17, Office of Inspector General Investigative File System..., Human Resources Department (or his or her designee), the fact that this system of records...

  7. 76 FR 37082 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... Maintaining Records About Individuals,' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: June 17... System name: DLA Hometown News Releases (April 30, 2009, 74 FR 19939). Changes: * * * * * System location... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency,...

  8. 75 FR 10473 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ... Liaison Officer, Department of Defense. S352.10 System name: Suggestion Files (March 28, 2007; 72 FR 14528... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency proposes to amend...

  9. 75 FR 10474 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ..., Department of Defense. S200.30 CAI SYSTEM NAME: Reserve Affairs (November 16, 2004; 69 FR 67112). CHANGES... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency proposes to amend...

  10. 77 FR 21755 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-11

    ... Defense. S640.45 System name: End Use Certificates (August 26, 2010, 75 FR 52515). Changes... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency is proposing to amend a...

  11. 75 FR 10476 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ... Data System (October 9, 2001; 66 FR 51405). Reason: System notice is no longer necessary. Records are...'' (April 21, 2006; 71 FR 20649). BILLING CODE 5001-06-P ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency,...

  12. 78 FR 22525 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... Procedures (November 29, 2011; 76 FR 73602). Changes: * * * * * System location: Delete first paragraph and... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Logistics Agency is proposing to amend a...

  13. 75 FR 6000 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... (July 14, 1999; 64 FR 37941). REASON: Defense Logistics Agency no longer maintains this system of... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Defense Logistics Agency proposes to delete...

  14. 78 FR 17384 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-21

    ... Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). ] Dated: March 18, 2013. Aaron Siegel... Worksite Records (April 15, 2010; 75 FR 19624). Changes: * * * * * System name: Delete entry and replace...: Notice to alter a System of Records. SUMMARY: The Defense Logistics Agency proposes to alter a system...

  15. 45 CFR 95.615 - Access to systems and records.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Access to systems and records. 95.615 Section 95... (FFP) Specific Conditions for Ffp § 95.615 Access to systems and records. The State agency must allow the Department access to the system in all of its aspects, including pertinent state staff,...

  16. 45 CFR 95.615 - Access to systems and records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Access to systems and records. 95.615 Section 95... (FFP) Specific Conditions for Ffp § 95.615 Access to systems and records. The State agency must allow the Department access to the system in all of its aspects, including pertinent state staff,...

  17. 45 CFR 95.615 - Access to systems and records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Access to systems and records. 95.615 Section 95... (FFP) Specific Conditions for Ffp § 95.615 Access to systems and records. The State agency must allow the Department access to the system in all of its aspects, including pertinent state staff,...

  18. 45 CFR 95.615 - Access to systems and records.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Access to systems and records. 95.615 Section 95... (FFP) Specific Conditions for Ffp § 95.615 Access to systems and records. The State agency must allow the Department access to the system in all of its aspects, including pertinent state staff,...

  19. 78 FR 25974 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... instructions for submitting comments. * Mail: Federal Docket Management System Office, 4800 Mark Center Drive.... SUPPLEMENTARY INFORMATION: The Department of the Army system of records notices subject to the Privacy Act of... information about themselves is contained in this records system should address written inquiries to...

  20. 75 FR 48657 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ....regulations.gov . Follow the instructions for submitting comments. Mail: Federal Docket Management System.... Leroy Jones at (703) 428-6185. SUPPLEMENTARY INFORMATION: The Department of the Army systems of records... Personnel System (July 25, 2008; 73 FR 43415). Changes: * * * * * Categories of records in the...

  1. 75 FR 55576 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-13

    ... Record Notices from the services: Army A0680 31a AHRC, Officer Personnel Management Information System (OPMIS); Army A0680 31b AHRC, Enlisted Personnel Management Information System (EPMIS); Air Force F036...; Marines M01040-3, Marine Corps Manpower Management Information System Records. BILLING CODE 5001-06-P...

  2. 78 FR 5787 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... Secretary of Defense established a new Privacy Act System of Records entitled ``Public Affairs Management Information System.'' This notice responds to comments received on the Privacy Act Systems of Records Notice... October 26, 2012, in the Federal Register (77 FR 65370). During the comment period, one public comment...

  3. Perfusion Electronic Record Documentation Using Epic Systems Software.

    PubMed

    Riley, Jeffrey B; Justison, George A

    2015-12-01

    The authors comment on Steffens and Gunser's article describing the University of Wisconsin adoption of the Epic anesthesia record to include perfusion information from the cardiopulmonary bypass patient experience. We highlight the current-day lessons and the valuable quality and safety principles the Wisconsin-Epic model anesthesia-perfusion record provides. PMID:26834289

  4. 78 FR 2695 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-14

    ... investigations of workplace issues. CATEGORIES OF RECORDS IN THE SYSTEM: 1. Employee information: Name, gender..., gender, and contact information. * * * * * PURPOSE: 1. To enable review and response to inquiries...

  5. 76 FR 61679 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... System Name: Information Assurance Scholarship Program (November 3, 2010, 75 FR 67697). Changes... attended; Scholastic Assessment Test (SAT) and Graduate Record Examination (GRE) test scores; list...

  6. 78 FR 5788 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... Records (July 14, 1999, 64 FR 37935). Changes: * * * * * System location: Delete entry and replace with... personal identifiers or contact information. FOR FURTHER INFORMATION CONTACT: Mr. Leslie Blake,...

  7. Calculating integral dose using data exported from a commercial record and verify system.

    PubMed

    Fox, C; Hardcastle, N; Lim, A; Khor, R

    2015-06-01

    Integral dose has been useful in investigations into the incidence of second primary malignancies in radiotherapy patients. This note outlines an approach to calculation of integral dose for a group of prostate patients using only data exported from a commercial record and verify system. Even though it was necessary to make some assumptions about patient anatomy, comparison with integral dose calculated from data exported from the planning system showed good agreement. PMID:25869674

  8. Benefits and drawbacks of electronic health record systems

    PubMed Central

    Menachemi, Nir; Collum, Taleah H

    2011-01-01

    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 literature on the benefits and drawbacks of EHR systems. Much of the literature has focused on key EHR functionalities, including clinical decision support systems, computerized order entry systems, and health information exchange. Our paper describes the potential benefits of EHRs that include clinical outcomes (eg, improved quality, reduced medical errors), organizational outcomes (eg, financial and operational benefits), and societal outcomes (eg, improved ability to conduct research, improved population health, reduced costs). Despite these benefits, studies in the literature highlight drawbacks associated with EHRs, which include the high upfront acquisition costs, ongoing maintenance costs, and disruptions to workflows that contribute to temporary losses in productivity that are the result of learning a new system. Moreover, EHRs are associated with potential perceived privacy concerns among patients, which are further addressed legislatively in the HITECH Act. Overall, experts and policymakers believe that significant benefits to patients and society can be realized when EHRs are widely adopted and used in a “meaningful” way. PMID:22312227

  9. Image-based electronic patient records for secured collaborative medical applications.

    PubMed

    Zhang, Jianguo; Sun, Jianyong; Yang, Yuanyuan; Liang, Chenwen; Yao, Yihong; Cai, Weihua; Jin, Jin; Zhang, Guozhen; Sun, Kun

    2005-01-01

    We developed a Web-based system to interactively display image-based electronic patient records (EPR) for secured intranet and Internet collaborative medical applications. The system consists of four major components: EPR DICOM gateway (EPR-GW), Image-based EPR repository server (EPR-Server), Web Server and EPR DICOM viewer (EPR-Viewer). In the EPR-GW and EPR-Viewer, the security modules of Digital Signature and Authentication are integrated to perform the security processing on the EPR data with integrity and authenticity. The privacy of EPR in data communication and exchanging is provided by SSL/TLS-based secure communication. This presentation gave a new approach to create and manage image-based EPR from actual patient records, and also presented a way to use Web technology and DICOM standard to build an open architecture for collaborative medical applications. PMID:17282930

  10. Patient Core Data Set. Standard for a longitudinal health/medical record.

    PubMed

    Renner, A L; Swart, J C

    1997-01-01

    Blue Chip Computers Company, in collaboration with Wright State University-Miami Valley College of Nursing and Health, with support from the Agency for Health Care Policy and Research, Public Health Service, completed Small Business innovative Research research to design a comprehensive integrated Patient information System. The Wright State University consultants undertook the development of a Patient Core Data Set (PCDS) in response to the lack of uniform standards of minimum data sets, and lack of standards in data transfer for continuity of care. The purpose of the Patient Core Data Set is to develop a longitudinal patient health record and medical history using a common set of standard data elements with uniform definitions and coding consistent with Health Level 7 (HL7) protocol and the American Society for Testing and Materials (ASTM) standards. The PCDS, intended for transfer across all patient-care settings, is essential information for clinicians, administrators, researchers, and health policy makers. PMID:9099030

  11. Finding Trapped Miners by Using a Prototype Seismic Recording System Made from Music-Recording Hardware

    USGS Publications Warehouse

    Pratt, Thomas L.

    2009-01-01

    The goal of this project was to use off-the-shelf music recording equipment to build and test a prototype seismic system to listen for people trapped in underground chambers (mines, caves, collapsed buildings). Previous workers found that an array of geophones is effective in locating trapped miners; displaying the data graphically, as well as playing it back into an audio device (headphones) at high speeds, was found to be effective for locating underground tapping. The desired system should record the data digitally to allow for further analysis, be capable of displaying the data graphically, allow for rudimentary analysis (bandpass filter, deconvolution), and allow the user to listen to the data at varying speeds. Although existing seismic reflection systems are adequate to record, display and analyze the data, they are relatively expensive and difficult to use and do not have an audio playback option. This makes it difficult for individual mines to have a system waiting on the shelf for an emergency. In contrast, music recording systems, like the one I used to construct the prototype system, can be purchased for about 20 percent of the cost of a seismic reflection system and are designed to be much easier to use. The prototype system makes use of an ~$3,000, 16-channel music recording system made by Presonus, Inc., of Baton Rouge, Louisiana. Other manufacturers make competitive systems that would serve equally well. Connecting the geophones to the recording system required the only custom part of this system - a connector that takes the output from the geophone cable and breaks it into 16 microphone inputs to be connected to the music recording system. The connector took about 1 day of technician time to build, using about $300 in off-the-shelf parts. Comparisons of the music recording system and a standard seismic reflection system (A 24-channel 'Geode' system manufactured by Geometrics, Inc., of San Jose, California) were carried out at two locations. Initial

  12. 78 FR 54945 - Privacy Act; System of Records: Protocol Records, State-33

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ...Notice is hereby given that the Department of State proposes to amend an existing system of records, Protocol Records, State-33, pursuant to the provisions of the Privacy Act of 1974, as amended (5 U.S.C. 552a) and Office of Management and Budget Circular No. A-130, Appendix...

  13. 36 CFR 1121.3 - Procedures for requests pertaining to individuals' records in a records system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Procedures for requests pertaining to individuals' records in a records system. 1121.3 Section 1121.3 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE BOARD PRIVACY ACT IMPLEMENTATION §...

  14. Radiology Reporting System Data Exchange With the Electronic Health Record System: A Case Study in Iran

    PubMed Central

    Ahmadi, Maryam; Ghazisaeidi, Marjan; Bashiri, Azadeh

    2015-01-01

    Introduction: In order to better designing of electronic health record system in Iran, integration of health information systems based on a common language must be done to interpret and exchange this information with this system is required. Background: This study provides a conceptual model of radiology reporting system using unified modeling language. The proposed model can solve the problem of integration this information system with the electronic health record system. By using this model and design its service based, easily connect to electronic health record in Iran and facilitate transfer radiology report data. Methods: This is a cross-sectional study that was conducted in 2013. The study population was 22 experts that working at the Imaging Center in Imam Khomeini Hospital in Tehran and the sample was accorded with the community. Research tool was a questionnaire that prepared by the researcher to determine the information requirements. Content validity and test-retest method was used to measure validity and reliability of questioner respectively. Data analyzed with average index, using SPSS. Also Visual Paradigm software was used to design a conceptual model. Result: Based on the requirements assessment of experts and related texts, administrative, demographic and clinical data and radiological examination results and if the anesthesia procedure performed, anesthesia data suggested as minimum data set for radiology report and based it class diagram designed. Also by identifying radiology reporting system process, use case was drawn. Conclusion: According to the application of radiology reports in electronic health record system for diagnosing and managing of clinical problem of the patient, with providing the conceptual Model for radiology reporting system; in order to systematically design it, the problem of data sharing between these systems and electronic health records system would eliminate. PMID:26156904

  15. 78 FR 16477 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-15

    ...The Department of the Army proposes to reinstate a systems of records in its inventory of record systems to the Privacy Act of 1974 (5 U.S.C. 552a), as amended. After review, it has been determined that the records covered under these previously deleted notices (see 77 FR 13571-13573, March 7, 2012) are still being maintained and are active; therefore this notice is being...

  16. Recording signs of deterioration in acute patients: The documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest.

    PubMed

    Stevenson, Jean E; Israelsson, Johan; Nilsson, Gunilla C; Petersson, Göran I; Bath, Peter A

    2016-03-01

    Vital sign documentation is crucial to detecting patient deterioration. Little is known about the documentation of vital signs in electronic health records. This study aimed to examine documentation of vital signs in electronic health records. We examined the vital signs documented in the electronic health records of patients who had suffered an in-hospital cardiac arrest and on whom cardiopulmonary resuscitation was attempted between 2007 and 2011 (n = 228), in a 372-bed district general hospital. We assessed the completeness of vital sign data compared to VitalPAC™ Early Warning Score and the location of vital signs within the electronic health records. There was a noticeable lack of completeness of vital signs. Vital signs were fragmented through various sections of the electronic health records. The study identified serious shortfalls in the representation of vital signs in the electronic health records, with consequential threats to patient safety. PMID:24782478

  17. 77 FR 77048 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Contract Audit Agency, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Contract Audit Agency is amending a... and Appeal Files (November 20, 1997, 62 FR 62003). Changes: * * * * * Authority for maintenance of...

  18. 76 FR 114 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-03

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Contract Audit Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Contract Audit Agency is proposing to... FR 26947). Changes: * * * * * Retrievability: Delete and replace with ``By individual's name,...

  19. 10 CFR 1705.03 - Systems of records notification.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Systems of records notification. 1705.03 Section 1705.03 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PRIVACY ACT § 1705.03 Systems of records notification. (a... writing. Written requests should be directed to: Privacy Act Officer, Defense Nuclear Facilities...

  20. 10 CFR 1705.03 - Systems of records notification.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Systems of records notification. 1705.03 Section 1705.03 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PRIVACY ACT § 1705.03 Systems of records notification. (a... writing. Written requests should be directed to: Privacy Act Officer, Defense Nuclear Facilities...

  1. 10 CFR 1705.03 - Systems of records notification.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Systems of records notification. 1705.03 Section 1705.03 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PRIVACY ACT § 1705.03 Systems of records notification. (a... writing. Written requests should be directed to: Privacy Act Officer, Defense Nuclear Facilities...

  2. 10 CFR 1705.03 - Systems of records notification.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Systems of records notification. 1705.03 Section 1705.03 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PRIVACY ACT § 1705.03 Systems of records notification. (a... writing. Written requests should be directed to: Privacy Act Officer, Defense Nuclear Facilities...

  3. 10 CFR 1705.03 - Systems of records notification.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Systems of records notification. 1705.03 Section 1705.03 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PRIVACY ACT § 1705.03 Systems of records notification. (a... writing. Written requests should be directed to: Privacy Act Officer, Defense Nuclear Facilities...

  4. 75 FR 25215 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ..., Welfare, and Recreation (MWR) and Non-appropriated Fund Instrumentality (NAFI) Files (July 6, 2005; 70 FR... and granted access by NSA/CSS regulations. For records on the computer system, access is controlled by... Security Service, DoD. ACTION: Notice to amend a system of records. SUMMARY: The National Security...

  5. 78 FR 35606 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-13

    ... name: Inspector General Investigative and Complaint Files (June 4, 2002, 67 FR 38479) Change System ID... Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: June 10, 2013... of the Secretary Privacy Act of 1974; System of Records AGENCY: National...

  6. 76 FR 38119 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-29

    ... System Name: Human Research Protection Program (HRPP) Records (September 11, 2008, 73 FR 52838). Changes... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: June.... The computer system is accessible only to authorized personnel. Entry into these areas is...

  7. 78 FR 14279 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... System name: DLA Fire and Emergency Services Program Records (May 7, 2010; 75 FR 25213) S600.30 System name: Safety, Health, Injury, and Accident Records (February 5, 2010; 75 FR 5997) Reason: DLA is... in the Federal Register on March 25, 2011, at 76 FR 16739. Therefore, these notices can be...

  8. 75 FR 76784 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-09

    ... (OMB) as required by 5 U.S.C. Section 552a(r) (Privacy Act) and guidelines issued by OMB (65 FR 77677... AFFAIRS Privacy Act of 1974; System of Records AGENCY: Department of Veterans Affairs (VA). ACTION: Notice of Establishment of New System of Records. SUMMARY: The Privacy Act of 1974, (5 U.S.C....

  9. 75 FR 4526 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ...) To create an on-line business card and identify individuals as they participate to promote.... ACTION: Notice of new system of records. SUMMARY: The United States Agency for International Development (USAID) is issuing public notice of its intent to establish a new system of records maintained...

  10. 75 FR 33789 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ...: Employee Relations (August 3, 2005; 70 FR 44578). Reason: The Defense Threat Reduction Agency has... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Threat Reduction Agency, DoD. ACTION: Notice to delete a system of records. SUMMARY: Defense Threat Reduction Agency proposes to...

  11. 77 FR 58105 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Threat Reduction Agency, DoD. ACTION: Notice to amend three Systems of Records. SUMMARY: The Defense Threat Reduction Agency is.... Juanita Gaines, Freedom of Information and Privacy Office, Defense Threat Reduction Agency, 8725 John...

  12. 78 FR 5789 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Department of the Air Force proposes to alter a.... Shedrick, Department of the Air Force Privacy Office, Air Force Privacy Act Office, Office of......

  13. 78 FR 5791 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Department of the Air Force proposes to alter a.... Shedrick, Department of the Air Force Privacy Office, Air Force Privacy Act Office, Office of......

  14. 76 FR 55388 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ... a document in the Federal Register on August 19, 2011, 76 FR 51975, which incorrectly identified the numbering of a new system of records. In the Notice FR Doc. 2011-21246 published August 19, 2011, 76 FR... COMMISSION Privacy Act System of Records AGENCY: Federal Communications Commission. ACTION:...

  15. 77 FR 31851 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-30

    ... to wireline and wireless (cell) phone numbers, correspondence related to information required to... COMMISSION Privacy Act System of Records AGENCY: Federal Communications Commission. ACTION: Notice; one new Privacy Act system of records. SUMMARY: Pursuant to subsection (e)(4) of the Privacy Act of 1974,...

  16. 77 FR 24925 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ...Notice is hereby given that the United States Department of Agriculture (USDA) is revising two Privacy Act (PA) systems of records and deleting two PA systems of records maintained by the National Institute of Food and Agriculture (NIFA), formerly the Cooperative State Research, Education, and Extension Service...

  17. 77 FR 56633 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ... System (June 11, 1997, 62 FR 31793). Reason: Records are no longer required to be maintained by any... AFPC M Officer Utilization Records System (June 11, 1997, 62 FR 31793) can be deleted. BILLING CODE... and Chief Information Officer, ATTN: SAF/XCPPI, 1800 Air Force Pentagon, Washington, DC 20330-1800...

  18. 76 FR 10009 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-23

    ..., 1993, 58 FR 10557). Reason: The Joint Staff Military Personnel Files are covered by existing system of... notices are: Army: A0600-8-104b AHRC, Official Military Personnel Records (August 8, 2004, 69 FR 51271). Navy: N0070-3, Navy Military Personnel Records System (April 15, 2010, 75 FR 19627). Marine...

  19. 75 FR 36374 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... published in the Federal Register (75 FR 33608) a notice of an altered system of records to revise the system of records notice for the Investigative Files of the Inspector General (18-10-01), 68 FR 38154... column, under DATES, correct the second paragraph to read: The Department filed a report describing...

  20. 75 FR 53342 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-31

    ... PATRIOT Act), Public Law 107-56, 115 Stat. 272; the Intelligence Reform and Terrorism Prevention Act of... Privacy Act of 1974; System of Records AGENCY: Federal Bureau of Investigation, Department of Justice. ACTION: Notice of a new system of records. SUMMARY: Pursuant to the Privacy Act of 1974 (5 U.S.C....

  1. 78 FR 63311 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... information in this system of records may be disclosed to any State, local, or foreign civil or criminal law... from this system of records to the Department of Justice (DOJ), either on VA's initiative or in..., whether civil, criminal, or regulatory in nature, and whether arising by general or program statute or...

  2. 75 FR 26847 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-12

    ... information from this system of records to the Department of Justice (DoJ), either on VA's initiative or in... disclose information from this system of records to the Department of Justice (DoJ), either on VA's... Affairs must be able to provide information to Department of Justice in litigation where the United...

  3. 75 FR 26851 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-12

    ... forth in the Federal Register 71 FR 6133. VA is amending the system of records by revising the Routine... information from this system of records to the Department of Justice (DoJ), either on VA's initiative or in... reasonably imminent violation of the law whether civil, criminal, or regulatory in nature and whether...

  4. 78 FR 36035 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... this system of records to the Department of Justice, either on VA's initiative or in response to... information from this system of records to the Department of Justice, either on Veterans Affairs' initiative... titled ``All Employee Survey-- VA'' (160VA10A2) as set forth in the Federal Register (75 FR 3787). VA...

  5. 75 FR 50983 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-18

    ..., June 18, 2010), FR Doc No. 2010-14714 to provide the amended Privacy Act Systems of Records document... USES: Records in this system may be disclosed to: 1. The Department of Justice when (a) the agency or... Department of Justice has agreed to represent the employee; or (c) any employee of the agency in his or...

  6. 77 FR 16066 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-19

    ... the Department of Justice (DOJ-004),'' 66 FR 29994 (June 4, 2001), and rename it ``Freedom of... Privacy Act of 1974; System of Records AGENCY: United States Department of Justice. ACTION: Modified... Department of Justice (``Department'') proposes to modify the system of records entitled, ``Freedom...

  7. 78 FR 39012 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ...), Department of Justice, proposes to establish a new system of records to enable the Commission to carry out... of records. Brian M. Simkin, Chief Counsel. JUSTICE/FCSC-31 SYSTEM NAME: Claims Referred by the... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF...

  8. 76 FR 65535 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... One FBI Privacy Act System of Records, Justice/FBI-BRU,'' published on June 22, 2001, at 66 FR 33558..., Quantico, VA 22135; FBI Criminal Justice Information Services (CJIS) Division, 1000 Custer Hollow Rd... Privacy Act of 1974; System of Records AGENCY: Federal Bureau of Investigation, Department of...

  9. 75 FR 54331 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-07

    ... of records entitled ``National Student Loan Data System (NSLDS)'' (18-11-06), 64 FR 72395-72397... this system of records was published in the Federal Register on December 27, 1999 (64 FR 72395-97), a... staff, contractors, guaranty agencies and the Department of Justice in the collection of debts owed...

  10. 78 FR 14285 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ..., DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Finance and Accounting Service..., Defense Finance and Accounting Service, Freedom of Information/Privacy Act Program Manager, Corporate... INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to the...

  11. 78 FR 27195 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to delete two Systems of Records. SUMMARY: The Defense Finance and Accounting.... Gregory Outlaw, (317) 510-4591. SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting...

  12. 78 FR 41918 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-12

    ...: Notice to alter a System of Records. SUMMARY: The Defense Finance and Accounting Service proposes to..., Defense Finance and Accounting Service, Freedom of Information/Privacy Act Program Manager, Corporate... INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to the...

  13. 78 FR 14280 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ..., DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Finance and Accounting Service.... Outlaw, Defense Finance and Accounting Service, Freedom of Information/Privacy Act Program Manager.... SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject...

  14. 78 FR 6078 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Defense Finance and Accounting.... Gregory Outlaw, (317) 510-4591. SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting...

  15. 78 FR 52518 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-23

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Finance and Accounting.... Gregory Outlaw, (317) 510-4591. SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting...

  16. 78 FR 41916 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-12

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Finance and Accounting.... Gregory L. Outlaw, Defense Finance and Accounting Service, Freedom of Information/Privacy Act...

  17. Digital Data Recording System (DDRS) operating and maintenance manual

    NASA Technical Reports Server (NTRS)

    Griffin, C. R.; Jones, J. I.

    1980-01-01

    The digital data recording system (DDRS) was designed, fabricated, tested, and delivered. This unit is the interface between the synthetic aperture radar (SAR) and the recording system. The SAR data are formatted in the DDRS for data processing on the ground.

  18. 75 FR 61135 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: September 29, 2010. Mitchell S. Bryman, Alternate OSD Federal Register Liaison Officer, Department of Defense. DTIC 01 SYSTEM NAME: Defense User Registration System (DURS) Records (November 12, 2008; 73 FR...

  19. 76 FR 60812 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated...-01 System Name: Investigative Records Repository (April 30, 2009, 74 FR 19944). Changes: Delete entry... covered by the system: Delete entry and replace with ``Military personnel who are active duty;...

  20. 77 FR 66793 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-07

    ... From the Federal Register Online via the Government Publishing Office #0; #0;Notices #0; Federal... (USAID) is deleting the AID-29 Deployment Tracking, system of records in its existing inventory. DATES... Act systems of records. As a result of this review, USAID is deleting the AID-29 Deployment...

  1. 22 CFR 505.15 - Exempt systems of records used.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Exempt systems of records used. 505.15 Section 505.15 Foreign Relations BROADCASTING BOARD OF GOVERNORS PRIVACY ACT REGULATION § 505.15 Exempt systems of records used. The BBG is authorized to use exemptions (k)(1), (k)(2), (k)(4), (k)(5) and (k)(6)....

  2. 75 FR 67700 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-03

    ... Responsibilities for Maintaining Records About Individuals,'' February 20, 1996, 61 FR 6427. Dated: October 26... 25, 2005, 70 FR 9284). CHANGES: * * * * * CATEGORIES OF RECORDS IN THE SYSTEM: Delete entry and... follows: Information is disclosed to the Selective Service System (SSS) to update the SSS...

  3. 78 FR 22524 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... Responsibilities for Maintaining Records About Individuals, ``dated February 8, 1996 (February 20, 1996, 61 FR 6427... Defense. LDIA 0271 System name: Investigations and Complaints (June 2, 2010, 75 FR 30791). Changes... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency,...

  4. 75 FR 30003 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... 05-0001 SYSTEM NAME: Human Resources Management System (HRMS) (August 19, 2009; 74 FR 41874). REASON... Records (June 19, 2006; 71 FR 35342) and OPM/GOVT-5, Recruiting, Examining, and Placement Records (June 19, 2006; 71 FR 35351). BILLING CODE 5001-06-P...

  5. 75 FR 26201 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ... Information Files (October 13, 2009; 74 FR 52464) Changes: * * * * * Notification procedure: Delete entry and... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Intelligence Agency is proposing...

  6. 78 FR 22525 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427... (July 2, 2010, 75 FR 38494). Changes: * * * * * System location: Delete entry and replace with ``Defense... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency,...

  7. 75 FR 65060 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-21

    ...The Privacy Act of 1974 (5 U.S.C. 552(e) (4)) requires that all agencies publish in the Federal Register a notice of the existence and character of their systems of records. Notice is hereby given that the Department of Veterans Affairs (VA) is establishing a new system of records entitled ``Suicide Prevention Database-VA''...

  8. 75 FR 81247 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... Development Program and Training Files (February 22, 1993, 58 FR 10227). Reason: The Executive Development... Suspense Control Records (February 22, 1993, 58 FR 10227). Reason: The collection of records covered by the... and Accounting System T7330a, Salary Offset Reporting System (November 14, 2007, 72 FR 64055)...

  9. 77 FR 75621 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-21

    ... Leave Transfer Program (January 31, 1997, 62 FR 4731). Changes: * * * * * Categories of individuals... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Contract Audit Agency, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Contract Audit Agency is amending...

  10. 77 FR 15038 - Amendment to Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... of proposed amendment to this system of records was published in the Federal Register, 77 FR 2692... records the Department of Commerce (DOC) publishes this notice to announce the effective date of an... DOC published and requested comments on proposed amendments to the Privacy Act System of...

  11. 75 FR 63824 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-18

    .... ACTION: Notice to alter a system of records. SUMMARY: The Department of the Air Force is proposing to... Department of the Air Force systems of records notices subject to the Privacy Act of 1974, (5 U.S.C. 552a... Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: October 13, 2010. Mitchell...

  12. 77 FR 27739 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: May 8... System name: Nuclear Test Participants (October 26, 2009, 74 FR 54975). Changes: * * * * * System... participated in the cleanout of Enewetak Atoll.'' * * * * * Routine uses of records maintained in the...

  13. 77 FR 76012 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-26

    ... of Diversity in Higher Education Study, 64 FR 30106, 30186 (June 4, 1999), as amended 64 FR 72408... Student Drug Testing, 72 FR 15129-15131 (March 30, 2007). The following system of records was cancelled... Privacy Act of 1974; System of Records AGENCY: Institute of Education Sciences, Department of...

  14. 76 FR 61676 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... System Name: NSA/CSS Employee Assistance Service Case Records (December 30, 2008, 73 FR 79853). Changes... or individual under contract with NSA/CSS for the purpose of providing Employee Assistance Service...' that appear at the beginning of the NSA/CSS compilation of systems of records notices do not apply...

  15. 78 FR 31907 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427.... A0190-47 DAPM-ACC System name: Army Corrections and Review Board Records (June 28, 2010, 75 FR 36644... the system: Delete entry and replace with ``Military members full name, surname, Social...

  16. 78 FR 16839 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    ... Office,'' was previously published at 70 FR 69520 (November 16, 2005). The amended system of records is... Nos. 1-5 and 8-13, as found at 46 FR 63501-63502 (December 31, 1981). Disclosure to consumer reporting... Patent and Trademark Office Privacy Act of 1974; System of Records AGENCY: United States Patent...

  17. 75 FR 6000 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... and access of NSA/CSS networks, computers, software, and databases. The records may also be used to... of NSA/CSS networks, computers, software, and databases. The records may also be used to identify the.... GNSA 15 SYSTEM NAME: NSA/CSS Computer Users Control System (February 22, 1993; 58 FR 10531)....

  18. 75 FR 77853 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... Responsibilities for Maintaining Records About Individuals,'' February 20, 1996, 61 FR 6427. ] Dated: December 2... TRADOC System name: Resident Individual Training Management System (RITMS) (July 25, 2008, 73 FR 43413... load management, academic records management, test creation, scoring and grading, student...

  19. 76 FR 12078 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ... February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: March 1, 2011. Morgan F. Park, Alternate OSD... Personnel Records (November 16, 2004, 69 FR 67112). * * * * * System identifier: Delete entry and replace... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency....

  20. 75 FR 52515 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-26

    ... Maintaining Records About Individuals,' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: August.... S800.10 DLSC System Name: Federal Property End Use Files (January 20, 2000; 73 FR 3222). Changes... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD....

  1. 77 FR 27740 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... Responsibilities ] for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR..., 2008, 73 FR 50949). Changes: * * * * * Categories of individuals covered by the system: Delete entry... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD....

  2. 77 FR 65370 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-26

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated.... S800.20 System name: Military Clothing Database (April 12, 2011, 76 FR 20339). Changes... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD....

  3. 75 FR 5997 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ...,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: February 1, 2010. Mitchell S. Bryman..., Injury, and Accident Records (November 9, 2006; 71 FR 65781). Changes: * * * * * System location: Delete... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency,...

  4. 75 FR 33608 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-14

    ... the system of records notice for the Investigative Files of the Inspector General (18-10-01), 68 FR... the Notice of an Altered System of Records published in the Federal Register on June 26, 2003 (68 FR... of Education, Jacaranda Executive Court, 7890 Peters Road, Suite G-100, Plantation, FL...

  5. 77 FR 11063 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-24

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Privacy Act of 1974, System of Records AGENCY: United States Agency for International Development. ACTION: Notice of new system of records. SUMMARY: The United States Agency for International Development (USAID) is issuing public notice of its intent to establish a...

  6. 76 FR 21708 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-18

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: April... 35 System name: Defense Injury and Unemployment Compensation System (November 14, 2007, 72 FR 64056... benefits for qualifying employees or their dependents. Records are maintained for the purpose of...

  7. 77 FR 64327 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... regarding consumer financial products or services. The system serves as a record of the complaint or inquiry... From the Federal Register Online via the Government Publishing Office BUREAU OF CONSUMER FINANCIAL PROTECTION Privacy Act of 1974; System of Records AGENCY: Bureau of Consumer Financial Protection....

  8. 7 CFR 1520.3 - Indexes/Record systems.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Indexes/Record systems. 1520.3 Section 1520.3... OF AGRICULTURE AVAILABILITY OF INFORMATION TO THE PUBLIC § 1520.3 Indexes/Record systems. 5 U.S.C. 552(a)(2) required that each agency publish or otherwise make available a current index of...

  9. 7 CFR 1520.3 - Indexes/Record systems.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Indexes/Record systems. 1520.3 Section 1520.3... OF AGRICULTURE AVAILABILITY OF INFORMATION TO THE PUBLIC § 1520.3 Indexes/Record systems. 5 U.S.C. 552(a)(2) required that each agency publish or otherwise make available a current index of...

  10. 7 CFR 1520.3 - Indexes/Record systems.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Indexes/Record systems. 1520.3 Section 1520.3... OF AGRICULTURE AVAILABILITY OF INFORMATION TO THE PUBLIC § 1520.3 Indexes/Record systems. 5 U.S.C. 552(a)(2) required that each agency publish or otherwise make available a current index of...

  11. 7 CFR 1520.3 - Indexes/Record systems.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Indexes/Record systems. 1520.3 Section 1520.3... OF AGRICULTURE AVAILABILITY OF INFORMATION TO THE PUBLIC § 1520.3 Indexes/Record systems. 5 U.S.C. 552(a)(2) required that each agency publish or otherwise make available a current index of...

  12. 7 CFR 1520.3 - Indexes/Record systems.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Indexes/Record systems. 1520.3 Section 1520.3... OF AGRICULTURE AVAILABILITY OF INFORMATION TO THE PUBLIC § 1520.3 Indexes/Record systems. 5 U.S.C. 552(a)(2) required that each agency publish or otherwise make available a current index of...

  13. 77 FR 65938 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-31

    ... currently entitled ``Patient Medical Record--VA'' (24VA19) as set forth in the Federal Register 74 FR 60040.... 552a(r), and guidelines issued by OMB, 65 FR 77677 (Dec. 12, 2000). ] Approved: October 1, 2012. John R..., dental, pharmacy, nuclear medicine, clinical laboratory, radiology, and patient scheduling...

  14. Record Linkage system in a complex relational database - MINPHIS example.

    PubMed

    Achimugu, Philip; Soriyan, Abimbola; Oluwagbemi, Oluwatolani; Ajayi, Anu

    2010-01-01

    In the health sector, record linkage is of paramount importance as clinical data can be distributed across different data repositories leading to duplication. Record Linkage is the process of tracking duplicate records that actually refers to the same entity. This paper proposes a fast and efficient method for duplicates detection within the healthcare domain. The first step is to standardize the data in the database using SQL. The second is to match similar pair records, and third step is to organize records into match and non-match status. The system was developed in Unified Modeling Language and Java. In the batch analysis of 31, 177 "supposedly" distinct identities, our method isolates 25, 117 true unique records and 6, 060 suspected duplicates using a healthcare system called MINPHIS (Made in Nigeria Primary Healthcare Information System) as the test bed. PMID:20841859

  15. Role prediction using Electronic Medical Record system audits.

    PubMed

    Zhang, Wen; Gunter, Carl A; Liebovitz, David; Tian, Jian; Malin, Bradley

    2011-01-01

    Electronic Medical Records (EMRs) provide convenient access to patient data for parties who should have it, but, unless managed properly, may also provide it to those who should not. Distinguishing the two is a core security challenge for EMRs. Strategies proposed to address these problems include Role Based Access Control (RBAC), which assigns collections of privileges called roles to users, and Experience Based Access Management (EBAM), which analyzes audit logs to determine access rights. In this paper, we integrate RBAC and EBAM through an algorithm, called Roll-Up, to manage roles effectively. In doing so, we introduce the concept of "role prediction" to identify roles from audit data. We apply the algorithm to three months of logs from Northwestern Memorial Hospital's Cerner system with approximately 8000 users and 140 roles. We demonstrate that existing roles can be predicted with 50% accuracy and intelligent grouping of roles through Roll-Up can facilitate 65% accuracy. PMID:22195144

  16. [Research of the visual electrophysiology record system based on DSP].

    PubMed

    Xiong, Kai; Hou, Min-Xian; Ye, Guan-Rong

    2005-03-01

    An application of digital signal processor (DSP) in the visual electrophysiology record system is presented in this paper. The system's design and implementation are described in detail. Results of its simulation and the clinical experiments are acceptable. PMID:16011113

  17. 77 FR 40921 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-11

    ...The United States Postal Service[supreg] is proposing to modify a Customer Privacy Act System of Records. These modifications reflect the addition of language preferences selected by the customer and an update to the system manager's...

  18. 75 FR 34709 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-18

    ... Defense. F044 AF SG E System name: Medical Record System (December 9 2003; 68 FR 68609) Changes... Information Officer, SAF/XCPPF, 1800 Air Force Pentagon, Washington, DC 20330-1800. The specific changes...

  19. 78 FR 64196 - Privacy Act Altered System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ..., Biographical Files and Social Networks. The amendment serves to modify the system of records by generally..., Biographical Files (78 FR 171). In that notice, the Department announced its intent to amend that system...

  20. 78 FR 69076 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-18

    ... Third Party Collection System. DHA 16 DoD EDHA 16 DoD...... Special Needs Program Management Information System (SNPMIS) Records. ] DHA 17 DoD EDHA 17 DoD...... Defense Nutrition Management Information...

  1. The computer-based patient record challenges towards timeless and spaceless medical practice.

    PubMed

    Sicotte, C; Denis, J L; Lehoux, P; Champagne, F

    1998-08-01

    Although computerization is increasingly advocated as a means for hospitals to enhance quality of care and control costs, few studies have evaluated its impact on the day-to-day organization of medical work. This study investigated a large Computerized Patient Record (CPR) project ($50 million U.S.) aimed at allowing physicians to work in a completely electronic record environment. The present multiple-case study analyzed the implementation of this project conducted in four hospitals. Our results show the intricate complexity of introducing the CPR in medical work. Profound obstructions to the achievement of a tighter synchronization between the care and information processes were the main problems. The presence of multiple information systems in one (Communication, Decision Support, and Archival record keeping) was overlooked. It introduced several misconceptions in the meaning and codification of clinical information that were then torn apart between information richness to sustain clinical decisions and concision to sustain care coordination. PMID:9690181

  2. 78 FR 45914 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ...The Department of the Army proposes to alter a system of records notice, A0600-8-104 AHRC, ``Army Personnel System (APS)'' in its existing inventory of records systems subject to the Privacy Act of 1974, (5 U.S.C. 552a (r)), as amended. This system will manage the member's Army Service effectively, document historically the member's military service, and safeguard the rights of the member and......

  3. Med Students View Ex-Patients' E-Records to Track Progress

    MedlinePlus

    ... 2016 (HealthDay News) -- Many U.S. medical students use electronic health records to track the progress of their ... also pointed out that the students who used electronic health records to track their patients often did ...

  4. CADe system integrated within the electronic health record.

    PubMed

    Vállez, Noelia; Bueno, Gloria; Déniz, Óscar; Fernández, María del Milagro; Pastor, Carlos; Rienda, Miguel Ángel; Esteve, Pablo; Arias, María

    2013-01-01

    The latest technological advances and information support systems for clinics and hospitals produce a wide range of possibilities in the storage and retrieval of an ever-growing amount of clinical information as well as in detection and diagnosis. In this work, an Electronic Health Record (EHR) combined with a Computer Aided Detection (CADe) system for breast cancer diagnosis has been implemented. Our objective is to provide to radiologists a comprehensive working environment that facilitates the integration, the image visualization, and the use of aided tools within the EHR. For this reason, a development methodology based on hardware and software system features in addition to system requirements must be present during the whole development process. This will lead to a complete environment for displaying, editing, and reporting results not only for the patient information but also for their medical images in standardised formats such as DICOM and DICOM-SR. As a result, we obtain a CADe system which helps in detecting breast cancer using mammograms and is completely integrated into an EHR. PMID:24151586

  5. CADe System Integrated within the Electronic Health Record

    PubMed Central

    Vállez, Noelia; Déniz, Óscar; Fernández, María del Milagro; Pastor, Carlos; Rienda, Miguel Ángel; Esteve, Pablo; Arias, María

    2013-01-01

    The latest technological advances and information support systems for clinics and hospitals produce a wide range of possibilities in the storage and retrieval of an ever-growing amount of clinical information as well as in detection and diagnosis. In this work, an Electronic Health Record (EHR) combined with a Computer Aided Detection (CADe) system for breast cancer diagnosis has been implemented. Our objective is to provide to radiologists a comprehensive working environment that facilitates the integration, the image visualization, and the use of aided tools within the EHR. For this reason, a development methodology based on hardware and software system features in addition to system requirements must be present during the whole development process. This will lead to a complete environment for displaying, editing, and reporting results not only for the patient information but also for their medical images in standardised formats such as DICOM and DICOM-SR. As a result, we obtain a CADe system which helps in detecting breast cancer using mammograms and is completely integrated into an EHR. PMID:24151586

  6. Integration of healthcare information: from enterprise PACS to patient centered multimedia health record.

    PubMed

    Soriano, Enrique; Plazzotta, Fernando; Campos, Fernando; Kaminker, Diego; Cancio, Alfredo; Aguilera Díaz, Jerónimo; Luna, Daniel; Seehaus, Alberto; Carcía Mónaco, Ricardo; de Quirós, Fernán González Bernaldo

    2010-01-01

    Every single piece of healthcare information should be fully integrated and transparent within the electronic health record. The Italian Hospital of Buenos Aires initiated the project Multimedia Health Record with the goal to achieve this integration while maintaining a holistic view of current structure of the systems of the Hospital, where the axis remains are the patient and longitudinal history, commencing with section Computed Tomography. Was implemented DICOM standard for communication and image storage and bought a PACS. It was necessary adapt our generic reporting system for live up to the commercial RIS. The Computerized Tomography (CT) Scanners of our hospital were easily integrated into the DICOM network and all the CT Scans generated by our radiology service were stored in the PACS, reported using the Structured Reporting System (we installed diagnostic terminals equipped with 3 monitors) and displayed in the EHR at any point of HIBA's healthcare network. PMID:20841663

  7. Systematically Improving Tobacco Cessation Patient Services Through Electronic Medical Record Integration.

    PubMed

    Karn, Shelley; Fernandez, Alejandra; Grossberg, Lou Ann; Robertson, Trina; Sharp, Barry; Huang, Philip; Loukas, Alexandra

    2016-07-01

    The Health Information Act of 2010 has presented an opportunity to discuss, establish, and promote innovative ways to incorporate tobacco cessation assistance to patients in the health care setting. This article provides an overview of the development and implementation of an electronic tobacco cessation protocol (the eTobacco protocol), into an electronic medical record (EMR) system, while evaluating the barriers and benefits encountered. The protocol was developed to facilitate the process of electronically referring patients to a state-funded quitline service by establishing a one-click connect for providers to use within the EMR system. While evaluating the implementation of the protocol, findings indicate that several barriers were encountered including disruption of clinic workflow, EMR limitations, and training complications. In spite of the barriers, the protocol shows promising results by increasing referrals to the quitline from 7 patients the year prior to implementation to 1,254 patients after the implementation of the electronic solution. Health care systems that have the ability to modify their EMR system can help lower tobacco use rates among their patients while meeting Meaningful Use requirements. Future research should examine if referrals through the eTobacco protocol are directly associated with patients' tobacco cessation rates. PMID:27199147

  8. 75 FR 78688 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... Command Management System, On-Line Distribution Information System, and Education and Training Records... File Automated System, Reserve Command Management System, On-Line Distribution Information System, and... pay data. To support management of leave and pay entitlements and deductions so that this......

  9. 75 FR 21248 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-23

    ... Defense. T7333 SYSTEM NAME: Travel Payment System (June 28, 2007; 72 FR 35436). CHANGES: * * * * * SYSTEM NAME: Delete entry and replace with ``Integrated Automated Travel System (IATS).'' SYSTEM LOCATION... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 2996; 61 FR...

  10. Patient-Centered e-Health Record over the Cloud.

    PubMed

    Koumaditis, Konstantinos; Themistocleous, Marinos; Vassilacopoulos, George; Prentza, Andrianna; Kyriazis, Dimosthenis; Malamateniou, Flora; Maglaveras, Nicos; Chouvarda, Ioanna; Mourouzis, Alexandros

    2014-01-01

    The purpose of this paper is to introduce the Patient-Centered e-Health (PCEH) conceptual aspects alongside a multidisciplinary project that combines state-of-the-art technologies like cloud computing. The project, by combining several aspects of PCEH, such as: (a) electronic Personal Healthcare Record (e-PHR), (b) homecare telemedicine technologies, (c) e-prescribing, e-referral, e-learning, with advanced technologies like cloud computing and Service Oriented Architecture (SOA), will lead to an innovative integrated e-health platform of many benefits to the society, the economy, the industry, and the research community. To achieve this, a consortium of experts, both from industry (two companies, one hospital and one healthcare organization) and academia (three universities), was set to investigate, analyse, design, build and test the new platform. This paper provides insights to the PCEH concept and to the current stage of the project. In doing so, we aim at increasing the awareness of this important endeavor and sharing the lessons learned so far throughout our work. PMID:25000049

  11. Patient-Perceived Usefulness of Online Electronic Medical Records: Employing Grounded Theory in the Development of Information and Communication Technologies for Use by Patients Living with Chronic Illness

    PubMed Central

    Winkelman, Warren J.; Leonard, Kevin J.; Rossos, Peter G.

    2005-01-01

    Objective: Patient use of online electronic medical records (EMR) holds the potential to improve health outcomes. The purpose of this study is to discover how patients living with chronic inflammatory bowel disease (IBD) value Internet-based patient access to electronic patient records. Design: This was a qualitative, exploratory, descriptive study using in-depth interviews and focus groups of a total of 12 patients with IBD of at least one-year duration at University Health Network, a tertiary care center in Toronto, Ontario. Results: Four themes have been elucidated that comprise a theoretical framework of patient-perceived information and communication technology usefulness: promotion of a sense of illness ownership, of patient-driven communication, of personalized support, and of mutual trust. Conclusions: For patients with chronic IBD, simply providing access to electronic medical records has little usefulness on its own. Useful technology for patients with IBD is multifaceted, self-care promoting, and integrated into the patient's already existing health and psychosocial support infrastructure. The four identified themes can serve as focal points for the evaluation of information technology designed for patient use, thus providing a patient-centered framework for developers seeking to adapt existing EMR systems to patient access and use for the purposes of improving health care quality and health outcomes. Further studies in other populations are needed to enhance generalizability of the emergent theory. PMID:15684128

  12. Predictors and Intensity of Online Access to Electronic Medical Records Among Patients With Cancer

    PubMed Central

    Gerber, David E.; Laccetti, Andrew L.; Chen, Beibei; Yan, Jingsheng; Cai, Jennifer; Gates, Samantha; Xie, Yang; Lee, Simon J. Craddock

    2014-01-01

    Introduction: Electronic portals are secure Web-based servers that provide patients with real-time access to their personal health record (PHR). These applications are now widely used at cancer centers nationwide, but their impact has not been well studied. This study set out to determine predictors and patterns of use of a Web-based portal for accessing PHRs and communicating with health providers among patients with cancer. Methods: Retrospective analysis of enrollment in and use of MyChart, a PHR portal for the Epic electronic medical record system, among patients seen at a National Cancer Institute–designated cancer center. Predictors of MyChart use were analyzed through univariable and multivariable regression models. Results: A total of 6,495 patients enrolled in MyChart from 2007 to 2012. The median number of log-ins over this period was 57 (interquartile range 17-137). The most common portal actions were viewing test results (37%), viewing and responding to clinic messages (29%), and sending medical advice requests (6.4%). Increased portal use was significantly associated with younger age, white race, and an upper aerodigestive malignancy diagnosis. Thirty-seven percent of all log-ins and 31% of all medical advice requests occurred outside clinic hours. Over the study period, the average number of patient log-ins per year more than doubled. Conclusions: Among patients with cancer, PHR portal use is frequent and increasing. Younger patients, white patients, and patients with upper aerodigestive malignancies exhibit the heaviest portal use. Understanding the implications of this new technology will be central to the delivery of safe and effective care. PMID:25006222

  13. A Preliminary Evaluation of the UMLS Metathesaurus for Patient Record Classification

    PubMed Central

    Chute, C. G.; Tuttle, M. S.; Yang, Yiming; Sherertz, D. D.; Olson, N. E.; Erlbaum, M. S.

    1990-01-01

    The UMLS project seeks to provide a unified interface to biomedical knowledge resources. Patient medical records are an enormous repository of clinical intervention and outcome, and are drawing increasing attention in the pursuit of quality assurance, outcomes research, and epidemiologic analysis. We sought to evaluate an unedited version of the preliminary UMLS Metathesaurus, Meta-1, for the automated coding of medical diagnosis and surgical procedures. Identical evaluations were undertaken using SNOMED and the Mayo Clinic indexing lexicon. Meta-1 performed comparably to the comparison clinical indexing systems, although all systems exhibited problems associated with clinical attribute levels and modifier combinations.

  14. Systems for monitoring and digitally recording water-quality parameters

    USGS Publications Warehouse

    Smoot, George F.; Blakey, James F.

    1966-01-01

    Digital recording of water-quality parameters is a link in the automated data collection and processing system of the U.S. Geological Survey. The monitoring and digital recording systems adopted by the Geological Survey, while punching all measurements on a standard paper tape, provide a choice of compatible components to construct a system to meet specific physical problems and data needs. As many as 10 parameters can be recorded by an Instrument, with the only limiting criterion being that measurements are expressed as electrical signals.

  15. 78 FR 16837 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    .../ PAT-TM-20 Customer Call Center, Assistance and Satisfaction Survey Records.'' This action is being... methods: Email: Richard.Fernandez@uspto.gov . Include ``Privacy Act PAT-TM-20 comment'' in the subject... Privacy Act system of records notice, ``COMMERCE/PAT- TM-20 Customer Call Center, Assistance...

  16. 78 FR 19462 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... Trademark Office (USPTO) is amending the system of records currently listed under ``COMMERCE/ PAT-TM-11... PAT- TM-11 comment'' in the subject line of the message. Fax: (571) 273-0373, marked to the attention... records notice, ``COMMERCE/PAT- TM-11 Patent Examiner Testimony Files,'' is published in its...

  17. 75 FR 15694 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-30

    ... Records (September 4, 2007; 72 FR 50666). ] Reason: Travel records collected and maintained by the Defense... Travel System last published in the Federal Register on September 8, 2004, at 69 FR 54272. BILLING CODE... Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644, Fort Belvoir, VA 22060-6221. The...

  18. 76 FR 72692 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-25

    ... Responsibilities for Maintaining Records About Individuals,' dated February 8, 1996 (February 20, 1996, 61 FR 6427... Defense. S170.80 System name: DLA OGC Student Loan Repayment Program Records (July 20, 2009, 74 FR 35164... Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644,...

  19. 77 FR 35945 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-15

    ... Defense. S434.87 System name: Debt Records for Individuals (March 1, 2010, 75 FR 9185). Changes... J. Kingman Road, Suite 1644, Fort Belvoir, VA 22060-6221, or by phone at (703) 767-5045...: DGA, 8725 John J. Kingman Road, Suite 1644, Fort Belvoir, VA 22060-6221.'' Record access...

  20. 77 FR 42593 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-19

    ...As required by the Privacy Act of 1974 (5 United States Code (U.S.C.) 552a(e)(4)), notice is hereby given that the Department of Veterans Affairs (VA) proposes to modify an existing system of records, ``VA Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records--VA''...

  1. 75 FR 66061 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ..., Statistical Administrative Records System (74 FR 12834). No comments were received by Commerce, but that....'' POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING, AND DISPOSING OF RECORDS IN THE....C.) 552a(e)(4) and (11); and Office of Management and Budget (OMB) Circular A-130, Appendix...

  2. 78 FR 41921 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-12

    ... name: Individual Confinement Records (April 11, 2007, 72 FR 18216). Changes: * * * * * System location... Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: July 9, 2013... naval vessel, awarded confinement on bread and water as a result of non-judicial punishment;...

  3. 78 FR 69653 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-20

    ... address, home and/or work telephone numbers, cell phone information, identification numbers (e.g. Social... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated... Department of the Navy Privacy Act of 1974; System of Records AGENCY: Department of the Navy, DoD....

  4. 75 FR 4458 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-27

    ... Federal Register 65 FR 25531. VA is amending the system of records by revising the Routine Uses of Records... and VISN assignment, station address and phone number, home phone number, emergency contact and phone... guidelines issued by OMB (65 FR 77677), December 12, 2000. Dated: December 23, 2009. John R. Gingrich,...

  5. 78 FR 73508 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... Air Force Museum. Categories of records in the system: Name, home and personal cell telephone number..., ATTN: SAF/CIO A6, 1800 Air Force Pentagon, Washington, DC 20330-1800, or by phone at (571) 256-2515... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427)....

  6. 78 FR 14292 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Maintaining Records About Individuals,'' dated February 8, 1996, (February 20, 1996, 61 FR 6427). Dated.... F036 AFPC F System Name: Health Education Records (June 11, 1997, 62 FR 31793). Changes... and Chief Information Officer, ATTN: SAF/CIO A6, 1800 Air Force Pentagon, Washington, DC...

  7. 77 FR 31591 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-29

    ... Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: May 23, 2012. Aaron Siegel... General Records (December 2, 2008, 73 FR 73252). * * * * * Categories of records in the system: Delete... Office, Office of Warfighting Integration and Chief Information officer, ATTN: SAF/CIO A6, 1800 Air...

  8. 78 FR 14291 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Action Notification (January 12, 2009, 74 FR 1183) Reason: Records that document these actions are... FR 31793) and F036 AF PC C, Military Personnel Records System (October 13, 2000, 65 FR 60916). Therefore F036 AFPC Q, Educational Delay Action Notification (January 12, 2009, 74 FR 1183) can be...

  9. 77 FR 61582 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-10

    ... Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: October 4... System name: Patent Infringement and Litigation Records (November 12, 2008, 73 FR 66875). Changes...: SAF/CIO A6, 1800 Air Force Pentagon, Washington, DC 20330-1800, or by phone at (202)...

  10. 78 FR 14288 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Records About Individuals,'' dated February 8, 1996, (February 20, 1996, 61 FR 6427). Dated: February 28... System Name: Disability Retirement Records (June 11, 1997, 62 FR 31793). * * * * * Changes... and Chief Information Officer, ATTN: SAF/CIO A6, 1800 Air Force Pentagon, Washington, DC...

  11. 78 FR 14293 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427...) Records (July 2, 2009, 74 FR 31721) Changes: * * * * * Categories of individuals covered by the system... and Chief Information Officer, ATTN: SAF/CIO A6, 1800 Air Force Pentagon, Washington, DC...

  12. 78 FR 1307 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-08

    ... these records. The systems of records were last published in their entirety on July 22, 2008, at 73 FR... negotiations, in response to a court-ordered subpoena, or in connection with criminal law proceedings; (5... the Department of Justice's direction or approval, in accordance with guidelines contained in 28...

  13. 76 FR 11465 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... (February 20, 1996; 61 FR 6427, 6435). The proposed new systems of records described above are set forth in... designated FHFB-6, ] ``Office of Inspector General Audit and Investigative Records.'' 71 FR 61052 (2006). As... potential violation of civil or criminal law or regulation; (2) Disclose information to a court,...

  14. 75 FR 69650 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-15

    .... Deletion: ] A0608-10 CFSC Child Development Services (CDS) (February 22, 1993, 58 FR 10002). Reason: The Child Development Services (CDS) is covered under system of records notice A0215 FMWRC, General Morale, Welfare, Recreation and Entertainment Records (July 7, 2008, 73 FR 38420); therefore the notice can...

  15. 75 FR 67703 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-03

    .... Deletion A0608-10 CFSC Child Development Services (CDS) (February 22, 1993, 58 FR 10002). Reason: The Child Development Services (CDS) is covered under system of records notice A0215 FMWRC, General Morale, Welfare, Recreation and Entertainment Records (July 7, 2008, 73 FR 38420); therefore the notice can be...

  16. 76 FR 35859 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ... About Individuals,'' February 20, 1996, 61 FR 6427. Dated: June 13, 2011. Aaron Siegel, Alternate OSD... Records (July 25, 2008, 73 FR 43419). Changes: * * * * * System name: Delete entry and replace with... out unauthorized access. Paper records are maintained in locked file cabinets in a secure building...

  17. 76 FR 35421 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: June 8... System name: National Security Education Program Records (December 30, 2008, 73 FR 79833). Changes... activities; honors and awards; government agencies of interest; proposed study abroad program information...

  18. 76 FR 24001 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: April...DEA 26 System name: Department of Defense Education Activity Educational Records (May 3, 2007, 72 FR... (DoDEA); DoD Directive 1020.1, Nondiscrimination on the Basis of Handicap in Programs and...

  19. 76 FR 77846 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-14

    ...The Federal Bureau of Investigation proposes to amend its Terrorist Screening Records System, JUSTICE/FBI-019, maintained by the Terrorist Screening Center, to add two new categories of individuals and their associated records, to add a new routine use and make modifications to existing routine uses, and to make several administrative modifications and updates throughout the notice. Public......

  20. 28 CFR 16.51 - Security of systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Security of systems of records. 16.51 Section 16.51 Judicial Administration DEPARTMENT OF JUSTICE PRODUCTION OR DISCLOSURE OF MATERIAL OR INFORMATION Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 §...

  1. 75 FR 52517 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-26

    .... FOR FURTHER INFORMATION CONTACT: Mrs. Cindy Allard at (703) 588-6830. SUPPLEMENTARY INFORMATION: The...) Records (November 12, 2008; 73 FR 66849). Reason: The DIMHRS System (DPR 36) has been deleted per order from the Secretary of Defense, and no records have been entered into the database. BILLING CODE...

  2. 78 FR 70543 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-26

    ...,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: November 21, 2013. Aaron Siegel... records for the purpose of validation, analysis, and appraisal throughout the lifecycle. This system is...): To manage personnel and security records for the purpose of validation, analysis, and...

  3. 75 FR 71083 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... Responsibilities for Maintaining Records About Individual,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427..., 2009, 74 FR 7671) CHANGES: * * * * * SYSTEM LOCATION: Delete entry and replace with ``Student records... Center (SPAWARSYSCEN) Atlantic Charleston, Building 3147, Lab 1L2, North Charleston, SC 29419-9022....

  4. How Do I Start a Property Records System?

    ERIC Educational Resources Information Center

    Whyman, Wynne

    2003-01-01

    A property records system organizes data to be utilized by a camp's facilities department and integrated into other areas. Start by deciding what records to keep and allotting the time. Then develop consistent procedures, including organizing data, creating a catalog, making back-up copies, and integrating procedures. Use software tools. A good…

  5. 75 FR 27821 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-18

    .../INTERPOL- 001,'' last published in the Federal Register on April 10, 2002 at 67 FR 17464. This new notice... Disposing of Records in the System: Storage: Information is stored in paper and in electronic form at the... post closing, the hard copy will be transferred to the Washington National Records Center for...

  6. 75 FR 17910 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ... name: Passport, Visa, and Country Clearance Files (July 23, 2003; 68 FR 43504). Reason: System notice... Foreign Clearance Program Records (April 6, 2007; 72 FR 17136) and A0055 USEUCOM DoD, Europe Command Travel Clearance Records (February 13, 2006; 71 FR 7549). BILLING CODE 5001-06-P...

  7. 75 FR 19377 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-14

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: April...) (June 8, 2009; 74 FR 27119) CHANGES: * * * * * SYSTEM LOCATION: Add ``and 6801 Telegraph Road... Controls Assessment Records, Reports of Post Sale Investigation, Crime Vulnerability Assessments,...

  8. The Uniform Migrant Student Record Transfer System. A Position Paper.

    ERIC Educational Resources Information Center

    National Committee on the Education of Migrant Children, New York, NY.

    Initiated in the mid-sixties under Title I of the Elementary and Secondary Education Act, the Uniform Migrant Student Record Transfer System (UMSRTS) was designed to maintain ready accessibility via computer data base to the health and academic records of migrant children. The National Committee on the Education of Migrant Children (NCEMC)…

  9. 75 FR 39921 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ... Accountability Records (November 16, 2004; 69 FR 67112). Reason for deletion: Records formerly maintained under... Register on March 24, 2010, at 75 FR 14141. BILLING CODE 5001-06-P ... submission of a new or altered system report. Dated: July 8, 2010. Mitchell S. Bryman, Alternate OSD...

  10. 76 FR 22444 - Privacy Act; System of Records: State-52, Parking Permit and Car Pool Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-21

    ...Notice is hereby given that the Department of State proposes to amend an existing system of records, Parking Permit and Car Pool Records, State-52, pursuant to the provisions of the Privacy Act of 1974, as amended (5 U.S.C. 552a) and Office of Management and Budget Circular No. A-130, Appendix I. The Department's report was filed with the Office of Management and Budget on March 29, 2011. It......

  11. 76 FR 39466 - Privacy Act; System of Records Notice: State-26, Passport Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-06

    ...Notice is hereby given that the Department of State proposes to amend an existing system of records, Passport Records, State-26, pursuant to the provisions of the Privacy Act of 1974, as amended (5 U.S.C. 552a) and Office of Management and Budget Circular No. A-130, Appendix I. The Department's report was filed with the Office of Management and Budget on June 15, 2011. It is proposed that the......

  12. Interoperability of a mobile health care solution with electronic healthcare record systems.

    PubMed

    De Toledo, P; Lalinde, W; Del Pozo, F; Thurber, D; Jimenez-Fernandez, S

    2006-01-01

    Mobile health care solutions involving patient monitoring are an increasingly accepted element in chronic disease management strategies. When used in healthcare systems with different providers, it is essential that the information gathered from the patient is available at each of these providers information repositories. This paper describes the design of a connectivity interface based on the HL7 standard that allows the MOTOHEALTH mobile health care solution to communicate with external electronic healthcare record systems supporting HL7. PMID:17946289

  13. Investigation of system integration methods for bubble domain flight recorders

    NASA Technical Reports Server (NTRS)

    Chen, T. T.; Bohning, O. D.

    1975-01-01

    System integration methods for bubble domain flight records are investigated. Bubble memory module packaging and assembly, the control electronics design and construction, field coils, and permanent magnet bias structure design are studied. A small 60-k bit engineering model was built and tested to demonstrate the feasibility of the bubble recorder. Based on the various studies performed, a projection is made on a 50,000,000-bit prototype recorder. It is estimated that the recorder will occupy 190 cubic in., weigh 12 lb, and consume 12 w power when all of its four tracks are operated in parallel at 150 kHz data rate.

  14. 76 FR 56501 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-13

    ... the Currency (OCC) give notice of alterations to the Privacy Act systems of records entitled ``CC .210-- Bank Securities Dealers System,'' ``CC .220--Section 914 Tracking System;'' and ``CC .600--Consumer... covered individuals related to national banks: Treasury/CC .210--Bank Securities Dealers System;...

  15. 78 FR 56737 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-13

    ... Force Evaluation and Reporting System,'' JUSTICE/DAG-003, last published in its entirety at 57 FR 8473... Forces (OCDETF), Department of Justice. ACTION: Notice of a modified system of records. SUMMARY: Pursuant... Task Forces Management Information System'' (OCDETF MIS), changing the system number from...

  16. 78 FR 27481 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... FR 62390. VA is amending the system of records by revising the System Name, System Location... this system may be disclosed to a Federal, state, or local agency maintaining civil or criminal... Department of Justice (DOJ), including U.S. Attorneys, in order for VA to respond to...

  17. 77 FR 74878 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-18

    ...: Foreign Claims Settlement Commission of the United States, Justice. ACTION: Notice of a new system of... Commission (Commission), Department of Justice, proposes to establish a new system of records to enable the.... Feighery, Chairman. JUSTICE/FCSC-30 SYSTEM NAME: Iraq, Claims Against. SYSTEM LOCATION: Offices of...

  18. 77 FR 28898 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ... States Department of Justice. ACTION: Notice of a New System of Records. SUMMARY: Pursuant to the Privacy... System,'' (JUSTICE/COPS-002). The system collects contact and order information from individuals who... Liberties Officer, United States Department of Justice. JUSTICE/COPS-002 SYSTEM NAME: COPS Online...

  19. 77 FR 499 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-05

    ... previously published a system of records notice (``Financial Management System'' (FHFA-2), 74 FR 31949 (July... OFHEO system, ``OFHEO-1'' published at 63 FR 9007 (February 23, 1998) and ``FHFB-2'' as amended at 71 FR... replaced FHFB systems, ``FHFB-1'' published at 60 FR 46120 (September 5, 1995), as amended at 62 FR...

  20. 77 FR 21808 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-11

    ... of Justice. ACTION: Modified System of Records. SUMMARY: Pursuant to the provisions of the Privacy... System'' (``IRFS''). IRFS was last published in its entirety in the Federal Register at 61 FR 54219, Oct... Department of Justice. JUSTICE/DEA-008 SYSTEM NAME: Investigative Reporting and Filing System...