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Sample records for patient record system

  1. Architecture for networked electronic patient record systems.

    PubMed

    Takeda, H; Matsumura, Y; Kuwata, S; Nakano, H; Sakamoto, N; Yamamoto, R

    2000-11-01

    There have been two major approaches to the development of networked electronic patient record (EPR) architecture. One uses object-oriented methodologies for constructing the model, which include the GEHR project, Synapses, HL7 RIM and so on. The second approach uses document-oriented methodologies, as applied in examples of HL7 PRA. It is practically beneficial to take the advantages of both approaches and to add solution technologies for network security such as PKI. In recognition of the similarity with electronic commerce, a certificate authority as a trusted third party will be organised for establishing networked EPR system. This paper describes a Japanese functional model that has been developed, and proposes a document-object-oriented architecture, which is-compared with other existing models. PMID:11154967

  2. 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.

  3. 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.

  4. 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.

  5. Body posture recognition and turning recording system for the care of bed bound patients.

    PubMed

    Hsiao, Rong-Shue; Mi, Zhenqiang; Yang, Bo-Ru; Kau, Lih-Jen; Bitew, Mekuanint Agegnehu; Li, Tzu-Yu

    2015-01-01

    This paper proposes body posture recognition and turning recording system for assisting the care of bed bound patients in nursing homes. The system continuously detects the patient's body posture and records the length of time for each body posture. If the patient remains in the same body posture long enough to develop pressure ulcers, the system notifies caregivers to change the patient's body posture. The objective of recording is to provide the log of body turning for querying of patients' family members. In order to accurately detect patient's body posture, we developed a novel pressure sensing pad which contains force sensing resistor sensors. Based on the proposed pressure sensing pad, we developed a bed posture recognition module which includes a bed posture recognition algorithm. The algorithm is based on fuzzy theory. The body posture recognition algorithm can detect the patient's bed posture whether it is right lateral decubitus, left lateral decubitus, or supine. The detected information of patient's body posture can be then transmitted to the server of healthcare center by the communication module to perform the functions of recording and notification. Experimental results showed that the average posture recognition accuracy for our proposed module is 92%. PMID:26444814

  6. The master patient index: split patient records.

    PubMed

    Wieners, W; Stewart, S P

    1988-11-01

    Systems integrators have overlooked the potential for corrupting the medical-record database through the creation of multiple (split) records for the individual patient. This article introduces a computer software technology that has been used at the University of California, San Francisco (UCSF) Medical Center to identify split patient records.

  7. 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.

  8. 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.

  9. 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

  10. Multicenter Patient Records Research

    PubMed Central

    Behlen, Fred M.; Johnson, Stephen B.

    1999-01-01

    The expanding health information infrastructure offers the promise of new medical knowledge drawn from patient records. Such promise will never be fulfilled, however, unless researchers first address policy issues regarding the rights and interests of both the patients and the institutions who hold their records. In this article, the authors analyze the interests of patients and institutions in light of public policy and institutional needs. They conclude that the multicenter study, with Institutional Review Board approval of each study at each site, protects the interests of both. “Anonymity” is no panacea, since patient records are so rich in information that they can never be truly anonymous. Researchers must earn and respect the trust of the public, as responsible stewards of facts about patients' lives. The authors find that computer security tools are needed to administer multicenter patient records studies and describe simple approaches that can be implemented using commercial database products. PMID:10579601

  11. [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.

  12. A nursing perspective to design and implementation of electronic patient record systems.

    PubMed

    Moen, Anne

    2003-01-01

    Achievements in informatics and use of new technologies are important to develop knowledge from clinical nursing practice. At the same time, progress in design and implementation of clinical information systems such as comprehensive Electronic Patient Record (EPR) systems can be complemented by attention to and examination of information processes as well as the health care constituencies' characteristics. In this article, selected issues and challenges related to EPR design and implementation are reviewed with a particular emphasis on those related to nursing practice and nursing leadership.

  13. A computerised out-patient medical records programme based on the Summary Time-Oriented Record (STOR) System.

    PubMed

    Cheong, P Y; Goh, L G; Ong, R; Wong, P K

    1992-12-01

    Advances in microcomputer hardware and software technology have made computerised outpatient medical records practical. We have developed a programme based on the Summary Time-Oriented Record (STOR) system which complements existing paper-based record keeping. The elements of the Problem Oriented Medical Record (POMR) System are displayed in two windows within one screen, namely, the SOAP (Subjective information, Objective information, Assessments and Plans) elements in the Reason For Encounter (RFE) window and the problem list with outcomes in the Problem List (PL) window. Context sensitive child windows display details of plans of management in the RFE window and clinical notes in the PL window. The benefits of such innovations to clinical decision making and practice based research and its medico-legal implications are discussed.

  14. 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…

  15. Electronic health record and electronic patient record.

    PubMed

    Dimond, Bridgit

    This article considers the government plans for the development of electronic health and patient records as set out in the NHS Plan and the progress and problems which have been encountered in their realization. PMID:16116372

  16. Electronic patient records for dental school clinics: more than paperless systems.

    PubMed

    Atkinson, Jane C; Zeller, Gregory G; Shah, Chhaya

    2002-05-01

    The Electronic Patient Record (EPR) or "computer-based medical record" is defined by the Patient Record Institute as "a repository for patient information with one health-care enterprise that is supported by digital computer input and integrated with other information sources." The information technology revolution coupled with everyday use of computers in clinical dentistry has created new demand for electronic patient records. Ultimately, the EPR should improve health care quality. The major short-term disadvantage is cost, including software, equipment, training, and personnel time involved in the associated business process re-engineering. An internal review committee with expertise in information technology and/or database management evaluated commercially available software in light of the unique needs of academic dental facilities. This paper discusses their deficiencies and suggests areas for improvement. The dental profession should develop a more common record with standard diagnostic codes and clinical outcome measures to make the EPR more useful for clinical research and improve the quality of care. PMID:12056768

  17. 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.

  18. 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…

  19. Validation of an electronic system for recording medical student patient encounters.

    PubMed

    Nkoy, Flory L; Petersen, Sarah; Antommaria, Armand H Matheny; Antommaria, Armand H; Maloney, Christopher G

    2008-11-06

    The Liaison Committee for Medical Education requires monitoring of the students clinical experiences. Student logs, typically used for this purpose, have a number of limitations. We used an electronic system called Patient Tracker to passively generate student encounter data. The data contained in Patient Tracker was compared to the information reported on student logs and data abstracted from the patients charts. Patient Tracker identified 30% more encounters than the student logs. Compared to the student logs, Patient Tracker contained a higher average number of diagnoses per encounter (2.28 vs. 1.03, p<0.01). The diagnostic data contained in Patient Tracker was also more accurate under 4 different definitions of accuracy. Only 1.3% (9/677) of diagnoses in Patient Tracker vs. 16.9% (102/601) diagnoses in the logs could not be validated in patients charts (p<0.01). Patient Tracker is a more effective and accurate tool for documenting student clinical encounters than the conventional student logs.

  20. 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

  1. Development of a peer review system using patient records for outcome evaluation of medical education: reliability analysis.

    PubMed

    Kameoka, Junichi; Okubo, Tomoya; Koguma, Emi; Takahashi, Fumie; Ishii, Seiichi; Kanatsuka, Hiroshi

    2014-01-01

    In addition to input evaluation (education delivered at school) and output evaluation (students' capability at graduation), the methods for outcome evaluation (performance after graduation) of medical education need to be established. One approach is a review of medical records, which, however, has been met with difficulties because of poor inter-rater reliability. Here, we attempted to develop a peer review system of medical records with high inter-rater reliability. We randomly selected 112 patients (and finally selected 110 after removing two ineligible patients) who visited (and were hospitalized in) one of the four general hospitals in the Tohoku region of Japan between 2008 and 2012. Four reviewers, who were well-trained general internists from outside the Tohoku region, visited the hospitals independently and evaluated outpatient medical records based on an evaluation sheet that consisted of 14 items (3-point scale) for record keeping and 15 items (5-point scale) for quality of care. The mean total score was 84.1 ± 7.7. Cronbach's alpha for these items was 0.798. Single measure and average measure intraclass correlations for the reviewers were 0.733 (95% confidence interval: 0.720-0.745) and 0.917 (95% confidence interval: 0.912-0.921), respectively. An exploratory factor analysis revealed six factors: history taking, physical examination, clinical reasoning, management and outcome, rhetoric, and patient relationship. In conclusion, we have developed a peer review system of medical records with high inter-rater reliability, which may enable us, with further validity analysis, to measure quality of patient care as an outcome evaluation of medical education in the future.

  2. 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

  3. 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.

  4. 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

  5. Internet Patient Records: new techniques

    PubMed Central

    Moehrs, Sascha; Anedda, Paolo; Tuveri, Massimiliano; Zanetti, Gianluigi

    2001-01-01

    Background The ease by which the Internet is able to distribute information to geographically-distant users on a wide variety of computers makes it an obvious candidate for a technological solution for electronic patient record systems. Indeed, second-generation Internet technologies such as the ones described in this article - XML (eXtensible Markup Language), XSL (eXtensible Style Language), DOM (Document Object Model), CSS (Cascading Style Sheet), JavaScript, and JavaBeans - may significantly reduce the complexity of the development of distributed healthcare systems. Objective The demonstration of an experimental Electronic Patient Record (EPR) system built from those technologies that can support viewing of medical imaging exams and graphically-rich clinical reporting tools, while conforming to the newly emerging XML standard for digital documents. In particular, we aim to promote rapid prototyping of new reports by clinical specialists. Methods We have built a prototype EPR client, InfoDOM, that runs in both the popular web browsers. In this second version it receives each EPR as an XML record served via the secure SSL (Secure Socket Layer) protocol. JavaBean software components manipulate the XML to store it and then to transform it into a variety of useful clinical views. First a web page summary for the patient is produced. From that web page other JavaBeans can be launched. In particular, we have developed a medical imaging exam Viewer and a clinical Reporter bean parameterized appropriately for the particular patient and exam in question. Both present particular views of the XML data. The Viewer reads image sequences from a patient-specified network URL on a PACS (Picture Archiving and Communications System) server and presents them in a user-controllable animated sequence, while the Reporter provides a configurable anatomical map of the site of the pathology, from which individual "reportlets" can be launched. The specification of these reportlets is

  6. Proposed criteria for reimbursing eVisits: content analysis of secure patient messages in a personal health record system.

    PubMed

    Tang, Paul C; Black, William; Young, Charles Y

    2006-01-01

    The Institute of Medicine called for healthcare organizations to provide care whenever needed, using the Internet as appropriate. Few organizations currently offer clinical electronic messaging services for their patients. Many believe that broader adoption of online services will not occur without a change in reimbursement policies. We propose modified Evaluation and Management (eVisit E&M) criteria derived from the current office-based E&M codes as a means of qualifying whether an online encounter should be reimbursed. Physician reviewers applied the proposed eVisit criteria to 120 randomly selected electronic messages sent by 112 patients to 69 physicians through a personal health record system. Twenty-two percent of clinical messages to physicians contained sufficient patient-history data and medical decision-making components to warrant reimbursement according to our eVisit criteria. Among a subset of patients with multiple chronic diseases, this would have generated an estimated 1.2 eVisits per patient annually. Across a broader patient population, we estimate that 0.7 eVisit encounters would be generated annually per patient. Sixty-five percent (65%) of patients felt that electronic communication with their physicians saved one or more office visits per year. Reimbursing for qualified eVisits may encourage broader use of electronic communication to improve access to care and reduce overall healthcare costs.

  7. 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

  8. The risks and benefits of disclosing psychotherapy records to the legal system: What psychologists and patients need to know for informed consent.

    PubMed

    Borkosky, Bruce; Smith, Deirdre M

    2015-01-01

    When psychologists release patient records to the legal system, the typical practice is to obtain the patient's signature on a consent form, but rarely is a formal informed-consent obtained from the patient. Although psychologists are legally and ethically required to obtain informed consent for all services (including disclosure of records), there are a number of barriers to obtaining truly informed consent. Furthermore, compared to disclosures to nonlegal third parties, there are significantly greater risks when records are disclosed to the legal system. For these reasons, true informed consent should be obtained from the patient when records are disclosed to the legal system. A model for informed consent is proposed. This procedure should include a description of risks and benefits of disclosing or refusing to disclose by the psychotherapist, an opportunity to ask questions, and indication by the patient of a freely made choice. Both psychotherapist and patient share decision making responsibilities in our suggested model. The patient should be informed about potential harm to the therapeutic relationship, if applicable. Several recommendations for practice are described, including appropriate communications with attorneys and the legal system. A sample form, for use by psychotherapists, is included.

  9. 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.

  10. Downhole recording system for MWD

    SciTech Connect

    Franz, D.G.

    1981-01-01

    Downhole recording systems are an important category of measurement-while-drilling (MWD) systems that has been obscured by the recent concentration of development work on mud-pulse communications systems. The recording system can serve a segment of the MWD market that cannot be economically served, at present, by systems having real-time data communications. This paper describes the development of a downhole recording system. 2 refs.

  11. 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

  12. 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

  13. Evolution of a legacy system to a Web patient record server: leveraging investment while opening the system.

    PubMed

    Flanagan, J R; Chun, J; Wagner, J R

    1996-01-01

    A layered system is under development to enhance our legacy system as a backend in a WEB-enabled system. Each layer of the system has defined functionality, leverages the investment in the layer below, and follows the strategy of reducing support requirements for workstations. The mainframe system provides administrative integration of sub-systems, security, and the central data repository for most information. The second layer is a graphical user interface (GUI) to the system for Windows platforms. Support needs are limited by relying chiefly on X-terminals and application servers. The "Intranet" layer is a WEB Server building upon the second layer gateways to provide platform-independent access to selected information and images. The fourth layer, under evaluation, will extend access to the central data repository for Internet users of web browsers that support private-key/public-key encryption.

  14. Evolution of a legacy system to a Web patient record server: leveraging investment while opening the system.

    PubMed Central

    Flanagan, J. R.; Chun, J.; Wagner, J. R.

    1996-01-01

    A layered system is under development to enhance our legacy system as a backend in a WEB-enabled system. Each layer of the system has defined functionality, leverages the investment in the layer below, and follows the strategy of reducing support requirements for workstations. The mainframe system provides administrative integration of sub-systems, security, and the central data repository for most information. The second layer is a graphical user interface (GUI) to the system for Windows platforms. Support needs are limited by relying chiefly on X-terminals and application servers. The "Intranet" layer is a WEB Server building upon the second layer gateways to provide platform-independent access to selected information and images. The fourth layer, under evaluation, will extend access to the central data repository for Internet users of web browsers that support private-key/public-key encryption. PMID:8947740

  15. Nursing classification systems: necessary but not sufficient for representing "what nurses do" for inclusion in computer-based patient record systems.

    PubMed

    Henry, S B; Mead, C N

    1997-01-01

    Our premise is that from the perspective of maximum flexibility of data usage by computer-based record (CPR) systems, existing nursing classification systems are necessary, but not sufficient, for representing important aspects of "what nurses do." In particular, we have focused our attention on those classification systems that represent nurses' clinical activities through the abstraction of activities into categories of nursing interventions. In this theoretical paper, we argue that taxonomic, combinatorial vocabularies capable of coding atomic-level nursing activities are required to effectively capture in a reproducible and reversible manner the clinical decisions and actions of nurses, and that, without such vocabularies and associated grammars, potentially important clinical process data is lost during the encoding process. Existing nursing intervention classification systems do not fulfill these criteria. As background to our argument, we first present an overview of the content, methods, and evaluation criteria used in previous studies whose focus has been to evaluate the effectiveness of existing coding and classification systems. Next, using the Ingenerf typology of taxonomic vocabularies, we categorize the formal type and structure of three existing nursing intervention classification system--Nursing Interventions Classification, Omaha System, and Home Health Care Classification. Third, we use records from home care patients to show examples of lossy data transformation, the loss of potentially significant atomic data, resulting from encoding using each of the three systems. Last, we provide an example of the application of a formal representation methodology (conceptual graphs) which we believe could be used as a model to build the required combinatorial, taxonomic vocabulary for representing nursing interventions.

  16. [Electronic patient record as the tool for better patient safety].

    PubMed

    Schneider, Henning

    2015-01-01

    Recent studies indicate again that there is a deficit in the use of electronic health records (EHR) in German hospitals. Despite good arguments in favour of their use, such as the rapid availability of data, German hospitals shy away from a wider implementation. The reason is the high cost of installing and maintaining the EHRs, for the benefit is difficult to evaluate in monetary terms for the hospital. Even if a benefit can be shown it is not necessarily evident within the hospital, but manifests itself only in the health system outside. Many hospitals only manage to partly implement EHR resulting in increased documentation requirements which reverse their positive effect.In the United States, electronic medical records are also viewed in light of their positive impact on patient safety. In particular, electronic medication systems prove the benefits they can provide in the context of patient safety. As a result, financing systems have been created to promote the digitalisation of hospitals in the United States. This has led to a large increase in the use of IT systems in the United States in recent years. The Universitätsklinikum Eppendorf (UKE) introduced electronic patient records in 2009. The benefits, in particular as regards patient safety, are numerous and there are many examples to illustrate this position. These positive results are intended to demonstrate the important role EHR play in hospitals. A financing system of the ailing IT landscape based on the American model is urgently needed to benefit-especially in terms of patient safety-from electronic medical records in the hospital. PMID:25475524

  17. 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.

  18. Patient health record on a smart card.

    PubMed

    Naszlady, A; Naszlady, J

    1998-02-01

    A validated health questionnaire has been used for the documentation of a patient's history (826 items) and of the findings from physical examination (591 items) in our clinical ward for 25 years. This computerized patient record has been completed in EUCLIDES code (CEN TC/251) for laboratory tests and an ATC and EAN code listing for the names of the drugs permanently required by the patient. In addition, emergency data were also included on an EEPROM chipcard with a 24 kb capacity. The program is written in FOX-PRO language. A group of 5000 chronically ill in-patients received these cards which contain their health data. For security reasons the contents of the smart card is only accessible by a doctor's PIN coded key card. The personalization of each card was carried out in our health center and the depersonalized alphanumeric data were collected for further statistical evaluation. This information served as a basis for a real need assessment of health care and for the calculation of its cost. Code-combined with an optical card, a completely paperless electronic patient record system has been developed containing all three information carriers in medicine: Texts, Curves and Pictures.

  19. Implementing an integrated computerized patient record system: Towards an evidence-based information system implementation practice in healthcare.

    PubMed

    Rahimi, Bahlol; Moberg, Anna; Timpka, Toomas; Vimarlund, Vivian

    2008-11-06

    A large number of health information system (HIS) implementations fail due to insufficient organizational harmonization. The aim of this study is to examine whether these problems remain when implementing technically integrated and more advanced generations of HISs. In a case study, data from observations, interviews, and organizational documents were analyzed using qualitative methods. We found that critical issues in the case study implementation process were the techniques employed to teach the staff to use the integrated system, involvement of the users in the implementation process, and the efficiency of the human computer interface. Comparisons with a literature review showed both recurrence of previously reported implementation problems and new issues specific to the integrated system context. The results indicate that the development of evidence-based implementation processes should be considered.

  20. A search engine for virtual patient records.

    PubMed

    Malamateniou, F; Vassilacopoulos, G; Mantas, J

    1999-08-01

    Virtual patient records provide a means for integrated access to patient information that may be scattered around different healthcare settings. Within the boundaries of a health district providing all levels of care, this concept can be implemented in an Intranet environment to support longitudinal patient care activities across the participating healthcare providers. Since medical information is stored on multiple Intranet sites in various forms (e.g. codified data, transcribed documents, and images), a suite of appropriate tools is needed to enable access to such information in combined form. In most cases, however, access to medical information should be restricted to authorized users. To serve this purpose, a prototype search engine incorporating an authorization and access control functionality has been developed and presented in this paper. The system is based on the signature file access method and an experimental implementation written in JAVA is also described.

  1. [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.

  2. Why patients should keep their own records.

    PubMed

    Coleman, V

    1984-03-01

    Too many people now have access to confidential medical information. Patients are becoming justifiably wary and the doctor-patient relationship is deteriorating. We can avert the developing crisis by allowing patients to keep their own medical records at home. This will ensure that confidentiality is respected and that patients continue to trust their doctors.

  3. Getting on with your computer is associated with job satisfaction in primary care: entrants to primary care should be assessed for their competency with electronic patient record systems.

    PubMed

    de Lusignan, Simon; Pearce, Christopher; Munro, Neil

    2013-01-01

    Job satisfaction in primary care is associated with getting on with your computer. Many primary care professionals spend longer interacting with their computer than anything else in their day. However, the computer often makes demands rather than be an aid or supporter that has learned its user's preferences. The use of electronic patient record (EPR) systems is underrepresented in the assessment of entrants to primary care, and in definitions of the core competencies of a family physician/general practitioner. We call for this to be put right: for the use of the EPR to support direct patient care and clinical governance to be given greater prominence in training and assessment. In parallel, policy makers should ensure that the EPR system use is orientated to ensuring patients receive evidence-based care, and EPR system suppliers should explore how their systems might better support their clinician users, in particular learning their preferences.

  4. The case against showing patients their records.

    PubMed

    Ross, A P

    1986-03-01

    The author, a British consultant surgeon, expresses his reservations about patients' having access to their medical records. The nature of communication between doctors may change if it is known that patients will see the material; potentially helpful yet tentative diagnoses may be excluded while other information is watered down. Physicians will have additional, perhaps burdensome, demands placed on them to explain the records--including parts written by deceased or otherwise unavailable doctors, medical students, or nonphysicians. Persons other than patients may see the records, further complicating the issue. Ross asserts that, while patients do have the right to see records, full access could be more harmful than beneficial to patients and could be fraught with problems for physicians.

  5. 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…

  6. 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.

  7. TimeLine: visualizing integrated patient records.

    PubMed

    Bui, Alex A T; Aberle, Denise R; Kangarloo, Hooshang

    2007-07-01

    An increasing amount of data is now accrued in medical information systems; however, the organization of this data is still primarily driven by data source, and does not support the cognitive processes of physicians. As such, new methods to visualize patient medical records are becoming imperative in order to assist physicians with clinical tasks and medical decision-making. The TimeLine system is a problem-centric temporal visualization for medical data: information contained with medical records is reorganized around medical disease entities and conditions. Automatic construction of the TimeLine display from existing clinical repositories occurs in three steps: 1) data access, which uses an eXtensible Markup Language (XML) data representation to handle distributed, heterogeneous medical databases; 2) data mapping and reorganization, reformulating data into hierarchical, problemcentric views; and 3) data visualization, which renders the display to a target presentation platform. Leveraging past work, we describe the latter two components of the TimeLine system in this paper, and the issues surrounding the creation of medical problems lists and temporal visualization of medical data. A driving factor in the development of TimeLine was creating a foundation upon which new data types and the visualization metaphors could be readily incorporated.

  8. 75 FR 34684 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-18

    ... system of records is being revised for the following reasons: 1. USDA/ARS-2, Research Medical Records System on Patients and Human Volunteers Participating in Research at the ARS Human Nutrition Research... deleting two systems of records maintained by the Agricultural Research Service (ARS). EFFECTIVE DATE:...

  9. 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

  10. An assessment of PKI and networked electronic patient record system: lessons learned from real patient data exchange at the platform of OCHIS (Osaka Community Healthcare Information System).

    PubMed

    Takeda, Hiroshi; Matsumura, Yasushi; Kuwata, Shigeki; Nakano, Hirohiko; Shanmai, Ji; Qiyan, Zhang; Yufen, Chen; Kusuoka, Hideo; Matsuoka, Masaki

    2004-03-31

    To enhance medical cooperation between the hospitals and clinics around Osaka local area, the healthcare network system, named Osaka Community Healthcare Information System (OCHIS), was established with support of a supplementary budget from the Japanese government in fiscal year 2002. Although the system has been based on healthcare public key infrastructure (PKI), there remain security issues to be solved technically and operationally. An experimental study was conducted to elucidate the central and the local function in terms of a registration authority and a time stamp authority in contract with the Japanese Medical Information Systems Organization (MEDIS) in 2003. This paper describes the experimental design and the results of the study concerning message security.

  11. 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.

  12. 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.

  13. 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

  14. Joint development of evidence-based medical record by doctors and patients through integrated Chinese and Western medicine on digestive system diseases.

    PubMed

    Li, Bo; Gao, Hong-yang; Gao, Rui; Zhao, Ying-pan; Li, Qing-na; Zhao, Yang; Tang, Xu-dong; Shang, Hong-cai

    2016-02-01

    Building the clinical therapeutic evaluation system by combing the evaluation given by doctors and patients can form a more comprehensive and objective evaluation system. A literature search on the practice of evidence-based evaluation was conducted in key biomedical databases, i.e. PubMed, Excerpt Medica Database, China Biology Medicine disc and China National Knowledge Infrastructure. However, no relevant study on the subjects of interest was identified. Therefore, drawing on the principles of narrative medicine and expert opinion from systems of Chinese medicine and Western medicine, we propose to develop and pilot-test a novel evidence-based medical record format that captures the perspectives of both patients and doctors in a clinical trial. Further, we seek to evaluate a strategic therapeutic approach that integrates the wisdom of Chinese medicine with the scientific basis of Western medicine in the treatment of digestive system disorders. Evaluation of therapeutic efficacy of remedies under the system of Chinese medicine is an imperative ongoing research. The present study intends to identify a novel approach to assess the synergistic benefits achievable from an integrated therapeutic approach combining Chinese and Western system of medicine to treat digestive system disorders.

  15. Integrated visualization of problemcentric urologic patient records.

    PubMed

    Bui, Aleex A T; Taira, Ricky K; Churchill, Bernard; Kangarloo, Hooshang

    2002-12-01

    The collision of computer-based technologies and the medical environment is resulting in an increasingly electronic multimedia patient record, consisting of not only the traditional types of data (e.g., clinic notes and laboratory reports), but also digital images (e.g., computed tomography and magnetic resonance imaging) and other visual representations of patient data (e.g., pulmonary function graphs and urodynamic charts). Given the increasing amount of data made available to physicians, it is not only critical that the totality of a patient's medical record be accessible to a clinician, but that the diverse data be integrated and presented in a manner conducive to patient management: key information should be easily discovered. This paper describes a problemcentric time-based visualization of urologic conditions, whereby a patient's medical history is automatically organized around a medical problem and presented as a graphic chronology. Urology-related data in the patient medical record is organized in accord with an expert constructed knowledge-base, and plotted on a timeline using iconic representations. The user interface permits the physician to quickly view multimedia data and to visualize relationships between events in the patient's history.

  16. 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.

  17. 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.

  18. 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

  19. Medical records: practicalities and principles of patient possession.

    PubMed

    Gilhooly, M L; McGhee, S M

    1991-09-01

    This review of issues and research is in two parts: 1) practical problems surrounding patient-held records and 2) ethical arguments for and against patient-held records. We argue that research on patient-held records indicates that there are no substantial practical drawbacks and considerable ethical benefits to be derived from giving patients custody of their medical records.

  20. 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

  1. 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

  2. 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

  3. Aerial Photography Summary Record System

    USGS Publications Warehouse

    ,

    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.

  4. Computer-based patient record: the essential data set approach.

    PubMed Central

    Moidu, K.; Falsone, J. J.; Nair, S.

    1994-01-01

    The clamor for data to study the impact of care, to evaluate clinical performance and justify resource utilization is increasing. The data in demand normally should exist in the record of a clinical encounter. Advances in information technology and software techniques have provided us with tools to develop and implement computer-based patient record systems. The issues that constrain development are integral issues of clinical medicine, such as the variability in medical data, specialized practice of medicine, and differing demands of the numerous end-users of a medical record. This paper describes an approach to develop a computer-based patient record. The focus is on identification of the essential data set by infological data modeling and its implementation in a commercially available package for a physician's office. PMID:7949970

  5. 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.

  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. 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

  8. Portable EGG recording system based on a digital voice recorder.

    PubMed

    Jang, J-K; Shieh, M-J; Kuo, T-S; Jaw, F-S

    2009-01-01

    Cutaneous electrogastrogram (EGG) recording offers the benefit of non-invasive gastrointestinal diagnosis. With long-term ambulatory recording of signals, researchers and clinicians could have more opportunities to investigate and analyse paroxysmal or acute symptoms. A portable EGG system based on a digital voice recorder (DVR) is designed for long-term recording of cutaneous EGG signals. The system consists of electrodes, an EGG amplifier, a modulator, and a DVR. Online monitoring and off-line acquisition of EGG are handled by software. A special design employing an integrated timer circuit is used to modulate the EGG frequency to meet the input requirements of the DVR. This approach involves low supply voltage and low power consumption. Software demodulation is used to simplify the complexity of the system, and is helpful in reducing the size of the portable device. By using surface-mount devices (SMD) and a low-power design, the system is robust, compact, and suitable for long-term portable recording. As a result, researchers can record an ambulatory EGG signal by means of the proposed circuits in conjunction with an up-to-date voice-recording device.

  9. 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

  10. 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.

  11. 78 FR 17778 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... notice in the Federal Register on October 31, 2012 (77 FR 65938), to amend its system of records entitled ``Patient Medical Record--VA'' (24VA19) as set forth in the Federal Register at 74 FR 60040. That notice... the new routine uses numbers should be ``59'' and ``60''. This document corrects those errors. In...

  12. 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... this system of records notice. Policies and practices for storing, retrieving, accessing, retaining... spectacles/prosthetics, diet/food plan, etc.) are destroyed within 3 months of patient's release....

  13. 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.

  14. 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

  15. A patient-controlled journal for an electronic medical record: issues and challenges.

    PubMed

    Wald, Jonathan S; Middleton, Blackford; Bloom, Amy; Walmsley, Dan; Gleason, Mary; Nelson, Elizabeth; Li, Qi; Epstein, Marianna; Volk, Lynn; Bates, David W

    2004-01-01

    Partners Healthcare System, Boston, MA, has developed a patient Web portal that features a patient-controlled electronic "journal" to allow patients to interact with their physician's electronic medical record. Patients can view and respond to health reminders, critique electronic chart information maintained by their doctor's office, enter additional clinical information, and prepare information summaries before an office visit. Creating shared information resources to support a collaborative care model required analysis of the business, architectural, and workflow requirements of the patient-controlled clinical portal and the physician-controlled electronic medical record system. In this paper we describe the challenges in aligning the two systems and serving the different user groups. Coupling the Patient Gateway system, serving over 8700 patients of 90 physicians as of September, 2003, with the Longitudinal Medical Record system, serving over 4000 physicians, has required a clear definition of user goals and workflow, well-defined interfaces, and careful consideration of system assumptions to succeed.

  16. 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

  17. 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

  18. Embedded-structure template for electronic records affects patient note quality and management for emergency head injury patients

    PubMed Central

    Sonoo, Tomohiro; Iwai, Satoshi; Inokuchi, Ryota; Gunshin, Masataka; Kitsuta, Yoichi; Nakajima, Susumu

    2016-01-01

    Abstract Along with article-based checklists, structured template recording systems have been reported as useful to create more accurate clinical recording, but their contributions to the improvement of the quality of patient care have been controversial. An emergency department (ED) must manage many patients in a short time. Therefore, such a template might be especially useful, but few ED-based studies have examined such systems. A structured template produced according to widely used head injury guidelines was used by ED residents for head injury patients. The study was conducted by comparing each 6-month period before and after launching the system. The quality of the patient notes and factors recorded in the patient notes to support the head computed tomography (CT) performance were evaluated by medical students blinded to patient information. The subject patients were 188 and 177 in respective periods. The numbers of patient notes categorized as “CT indication cannot be determined” were significantly lower in the postintervention term (18% → 9.0%), which represents the patient note quality improvement. No difference was found in the rates of CT performance or CT skip without clearly recorded CT indication in the patient notes. The structured template functioned as a checklist to support residents in writing more appropriately recorded patient notes in the ED head injury patients. Such a template customized to each clinical condition can facilitate standardized patient management and can improve patient safety in the ED. PMID:27749590

  19. 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.

  20. 78 FR 45454 - Patient Access to Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-29

    ... records if VA determines that such release could have an adverse effect on the physical or mental health... ``would not be injurious to the physical or mental health of the claimant.'' VA developed a special...(d), in those cases where records contain information that may be injurious to the physical or...

  1. 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

  2. Access to health records: the rights of the patient.

    PubMed

    Griffith, Richard; Tengnah, Cassam

    2010-07-01

    From time to time patients will ask to see or request a copy of the records made about them and the treatment they received from district nurses and other health professionals. While district nurses can informally allow a patient to see the content of the records they use, a request to view or have a copy of the wider health record requires a formal request for access under the Data Protection Act 1998. This article considers the requirements for requesting and granting access to a patient to view and obtain a copy of their health record.

  3. 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...

  4. 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...

  5. 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...

  6. 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...

  7. 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...

  8. Emergency access for online personally controlled health records system.

    PubMed

    Zhang, Yuan; Dhileepan, Sunethra; Schmidt, Matthew; Zhong, Sheng

    2012-09-01

    A personally controlled health records (PCHR) system allows a patient user to share his/her health records with trusted physicians by manually granting them the access privilege to his/her online records. However, it presents the problem of emergency access in situations where the user is physically unable to grant the access and the access is required by an Emergency Room (ER) physician who does not have the privilege at that moment. To deal with such a problem, we introduce an online polling system to provide the emergency access control to PCHR systems. For each emergency access request, the access privilege is controlled according to the combined opinions of the patient's preset emergency contacts and other online registered physicians. Because our system is based on the demographic number of the physician community nationwide, it provides a stable emergency access control at all times.

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

    PubMed

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

    2012-01-01

    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.

  10. 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

  11. Perfusion Electronic Record Documentation Using Epic Systems Software.

    PubMed

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

    2015-12-01

    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.

  12. An Information Retrieval System for Computerized Patient Records in the Context of a Daily Hospital Practice: the Example of the Léon Bérard Cancer Center (France)

    PubMed Central

    Biron, P.; Metzger, M.H.; Pezet, C.; Sebban, C.; Barthuet, E.; Durand, T.

    2014-01-01

    Summary Background A full-text search tool was introduced into the daily practice of Léon Bérard Center (France), a health care facility devoted to treatment of cancer. This tool was integrated into the hospital information system by the IT department having been granted full autonomy to improve the system. Objectives To describe the development and various uses of a tool for full-text search of computerized patient records. Methods The technology is based on Solr, an open-source search engine. It is a web-based application that processes HTTP requests and returns HTTP responses. A data processing pipeline that retrieves data from different repositories, normalizes, cleans and publishes it to Solr, was integrated in the information system of the Leon Bérard center. The IT department developed also user interfaces to allow users to access the search engine within the computerized medical record of the patient. Results From January to May 2013, 500 queries were launched per month by an average of 140 different users. Several usages of the tool were described, as follows: medical management of patients, medical research, and improving the traceability of medical care in medical records. The sensitivity of the tool for detecting the medical records of patients diagnosed with both breast cancer and diabetes was 83.0%, and its positive predictive value was 48.7% (gold standard: manual screening by a clinical research assistant). Conclusion The project demonstrates that the introduction of full-text-search tools allowed practitioners to use unstructured medical information for various purposes. PMID:24734133

  13. 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

  14. 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.

  15. 77 FR 65245 - Privacy Act; System of Records: Visa Records, State-39

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-25

    ... INFORMATION: The Department of State proposes that the current system retain the name ``Visa Records'' (60 FR... Act; System of Records: Visa Records, State-39 SUMMARY: Notice is hereby given that the Department of State proposes to amend an existing system of records, Visa Records, State-39, pursuant to...

  16. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of records. (1) A system of records is a group of records under the control of a DA activity that are... substantially greater access to the records in the system of records; (v) An addition of an exemption pursuant... 32 National Defense 3 2014-07-01 2014-07-01 false Privacy Act systems of records. 505.3...

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

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... records. (1) A system of records is a group of records under the control of a DA activity that are... substantially greater access to the records in the system of records; (v) An addition of an exemption pursuant... 32 National Defense 3 2012-07-01 2009-07-01 true Privacy Act systems of records. 505.3 Section...

  18. 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

  19. 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.

  20. Peripheral neural activity recording and stimulation system.

    PubMed

    Loi, D; Carboni, C; Angius, G; Angotzi, G N; Barbaro, M; Raffo, L; Raspopovic, S; Navarro, X

    2011-08-01

    This paper presents a portable, embedded, microcontroller-based system for bidirectional communication (recording and stimulation) between an electrode, implanted in the peripheral nervous system, and a host computer. The device is able to record and digitize spontaneous and/or evoked neural activities and store them in data files on a PC. In addition, the system has the capability of providing electrical stimulation of peripheral nerves, injecting biphasic current pulses with programmable duration, intensity, and frequency. The recording system provides a highly selective band-pass filter from 800 Hz to 3 kHz, with a gain of 56 dB. The amplification range can be further extended to 96 dB with a variable gain amplifier. The proposed acquisition/stimulation circuitry has been successfully tested through in vivo measurements, implanting a tf-LIFE electrode in the sciatic nerve of a rat. Once implanted, the device showed an input referred noise of 0.83 μVrms, was capable of recording signals below 10 μ V, and generated muscle responses to injected stimuli. The results demonstrate the capability of processing and transmitting neural signals with very low distortion and with a power consumption lower than 1 W. A graphic, user-friendly interface has been developed to facilitate the configuration of the entire system, providing the possibility to activate stimulation and monitor recordings in real time.

  1. 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

  2. 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.

  3. 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

  4. 75 FR 22187 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... existing system of records titled ``Compensation, Pension, Education, and Vocational Rehabilitation and... added to the system of records titled ``Compensation, Pension, Education, and Vocational Rehabilitation... Records The system identified as 58VA21/22/28 Compensation, Pension, Education and...

  5. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... systems OPM/GOVT-1 (General Personnel Records), OPM/GOVT-2 (Employee Performance File System Records), OPM... Appeals), OPM/GOVT-10 (Employee Medical File System Records) and DOL/ESA-13 (Office of Workers... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued)...

  6. Health record problem-oriented information system.

    PubMed

    Romeu, J; Sotos, F; Ros, L; Ortiz, A

    1995-01-01

    Health Record refers to the recording of the medical and relevant social history of the patient, obtained directly or indirectly. It is an instrument of frequent use that must guarantee the quality of assistance provided, reflecting all information pertinent to forming the patient's medical history. It must be designed so that data is easily and effectively retrieved for everyday use, without compromising the patient's privacy. The Health Record Problem Oriented model achieves all of these objectives. This model comprises: 1. Initial data: the relevant medical histories and biography is recorded. 2. Problems list: the patient provides reasons why she is seeking medical attention. 3. Performance plans: these include diagnostic, therapeutic, pharmacological, dietetic, physiotherapist, and surgical plans, as well as the education of the patient. 4. Evolution notes: the progress of the condition. This model guarantees multi-professional registration, an integral focus on the health, and a continued focus on the patient. These characteristics make it the model par excellence of Primary Care. Prior to the implementation of this model, existing information must be analyzed so that it can eventually be converted to a relational database. The Entity-Relationship Model (E/R Model) has been used to represent the database. Here, the basic concepts involved are entities, relationships, and attributes. Entities represent classes or objects from the real world that have common characteristics. The relationships represent the aggregation of two or more entities. The attributes are elemental properties of both entities and relationships. The E/R Diagram graphically represents the conceptual model of a database; the one built for the Health Record Problem Oriented reflects all the entities that compound the attending processes and the relationships existing between them. The Patient is the central axis of the attending process. The record contains the identifying data of the subject

  7. 5 CFR 2606.103 - Systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... system, comprised of Computer Systems Activity and Access Records; and the OGE/INTERNAL-5 system... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Systems of records. 2606.103 Section 2606... General Provisions § 2606.103 Systems of records. (a) Governmentwide systems of records. The Office...

  8. 5 CFR 2606.103 - Systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... system, comprised of Computer Systems Activity and Access Records; and the OGE/INTERNAL-5 system... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Systems of records. 2606.103 Section 2606... General Provisions § 2606.103 Systems of records. (a) Governmentwide systems of records. The Office...

  9. 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... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Systems of records. 2606.103 Section 2606... General Provisions § 2606.103 Systems of records. (a) Governmentwide systems of records. The Office...

  10. Project Records Information System (PRIS) user's manual

    SciTech Connect

    Smith, P.S.; Nations, J.A.; Short, R.D.

    1991-08-01

    The Projects Record 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. Section 2.0 of 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. Section 3.0 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.

  11. Centralised versus decentralised management of patients' medical records.

    PubMed

    Quantin, Catherine; Coatrieux, Gouenou; Fassa, Maniane; Breton, Vincent; Jaquet-Chiffelle, David-Olivier; de Vlieger, Paul; Lypszyc, Norbert; Boire, Jean-Yves; Roux, Christian; Allaert, François-André

    2009-01-01

    For more than 20 years, many countries have been trying to set up a standardised medical record at the regional or at the national level. Most of them have not reached this goal, essentially due to two main difficulties related to patient identification and medical records standardisation. Moreover, the issues raised by the centralisation of all gathered medical data have to be tackled particularly in terms of security and privacy. We discuss here the interest of a non-centralised management of medical records which would require a specific procedure that gives to the patient access to his/her distributed medical data, wherever he/she is located.

  12. Should a patient have access to his medical records.

    PubMed

    de Klerk, A

    1989-01-01

    An investigation is undertaken into the right of a patient to have access to medical records concerning himself, and the ownership of medical records and X-ray photographs is discussed. It is argued that record accessibility by patients is to favoured. The current situation in England and the United States of America is considered and proposals de lege ferenda are made with respect to South Africa. The author is of the opinion that the South African legislature should consider legislation in this regard.

  13. No free lunch: institutional preparations for computer-based patient records.

    PubMed Central

    Brown, S. H.

    1999-01-01

    The Veterans Administration (VA) is aggressively pursuing computer-based medical records by deploying the Computerized Patient Record System (CPRS) across its 150 medical centers and 400 outpatient clinics. CPRS's client-server, patient-centered approach to clinical computing is a departure from VA's traditional terminal-compatible, department-centered approach. Although the CPRS software is freely distributed, institutional readiness for computer-based patient records has proven expensive. Preparations include organizational changes, human resource development, hardware deployment, physical plant upgrades, and software testing. This paper details CPRS preparations and their costs at one VA Medical Center. Lessons learned during the process are summarized. PMID:10566406

  14. 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.

  15. 78 FR 21599 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ...) KPAC-05, 403-03 Injury Records (February 22, 1993, 58 FR 10562) K232.02, Injury Record File (February 22, 1993, 58 FR 10562) Reason: Based on a recent review of the systems of records notices, K317.01... Government wide system of records notice OPM/GOVT-10, Employee Medical File System Records (June 21, 2010,...

  16. 75 FR 26847 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-12

    ... disclose records in this system of records in legal proceedings before a court or administrative body after... disclose records in this system of records in legal proceedings before a court or administrative body after... AFFAIRS Privacy Act of 1974; System of Records AGENCY: Department of Veterans Affairs (VA). ACTION:...

  17. 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...

  18. 77 FR 38342 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-27

    ... systems is as follows: USPS 100.500 SYSTEM NAME: Personnel Resource Management Records USPS 300.000 SYSTEM... changes in existing systems of records as follows: USPS 100.500 SYSTEM NAME: Personnel Resource...

  19. 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.

  20. Privacy and security requirements of distributed computer based patient records.

    PubMed

    Moehr, J R

    1994-02-01

    Privacy and security issues increase in complexity as we move from the conventional patient record to the computer based patient record (CPR) supporting patient care and to cross-institutional networked CPRs. The privacy and security issues surrounding the CPR are outlined. Measures for privacy and security protection are summarized. It is suggested that we lack a key component of an information sharing culture. We need means for semantic indexing in the form of a metadata base at the level of the instantiation of a data base rather than at the level of its schemas.

  1. 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.

  2. 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

  3. 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...

  4. 78 FR 60264 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of Defense, DoD. ACTION: Notice to add a new System of Records. SUMMARY: The Office of the Secretary of Defense proposes to add a new system of records in its inventory of record systems subject to the Privacy Act...

  5. 75 FR 22569 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ... Records (June 11, 1997; 62 FR 31793). REASON: Records are no longer in use. Records have been destroyed in... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Department of the Air Force proposes to...

  6. 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

  7. 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

    ... Act; System of Records: State-52, Parking Permit and Car Pool Records Summary: Notice is hereby given that the Department of State proposes to amend an existing system of records, Parking Permit and Car... will retain the name ``Parking Permit and Car Pool Records.'' It is also proposed that the...

  8. 21 CFR 21.71 - Disclosure of records in Privacy Act Record Systems; accounting required.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Disclosure of records in Privacy Act Record Systems; accounting required. 21.71 Section 21.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT... Record Systems to Persons Other Than the Subject Individual § 21.71 Disclosure of records in Privacy...

  9. 21 CFR 21.71 - Disclosure of records in Privacy Act Record Systems; accounting required.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Disclosure of records in Privacy Act Record Systems; accounting required. 21.71 Section 21.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT... Record Systems to Persons Other Than the Subject Individual § 21.71 Disclosure of records in Privacy...

  10. 21 CFR 21.71 - Disclosure of records in Privacy Act Record Systems; accounting required.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Disclosure of records in Privacy Act Record Systems; accounting required. 21.71 Section 21.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT... Record Systems to Persons Other Than the Subject Individual § 21.71 Disclosure of records in Privacy...

  11. 21 CFR 21.71 - Disclosure of records in Privacy Act Record Systems; accounting required.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Disclosure of records in Privacy Act Record Systems; accounting required. 21.71 Section 21.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT... Record Systems to Persons Other Than the Subject Individual § 21.71 Disclosure of records in Privacy...

  12. Redundancy-Aware Topic Modeling for Patient Record Notes

    PubMed Central

    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 assessement 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

  13. 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

  14. Health care data recording system for developing countries.

    PubMed

    Brolly, E H

    1982-07-01

    Developed countries have an established pattern for recording clinical data. The unit medical record allows statistics to be extrapolated, as well as disease patterns, births, and causes of deaths. In technologically advanced countries, medical records serve the health needs of clinic and hospital patients. However, it is now becoming clear that the emphasis on hospitalization in patient care is no longer appropriate; the emphasis must be switched from curative services to preventive and basic curative services at the primary health care level. A similar alteration will be necessary in the recordkeeping system. As progress towards literacy occurs, the aim will be to expand and improve the recording of basic data. In the next highest level, the district health center, records can be very simple. Increasing sophistication can be instituted at the higher levels of district hospital and central referral hospital. Obviously there must be adequate medical records to directly support clinical care. This paper goes on to outline the structure of such a system geared to the needs of a developing country. It is basically a model for a pilot project. The various problems which might arise before the system is implemented and can be viable include: 1) precise identification of medical records, 2) the need for standardization and definition of diagnoses, and 3) lack of coordination and/or inappropriate utilization of medical records, procedures, or personnel. Concerning procedures, there could be problems with incorrect data production, erroneous channelling of information, or improper feedback. At the lowest level of the chain would be the rural or urban health unit or the mobile health visitor with the primary health worker (PHW). Forms to be used include an attendance card, an infant weight chart, temperature chart, and referral form. The PHW must be appropriately trained in the recognition of signs and symptoms of diseases most likely to be encountered, basic drug therapy

  15. 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...

  16. Global positioning system recorder: Software user guide

    SciTech Connect

    Toole, B.

    1996-02-12

    This manual provides information needed to use the Global Positioning System Recorder Data processing software. The software runs on an IBM compatible computer. The DeLorme XMp program requires Microsoft Windows and a CDROM reader. Section 5.1 `Copy GPSR data from PCMCIA card` and Section 5.4 `PCMCIA card setup for field use` require a PCMCIA drive installed in the computer. The user interfaces with the software using a computer keyboard and when in Windows, a mouse. New users can be trained by anyone with experience using the system.

  17. 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

  18. 78 FR 14288 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Force System of Records Notice F036 AF PC C, Military Personnel Records System (October 13, 2000, 65 FR 60916). Therefore F036 AF PC R, Casualty Files (June 11, 1997, 62 FR 31793) can be deleted. BILLING CODE... 11, 1997, 62 FR 31793). Reason: Records are covered by DoD System of Records Notice A0600-8-1C...

  19. 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... notice OPM/Govt-10, entitled ``Employee Medical File System Records'' last published in the Federal... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD....

  20. 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... disclose records in this system of records in legal proceedings before a court or administrative body after... AFFAIRS Privacy Act of 1974; System of Records AGENCY: Department of Veterans Affairs (VA). ACTION:...

  1. 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...

  2. 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...

  3. 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...

  4. An implementation case study. Implementation of the Indian Health Service's Resource and Patient Management System Electronic Health Record in the ambulatory care setting at the Phoenix Indian Medical Center.

    PubMed

    Dunnigan, Anthony; John, Karen; Scott, Andrea; Von Bibra, Lynda; Walling, Jeffrey

    2010-01-01

    The Phoenix Indian Medical Center (PIMC) has successfully implemented the Resource and Patient Management System Electronic Health Record (RPMS-EHR) in its Ambulatory Care departments. One-hundred and twenty-six providers use the system for essentially all elements of documentation, ordering, and coding. Implementation of one function at a time, in one clinical area at a time, allowed for focused training and support. Strong departmental leadership and the development of 'super-users' were key elements. Detailed assessments of each clinic prior to implementation were vital, resulting in optimal workstation utilization and a greater understanding of each clinic's unique flow. Each phase saw an increasing reluctance to revert to old paper processes. The success of this implementation has placed pressure on the remainder of the hospital to implement the RPMS-EHR, and has given the informatics team an increased awareness of what resources are required to achieve this result.

  5. 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.

  6. 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

  7. 21 CFR 21.71 - Disclosure of records in Privacy Act Record Systems; accounting required.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Systems; accounting required. 21.71 Section 21.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT... Record Systems; accounting required. (a) Except as provided in § 21.70, a record about an individual that... of the disclosure. The accounting shall not be considered a Privacy Act Record System. (2) Retain...

  8. 77 FR 69491 - Privacy Act of 1974: System of Records; Secure Flight Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-19

    ... list, known as the TSDB. \\6\\ 73 FR 64018 (Oct. 28, 2008). TSA established the Secure Flight system of... System (TSERS), 75 FR 28042 (May 19, 2010). Consistent with its ongoing efforts to focus on passengers... records.'' A ``system of records'' is a group of any records under the control of an agency for...

  9. 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

  10. 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

  11. 76 FR 3111 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-19

    ... Advocate Personnel Records (December 30, 2008, 73 FR 79836). Changes: * * * * * System location: Delete... bar and other State Bar records, law school records, letters of acceptance from law schools, Judge... before the bar and other State Bar records, law school records, letters of acceptance from law...

  12. 75 FR 28240 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... Services University of the Health Sciences (USUHS) Applicant Record System (February 22, 1993; 58 FR 10920... entry and replace with ``Records of accepted applicants will be converted to student records. For non... applicants will be converted to student records. For non-matriculates, records are cut off at the end of...

  13. EMR management system for patient pulse data.

    PubMed

    Lee, Junyoung

    2012-10-01

    The purpose of this study is to build an integrated medical information system for effective database management of clinical information and to improve the existing Electronic Medical Record (EMR)-based system that is currently being used in hospitals. The integrated medical information system of hospitals consists of an Order Communication System (OCS), Picture Archiving Communication System (PACS), and Laboratory Information System (LIS), as well as Electronic Medical Record (EMR). It is designed so that remote health screening and patient data search can be accessed through a high speed network-even in remote areas-in order to effectively manage data on medical treatment that patients received at their respective hospitals. The existing oriental treatment system is one in which the doctor requires the patient to visit the hospital in person, so as to be able to check the patient's pulse and measure it with his hand for proper diagnosis and treatment. However, due to the recent development of digitalized medical measurement equipment, not only can doctors now check a patient's pulse without touching it directly, but the measured data are computerized and stored into the database as the electronic obligation record. Thus, even if a patient cannot visit the hospital, proper medical treatment is available by analyzing the patient's medical history and diagnosis process in the remote area. Furthermore, when a comprehensive medical testing center system including the people medical examination and diverse physical examination is established, the quality of medical service is expected to be improved than now.

  14. 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.

  15. 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...

  16. 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...

  17. 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...

  18. 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...

  19. 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...

  20. 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…

  1. 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

  2. “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

  3. 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,...

  4. The mixed management of patients' medical records: responsibility sharing between the patient and the physician.

    PubMed

    Quantin, Catherine; Fassa, Maniane; Benzenine, Eric; Jaquet-Chiffelle, David-Olivier; Coatrieux, Gouenou; Allaert, François-André

    2010-01-01

    Through this article, we propose a mixed management of patients' medical records, so as to share responsibilities between the patient and the Medical Practitioner by making Patients responsible for the validation of their administrative information, and MPs responsible for the validation of their Patients' medical information. Our proposal can be considered a solution to the main problem faced by patients, health practitioners and the authorities, namely the gathering and updating of administrative and medical data belonging to the patient in order to accurately reconstitute a patient's medical history. This method is based on two processes. The aim of the first process is to provide a patient's administrative data, in order to know where and when the patient received care (name of the health structure or health practitioner, type of care: out patient or inpatient). The aim of the second process is to provide a patient's medical information and to validate it under the accountability of the Medical Practitioner with the help of the patient if needed. During these two processes, the patient's privacy will be ensured through cryptographic hash functions like the Secure Hash Algorithm, which allows pseudonymisation of a patient's identity. The proposed Medical Record Search Engines will be able to retrieve and to provide upon a request formulated by the Medical Practitioner all the available information concerning a patient who has received care in different health structures without divulging the patient's identity. Our method can lead to improved efficiency of personal medical record management under the mixed responsibilities of the patient and the MP.

  5. 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

  6. 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

  7. 75 FR 6000 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    .... GNSA 15 SYSTEM NAME: NSA/CSS Computer Users Control System (February 22, 1993; 58 FR 10531). CHANGES... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated... (NSA) is proposing to alter a system of records notice in its inventory of record systems subject...

  8. 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...) 372-0461. SUPPLEMENTARY INFORMATION: The Privacy Act Systems of Records Notice was published...

  9. 76 FR 63611 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-13

    .... Deletion: A0350-20 TRADOC, Standardized Student Records System (October 1, 2008, 73 FR 57073) Reason: The Army Standardized Student Records System is now covered under a new system identifier, A0350-20a TRADOC... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, Department...

  10. Improving personal health records for patient-centered care

    PubMed Central

    Feldman, Henry J; Ross, Stephen E; Safran, Charles

    2010-01-01

    Objective To assess the patient-centeredness of personal health records (PHR) and offer recommendations for best practice guidelines. Design Semi-structured interviews were conducted in seven large early PHR adopter organizations in 2007. Organizations were purposively selected to represent a variety of US settings, including medium and large hospitals, ambulatory care facilities, insurers and health plans, government departments, and commercial sectors. Measurements Patient-centeredness was assessed against a framework of care that includes: (1) respect for patient values, preferences, and expressed needs; (2) information and education; (3) access to care; (4) emotional support to relieve fear and anxiety; (5) involvement of family and friends; (6) continuity and secure transition between healthcare providers; (7) physical comfort; (8) coordination of care. Within this framework we used evidence for patient preferences (where it exists) to compare existing PHR policies, and propose a best practice model. Results Most organizations enable many patient-centered functions such as data access for proxies and minors. No organization allows patient views of clinical progress notes, and turnaround times for PHR reporting of normal laboratory results can be up to 7 days. Conclusion Findings suggest patient-centeredness for personal health records can be improved, and recommendations are made for best practice guidelines. PMID:20190063

  11. 76 FR 52378 - Privacy Act; System of Records: State-76, Personal Services Contractor Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-22

    ... offices that have personal services contractor hiring authority and their corresponding automated data... 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...

  12. 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.

  13. A Patient Registry to Improve Patient Safety: Recording General Neurosurgery Complications

    PubMed Central

    Sarnthein, Johannes; Stieglitz, Lennart; Clavien, Pierre-Alain; Regli, Luca

    2016-01-01

    Background To improve the transparency of the local health care system, treatment cost was recently referenced to disease related groups. Treatment quality must be legally documented in a patient registry, in particular for the highly specialized treatments provided by neurosurgery departments. Methods In 2013 we have installed a patient registry focused on cranial neurosurgery. Surgeries are characterized by indication, treatment, location and other specific neurosurgical parameters. Preoperative state and postoperative outcome are recorded prospectively using neurological and sociological scales. Complications are graded by their severity in a therapy-oriented complication score system (Clavien-Dindo-Grading system, CDG). Results are presented at the monthly clinical staff meeting. Results Data acquisition compatible with the clinic workflow permitted to include all eligible patients into the registry. Until December 2015, we have registered 2880 patients that were treated in 3959 surgeries and 8528 consultations. Since the registry is fully operational (August 2014), we have registered 325 complications on 1341 patient discharge forms (24%). In 64% of these complications, no or only pharmacological treatment was required. At discharge, there was a clear correlation of the severity of the complication and the Karnofsky Performance Status (KPS, ρ = -0.3, slope -6 KPS percentage points per increment of CDG) and the length of stay (ρ = 0.4, slope 1.5 days per increment of CDG). Conclusions While the therapy-oriented complication scores correlate reasonably well with outcome and length of stay, they do not account for new deficits that cannot be treated. Outcome grading and complication severity grading thus serve a complimentary purpose. Overall, the registry serves to streamline and to complete information flow in the clinic, to identify complication rates and trends early for the internal quality monitoring and communication with patients. Conversely, the

  14. Should psychiatric patients be granted access to their hospital records?

    PubMed

    Sergeant, H

    1986-12-01

    Beginning in September 1987, the British public will have the right to consult their computerized medical records and by extension, it is expected, noncomputerized ones as well. The author analyzed the case notes of 100 consecutive patients admitted under his care to a psychiatric day hospital. He classified material likely to affect patients adversely as puzzling or unintelligible, alarming, apparently insulting or objectionable, or sensitive information from or about others. Sergeant rejects proposals to omit sensitive material, to keep secret notes, or to grant access only to some psychiatric patients or to deny access to psychiatric patients as a class. Maintaining that there is no dividing line between somatic and psychological medicine, he concludes that access to personal health data for all patients should be limited to the disclosure of bare administrative details. Further information should be supplied within the traditional medical consultation.

  15. 76 FR 60008 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... Education Program is now covered under a new system of records notice, A0621-1a DAPE, Student Loan Repayment Program Records, (September 6, 2011, 76 FR 55057-55059) due to major changes in system. The notice...

  16. 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... purview of subsection (r) of the Privacy Act of 1974, (5 U.S.C. 552a), as amended, which requires...

  17. Automatic reference level control for an antenna pattern recording system

    NASA Technical Reports Server (NTRS)

    Lipin, R., Jr.

    1971-01-01

    Automatic gain control system keeps recorder reference levels within 0.2 decibels during operation. System reduces recorder drift during antenna radiation distribution determinations over an eight hour period.

  18. 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....

  19. 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....

  20. 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...

  1. 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....

  2. 76 FR 58007 - Privacy Act of 1974; Report of a New System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... requirements of the Privacy Act of 1974, CMS is establishing a new system of records to support its shared... of the Patient Protection and Affordable Care Act (PPACA), amending the Social Security Act (the Act... of Records Notice (SORN) addresses a new system which HHS is establishing to support CMS...

  3. 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%.

  4. A new tocograph with cassette recording system and separate servo graphic recorder.

    PubMed

    Zahn, V; Seitz, P

    1979-01-01

    In order to register contractional activity, especially in the case of high-risk pregnancies, a tocograph was develop by means of which the contractions are registered by a small cassette recorder, which the patient can carry by about with her. A separate graphic recorder is responsible for the playback and this recorder remains at the doctor's practice. The patient is able to register her contractions herself as the unit is so simple to use. The recording section weighs only 500 grams, including the specially developed pressure transducer with optical distance-meter. The tocograph is produced in series.

  5. 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

  6. 76 FR 3113 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-19

    .... ACTION: Notice To Alter a System of Records. SUMMARY: The Department of the Air Force proposing to alter a system of records notice in its existing inventory of records systems subject to the Privacy Act..., 2011 unless comments are received that would result in a contrary determination. ADDRESSES: You...

  7. 78 FR 73508 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated... new system of records, F084 NMUSAF A, entitled ``USAF Museum System Volunteer Records'' to its... official registry of individuals who volunteer to support the United States Air Force Museum System....

  8. 77 FR 56625 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ..., Department of Defense. GNSA 25 System Name: NSA/CSS Travel Records (June 8, 2009, 74 FR 27116). Changes... (NSA) is proposing to amend a system of records notice in its existing inventory of records systems... Security Service (NSA/CSS), 9800 Savage Road, Ft. George G. Meade, MD 20755-6000. Decentralized...

  9. 1 CFR 304.29 - Security of systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Security of systems of records. (a) Administrative and physical controls. The agency will have administrative and physical controls to prevent unauthorized access to its systems of records, to prevent... 1 General Provisions 1 2012-01-01 2012-01-01 false Security of systems of records. 304.29...

  10. 78 FR 14287 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

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

  11. 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...

  12. 76 FR 72399 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-23

    ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force... Force is deleting a systems of records notice in its existing inventory of record systems subject to the.... ADDRESSES: Send comments, identified by docket number and title, by any of the following methods:...

  13. 75 FR 52944 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-30

    ... AGENCY Privacy Act of 1974; System of Records AGENCY: Federal Housing Finance Agency. ACTION: Notice of... Privacy Act of 1974, as amended (Privacy Act), the Federal Housing Finance Agency (FHFA) gives notice of a proposed Privacy Act system of records to replace a system of records issued by FHFA's predecessor...

  14. 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...

  15. 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...

  16. 78 FR 47309 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-05

    ... 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...-4591. SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service systems of records...

  17. 75 FR 61450 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-05

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

  18. 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...

  19. 75 FR 67697 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-03

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: National Security Agency/Central Security Service, DoD. ACTION: Notice to add a system of records. SUMMARY: The National Security Agency/Central Security Service (NSA/ CSS) proposes to add a system of records notice in its inventory of...

  20. 78 FR 39012 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ... Foreign Claims Settlement Commission Privacy Act of 1974; System of Records AGENCY: Foreign Claims Settlement Commission of the United States, DOJ. ACTION: Notice of a New System of Records. SUMMARY: Pursuant...), Department of Justice, proposes to establish a new system of records to enable the Commission to carry...

  1. 75 FR 36642 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-28

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: National Security Agency/Central Security Service, DoD. ACTION: Notice to add a system of records. SUMMARY: The National Security Agency... National Security Agency/Central Security Service notices for systems of records subject to the Privacy...

  2. 78 FR 14290 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD... system of records notice in its existing inventory of records systems subject to the Privacy Act of 1974..., Department of the Air Force Privacy Office, Air Force Privacy Act Office, Office of Warfighting...

  3. 77 FR 39346 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-02

    ... records in this system of records in legal proceedings before a court or administrative body after... Children and Families, Department of Health and Human Services Federal Parent Locator System (FPLS) for the... AFFAIRS Privacy Act of 1974; System of Records AGENCY: Department of Veterans Affairs. ACTION: Notice...

  4. 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,...

  5. 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...

  6. 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...

  7. 78 FR 6078 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    .... Deletion: S900.20 CA Workforce Composition, Workload, and Productivity Records (December 6, 1996, 61 FR... of the Secretary 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 is deleting a system...

  8. 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...

  9. 77 FR 27741 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... 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 records..., 66 FR 65180). Reason: The IRMC Student/Faculty/Senior Staff Biography System has now ] transferred...

  10. 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

  11. 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...

  12. An analysis of the paper-based health record: information content and its implications for electronic patient records.

    PubMed

    Geiger, G; Merrilees, K; Walo, R; Gordon, D; Kunov, H

    1995-01-01

    An analysis of paper-based charting was carried out at Sunnybrook Health Sciences Center as a prelude to developing a strategic plan to implement an electronic patient record. A relational model of the Sunnybrook paper chart was developed, describing each of its forms in terms of specific data fields. Three hundred and forty nine different forms are in current use at Sunnybrook, containing 64 types of data fields such as Patient Demographics, Vital Signs, and Doctor's Orders. The extent of data field duplication at the level of hospital forms was significant. A Patient Demographics field was present on all forms and on all pages of a patient's chart, as would be expected. Twenty seven other fields were duplicated on more than ten different forms, including Working Diagnosis which was present on 110 forms, History of Past Illness on 42 forms, and History of Present Illness on 32 forms. Current Medications were recorded on 32 forms and Allergy fields were present on 29 separate forms. Only five data fields of the total 64 were present on only one form. The duplication of data fields within complete patient charts was then examined to confirm that data field duplication was occurring within the actual healthcare delivery process. Using the relational model of the charting system, 143 acute care in-patient encounters were abstracted into the database. The charts were selected randomly from each of the hospital inpatient services. The numbers and types of forms within each chart were recorded, amounting to 18,654 physical pages and using 165 of the different forms. The average in-patient encounter within the model was 130.4 pages long, with a minimum of 27 pages, a maximum of 559 pages, and containing on average 25.8 different forms. The duplication of data fields within actual charts followed a pattern similar to the duplication found on the forms. Initial diagnosis was present on an average of 20.4 pages within the charts, with a minimum of 2 pages and a maximum of

  13. 76 FR 13991 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

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

  14. The impact of using electronic patient records on practices of reading and writing.

    PubMed

    Laitinen, Heleena; Kaunonen, Marja; Åstedt-Kurki, Paivi

    2014-12-01

    The aim of this study was to investigate the use of electronic patient records in daily practice. In four wards of a large hospital district in Finland, N = 43 patients' care and activities were observed and analysed in terms of the Grounded Theory method. The findings revealed that using electronic patient records created a particular process of writing and reading. Wireless technology enabled simultaneous patient involvement and point-of-care documentation, additionally supporting real-time reading. Remote and retrospective documentation was distant in terms of both space and time. The remoteness caused double documentation, reduced accuracy and less-efficient use of time. 'Non-reading' practices were witnessed in retrospective reading, causing delays in patient care and increase in workload. Similarly, if documentation was insufficient or non-existent, the consequences were found to be detrimental to the patients. The use of an electronic patient record system has a significant impact on patient care. Therefore, it is crucial to develop wireless technology and interdisciplinary collaboration in order to improve and support high-quality patient care.

  15. 77 FR 65049 - Privacy Act; System of Records: Translator and Interpreter Records, State-37

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-24

    ... required to take the Foreign Service Institute distance learning course instructing employees on privacy... retain the name ``Translator and Interpreter Records'' (42 FR 49719). The system will facilitate...

  16. Formal representation of a conceptual data model for the patient-based medical record.

    PubMed

    Gouveia-Oliveira, A; Lopes, L

    1993-01-01

    We present a general architecture for the patient-based medical record as it is being developed for the SAMS, a private social security system. The conceptual data model is described in a convenient formal notation, the entity-relationship diagram. Although following the original formulation of the problem-oriented medical record (POMR), the data model was designed with a level of generalization that, functionally, makes structural differences between conventional and POMR no longer apparent. The main features of this model are its adaptability to individual work practices and its problem-oriented structure, including the representation of problems' evolution. This structure will enable physicians to organize the data, mostly collected elsewhere, by explicitly relating the facts that constitute a particular patient record, which is a simple way to store context information and clinical knowledge that is not part of patient data.

  17. 76 FR 13994 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... Source Corporate Management Information System (OS-CMIS), which is covered by OPM/GOVT-1 General... 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...

  18. 75 FR 81247 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... and Accounting System T7330a, Salary Offset Reporting System (November 14, 2007, 72 FR 64055) system of records. DWHS B46 DoD Creditor Agency Accounts Receivable System (February 22, 1993, 58 FR 10227... (February 17, 2009, 74 FR 7665) system of records. BILLING CODE 5001-06-P...

  19. 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.... T7205 System name: General Accounting and Finance System, Report Database for Financial Statements...

  20. 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... System name: Voucher Processing System (VPS) (December 12, 2008, 73 FR 75679) Reason: System was...

  1. 75 FR 61453 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-05

    ... Defense. A0036-2 USAAA System Name: Army Audit Agency System for Information Storage System Location: U.S..., Retrieving, Accessing, Retaining, and Disposing of Records in the System: Storage: Electronic storage media... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army; DoD....

  2. 77 FR 44207 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ..., entitled ``USAID-33 Phoenix Financial Management System''. This action is necessary to meet the... Financial Management System is being established as an Agency-wide system of record as it is required to... financial management system and accounting system of record. Phoenix enables USAID to effectively...

  3. 77 FR 73973 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-12

    ... ``USAID-33, Phoenix Financial Management System''. This action is necessary to meet the requirements of... Phoenix Financial Management System was established as an Agency-wide system of record since it is... USAID's core financial management system and accounting system of record. Phoenix enables USAID...

  4. 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... of any alcohol or drug abuse prevention and treatment function conducted, regulated, or directly or... these types of records. Note: This system of records contains individually identifiable...

  5. 77 FR 66432 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-05

    ... rules that are applicable to the public. Notices of hearings #0;and investigations, committee meetings... (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...

  6. 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.... Vertical Launch System (VLS) records are maintained at the Naval Surface Warfare Center, Port...

  7. 13 CFR 102.33 - Security of systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... administrative and physical controls to prevent unauthorized access to its systems of records, to prevent... 13 Business Credit and Assistance 1 2012-01-01 2012-01-01 false Security of systems of records... AND PRIVACY Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 §...

  8. 17 CFR 146.11 - Public notice of records systems.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... storage, retrievability, access controls, retention, and disposal of the records; (6) The title and... access to any record pertaining to him contained in the system of records, and how he can contest its... systems. 146.11 Section 146.11 Commodity and Securities Exchanges COMMODITY FUTURES TRADING...

  9. 13 CFR 102.33 - Security of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... administrative and physical controls to prevent unauthorized access to its systems of records, to prevent... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Security of systems of records... AND PRIVACY Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 §...

  10. 17 CFR 146.11 - Public notice of records systems.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... storage, retrievability, access controls, retention, and disposal of the records; (6) The title and... access to any record pertaining to him contained in the system of records, and how he can contest its... systems. 146.11 Section 146.11 Commodity and Securities Exchanges COMMODITY FUTURES TRADING...

  11. 76 FR 72692 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-25

    ... Defense. S170.80 System name: DLA OGC Student Loan Repayment Program Records (July 20, 2009, 74 FR 35164... facilitating the student loan repayment under 5 U.S.C. 5379.'' * * * * * Retention and disposal: Delete entry... Student Loan Repayment Program Records. System location: Records will be maintained in Defense...

  12. 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...

  13. 77 FR 13570 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... SAFPC A, Military Records Processed by the Air Force Correction Board (May 7, 1999, 64 FR 24605). Case... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to Delete a System of Records. ] SUMMARY: The Department of the Air Force is deleting...

  14. 76 FR 81909 - Abolishment of Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ..., USDA. ACTION: Notice of abolishment of records systems. SUMMARY: In accordance with the Privacy Act of 1974, the Department of Agriculture (USDA) is abolishing an existing Forest Service Privacy Act system of records. A review of USDA/FS-35 Congressional Correspondence has concluded that the records in...

  15. 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... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency,...

  16. 75 FR 78683 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... 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 (August 8, 2004, 69 FR 51271). Navy: N01070-3, Navy Military Personnel Records System (April 15, 2010, 75...

  17. 77 FR 29616 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ....'' Access to records requires DoD Common Access Card (CAC) and PIN. Physical access controls include...: Individuals seeking access to information about themselves contained in this system of records should address... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of...

  18. 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... 2006.'' Categories of records in the system: Delete entry and replace with ``Name; Social...

  19. 75 FR 4526 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... Collaboration Records''. This action is necessary to meet the requirements of the Privacy Act to publish in the... Officer (202) 712-0106. SUPPLEMENTARY INFORMATION: The On-Line Collaboration Records system is being established as an Agency-wide system of record to cover all USAID on-line collaboration activities to...

  20. 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,...

  1. 75 FR 33791 - 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 9... 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 proposes to add...

  2. 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...

  3. 6 CFR 5.31 - Security of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Security of systems of records. 5.31 Section 5.31 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY DISCLOSURE OF RECORDS AND INFORMATION Privacy Act § 5.31 Security of systems of records. (a) In general. Each...

  4. 75 FR 61135 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... controlled computers, databases, products, and/or services. The records contain the individual's name... Records About Individuals,'' dated February 8, 1996 (February 20, 1996; 61 FR 6427). Dated: September 29... 01 SYSTEM NAME: Defense User Registration System (DURS) Records (November 12, 2008; 73 FR...

  5. Iowa record-linkage study: death rates in psychiatric patients.

    PubMed

    Black, D W

    1998-09-01

    The Iowa record-linkage study was developed to investigate death rates in psychiatric patients, and involved computer matching of death certificates with a roster of patients. A list of all patients admitted to our hospital from 1972 through 1981 was obtained and after removing duplicate entries the list was pared to 5412 names. The record included multiple identifiers (e.g., name, gender, date-of-birth, hospital number). This information was then linked by computer with all Iowa death certificates for the same period; a total of 331 deaths were identified. Patients were assigned to a single psychiatric diagnostic category based on a computer program that reviewed each patient's clinical diagnoses and picked the one with the highest priority in a hierarchy we had created. Age and sex adjusted mortality tables were constructed, allowing us to compute expected numbers of deaths. Relative risk for premature death was greatest among women, and those under 20 years. Risk was associated with all psychiatric diagnoses and was significantly higher among patients of either gender with an organic mental disorder or schizophrenia; women with acute schizophrenia, depressive neuroses, alcoholism, drug abuse, and psychophysiological disorders; and men with neuroses. Death from natural causes, especially from heart disease, was significantly excessive among women, while death from accidents and suicides was excessive for both men and women. The overall SMR was 1.65 (P < 0.001). Most importantly, we found that the greatest excess of mortality occurred within the first 2 years following hospital discharge. Thus, we were able to demonstrate that risk of mortality in general, and of suicide specifically, differed according to age, gender, diagnosis, and portion of the follow-up. We have subsequently used this method to investigate specific risk factors associated with mortality in mood disorders, schizophrenia, and antisocial personality disorder. Findings from these studies are

  6. 76 FR 65185 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-20

    ... their name, home address, representative's name, and control number, if known.'' Record Access... provide their name, home address, representative's name, and control number, if known. Record Access Procedures: Individuals seeking access to information about themselves contained in this system...

  7. 78 FR 14275 - 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.../helpdesk requests, and facilities requests. Routine uses of records maintained in the system,...

  8. 77 FR 60412 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    .... Deletion: A0351 AMC Student/Faculty Records: AMC Schools Systems (February 2, 1996, 61 FR 3916). Reason... Army, Privacy Office, U.S. Army Records Management and Declassification Agency, 7701 Telegraph...

  9. 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

  10. 76 FR 66916 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-28

    ... Files (October 14, 2010, 75 FR 63160). Changes: * * * * * System location: Delete entry and replace with... have been created.'' * * * * * DWHS E05 System name: Mandatory Declassification Review Files. System... the system: Storage: Paper records in file folders and electronic storage media....

  11. 75 FR 41539 - Privacy Act Systems of Records Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... Adverse Information. System Location: Office of Human Resources, National Credit Union Administration... promise of confidentiality. NCUA-2 System Name: Grievance Records. System Location: Office of Human... Service Administration and Office of Human Resources. NCUA-6 System Name: Emergency Information...

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

    PubMed Central

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

    2013-01-01

    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

  13. 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......

  14. 75 FR 52513 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-26

    ... SYSTEM NAME: Defense Occupational & Environmental Health Readiness System-- Industrial Hygiene (DOEHRS-IH... to occupational health. Categories of Records in the System: Environmental monitoring data, military... of the Secretary Privacy Act of 1974; System of Records AGENCY: Department of Defense (DoD)....

  15. 78 FR 27481 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... entitled ``Health Professional Scholarship Program--VA'' (73VA14) as set forth in the Federal Register 74 FR 62390. VA is amending the system of records by revising the System Name, System Location... INFORMATION: VA is renaming the system of records from Health Professional Scholarship Program--VA to...

  16. 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...

  17. 77 FR 15360 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-15

    ..., Department of Defense. GNSA 06 System Name: NSA/CSS Health, Medical and Safety Files (February 10, 2009, 74 FR 6581). Changes: * * * * * System location: Delete entry and replace with ``Primary Location... (NSA) is amending a system of records notice in its existing inventory of records systems subject...

  18. 78 FR 38017 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-25

    ... FR 41572). Changes: * * * * * Categories of individuals covered by the system: Delete entry and... 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 amending a system of...

  19. 78 FR 5784 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... Accounting System (August 13, 2007, 72 FR 45231). * * * * * Changes: System Identifier: Delete entry and..., DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Finance and Accounting Service.... SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject...

  20. 77 FR 65370 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-26

    ... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to delete a Systems of Records. SUMMARY: The Defense Finance and Accounting.... System name: U.S. Savings Bond System (December 28, 2007, 72 FR 73783) Reason: The U.S. Savings...

  1. 78 FR 14283 - 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.... SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to... System-Active Component (March 21, 2006, 71 FR 14179). Changes: * * * * * System location: Delete...

  2. 77 FR 60400 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ...: T7320a System name: Centralized Finance & Accounting Support Systems (CFASS) (August 13, 2007, 72 FR... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Finance and Accounting Service. ACTION: Notice to delete two systems of records. SUMMARY: The Defense Finance and...

  3. 75 FR 21248 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-23

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Finance and Accounting... Defense. T7333 SYSTEM NAME: Travel Payment System (June 28, 2007; 72 FR 35436). CHANGES: * * * * *...

  4. 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.... SUPPLEMENTARY INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to...) System (July 26, 2006, 71 FR 42357). Changes: * * * * * System location: Delete entry and replace...

  5. 78 FR 31905 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ..., DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Finance and Accounting Service... INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to the Privacy.... T7208 System name: General Accounting and Finance System--Defense Transaction Interface Module (June...

  6. 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... INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to the Privacy... System (ATAAPS) (February 27, 2007, 72 FR 8698). Changes: * * * * * System location: Delete entry...

  7. 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... System name: Military Pay Correction Case Files (September 16, 1998, 63 FR 49554). Reason: The system...

  8. 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...

  9. 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...

  10. 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...

  11. 77 FR 40864 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-11

    ..., contractor and user information via central Oracle database storage & retrieval of said information. Routine... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to Add a New System of Records. SUMMARY: The Defense Information Systems...

  12. 77 FR 2052 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-13

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: U.S. Strategic Command, DoD. ACTION: Notice to Add a System of Records. SUMMARY: The U.S. Strategic Command proposes to add a system of... the instructions for submitting comments. Mail: Federal Docket Management System Office, 4800...

  13. 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...

  14. 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

  15. 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,...

  16. Patients, privacy and trust: patients' willingness to allow researchers to access their medical records.

    PubMed

    Damschroder, Laura J; Pritts, Joy L; Neblo, Michael A; Kalarickal, Rosemarie J; Creswell, John W; Hayward, Rodney A

    2007-01-01

    The federal Privacy Rule, implemented in the United States in 2003, as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), created new restrictions on the release of medical information for research. Many believe that its restrictions have fallen disproportionately on researchers prompting some to call for changes to the Rule. Here we ask what patients think about researchers' access to medical records, and what influences these opinions. A sample of 217 patients from 4 Veteran Affairs (VA) facilities deliberated in small groups at each location with the opportunity to question experts and inform themselves about privacy issues related to medical records research. After extensive deliberation, these patients were united in their inclination to share their medical records for research. Yet they were also united in their recommendations to institute procedures that would give them more control over whether and how their medical records are used for research. We integrated qualitative and quantitative results to derive a better understanding of this apparent paradox. Our findings can best be presented as answers to questions related to five dimensions of trust: Patients' trust in VA researchers was the most powerful determinant of the kind of control they want over their medical records. More specifically, those who had lower trust in VA researchers were more likely to recommend a more stringent process for obtaining individual consent. Insights on the critical role of trust suggest actions that researchers and others can take to more fully engage patients in research.

  17. A study on agent-based secure scheme for electronic medical record system.

    PubMed

    Chen, Tzer-Long; Chung, Yu-Fang; Lin, Frank Y S

    2012-06-01

    Patient records, including doctors' diagnoses of diseases, trace of treatments and patients' conditions, nursing actions, and examination results from allied health profession departments, are the most important medical records of patients in medical systems. With patient records, medical staff can instantly understand the entire medical information of a patient so that, according to the patient's conditions, more accurate diagnoses and more appropriate in-depth treatments can be provided. Nevertheless, in such a modern society with booming information technologies, traditional paper-based patient records have faced a lot of problems, such as lack of uniform formats, low data mobility, slow data transfer, illegible handwritings, enormous and insufficient storage space, difficulty of conservation, being easily damaged, and low transferability. To improve such drawbacks, reduce medical costs, and advance medical quality, paper-based patient records are modified into electronic medical records and reformed into electronic patient records. However, since electronic patient records used in various hospitals are diverse and different, in consideration of cost, it is rather difficult to establish a compatible and complete integrated electronic patient records system to unify patient records from heterogeneous systems in hospitals. Moreover, as the booming of the Internet, it is no longer necessary to build an integrated system. Instead, doctors can instantly look up patients' complete information through the Internet access to electronic patient records as well as avoid the above difficulties. Nonetheless, the major problem of accessing to electronic patient records cross-hospital systems exists in the security of transmitting and accessing to the records in case of unauthorized medical personnels intercepting or stealing the information. This study applies the Mobile Agent scheme to cope with the problem. Since a Mobile Agent is a program, which can move among hosts and

  18. 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

  19. 32 CFR 327.5 - Systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., 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 be safeguarded at all times. Printed computer reports containing personal data must carry the markings...

  20. 32 CFR 327.5 - Systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., 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 be safeguarded at all times. Printed computer reports containing personal data must carry the markings...

  1. 32 CFR 327.5 - Systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., 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 be safeguarded at all times. Printed computer reports containing personal data must carry the markings...

  2. 32 CFR 327.5 - Systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., 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 be safeguarded at all times. Printed computer reports containing personal data must carry the markings...

  3. 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... records notice, NGA-008, National Geospatial-Intelligence Agency Polygraph Records System, to its existing... integrity in the polygraph ] examination process, documents polygraph results, assists with...

  4. 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... Privacy Act system of records notice, ``COMMERCE/PAT- TM-20 Customer Call Center, Assistance and... Call Center, Assistance and Satisfaction Survey Records. Security classification: Unclassified....

  5. 76 FR 76149 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-06

    ..., Department of Defense. S300.10 System name: Voluntary Leave Transfer Program Records (August 7, 2009, 74 FR... name and Social Security Number (SSN).'' Record access procedures: Delete entry and replace with... name and Social Security Number (SSN).'' Contesting record procedures: Delete entry and replace...

  6. 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-...

  7. 78 FR 69076 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-18

    ... System (SNPMIS) Records. ] DHA 17 DoD EDHA 17 DoD...... Defense Nutrition Management Information System... & Environmental Health Readiness System--Industrial Hygiene (DOEHRS-IH). DHA 23 EDHA 23 Pharmacy Data...

  8. 75 FR 63160 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-14

    ... E05 System name: Mandatory Declassification Review Files (March 28, 2007; 72 FR 14533). Changes... Declassification Review Files. System location: Chief, Records and Declassification Division, Executive Services... the system: Storage: Paper file folders and electronic storage media. Retrievability: Retrieved...

  9. 76 FR 81910 - Abolishment of Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ... FR 38939 August 27, 1975). This notice identifies a Forest Service system of records that is no... Handbook (FSH) 6209.11. This system is abolished and removed from the inventory of the USDA System...

  10. [An electronic medical record information system of DICOM-RT module-based in radiation therapy].

    PubMed

    Xia, Deguo; Zhou, Linghong; Lei, Li

    2012-06-01

    Electronic medical records (EMR) is the clinical diagnosis, guiding intervention and digital medical service record of outpatient, hospital patients (or care object) in medical institution. And it is the complete, detailed clinical information resource which has produced and recorded in all previous medical treatments. Radiotherapy electronic medical records contain texts, images and graphics, therefore the information is more complicated. This paper proposes an EMR information system based on DICOM-RT standard, through the use of seven objects of DICOM-RT to achieve the information exchange and sharing between different systems, equipments, convenient radiotherapy treatment data management, improve the efficiency of radiation treatment.

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. Using a Patient Portal to Transmit Patient Reported Health Information into the Electronic Record: Workflow Implications and User Experience

    PubMed Central

    Sorondo, Barbara; Allen, Amy; Bayleran, Janet; Doore, Stacy; Fathima, Samreen; Sabbagh, Iyad; Newcomb, Lori

    2016-01-01

    Introduction: This project implemented an integrated patient self-reported screening tool in a patient portal and assessed clinical workflow and user experience in primary care practices. Methods: An electronic health risk assessment based on the CMS Annual Wellness Visit (AWV) was developed to integrate self-reported health information into the patient’s electronic health record (EHR). Patients enrolled in care coordination tested the implementation. The evaluation plan included quantitative and qualitative measures of patient adoption, provider adoption, workflow impact, financial impact, and technology impact. Findings: Seventy-two patients completed the sample AWV, and 80% of the questionnaires had clinical findings that required provider follow-up. Patients expressed satisfaction with the portal, as it enabled them to view their health record and enter information. Implementation did not reduce office staff time. Providers and office staff agreed that an electronic system for adding information to their record would increase patient satisfaction, but they expressed concern with the need to promptly review the information and the time involved to accomplish this prior to an office visit. Discussion: Despite satisfaction among patients, portal adoption is still low, due to technological limitations and to the lack of adaptability to primary care practice workflow. Notwithstanding those barriers, the use of the portal for completion of repetitive tasks, such as screening tools, should be encouraged. Conclusions: Patients can effectively use portals to complete the patient reported section of the CMS AWV. However, if the information is not completed during the same day of the office visit, the time required to address health findings outside of a regular office visit is uncompensated, and diminished the enthusiasm for this process among primary care practice staff.

  17. Using a Patient Portal to Transmit Patient Reported Health Information into the Electronic Record: Workflow Implications and User Experience

    PubMed Central

    Sorondo, Barbara; Allen, Amy; Bayleran, Janet; Doore, Stacy; Fathima, Samreen; Sabbagh, Iyad; Newcomb, Lori

    2016-01-01

    Introduction: This project implemented an integrated patient self-reported screening tool in a patient portal and assessed clinical workflow and user experience in primary care practices. Methods: An electronic health risk assessment based on the CMS Annual Wellness Visit (AWV) was developed to integrate self-reported health information into the patient’s electronic health record (EHR). Patients enrolled in care coordination tested the implementation. The evaluation plan included quantitative and qualitative measures of patient adoption, provider adoption, workflow impact, financial impact, and technology impact. Findings: Seventy-two patients completed the sample AWV, and 80% of the questionnaires had clinical findings that required provider follow-up. Patients expressed satisfaction with the portal, as it enabled them to view their health record and enter information. Implementation did not reduce office staff time. Providers and office staff agreed that an electronic system for adding information to their record would increase patient satisfaction, but they expressed concern with the need to promptly review the information and the time involved to accomplish this prior to an office visit. Discussion: Despite satisfaction among patients, portal adoption is still low, due to technological limitations and to the lack of adaptability to primary care practice workflow. Notwithstanding those barriers, the use of the portal for completion of repetitive tasks, such as screening tools, should be encouraged. Conclusions: Patients can effectively use portals to complete the patient reported section of the CMS AWV. However, if the information is not completed during the same day of the office visit, the time required to address health findings outside of a regular office visit is uncompensated, and diminished the enthusiasm for this process among primary care practice staff. PMID:27683669

  18. 77 FR 37893 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... Digital System at: www.gpo.gov/fdsys . At this site you can view this document, as well as all other... Privacy Act of 1974; System of Records AGENCY: Office of Special Education and Rehabilitative Services, Department of Education. ACTION: Notice of deletion of existing system of records. SUMMARY: In...

  19. 77 FR 27756 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... Regulations is available via the Federal Digital System at: www.gpo.gov/fdsys . At this site you can view this... Privacy Act of 1974; System of Records AGENCY: Office of Chief Information Officer, Department of Education. ACTION: Notice of deletion of existing system of records. SUMMARY: In accordance with the...

  20. 76 FR 82283 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ...,' dated December 12, 2000, 65 FR 239. Dated: December 27, 2011. Aaron Siegel, Alternate OSD Federal..., 2010, 75 FR 2514). Changes: * * * * * Categories of individuals covered by the system: Delete entry and... (NSA) is proposing to alter a system of records in its inventory of records systems subject to...

  1. 77 FR 60401 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ..., 74 FR 27114) Changes: * * * * * System location: Delete entry and replace with ``Primary location... (NSA) is proposing to amend a system of records notice in its existing inventory of records systems...: Ms. Kris Grein, National Security Agency/Central Security Service (NSA/CSS), Freedom of...

  2. 75 FR 25215 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ..., Alternate OSD Federal Register Liaison Officer, Department of Defense. GNSA 21 System name: NSA/CSS Morale, Welfare, and Recreation (MWR) and Non-appropriated Fund Instrumentality (NAFI) Files (July 6, 2005; 70 FR... (NSA) is proposing to amend a systems of records notices in its inventory of record systems subject...

  3. 75 FR 19627 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-15

    ... Service employee tenure and leave accrual rate. To the Director of Selective Service System in the performance of official duties related to registration with the Selective Service System. To the Social... Records System (January 29, 2007; 72 FR 3981). Changes: * * * * * Categories of records in the...

  4. 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...

  5. 6 CFR 5.31 - Security of systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AND INFORMATION Privacy Act § 5.31 Security of systems of records. (a) In general. Each component shall establish administrative and physical controls to prevent unauthorized access to its systems of... 6 Domestic Security 1 2012-01-01 2012-01-01 false Security of systems of records. 5.31 Section...

  6. 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...

  7. 76 FR 46767 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ..., 1996, 61 FR 6427). Dated: July 29, 2011. Aaron Siegel, Alternate OSD Federal Register Liaison Officer... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD. ACTION: Notice to Add a System of Records. SUMMARY: The Department of the Army proposes to add a system...

  8. 77 FR 69445 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-19

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427... Defense. A0190-45 OPMG System name: Military Police Reporting System (MPRS) (July 7, 2008, 73 FR 38419... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD....

  9. 75 FR 36644 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-28

    ... Records About Individuals,'' February 20, 1996; 61 FR 6427. Dated: June 23, 2010. Mitchell S. Bryman...: Correctional Reporting System (CRS) (August 23, 1999; 64 FR 45957). * * * * * CHANGES: SYSTEM ID: Delete entry... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD....

  10. 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...

  11. 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... INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to the Privacy... 16, 2007, 72 FR 46040) Changes: * * * * * System name: Delete entry and replace with...

  12. 78 FR 14281 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ..., DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Finance and Accounting Service... INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to the Privacy..., 71 FR 14182). * * * * * Changes: System Identifier: Delete entry and replace with...

  13. 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...

  14. 78 FR 14286 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ..., DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Finance and Accounting Service... INFORMATION: The Defense Finance and Accounting Service notices for systems of records subject to the Privacy..., 2007, 72 FR 30785). * * * * * Changes: Change System ID to read ``T7320a.'' * * * * *...

  15. 75 FR 13575 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-22

    ... Management Division, Department of Justice, proposes to modify the Accounting Systems for the Department of... Privacy Act of 1974; System of Records AGENCY: Justice Management Division, DOJ. ACTION: Minor... of this System of Records Notice was last published at 69 FR 31406, June 3, 2004. This...

  16. 78 FR 64196 - Privacy Act Altered System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ..., Biographical Files (78 FR 171). In that notice, the Department announced its intent to amend that system of..., Biographical Files. The notice of proposed amendment to this system of records was published in the Federal..., Biographical Files and Social Networks. The amendment serves to modify the system of records by...

  17. 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,...

  18. 76 FR 72909 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... (August 7, 2009, 74 FR 39652). Changes: * * * * * System location: Delete entry and replace with ``Records... seeking access to information about themselves contained in this system should address written inquiries... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency,...

  19. 77 FR 37004 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ... access policies. Strict controls have been imposed to minimize the risk of compromising the information 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...

  20. 78 FR 17385 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-21

    ... 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 of... Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644,...

  1. 78 FR 76897 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-19

    ... AFFAIRS Privacy Act of 1974; System of Records AGENCY: Department of Veterans Affairs (VA). ACTION: Notice of Amendment to System of Records. SUMMARY: As required by the Privacy Act of 1974, 5 U.S.C. 552a(e), notice is hereby given that the Department of Veterans Affairs (VA) is amending the system of...

  2. 77 FR 22632 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-16

    ... forth in the Federal Register 74 FR 11185-11186 dated March 16, 2009. VA is amending the System Name... AFFAIRS Privacy Act of 1974; System of Records AGENCY: Department of Veterans Affairs (VA). ACTION: Notice of Amendment to System of Records. SUMMARY: As required by the Privacy Act of 1974, 5 U.S.C....

  3. 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...

  4. 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,...

  5. 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...

  6. 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.

  7. 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

  8. 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

  9. Designing patient-centered personal health records (PHRs): health care professionals' perspective on patient-generated data.

    PubMed

    Huba, Nicholas; Zhang, Yan

    2012-12-01

    Currently, patients not only want access to various medical records their health care providers keep about them, but they also are willing to become active participants in managing their own health information and the health information of the ones they care for. Personal health records were developed to help fulfill this need. Health care professionals are instrumental in the successful adoption of PHRs. Nevertheless, a full understanding of different health care practitioners' views of PHRs, including how PHRs could fit into the existing health care system, is lacking. The purpose of this exploratory study is to investigate PHRs from the perspective of health care professionals. Twenty-one practitioners with 10 different specialties were interviewed. The results suggest that although PHRs were still a novel concept to the study participants, a majority of them did value information provided by patients and would recommend that patients keep such records. Participants with different specialties tended to look for different types of information to be included in PHRs, and wished the information to be presented in ways that supported their work, as well as supported knowledge discovery. The participants also expressed a need to share patient information, but had various concerns about sharing. The implications of the results of the study in regard to the design of future PHR systems are discussed.

  10. 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

  11. 77 FR 5865 - Privacy Act; System of Records: State-59, Refugee Case Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ...-59, Refugee Case Records (72 FR 45081) and State-60, Refugee Processing Center Records (72 FR 45084... (including, with respect to some individuals covered by the system, the results of DNA relationship testing... arrival information; results of DNA relationship testing between anchor relatives in the United States...

  12. 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 §...

  13. Physicians, Patients, and the Electronic Health Record: An Ethnographic Analysis

    PubMed Central

    Ventres, William; Kooienga, Sarah; Vuckovic, Nancy; Marlin, Ryan; Nygren, Peggy; Stewart, Valerie

    2006-01-01

    PURPOSE Little is known about the effects of the electronic health record (EHR) on physician-patient encounters. The objectives of this study were to identify the factors that influence the manner by which physicians use the EHR with patients. METHODS This ethnographic study included 4 qualitative components: 80 hours of participant observation in 4 primary care offices in the Pacific Northwest; individual interviews with 52 patients, 12 office staff members, 23 physicians, and 1 nurse-practitioner; videotaped reviews of 29 clinical encounters; and 5 focus-group interviews with physicians and computer advocates. The main outcome measures were factors that influence how physicians use the EHR. Researchers qualitatively derived these factors through serial reviews of data. RESULTS This study identified 14 factors that influence how EHRs are used and perceived in medical practice today. These factors were categorized into 4 thematic domains: (1) spatial—effect of the physical presence and location of EHRs on interactions between physicians and patients; (2) relational—perceptions of physicians and patients about the EHR and how those perceptions affected its use; (3) educational—issues of developing physicians’ proficiency with and improving patients’ understandings about EHR use; and (4) structural—institutional and technological forces that influence how physicians perceived their use of EHR. CONCLUSIONS This study found that the introduction of EHRs into practice influences multiple cognitive and social dimensions of the clinical encounter. It brings into focus important questions that through further inquiry can determine how to make best use of the EHR to enhance therapeutic relationships. PMID:16569715

  14. Patients' empowerment of their personal health record requires strong traceability to guarantee patients health care security.

    PubMed

    Allaert, François André; Quantin, Catherine

    2010-01-01

    Giving patients power over their personal health record is an unavoidable evolution in all industrialized countries which will reflect their active participation in the management of their own health. This would lead to patients sharing management with health professionals, which would need traceability of the data provider to maintain trust and transparency. The systematic use of electronic signatures by medical practitioners will be essential to provide sufficient guarantees and to clearly determine who has added what in the PEHR.

  15. 77 FR 11534 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-27

    .... FRTIB-1 SYSTEM NAME: Thrift Savings Plan Records. FRTIB-2 SYSTEM NAME: Personnel Security Files. FRTIB-3 SYSTEM NAME: EEO Discrimination Complaint File. FRTIB-4 SYSTEM NAME: Adverse Information and Action.... FRTIB-7 SYSTEM NAME: Consultant and Staff Associate File. FRTIB-8 SYSTEM NAME: Board Members File....

  16. 75 FR 54662 - Privacy Act of 1974: Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-08

    ... Federal Register of August 23, 2010 in FR Doc. 2010-20999 on page 51854, in the third column, the... COMMISSION Privacy Act of 1974: Systems of Records AGENCY: Securities and Exchange Commission. ACTION: Notice to establish systems of records; correction. The Securities and Exchange Commission published...

  17. 78 FR 43867 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-22

    ..., Department of Defense. Deletions: B0502-03, Master Billet/Access Records (March 19, 2002, 67 FR 12532... Workforce System (May 24, 2013, 78 FR 31526); therefore, B0502-03, Master Billet/Access Records can be deleted. B1211-03, Passport and Visa Files (January 18, 2002, 67 FR 2639). Reason: This system...

  18. 76 FR 28962 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-19

    ... Maintaining Records About Individuals,'' dated February 8, 1996, (February 20, 1996, 61 FR 6427). Dated: May... AF A System Name: Information requests--Freedom of Information Act (April 7, 2003, 68 FR 16787....'' Categories of records in the system: Delete entry and replace with ``Name, home address, telephone number,...

  19. 77 FR 75621 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-21

    ... 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... 22060-6219, Telephone number: (703) 767-1022. SUPPLEMENTARY INFORMATION: The Defense Contract...

  20. 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... (703) 767- 1022, or Defense Contract Audit Agency, 8725 John J. Kingman Road, Suite 2135, Fort...

  1. 76 FR 115 - 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... (703) 767- 1022, or Defense Contract Audit Agency, 8725 John J. Kingman Road, Suite 2135, Fort...

  2. 76 FR 38643 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-01

    ...: Notice to alter a system of records. SUMMARY: The Department of the Navy proposes to alter a system of... a contrary determination. ADDRESSES: You may submit comments, identified by docket number and... No. A-130, ``Federal Agency Responsibilities for Maintaining records About Individual,''...

  3. 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... Department published in the Federal Register, in text or Adobe Portable Document Format (PDF), on...

  4. 75 FR 24931 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ... arrest, booking, parole and/or probation report. CATEGORIES OF RECORDS IN THE SYSTEM: The records in the system consist of incident, offense and case reports, arrest, booking, incarceration, and parole and/or... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF...

  5. 75 FR 43494 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    .... Bryman, Alternate OSD Federal Register Liaison Officer, Department of Defense. GNSA 01 System name: NSA/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...

  6. 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... approved a project, construction of statistical extracts with information from one or more of the source... of Amendment, Privacy Act System of Records; COMMERCE/ CENSUS-8, Statistical Administrative...

  7. 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.

  8. 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...

  9. 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...

  10. 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...

  11. 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...

  12. 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... SMART) Grants, and Teacher Education Assistance for College and Higher Education (TEACH) Grants,...

  13. 76 FR 35197 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-16

    ... Maintaining Records About Individuals,'' February 20, 1996, 61 FR 6427. Dated: June 7, 2011. Aaron Siegel... Correspondence Course Program (ACCP) (July 25, 2008, 73 FR 43420). Changes: System Name: Delete entry and replace... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD....

  14. 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...

  15. 49 CFR 1007.11 - Public notice of records systems.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... use; (5) The policies and practices of the Board regarding storage, retrieval, access controls... 49 Transportation 8 2014-10-01 2014-10-01 false Public notice of records systems. 1007.11 Section... INDIVIDUALS § 1007.11 Public notice of records systems. (a) The Board will publish in the Federal Register,...

  16. 49 CFR 1007.11 - Public notice of records systems.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... use; (5) The policies and practices of the Board regarding storage, retrieval, access controls... 49 Transportation 8 2011-10-01 2011-10-01 false Public notice of records systems. 1007.11 Section... INDIVIDUALS § 1007.11 Public notice of records systems. (a) The Board will publish in the Federal Register,...

  17. 49 CFR 1007.11 - Public notice of records systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... use; (5) The policies and practices of the Board regarding storage, retrieval, access controls... 49 Transportation 8 2010-10-01 2010-10-01 false Public notice of records systems. 1007.11 Section... INDIVIDUALS § 1007.11 Public notice of records systems. (a) The Board will publish in the Federal Register,...

  18. 77 FR 94 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-03

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996, (February 20, 1996, 61 FR... FR 17136). * * * * * Changes: System Name: Delete entry and replace with ``Department of Defense (DoD... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force,...

  19. 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... System (MilPDS); correspondence and forms generated in Air Force Disability Division (AF Form 356,...

  20. 78 FR 21600 - 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: National Geospatial-Intelligence Agency, DoD. ACTION: Notice to delete a System of Records. SUMMARY: The National Geospatial-Intelligence... questions please contact: NGA Privacy Office, National Geospatial-Intelligence Agency, 7500 GEOINT...

  1. 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...

  2. 76 FR 41497 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-14

    ... records, FCC/OSP-1, ``Broadband Dead Zone Report and Consumer Broadband Test.'' The altered system of... complete notice of the system of records (FCC/OSP-1, ``Broadband Dead Zone Report and Consumer Broadband... FCC/OSP-1, ``Broadband Dead Zone Report and Consumer Broadband Test'' are to revise ] the...

  3. 78 FR 14291 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ..., Department of the Air Force Privacy Office, Air Force Privacy Act Office, Office of Warfighting Integration... Action Notification (January 12, 2009, 74 FR 1183) Reason: Records that document these actions are covered by System of Records Notices (SORNs) F036 AF PC Q, Personnel Data System (PDS) (June 11, 1997,...

  4. 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)....

  5. 22 CFR 505.15 - Exempt systems of records used.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 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)....

  6. 22 CFR 505.15 - Exempt systems of records used.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 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)....

  7. 76 FR 14951 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-18

    ... 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 is proposing to... following methods: * Federal Rulemaking Portal: http://www.regulations.gov . Follow the instructions...

  8. 77 FR 61582 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-10

    ... 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.... ADDRESSES: You may submit comments, identified by docket number and title, by any of the following...

  9. 77 FR 60411 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Department of the Air Force is deleting a... following methods: Federal Rulemaking Portal: http://www.regulations.gov . Follow the instructions...

  10. 78 FR 70020 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE... Trademark Office, Commerce. ACTION: Notice of proposed new Privacy Act system of records. SUMMARY: In... Trademark Office (USPTO) gives notice of a proposed new system of records entitled ``COMMERCE/...

  11. 76 FR 61680 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). ] Dated: September 29, 2011. Aaron... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, Department of Defense (DoD). ACTION: Notice to add a system of records. SUMMARY: The Department of the Army proposes...

  12. 75 FR 78685 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... Responsibilities for Maintaining Records About Individuals,'' February 20, 1996, 61 FR 6427. Dated: December 9... DSC G-1 System name: Economic and Manpower Analysis (OEMA) Database (October 1, 2008, 73 FR 57082... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD....

  13. 76 FR 40343 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-08

    ... FR 37329). * * * * * Changes: Retention and disposal: Delete entry and replace with ``Professional... 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...

  14. 78 FR 26623 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: May 2, 2013. Aaron Siegel, Alternate OSD Federal... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD. ACTION: Notice to add a new System of Records. SUMMARY: The Department of the Army proposes to add a new...

  15. 78 FR 45914 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ... About Individuals,'' dated February 8, 1996, (February 20, 1996, 61 FR 6427). Dated: July 24, 2013... System name: Military Personnel Records Jacket Files (MPRJ) (January 6, 2004, 69 FR 790... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD....

  16. 77 FR 13571 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... War Recognition System (January 6, 2004, 69 FR 790). Reason: The system at Army Human Resource Command.../Commercial Solicitor Files (February 23, 2004, 69 FR 8183). Reason: As of January 2010 records covered by.../Blackmarket Monitoring Files (August 24, 1999, 64 FR 46186). Reason: The records have been transferred...

  17. 78 FR 16836 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    ... a violation or potential violation of law (civil, criminal, or regulatory in nature). (3) Routine... description of the routine uses of records maintained in the system has been updated to include use in law... 70 FR 69521 (November 16, 2005). The amended system of records notice is published in its...

  18. 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... involving the Saving Deposit Program, and allow management to capture benchmark reporting in order to...

  19. 77 FR 26254 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ..., 1996, 61 FR 6427). Dated: April 18, 2012. Patricia Toppings, OSD Federal Register Liaison Officer... of the Secretary Privacy Act of 1974; System of Records AGENCY: National Security Agency/Central Security Service, DoD. ACTION: Notice to add a new system of records. SUMMARY: The National Security...

  20. 78 FR 69651 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-20

    ... Dispute Resolution Act (ADR); DIA Instruction 5145.001, Conflict Management Program; DIA Manual 60-1.... The Defense Intelligence Agency proposes to add a new system of records notice, LDIA 13-0001, Conflict Management Programs, to its existing inventory of records systems subject to the Privacy Act of 1974,...

  1. 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....

  2. 76 FR 24000 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... (February 20, 1996, 61 FR 6427). Dated: April 25, 2011. Morgan F. Park, Alternate OSD Federal Register... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to add a system of records. SUMMARY: The Defense Logistics Agency proposes to add a...

  3. 76 FR 72689 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-25

    ...-based access controls. Paper records will be maintained in a controlled facility where physical entry is... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated.... DWHS E01 DoD System name: DoD Federal Docket Management System (DoDFDMS) (January 5, 2006, 71 FR...

  4. 78 FR 38303 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-26

    ....11 System name: Personnel Departure Clearance Records (August 9, 1996, 61 FR 41572). Changes....'' * * * * * AAFES 0405.11 System name: Individual Health Records (April 4, 2003, 68 FR 16484). Changes... S. Walton Walker Boulevard, Dallas, TX 75236- 1598; the civilian personnel offices located at...

  5. 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...

  6. 75 FR 25845 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-10

    ... (February 22, 1993; 58 FR 10562). Reason: These records are covered under system of records notice V5-05, Joint Personnel Adjudication System (JPAS) (July 1, 2005; 70 FR 38120), therefore it can be deleted... purview of subsection (r) of the Privacy Act of 1974 (5 U.S.C. 552a), as amended, which requires...

  7. 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... ``Program Manager (PM), Business and Enterprise Systems, 200 East Moore Drive, Building 856, Maxwell...

  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 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...

  10. 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...

  11. 78 FR 45184 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-26

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427... Defense. K890.08 System name: Recall Roster/Locator Records (July 6, 2005, 70 FR 38892) * * * * * Changes... address, and cell phone number.'' Authority for maintenance of the system: Delete entry and replace...

  12. 76 FR 65756 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-24

    ... General Privacy Act Systems of Records. These modifications reflect the title and address changes... their amended systems of records in the Federal Register when there is a revision, change, or addition... leadership teams. These changes are proposed for the reasons discussed below. II. Rationale for Changes...

  13. 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...-0023. Office of Inspector General, U.S. Department of Education, Cesar E. Chavez Memorial...

  14. 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,...

  15. 78 FR 35606 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-13

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

  16. 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...

  17. 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...

  18. 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,...

  19. 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...

  20. TLS — The Laboratory System: A Networked Patient Care System and Laboratory System

    PubMed Central

    Hammond, W. Ed; Stead, William W.

    1987-01-01

    This paper describes the design and development of an integrated computer-based medical record system and a clinical laboratory system. In contrast to the patient care system, the design and organization of the laboratory system is dictated by work flow and management rather than by patient orientation. Advantages of an integrated system, rather than a simply interfaced one, is in the reduction of storage requirements for the laboratory system and in the ability to view any patient data, if authorized, as if only one system existed. A common data dictionary insures integrity of the data codes and reduces the effort required to maintain the system.

  1. 77 FR 32141 - Privacy Act of 1974, as Amended; System of Records Notices

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-31

    ... RECORDS ADMINISTRATION Privacy Act of 1974, as Amended; System of Records Notices AGENCY: National Archives and Records Administration. ACTION: Notice; new privacy system of records titled ``Internal Collaboration Network''. SUMMARY: The National Archives and Records Administration (NARA) proposes to add...

  2. 12 CFR 1403.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... access to that person's official civil service records maintained by the Farm Credit System Insurance... Corporation, McLean, Virginia 22102-0826, when seeking to obtain the following information from the...

  3. 12 CFR 1403.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... access to that person's official civil service records maintained by the Farm Credit System Insurance... Corporation, McLean, Virginia 22102-0826, when seeking to obtain the following information from the...

  4. 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

  5. 75 FR 49482 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... (February 22, 1993; 58 FR 10562). Changes: * * * * * System name: Delete entry and replace with ``Incident... records in the system: Copies of Reports of Investigation, Military Police Incident Reports, traffic..., and correspondence received from Civilian and Military Police Service Investigative Agencies,...

  6. 75 FR 48657 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ... Personnel System (July 25, 2008; 73 FR 43415). Changes: * * * * * Categories of records in the system... Security Number (SSN), education, duty position, organization of assignment, date assigned, estimated... Number (SSN), education, duty position, organization of assignment, date assigned, estimated...

  7. 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... record system being amended are set forth below. The proposed amendment is not within the purview...

  8. 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.

  9. 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.

  10. 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

  11. 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.

  12. Realization of a universal patient identifier for electronic medical records through biometric technology.

    PubMed

    Leonard, D C; Pons, Alexander P; Asfour, Shihab S

    2009-07-01

    The technology exists for the migration of healthcare data from its archaic paper-based system to an electronic one, and, once in digital form, to be transported anywhere in the world in a matter of seconds. The advent of universally accessible healthcare data has benefited all participants, but one of the outstanding problems that must be addressed is how the creation of a standardized nationwide electronic healthcare record system in the United States would uniquely identify and match a composite of an individual's recorded healthcare information to an identified individual patients out of approximately 300 million people to a 1:1 match. To date, a few solutions to this problem have been proposed that are limited in their effectiveness. We propose the use of biometric technology within our fingerprint, iris, retina scan, and DNA (FIRD) framework, which is a multiphase system whose primary phase is a multilayer consisting of these four types of biometric identifiers: 1) fingerprint; 2) iris; 3) retina scan; and 4) DNA. In addition, it also consists of additional phases of integration, consolidation, and data discrepancy functions to solve the unique association of a patient to their medical data distinctively. This would allow a patient to have real-time access to all of their recorded healthcare information electronically whenever it is necessary, securely with minimal effort, greater effectiveness, and ease. PMID:19273015

  13. 44 CFR 6.72 - Effective date of new system of records or alteration of an existing system of records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Effective date of new system of records or alteration of an existing system of records. 6.72 Section 6.72 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL IMPLEMENTATION OF...

  14. 75 FR 66131 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... information. This system notice was last published on August 31, 2010 (75 FR 53342). DATES: In accordance with... an existing system of records entitled ``Data Integration and Visualization System,'' JUSTICE/FBI-021, which describes the Data Integration and Visualization System (DIVS), to revise the System...

  15. Electromagnetic recording of the auditory system.

    PubMed

    Poeppel, David; Hickok, Gregory

    2015-01-01

    Auditory processing is remarkably fast and sensitive to the precise temporal structure of acoustic signals over a range of scales, from submillisecond phenomena such as localization to the construction of elementary auditory attributes at tens of milliseconds to basic properties of speech and music at hundreds of milliseconds. In light of the rapid (and often transitory) nature of auditory phenomena, in order to investigate the neurocomputational basis of auditory perception and cognition, a technique with high temporal resolution is appropriate. Here we briefly outline the utility of magnetoencephalography (MEG) for the study of the neural basis of audition. The basics of MEG are outlined in brief, and some of the most-used neural responses are described. We discuss the classic transient evoked fields (e.g., M100), responses elicited by change in a stimulus (e.g., pitch-onset response), the auditory steady-state response, and neural oscillations (e.g., theta-phase tracking). Because of the high temporal resolution and the good spatial resolution of MEG, paired with the convenient location of human auditory cortex for MEG-based recording, electromagnetic recording of this type is well suited to investigate various aspects from audition, from crafted laboratory experiments on pitch perception or scene analysis to naturalistic speech and music tasks.

  16. How to manage secure direct access of European patients to their computerized medical record and personal medical record.

    PubMed

    Quantin, Catherine; Allaert, François André; Fassa, Maniane; Riandey, Benoît; Avillach, Paul; Cohen, Olivier

    2007-01-01

    The multiplication of the requests of the patients for a direct access to their Medical Record (MR), the development of Personal Medical Record (PMR) supervised by the patients themselves, the increasing development of the patients' electronic medical records (EMRs) and the world wide internet utilization will lead to envisage an access by using technical automatic and scientific way. It will require the addition of different conditions: a unique patient identifier which could base on a familial component in order to get access to the right record anywhere in Europe, very strict identity checks using cryptographic techniques such as those for the electronic signature, which will ensure the authentication of the requests sender and the integrity of the file but also the protection of the confidentiality and the access follow up. The electronic medical record must also be electronically signed by the practitioner in order to get evidence that he has given his agreement and taken the liability for that. This electronic signature also avoids any kind of post-transmission falsification. This will become extremely important, especially in France where patients will have the possibility to mask information that, they do not want to appear in their personal medical record. Currently, the idea of every citizen having electronic signatures available appears positively Utopian. But this is yet the case in eGovernment, eHealth and eShopping, world-wide. The same was thought about smart cards before they became generally available and useful when banks issued them.

  17. A real time Teleconsultation System for Sharing an Oncologic Web-based Electronic Medical Record.

    PubMed

    Forti, Stefano; Galvagni, Michele; Galligioni, Enzo; Eccher, Claudio

    2005-01-01

    This poster presents an innovative real-time Teleconsultation System for synchronized navigation of the pages of a web-based Oncological Electronic Medical Record, designed to provide clinicians a cooperative work tool supporting the oncologic patient management between different hospitals. The system embeds additional tools supporting the discussion: digital whiteboard, chat and a digital audio channel.

  18. Fast Stimulus Artifact Recovery in a Multichannel Neural Recording System

    PubMed Central

    Schoenecker, Matthew C.; Bonham, Ben H.

    2010-01-01

    We describe a 32-channel recording system and software artifact blanking technique for recording neuronal responses to high-rate electrical stimulation. Each recording channel recovers from biphasic full-scale-input pulses (1.5-V) in less than 80 μs. Artifacts are blanked online in software, allowing flexibility in the choice of blanking period and the possibility of recovering neural data occurring simultaneously with non-saturating artifacts. The system has been used in-vivo to record central neuronal responses to intracochlear electrical stimulation at 2000 pulses per second. Simplicity of the hardware design makes the technique well suited to an implantable multi-channel recording system. PMID:20559458

  19. 76 FR 79660 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-22

    ... Defense Finance and Accounting Service (DFAS). Temporary Duty travel records are now covered by DHRA 08 DoD, Defense Travel System (March 24, 2010, 75 FR 14142). DISA Pacific does not maintain any records... and Temporary Travel Order File (February 22, 1993, 58 FR 10562). Reason: DISA Pacific no...

  20. 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... performance of their official duties. Access to computer records is further restricted by the use of...

  1. 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... are only accessed by authorized personnel with secure Common Access Card (CAC) in combination with...

  2. 75 FR 42720 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-22

    ... 8, 1996, (February 20, 1996; 61 FR 6427). Dated: July 19, 2010. Mitchell S. Bryman, Alternate OSD... Article 15 Records (December 31, 2008; 73 FR 80376). Changes: * * * * * System name: Delete entry and... destroyed 1 year after final review. Records and reports stored in computer databases are maintained...

  3. 78 FR 41921 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-12

    ... Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: July 9, 2013... name: Individual Confinement Records (April 11, 2007, 72 FR 18216). Changes: * * * * * System location... (DNS-36), Department of the Navy, 2000 Navy Pentagon, Washington, DC 20350-2000, or by phone at...

  4. 75 FR 9968 - Privacy Act of 1974: Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... environment. Buildings where records are stored have security cameras and 24 hour security guard service. The... From the Federal Register Online via the Government Publishing Office SECURITIES AND EXCHANGE COMMISSION Privacy Act of 1974: Systems of Records AGENCY: Securities and Exchange Commission. ACTION:...

  5. 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...

  6. 76 FR 43278 - Privacy Act; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... verification documents (e.g., photographs, fingerprint cards, and proofs of identity) maintained for Federal... RECORDS IN THE SYSTEM: Records including the following information: 1. Pre-employment drug test requests or results, random tests, confirmatory tests, and follow-up tests; 2. Information supplied...

  7. 22 CFR 1507.7 - Contents of records systems.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Constitution of the United States unless expressly authorized by statute or by the individual about whom the... Contents of records systems. (a) The Foundation will maintain in its records only such information about an... uses to collect the information, or on a separate form that can be retained by the individual,......

  8. 22 CFR 1507.7 - Contents of records systems.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Constitution of the United States unless expressly authorized by statute or by the individual about whom the... Contents of records systems. (a) The Foundation will maintain in its records only such information about an... uses to collect the information, or on a separate form that can be retained by the individual,......

  9. 22 CFR 1507.7 - Contents of records systems.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Constitution of the United States unless expressly authorized by statute or by the individual about whom the... Contents of records systems. (a) The Foundation will maintain in its records only such information about an... uses to collect the information, or on a separate form that can be retained by the individual,......

  10. 49 CFR 1007.7 - Content of systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... by the First Amendment of the United States Constitution unless expressly authorized by statute or by... INDIVIDUALS § 1007.7 Content of systems of records. (a) The Board will maintain in its records only such information about an individual as is relevant and necessary to accomplish the purposes of the......

  11. 22 CFR 1507.7 - Contents of records systems.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Constitution of the United States unless expressly authorized by statute or by the individual about whom the... Contents of records systems. (a) The Foundation will maintain in its records only such information about an... uses to collect the information, or on a separate form that can be retained by the individual,......

  12. 49 CFR 1007.7 - Content of systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... by the First Amendment of the United States Constitution unless expressly authorized by statute or by... INDIVIDUALS § 1007.7 Content of systems of records. (a) The Board will maintain in its records only such information about an individual as is relevant and necessary to accomplish the purposes of the......

  13. 22 CFR 1507.7 - Contents of records systems.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Constitution of the United States unless expressly authorized by statute or by the individual about whom the....7 Contents of records systems. (a) The Foundation will maintain in its records only such information... individual, of: (1) The authority which authorizes the solicitation of the......

  14. 78 FR 60265 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ..., Alternate OSD Federal Register Liaison Officer, Department of Defense. Deletion: DHRA 03 PERSEREC Export Violations Database (November 15, 2002, 67 FR 69205). Reason: The NARA approved records retention is... destroyed, there is no longer a need to maintain this system of records notice. Therefore, DHRA 03,...

  15. 77 FR 27740 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... Defense. S400.20 System name: Day Care Facility Registrant, Applicant and Enrollee Records (August 29... contractors) who are enrolled in, or have applied for admission to, DLA-managed day care facilities... Responsibilities ] for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61...

  16. 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... approved local civilian jails as a result of courts-martial, or pending trial by courts-martial and...

  17. 75 FR 65405 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-22

    ... Government Life Insurance--VA'' (36VA00) as last updated and set forth in the Federal Register at 59 FR 38035... Records--VA'' (46VA00) as last updated and set forth in the Federal Register at 50 FR 50033 (December 6... Federal Register at 59 FR 10455 (March 4, 1994) into one system of records. When this notice is...

  18. 28 CFR 16.51 - Security of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Security of systems of records. 16.51 Section 16.51 Judicial Administration DEPARTMENT OF JUSTICE PRODUCTION OR DISCLOSURE OF MATERIAL OR... administrative and physical controls shall ensure that: (1) Records are protected from public view; (2) The...

  19. 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..., FCC/OMD-28, ``Time and Attendance Records,'' in the Federal Register in which the numbering of...

  20. 77 FR 5234 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE Privacy Act of 1974; System of Records AGENCY: Office of Inspector General (OIG), Department of Commerce... Inspection Records--COMMERCE/DEPT-12.'' SUMMARY: In accordance with the Privacy Act of 1974, as amended, 5...

  1. 77 FR 4798 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-31

    ... (February 13, 2006, 71 FR 7549). Reason: The program was never established and DoD came online with the F011 AF A3 B DoD, Department of Defense (DoD) Foreign Clearance Program Records (January 3, 2012, 77 FR 94... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD....

  2. 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…

  3. 75 FR 3972 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ... treatment information related to drug abuse, alcoholism or alcohol abuse, sickle cell anemia or infection... Register 67 FR 66712. VA is amending the system records by revising the Routine Uses of Records Maintained... required by 5 U.S.C. 552a(r) (Privacy Act) and guidelines issued by OMB (65 FR 77677), December 12,...

  4. 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... PBGC--PBGC (last published at 60 FR 57464 (Nov. 15, 1995), PBGC-2, Disbursements--PBGC (last published at 60 FR 57464 (Nov. 15, 1995), PBGC-3, Employee Payroll, Leave and Attendance Records--PBGC...

  5. 77 FR 50091 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... oversight of violations of administrative, civil, or criminal law or regulation. This system of records... oversight of violations of administrative, civil, or criminal law or regulation, if that information is... of records notice for the Investigative Files of the Inspector General (18-10-01), 64 FR...

  6. 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... purposes of facilitating the verification of individuals who may be eligible for expedited...

  7. 78 FR 25414 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Privacy Act of 1974, System of Records AGENCY: United States Agency... of records maintained in accordance with the Privacy Act of 1974, (5 U.S.C. 552a), as amended... comments: Paper Comments Fax: (703) 666-1466. Mail: Chief Privacy Officer, United States Agency...

  8. 77 FR 837 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-06

    ... BEP to perform more in-depth background checks. Passport numbers can be used in domestic and international databases to perform background checks. Further, to the extent other categories of records in the... Department of the Treasury, published its inventory of Privacy Act systems of records beginning at 74...

  9. 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...

  10. 78 FR 14282 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated: February 28, 2013. Aaron Siegel... Access Management System (TEAMS) (April 29, 2004, 69 FR 23497). Changes: * * * * * Categories of records... electronic storage media.'' * * * * * Safeguards: Delete entry and replace with ``Electronic records...

  11. 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... INFORMATION CONTACT: Veterans Health Administration (VHA) Privacy Officer, Department of Veterans Affairs, 810... guidelines issued by OMB (65 FR 77677), December 12, 2000. Dated: December 23, 2009. John R. Gingrich,...

  12. 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...), Deployment Identification Number, home, work, cell and pager numbers, home address, personal and work email..., Social Security Number (SSN), Deployment Identification Number, home, work, cell and pager numbers,...

  13. 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 §...

  14. 76 FR 61761 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ..., retail chains, and self-service kiosks. By working with third- party retailers, the Postal Service is... modifying one system of records: USPS 880.000, Post Office and Retail Services. Pursuant to 5 U.S.C. 552a(e...), company name, phone number, mail and e- mail address, record of payment, passport applications and...

  15. 75 FR 4632 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... and Inquiry File-VA'' (40VA42), which was first published at 42 FR 49749 (September 27, 1977). The... the National Cemetery Administration's (NCA) Memorial Programs. VA no longer maintains the System of Records. New data has not been added to these records in several years and all previously existing...

  16. 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...

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... ADMINISTRATION-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE... (FFP) Specific Conditions for Ffp § 95.615 Access to systems and records. In accordance with 45 CFR..., including design developments, operation, and cost records of contractors and subcontractors at...

  18. 49 CFR 1007.7 - Content of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... by the First Amendment of the United States Constitution unless expressly authorized by statute or by... INDIVIDUALS § 1007.7 Content of systems of records. (a) The Board will maintain in its records only such information about an individual as is relevant and necessary to accomplish the purposes of the...

  19. 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...

  20. 12 CFR 1102.102 - Times, places and requirements for requests pertaining to individual records in a record system...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... license, employee or military identification card, and medicare card. (4) Method for verifying identity—by... pertaining to individual records in a record system and for the identification of individuals making requests... requirements for requests pertaining to individual records in a record system and for the identification...

  1. Toward best practice: leveraging the electronic patient record as a clinical data warehouse.

    PubMed

    Ledbetter, C S; Morgan, M W

    2001-01-01

    Automating clinical and administrative processes via an electronic patient record (EPR) gives clinicians the point-of-care tools they need to deliver better patient care. However, to improve clinical practice as a whole and then evaluate it, healthcare must go beyond basic automation and convert EPR data into aggregated, multidimensional information. Unfortunately, few EPR systems have the established, powerful analytical clinical data warehouses (CDWs) required for this conversion. This article describes how an organization can support best practice by leveraging a CDW that is fully integrated into its EPR and clinical decision support (CDS) system. The article (1) discusses the requirements for comprehensive CDS, including on-line analytical processing (OLAP) of data at both transactional and aggregate levels, (2) suggests that the transactional data acquired by an OLTP EPR system must be remodeled to support retrospective, population-based, aggregate analysis of those data, and (3) concludes that this aggregate analysis is best provided by a separate CDW system.

  2. 75 FR 22570 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ... Officer, Department of Defense. Deletion: F024 AF AMC A SYSTEM NAME: Global Air Transportation Execution System (GATES) (August 3, 1999; 64 FR 42098). REASON: The Global Air Transportation Execution System... System Records (November 12, 2008; 73 FR 66872); therefore the notice can be deleted. BILLING CODE...

  3. 77 FR 43816 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ... password. The system is protected by audit logs, virus detection, intrusion detection, firewalls, and..., 73 FR 74471). * * * * * CHANGES: SYSTEM ID: Delete entry and replace with ``F033 AFSPC C''. SYSTEM... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force,...

  4. 76 FR 20341 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... Liaison Officer, Department of Defense. S190.24 System name: Biography File (May 26, 2009, 74 FR 24831....24 System name: Biography File. System location: Headquarters, Defense Logistics Agency (DLA), Public... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency,...

  5. 77 FR 38598 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-28

    ... Officer, Department of Defense. CIG-23 System Name: Public Affairs Files (August 7, 2006, 71 FR 44667) Changes: * * * * * System name: Delete entry and replace with ``SCOUT and Public Affairs Files.'' System... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Inspector...

  6. 44 CFR 6.6 - Safeguarding systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... alternative storage system providing that it furnished an equivalent degree of physical security as storage in... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Safeguarding systems of... systems of records. (a) Systems managers shall ensure that appropriate administrative, technical,...

  7. 44 CFR 6.6 - Safeguarding systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... alternative storage system providing that it furnished an equivalent degree of physical security as storage in... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Safeguarding systems of... systems of records. (a) Systems managers shall ensure that appropriate administrative, technical,...

  8. 44 CFR 6.6 - Safeguarding systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... alternative storage system providing that it furnished an equivalent degree of physical security as storage in... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Safeguarding systems of... systems of records. (a) Systems managers shall ensure that appropriate administrative, technical,...

  9. 44 CFR 6.6 - Safeguarding systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... alternative storage system providing that it furnished an equivalent degree of physical security as storage in... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Safeguarding systems of... systems of records. (a) Systems managers shall ensure that appropriate administrative, technical,...

  10. 44 CFR 6.6 - Safeguarding systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... alternative storage system providing that it furnished an equivalent degree of physical security as storage in... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Safeguarding systems of... systems of records. (a) Systems managers shall ensure that appropriate administrative, technical,...

  11. 77 FR 47641 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ... Accommodation Information System'' (73 FR 19236 (April 9, 2008)), ``OFHEO-08 Computer Systems Activity and Access Records System'' (71 FR 6085 (February 6, 2006)), and ``OFHEO-09 Telecommunications System'' (71 FR 39123 (July 11, 2006)) will be removed. DATES: The effective date of the notice is September...

  12. 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.

  13. Integrating an enterprise image distribution system into an existing electronic medical record system

    NASA Astrophysics Data System (ADS)

    Witt, Robert M.; Morrow, Robert

    2003-05-01

    The enterprise distribution of radiology images should be integrated into the same application that physicians obtain other clinical information about their patients. Over the past year the Roudebush Veterans Affairs Medical Center has provided enterprise access to radiology images after integrating a commercial web-based image distribution system (Stentor, Brisbane, CA) with the Department of Veterans Affairs internally developed Computerized Patient Record System (CPRS). The application, CPRS, serves as the foundation for the VHA to implement an electronic medical record (EMR). We developed the necessary program communications between the CPRS application and the image distribution application to link the request for a report to a request for the corresponding images. When a physician selects a given radiology report in CPRS the text of the report displays in CPRS and the image application loads the corresponding image study. We found that the requests for film jackets decreased over fifty percent six months after full implementation of the enterprise image distribution system. We have found the integration of the image access and display application into an existing patient information system to be very successful.

  14. One positive impact of health care reform to physicians: the computer-based patient record.

    PubMed

    England, S P

    1993-11-01

    The health care industry is an information-dependent business that will require a new generation of health information systems if successful health care reform is to occur. We critically need integrated clinical management information systems to support the physician and related clinicians at the direct care level, which in turn will have linkages with secondary users of health information such as health payors, regulators, and researchers. The economic dependence of health care industry on the CPR cannot be underestimated, says Jeffrey Ritter. He sees the U.S. health industry as about to enter a bold new age where our records are electronic, our computers are interconnected, and our money is nothing but pulses running across the telephone lines. Hence the United States is now in an age of electronic commerce. Clinical systems reform must begin with the community-based patient chart, which is located in the physician's office, the hospital, and other related health care provider offices. A community-based CPR and CPR system that integrates all providers within a managed care network is the most logical step since all health information begins with the creation of a patient record. Once a community-based CPR system is in place, the physician and his or her clinical associates will have a common patient record upon which all direct providers have access to input and record patient information. Once a community-level CPR system is in place with a community provider network, each physician will have available health information and data processing capability that will finally provide real savings in professional time and effort. Lost patient charts will no longer be a problem. Data input and storage of health information would occur electronically via transcripted text, voice, and document imaging. All electronic clinical information, voice, and graphics could be recalled at any time and transmitted to any terminal location within the health provider network. Hence

  15. 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.

  16. [Save or destroy? The importance of medical record for former patients and future patients].

    PubMed

    van Leeuwen, F E; Schornagel, J H

    2001-03-10

    In 1995, a new privacy law was introduced in the Netherlands. According to this law, medical records should be saved for 10 years, and then destroyed, unless keeping the records for a longer period follows reasonably from the duties of the treating physician (as is the case, for example, when treating patients with a chronic disease). There are serious concerns with regard to the future availability of medical record data for clinical research and patient care after 2005. Evaluation of the late effects of many medical treatments will no longer be possible in the Netherlands. Patient care, particularly genetic counselling, will be also seriously compromised. As a possible solution the profession might name diagnoses and treatments regarding for which, from the point of view of good care, it is necessary for files to be kept for longer than 10 years. For a uniform nationwide policy it would be better if all files, perhaps after sorting by diagnosis and treatment, should be obligatorily kept for much longer than 10 years, preferably for the duration of the life expectancy.

  17. Compact reflection holographic recording system with high angle multiplexing

    NASA Astrophysics Data System (ADS)

    Kanayasu, Mayumi; Yamada, Takehumi; Takekawa, Shunsuke; Akieda, Kensuke; Goto, Akiyo; Yamamoto, Manabu

    2011-02-01

    Holographic memory systems have been widely researched since 1963. However, the size of the drives required and the deterioration of reconstructed data resulting from shrinkage of the medium have made practical use of a hologram memory difficult. In light of this, we propose a novel holographic recording/reconstructing system: a dual-reference beam reflection system that is smaller than conventional systems such as the off-axis or co-axis types, and which is expected to increase the number of multiplexing in angle multiplexed recording. In this multiplex recording system, two laser beams are used as reference beams, and the recorded data are reconstructed stably, even if there is shrinkage of the recording medium. In this paper, a reflection holographic memory system is explained in detail. In addition, the change in angle selectivity resulting from shrinkage of the medium is analyzed using the laminated film three-dimensional simulation method. As a result, we demonstrate that a dual-reference beam multiplex recording system is effective in reducing the influence of medium shrinkage.

  18. 77 FR 77049 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... FR 31793) Changes: * * * * * System ID: Delete entry and replace with ``F036 AFPC Y... Maintaining Records about Individuals,'' dated February 8, 1996, (February 20, 1996, 61 FR 6427). ] Dated... ID Number, recommendation memorandums, test scores, medical qualification for individual...

  19. 77 FR 26259 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... Training Files (May 19, 2008, 73 FR 28804). Reason: The category of records in this system has.../organization/affiliate). Social Security Numbers are no longer collected and personal and home information...

  20. 76 FR 38121 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-29

    .... ACTION: Notice; correction. SUMMARY: On Friday, June 24, 2011 (76 FR 37082-37084), the Department of Defense published a notice to amend a system of records. On page 37083, in the second column, in the...

  1. 75 FR 10471 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ... to authorized personnel. Central Processing Units are located in a physically controlled access area..., Department of Defense. S650.30 SYSTEM NAME: DRMS Surplus Sales Program Records (September 4, 2007; 72...

  2. 76 FR 82286 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ... Register Liaison Officer, Department of Defense. Deletion: A0030 AMC, Food Taste Test Panel Files (February 1, 1996, 61 FR 3684). Reason: The methodology in this system of records is not used in this...

  3. 78 FR 22526 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... of Defense. DFMP 26 System name: Vietnamese Commando Compensation Files (November 30, 1998, 63 FR... Number (SSN), (if any), United States Immigration and Naturalization Service (INS) Identification or... Immigration and Naturalization Service; and from the National Archives and Records...

  4. 77 FR 31606 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-29

    ... Privacy Act of 1974; System of Records AGENCY: Office of English Language Acquisition, Language..., Office of English Language Acquisition, Language Enhancement and Academic Achievement for Limited English..., Assistant Deputy Secretary and Director for English Language Acquisition, Language Enhancement and...

  5. 75 FR 71090 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... officer, ATTN: SAF/XCPPI, 1800 Air Force Pentagon, Washington, DC 20330-1800, Mr. Charles J. Shedrick, 703... electronic records for 6 years and 3 months after cutoff. System manager(s) and address: Program Manager,...

  6. 32 CFR 310.33 - New and altered record systems.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... alterations. (ii) Increases in numbers of individuals due to normal growth are not considered alterations... significantly the scope of population covered (for example, expansion of a system of records covering a...

  7. 76 FR 13997 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... Responsibilities for Maintaining Records About Individuals,'' February 20, 1996, 61 FR 6427. Dated: March 9, 2011... System name: Judge Advocate General Professional Conduct Files (January 20, 2000, 65 FR 3215... memoranda, preliminary screening inquiry (PSI) reports and mismanagement inquiry reports...

  8. e-Patients Perceptions of Using Personal Health Records for Self-management Support of Chronic Illness.

    PubMed

    Gee, Perry M; Paterniti, Debora A; Ward, Deborah; Soederberg Miller, Lisa M

    2015-06-01

    Chronic illness self-management is largely moving from healthcare professionals and into the hands of the patient. One tool that has been promoted to facilitate self-management support of chronic illness by policymakers, health advocates, providers, and consumers is the personal health record. Little is known about how consumers effectively use personal health records for self-management support and for productive patient-provider interactions. The purpose of this study was to learn from chronically ill engaged, experienced, and educated (e-patient) adults how and why they use personal health records for self-management support and productive patient-provider interactions. Eighteen purposively selected consumers were interviewed in two communities. Qualitative description methods were used, and we used a grounded theory approach to analyzing interview data, which was digitally recorded and transcribed verbatim. We identified four major thematic categories that capture the perceptions of the chronically ill using personal health records: (1) patient engagement and health self-management, (2) access to and control over personal health data, (3) promotion of productive communication, and (4) opportunities for training and education. Knowledge gained from the e-patient personal health record users suggest that making improvements to the portal system and providing education to consumers and providers will increase the utility among the experienced users and encourage new users to embrace adoption and use.

  9. An ECG electrode-mounted heart rate, respiratory rhythm, posture and behavior recording system.

    PubMed

    Yoshimura, Takahiro; Yonezawa, Yoshiharu; Maki, Hiromichi; Ogawa, Hidekuni; Ninomiya, Ishio; Morton Caldwell, W

    2004-01-01

    R-R interval, respiration rhythm, posture and behavior recording system has been developed for monitoring a patient's cardiovascular regulatory system in daily life. The recording system consists of three ECG chest electrodes, a variable gain instrumentation amplifier, a dual axis accelerometer, a low power 8-bit single-chip microcomputer and a 1024 KB EEPROM. The complete system is mounted on the chest electrodes. R-R interval and respiration rhythm are calculated by the R waves detected from the ECG. Posture and behavior such as walking and running are detected from the body movements recorded by the accelerometer. The detected data are stored by the EEPROM and, after recording, are downloaded to a desktop computer for analysis.

  10. Hybridity as a process of technology's 'translation': customizing a national Electronic Patient Record.

    PubMed

    Petrakaki, Dimitra; Klecun, Ela

    2015-01-01

    This paper explores how national Electronic Patient Record (EPR) systems are customized in local settings and, in particular, how the context of their origin plays out with the context of their use. It shows how representations of healthcare organizations and of local clinical practice are built into EPR systems within a complex context whereby different stakeholder groups negotiate to produce an EPR package that aims to meet both local and generic needs. The paper draws from research into the implementation of the National Care Record Service, a part of the National Programme for Information Technology (NPfIT), in the English National Health Service (NHS). The paper makes two arguments. First, customization of national EPR is a distributed process that involves cycles of 'translation', which span across geographical, cultural and professional boundaries. Second, 'translation' is an inherently political process during which hybrid technology gets consolidated. The paper concludes, that hybrid technology opens up possibilities for standardization of healthcare. PMID:25461880

  11. Record-breaking avalanches in driven threshold systems.

    PubMed

    Shcherbakov, Robert; Davidsen, Jörn; Tiampo, Kristy F

    2013-05-01

    Record-breaking avalanches generated by the dynamics of several driven nonlinear threshold models are studied. Such systems are characterized by intermittent behavior, where a slow buildup of energy is punctuated by an abrupt release of energy through avalanche events, which usually follow scale-invariant statistics. From the simulations of these systems it is possible to extract sequences of record-breaking avalanches, where each subsequent record-breaking event is larger in magnitude than all previous events. In the present work, several cellular automata are analyzed, among them the sandpile model, the Manna model, the Olami-Feder-Christensen (OFC) model, and the forest-fire model to investigate the record-breaking statistics of model avalanches that exhibit temporal and spatial correlations. Several statistical measures of record-breaking events are derived analytically and confirmed through numerical simulations. The statistics of record-breaking avalanches for the four models are compared to those of record-breaking events extracted from the sequences of independent and identically distributed (i.i.d.) random variables. It is found that the statistics of record-breaking avalanches for the above cellular automata exhibit behavior different from that observed for i.i.d. random variables, which in turn can be used to characterize complex spatiotemporal dynamics. The most pronounced deviations are observed in the case of the OFC model with a strong dependence on the conservation parameter of the model. This indicates that avalanches in the OFC model are not independent and exhibit spatiotemporal correlations.

  12. 78 FR 45185 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-26

    ... about Individuals,'' dated February 8, 1996, (February 20, 1996, 61 FR 6427). Dated: July 17, 2013...: DoD Hotline Program Case Files (October 15, 2008, 73 FR 61089). Changes: * * * * * ] System Name... alter a system of records, CIG-16, Defense Case Activity Tracking System (D-CATS), in its inventory...

  13. 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... that cross or could cross, inundate, or otherwise affect the Hardened Intersite Cable System (HICS) and... personnel/agencies who affect, or are affected by, the Hardened Intersite Cable System and its...

  14. 78 FR 23204 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-18

    ... facilities that are secured at all times by ] security systems and video surveillance cameras. The security..., FL 33131. Dated: March 15, 2013. William Morgan, Chief Information Security Officer--Chief Privacy Officer. USAID-09 System Name: Criminal Law Enforcement Records System Security Classification:...

  15. 76 FR 35421 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... INFORMATION CONTACT. The proposed system report, as required by 5 U.S.C. 552a(r) of the Privacy Act of 1974... System name: National Security Education Program Records (December 30, 2008, 73 FR 79833). Changes... information about themselves contained in this system should address written inquiries to the Office of...

  16. 76 FR 26714 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... Responsibilities for Maintaining Records About Individuals,'' February 20, 1996, 61 FR 6427. Dated: May 3, 2011... System name: Army Career Tracker (ACT) (April 30, 2009, 74 FR 19951.) Changes: * * * * * System location... Leader Development; and E.O. 9397 (SSN), as amended.'' * * * * * System manager(s) and address:...

  17. 76 FR 51128 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... written request from the employee as a best practice and to better protect BPD employees. This publication... 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...

  18. A records system for a captive crane flock

    USGS Publications Warehouse

    Ellis, D.H.; Hartman, L.; Hereford, Scott G.; McMillen, J.L.; Harris, James

    1991-01-01

    Crane record keeping systems have been evolving at the Patuxent Wildlife Research Center (PWRC) since 1966 and at the International Crane Foundation (ICF) since 1974. The system we present here, a hybrid of the two systems, has been reorganized to promote easy access of information and to limit redundancy.

  19. 78 FR 27193 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ..., and Career Development Data System (February 22, 1993, 58 FR 10562). KWHC.01, Agency Training File..., 1993, 58 FR 10562), K890.07, Education, Training, and Career Development Data System ] (February 22... 22, 1993, 58 FR 10562). Reason: This system of records notice is no longer required; USAREUR...

  20. 75 FR 78688 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... submission of new or altered systems reports. Dated: December 9, 2010. Morgan F. Park, Alternate OSD Federal... System (NSIPS) (August 4, 2006, 71 FR 44266). Changes: * * * * * System location: Delete entry and..., Millington, TN 38054-5045 for records of all active duty and reserve members. Primary locations:...