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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.

  2. Applicability of different types of Patient Records for Patient Recruitment Systems.

    PubMed

    Schreiweis, Björn; Bergh, Björn

    2015-01-01

    Patient records--types of Electronic Medical Records--are implemented to support patient recruitment. Different types of patient records have not yet been analyzed as to the number of Patient Recruitment System requirements can be found in each type of patient record. According to our analysis, personal electronic health records (PEHRs) tend to allow for most requirements to be found.

  3. 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.

  4. Medical record keeping and system performance in orthopaedic trauma patients.

    PubMed

    Cosic, Filip; Kimmel, Lara; Edwards, Elton

    2016-02-18

    Objective The medical record is critical for documentation and communication between healthcare professionals. The aim of the present study was to evaluate important aspects of the orthopaedic medical record and system performance to determine whether any deficiencies exist in these areas.Methods Review of 200 medical records of surgically treated traumatic lower limb injury patients was undertaken. The operative report, discharge summary and first and second outpatient reviews were evaluated.Results In all cases, an operative report was completed by a senior surgeon. Weight-bearing status was adequately documented in 91% of reports. Discharge summaries were completed for 82.5% of admissions, with 87.3% of these having instructions reflective of those in the operative report. Of first and second outpatient reviews, 69% and 73%, respectively, occurred within 1 week of the requested time. Previously documented management plans were changed in 30% of reviews. At 6-months post-operatively, 42% of patients had been reviewed by a member of their operating team.Discussion Orthopaedic medical record documentation remains an area for improvement. In addition, hospital out-patient systems perform suboptimally and may affect patient outcomes.What is known about the topic? Medical records are an essential tool in modern medical practice. Despite the importance of comprehensive documentation in the medical record, numerous examples of poor documentation have been demonstrated, including substandard documentation during consultant ward rounds by junior doctors leading to a breakdown in healthcare professional communication and potential patient mismanagement. Further inadequacies of medical record documentation have been demonstrated in surgical discharge notes, with complete and correct documentation reported to be as low as 65%.What does this paper add? Standards of patient care should be constantly monitored and deficiencies identified in order to implement a remedy and close

  5. A clerking tool for the patient record system.

    PubMed

    McDermott, D; Heathfield, H; Kirby, J

    1995-01-01

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

  6. Electronic patient record and archive of records in Cardio.net system for telecardiology.

    PubMed

    Sierdziński, Janusz; Karpiński, Grzegorz

    2003-01-01

    In modern medicine the well structured patient data set, fast access to it and reporting capability become an important question. With the dynamic development of information technology (IT) such question is solved via building electronic patient record (EPR) archives. We then obtain fast access to patient data, diagnostic and treatment protocols etc. It results in more efficient, better and cheaper treatment. The aim of the work was to design a uniform Electronic Patient Record, implemented in cardio.net system for telecardiology allowing the co-operation among regional hospitals and reference centers. It includes questionnaires for demographic data and questionnaires supporting doctor's work (initial diagnosis, final diagnosis, history and physical, ECG at the discharge, applied treatment, additional tests, drugs, daily and periodical reports). The browser is implemented in EPR archive to facilitate data retrieval. Several tools for creating EPR and EPR archive were used such as: XML, PHP, Java Script and MySQL. The separate question is the security of data on WWW server. The security is ensured via Security Socket Layer (SSL) protocols and other tools. EPR in Cardio.net system is a module enabling the co-work of many physicians and the communication among different medical centers.

  7. Installing and Implementing a Computer-based Patient Record System in Sub-Saharan Africa: The Mosoriot Medical Record System

    PubMed Central

    Rotich, Joseph K.; Hannan, Terry J.; Smith, Faye E.; Bii, John; Odero, Wilson W.; Vu, Nguyen; Mamlin, Burke W.; Mamlin, Joseph J.; Einterz, Robert M.; Tierney, William M.

    2003-01-01

    The authors implemented an electronic medical record system in a rural Kenyan health center. Visit data are recorded on a paper encounter form, eliminating duplicate documentation in multiple clinic logbooks. Data are entered into an MS-Access database supported by redundant power systems. The system was initiated in February 2001, and 10,000 visit records were entered for 6,190 patients in six months. The authors present a summary of the clinics visited, diagnoses made, drugs prescribed, and tests performed. After system implementation, patient visits were 22% shorter. They spent 58% less time with providers (p < 0.001) and 38% less time waiting (p = 0.06). Clinic personnel spent 50% less time interacting with patients, two thirds less time interacting with each other, and more time in personal activities. This simple electronic medical record system has bridged the “digital divide.” Financial and technical sustainability by Kenyans will be key to its future use and development. PMID:12668697

  8. Childrens Hospital Integrated Patient Electronic Record System Continuation (CHIPERS)

    DTIC Science & Technology

    2015-12-01

    System Continuation (CHIPERS) PRINCIPAL...Decision  Support  (CDS)   system .    We  are   enrolling  patients  in  the  Pediatric  ICU  with  severe  sepsis/shock...sensitivities”  as  well  as  determine  how  environmental  and   systems  factors  influence  the  decisions  to

  9. 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.

  10. Toward secure distribution of electronic health records: quantitative feasibility study on secure E-mail systems for sharing patient records.

    PubMed

    Gomi, Yuichiro; Nogawa, Hiroki; Tanaka, Hiroshi

    2005-12-01

    If the quality and efficiency of medical services are to be ensured, electronic health records (EHR) and EHR-supporting infrastructure must be prevalent. Many hospitals, however, have EHR systems for their internal use only, and the standardization process for the exchange of medical information is still in process. This standardization process addresses information security and is considering public key infrastructure (PKI) as one security measure, but PKI is rarely used by medical practioners because of its poor user-friendliness. Here we propose an effective use of the identity-based encryption (IBE) system as a security measure. This system enables us to send encrypted and signed messages without requiring the receiver to get a public key, and it enables us to deliver secured messages to ambiguous receivers like those to whom letters of reference are sent. We evaluated the feasibility of this technology by using the analytic hierarchy process, which is an effective analysis tool when selection and judgment depend on nonquantitative psychological factors, to analyze the results of an experiment in which medical workers used E-mail agents with and without PKI and IBE. We found that medical practioners and researchers avoid using PKI because of its poor user-friendliness and instead use IBE even though it is harder to install. We therefore think IBE would encourage medical institutions to share patient records.

  11. An electronic health record to support patients and institutions of the health care system.

    PubMed

    Uckert, Frank; Müller, Marcel Lucas; Bürkle, Thomas; Prokosch, Hans-Ulrich

    2004-08-24

    The department of Medical Informatics of the University Hospital Münster and the Gesakon GmbH (an university offspring) initiated the cooperative development of an electronic health record (EHR) called "akteonline.de" in 2000. From 2001 onwards several clinics of the university hospital have already offered this EHR (within pilot projects) as an additional service to selected subsets of their patients. Based on the experiences of those pilot projects the system architecture and the basic data model underwent several evolutionary enhancements, e.g. implementations of electronic interfaces to other clinical systems (considering for example data interchange methods like the Clinical Document Architecture - standardized within the HL7 group - and also interfacing architectures of German GP systems, such as VCS and D2D). "akteonline.de" in its current structure supports patients as well as health care professionals and aims at providing a collaborative health information system which perfectly supports the clinical workflow even across institutional boundaries and including the patient himself. Since such an EHR needs to strictly fulfill high data security and data protection requirements, a complex authorization and access control component has been included. Furthermore the EHR data are encrypted within the database itself and during their transfer across the internet.

  12. Expert systems, security and quality assurance: implications of patient records as data-space.

    PubMed

    Kluge, E H

    2001-01-01

    The concept of data-space is fruitful in trying to understand the ethical rights and duties that surround the treatment of patient records. However, it also provides a solution to three apparently unconnected problems: the construction of expert diagnostic systems, the development of an internal security element within the sphere of permitted data-access for health care professionals, and the development of a professional quality assurance mechanism. This paper presents a model of how these diverse aims may be achieved. It does so by developing the notion of the logical form of data within a data-space and by showing how the path taken by a health care professional through a profession-relative data-space can provide checks for the security, quality and appropriateness of the path itself. The result is important in that it provides an integrated method for information specialists to meet their fiduciary obligations towards the patients whose records are in their care, and towards the institutions that employ them.

  13. 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…

  14. 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.

  15. 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.

  16. Acute cervico-facial infection in Scotland 2010: patterns of presentation, patient demographics and recording of systemic involvement.

    PubMed

    Byers, J; Lowe, T; Goodall, C A

    2012-10-01

    Acute bacterial cervicofacial infection is a common problem that is most often secondary to dental infection. Most cases present as localised abscesses but some may be associated with serious morbidity including scarring, embarrassment of the airway, SIRS (systemic inflammatory response syndrome), and sepsis syndrome. Fourteen oral surgery or maxillofacial surgery units in Scotland took part in a clinical audit of acute infection during two four-week cycles (August and November) in 2010. Information regarding the patients, signs and symptoms, and management was recorded. Training material was distributed between cycles with information on SIRS, sepsis, and the prescription of antibiotics. Overall, 140 patients presented with acute infection. There was an equal sex distribution and ages ranged from 5 to 87 years. There was an association with deprivation and 36% of patients were from the lowest socioeconomic quintile. Most infections were dental (n=120, 86%), and patients presented with pain and swelling (n=120, 86% and n=134, 96%, respectively) Twenty-three patients (16%) met the criteria for SIRS. A further 23 (16%) had at least one positive SIRS marker with incomplete recording of the remaining markers. Twenty-six patients (19%) had no recorded SIRS markers. Cervicofacial infection can be associated with serious morbidity and mortality, which may be better managed if the systemic signs and symptoms of sepsis are recognised and recorded at presentation. This study showed that the recording of signs of sepsis was variable even with training. Further training of junior staff to recognise severe acute bacterial infection may improve management.

  17. 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…

  18. 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.

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

    PubMed

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

    2015-01-01

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

  20. A synchronization system for the analysis of biomedical signals recorded with different devices from mechanically ventilated patients.

    PubMed

    Camacho, Alejandro; Hernández, A Mauricio; Londoño, Zulma; Serna, Leidy Y; Mañanas, Miguel A

    2012-01-01

    Conducting research associated with mechanically ventilated patients often requires the recording of several biomedical signals to dispose of multiple sources of information to perform a robust analysis. This is especially important in the analysis of the relationship between pressure, volume and flow, signals available from mechanical ventilators, and other biopotentials such as the electromyogram of respiratory muscles, intrinsically related with the ventilatory process, but not commonly recorded in the clinical practice. Despite the usefulness of recording signals from multiple sources, few medical devices include the possibility of synchronizing its data with other provided by different biomedical equipment and some may use inaccurate sampling frequencies. Even thought a variant or inaccurate sampling rate does not affect the monitoring of critical patients, it restricts the study of simultaneous related events useful in research of respiratory system activity. In this article a device for temporal synchronization of signals recorded from multiple biomedical devices is described as well as its application in the study of patients undergoing mechanical ventilation with research purposes.

  1. 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

  2. Patient access to medical records.

    PubMed

    Mair, J L

    1996-01-01

    The issue of, and access to, medical records has been a contentious matter for some years in Australia. The recent High Court decision of Breen v Williams has clarified the law nationwide. The High Court confirmed that the ownership of medical records is vested in the creator of the records. The High Court further held that a patient has no right at law to access his or her medical records in the absence of any statute granting such a right, or other legal process.

  3. 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

  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.

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

    PubMed Central

    Choubey, Mona; Mishra, Hrishikesh; Soni, Khushboo

    2016-01-01

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

  6. Children’s Hospital Integrated Patient Electronic Record System (CHIPERS) Continuation

    DTIC Science & Technology

    2012-10-01

    system in providing closed loop  feedback and decision support in the nutrition management of very low birth weight (VLBW)  infants  in the  newborn ...Pediatric ICU with severe sepsis/shock (Specific Aims 1 and 3) and patients in the Newborn ICU requiring prolonged parenteral nutrition (Specific Aim 2...severe sepsis/shock (Specific  Aims 1 and 3) and patients in the  Newborn  ICU who require prolonged parenteral nutrition  (Specific Aim 2).  Our goal

  7. Tolerability of central nervous system symptoms among HIV-1 infected efavirenz users: analysis of patient electronic medical record data.

    PubMed

    Rosenblatt, Lisa; Broder, Michael S; Bentley, Tanya G K; Chang, Eunice; Reddy, Sheila R; Papoyan, Elya; Myers, Joel

    2017-02-01

    Efavirenz (EFV) is a non-nucleoside reverse transcriptase inhibitor indicated for treatment of HIV-1 infection. Despite concern over EFV tolerability in clinical trials and practice, particularly related to central nervous system (CNS) adverse events, some observational studies have shown high rates of EFV continuation at one year and low rates of CNS-related EFV substitution. The objective of this study was to further examine the real-world rate of CNS-related EFV discontinuation in antiretroviral therapy naïve HIV-1 patients. This retrospective cohort study used a nationally representative electronic medical records database to identify HIV-1 patients ≥12 years old, treated with a 1st-line EFV-based regimen (single or combination antiretroviral tablet) from 1 January 2009 to 30 June 2013. Patients without prior record of EFV use during 6-month baseline (i.e., antiretroviral therapy naïve) were followed 12 months post-medication initiation. CNS-related EFV discontinuation was defined as evidence of a switch to a replacement antiretroviral coupled with record of a CNS symptom within 30 days prior, absent lab evidence of virologic failure. We identified 1742 1st-line EFV patients. Mean age was 48 years, 22.7% were female, and 8.1% had a prior report of CNS symptoms. The first year, overall discontinuation rate among new users of EFV was 16.2%. Ten percent of patients (n = 174) reported a CNS symptom and 1.1% (n = 19) discontinued EFV due to CNS symptoms: insomnia (n = 12), headache (n = 5), impaired concentration (n = 1), and somnolence (n = 1). The frequency of CNS symptoms was similar for patients who discontinued EFV compared to those who did not (10.3 vs. 9.9%; P = .86). Our study found that EFV discontinuation due to CNS symptoms was low, consistent with prior reports.

  8. Implementing an interprofessional patient record.

    PubMed

    Griffiths, Paul; Anderson, Alan; Coyne, Clare; Beastall, Helen; Hill, Joanne

    2011-04-01

    This paper describes the implementation of an interprofessional patient record (IPPR) at Sheffield Teaching Hospitals NHS Foundation Trust (STHFT). The IPPR was a two-year project, commencing in May 2008, aimed at creating a single IPPR to which all staff contribute. Prior to the IPPR, records were profession specific with nursing, medical and therapy staff keeping separate ones. This paper describes the process for the project including the stakeholder engagement plan, the development of IPPR standards, the education and training programme and the key measures used to assess implementation. The staff survey and clinical audit data suggest that the IPPR was successfully implemented with many of the perceived benefits realised. The keys to success of this major change project were: time spent engaging clinical staff, board level support, the appointment of a dedicated project team and the involvement and support of many staff involved in patient records throughout STHFT.

  9. Application of KinectTM and wireless technology for patient data recording and viewing system in the course of surgery

    NASA Astrophysics Data System (ADS)

    Ong, Aira Patrice R.; Bugtai, Nilo T.; Aldaba, Luis Miguel M.; Madrangca, Astrid Valeska H.; Que, Giselle V.; Que, Miles Frederick L.; Tan, Kean Anderson. S.

    2017-02-01

    In modern operating room (OR) conditions, a patient's computed tomography (CT) or magnetic resonance imaging (MRI) scans are some of the most important resources during surgical procedures. In practice, the surgeon is impelled to scrub out and back in every time he needs to scroll through scan images in mid-operation. To prevent leaving the operating table, many surgeons rely on assistants or nurses and give instructions to manipulate the computer for them, which can be cumbersome and frustrating. As a motivation for this study, the use of touchless (non-contact) gesture-based interface in medical practice is incorporated to have aseptic interactions with the computer systems and with the patient's data. The system presented in this paper is composed of three main parts: the Trek Ai-Ball Camera, the Microsoft Kinect™, and the computer software. The incorporation of these components and the developed software allows the user to perform 13 hand gestures, which have been tested to be 100 percent accurate. Based on the results of the tests performed on the system performance, the conclusions made regarding the time efficiency of the viewing system, the quality and the safety of the recording system has gained positive feedback from consulting doctors.

  10. CLAIM (CLinical Accounting InforMation)--an XML-based data exchange standard for connecting electronic medical record systems to patient accounting systems.

    PubMed

    Guo, Jinqiu; Takada, Akira; Tanaka, Koji; Sato, Junzo; Suzuki, Muneou; Takahashi, Kiwamu; Daimon, Hiroyuki; Suzuki, Toshiaki; Nakashima, Yusei; Araki, Kenji; Yoshihara, Hiroyuki

    2005-08-01

    With the evolving and diverse electronic medical record (EMR) systems, there appears to be an ever greater need to link EMR systems and patient accounting systems with a standardized data exchange format. To this end, the CLinical Accounting InforMation (CLAIM) data exchange standard was developed. CLAIM is subordinate to the Medical Markup Language (MML) standard, which allows the exchange of medical data among different medical institutions. CLAIM uses eXtensible Markup Language (XML) as a meta-language. The current version, 2.1, inherited the basic structure of MML 2.x and contains two modules including information related to registration, appointment, procedure and charging. CLAIM 2.1 was implemented successfully in Japan in 2001. Consequently, it was confirmed that CLAIM could be used as an effective data exchange format between EMR systems and patient accounting systems.

  11. 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.

  12. Technical challenges, past and future, in implementing THERESA: a one million patient, one billion item computer-based patient record and decision support system

    NASA Astrophysics Data System (ADS)

    Camp, Henry N.

    1996-02-01

    Challenges in implementing a computer-based patient record (CPR)--such as absolute data integrity, high availability, permanent on-line storage of very large complex records, rapid search times, ease of use, commercial viability, and portability to other hospitals and doctor's offices--are given along with their significance, the solutions, and their successes. The THERESA CPR has been used sine 1983 in direct patient care by a public hospital that is the primary care provider to 350,000 people. It has 1000 beds with 45,000 admissions and 750,000 outpatient visits annually. The system supports direct provider entry, including by physicians, of complete medical `documents'. Its demonstration site currently contains 1.1 billion data items on 1 million patients. It is also a clinical decision-aiding tool used for quality assurance and cost containment, for teaching as faculty and students can easily find and `thumb through' all cases similar to a particular study, and for research with over a billion medical items that can be searched and analyzed on-line within context and with continuity. The same software can also run in a desktop microcomputer managing a private practice physician's office.

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

    PubMed Central

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

    2009-01-01

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

  14. DSN telemetry system data records

    NASA Technical Reports Server (NTRS)

    Gatz, E. C.

    1976-01-01

    The DSN telemetry system now includes the capability to provide a complete magnetic tape record, within 24 hours of reception, of all telemetry data received from a spacecraft. This record, the intermediate data record, is processed and generated almost entirely automatically, and provides a detailed accounting of any missing data.

  15. Implementing security in computer based patient records clinical experiences.

    PubMed

    Iversen, K R; Heimly, V; Lundgren, T I

    1995-01-01

    In Norway, organizational changes in hospitals and a stronger focus on patient safety have changed the way of organizing and managing paper based patient records. Hospital-wide patient records tend to replace department based records. Since not only clinicians, but also other non-medical staff have access to the paper records, they also have easy access to all the information which is available on a specific patient; such a system has obvious 'side effects' on privacy and security. Computer based patient records (CPRs) can provide the solution to this apparent paradox if the complex aspects of security, privacy, effectiveness, and user friendliness are focused on jointly from the outset in designing such systems. Clinical experiences in Norway show that it is possible to design patient record systems that provide a very useful tool for clinicians and other health care personnel (HCP) while fully complying with comprehensive security and privacy requirements.

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

    PubMed Central

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

    2015-01-01

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

  17. 78 FR 17778 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... ``Patient Medical Record--VA'' (24VA19) as set forth in the Federal Register at 74 FR 60040. That notice... of records entitled ``Patient Medical Records-- VA'' (24VA19), which revised the System Number (the... AFFAIRS Privacy Act of 1974; System of Records AGENCY: Department of Veterans Affairs. ACTION: Notice...

  18. [Development of an magnetic resonance imaging safety management system for metallic biomedical products using an magnetic resonance compatibility database and inquiry-based patient records].

    PubMed

    Fujiwara, Yasuhiro; Kata, Tomomi; Fujimoto, Shinichi; Yachida, Takuya; Kanamoto, Masayuki; Nanbu, Yousuke; Seki, Kouichirou; Kosaka, Nobuyuki; Kimura, Hirohiko; Adachi, Toshiki

    2014-12-01

    Several incidents involving magnetic resonance imaging (MRI) examinations of patients with unchecked MR-unsafe metallic products have been reported. To improve patient safety, we developed a new MRI safety management system for metallic biomedical products and evaluated its efficiency in clinical practice. Our system was integrated into the picture archiving and communication system (PACS) and comprised an MR compatibility database and inquiry-based patient records of internal metallic biomedical products, enabling hospital staff to check MR compatibility by product name. A total of 6,637 biomedical implants and devices were listed in this system, including product names and their MR compatibilities. Furthermore, MRI histories for each patient at our hospital were also recorded. Using this system, it was possible to confirm the MR compatibility of the patients' metallic biomedical products effectively and to reduce the number of unchecked internal products through systematic patient inquiry. In conclusion, our new system enhanced metallic biomedical product checking procedures, and improved patient safety during clinical MRI examinations.

  19. Electronic medical records in humanitarian emergencies – the development of an Ebola clinical information and patient management system

    PubMed Central

    Jobanputra, Kiran; Greig, Jane; Shankar, Ganesh; Perakslis, Eric; Kremer, Ronald; Achar, Jay; Gayton, Ivan

    2017-01-01

    By November 2015, the West Africa Ebola epidemic had caused 28598 infections and 11299 deaths in the three countries most affected. The outbreak required rapid innovation and adaptation. Médecins sans Frontières (MSF) scaled up its usual 20-30 bed Ebola management centres (EMCs) to 100-300 beds with over 300 workers in some settings. This brought challenges in patient and clinical data management resulting from the difficulties of working safely with high numbers of Ebola patients. We describe a project MSF established with software developers and the Google Social Impact Team to develop context-adapted tools to address the challenges of recording Ebola clinical information. We share the outcomes and key lessons learned in innovating rapidly under pressure in difficult environmental conditions. Information on adoption, maintenance, and data quality was gathered through review of project documentation, discussions with field staff and key project stakeholders, and analysis of tablet data. In March 2015, a full prototype was deployed in Magburaka EMC, Sierra Leone. Inpatient data were captured on 204 clinical interactions with 34 patients from 5 March until 10 April 2015. Data continued to also be recorded on paper charts, creating theoretically identical record “pairs” on paper and tablet. 83 record pairs for 33 patients with 22 data items (temperature and symptoms) per pair were analysed. The overall Kappa coefficient for agreement between sources was 0.62, but reduced to 0.59 when rare bleeding symptoms were excluded, indicating moderate to good agreement. The time taken to deliver the product was more than that anticipated by MSF (7 months versus 6 weeks). Deployment of the tablet coincided with a dramatic drop in patient numbers and thus had little impact on patient care. We have identified lessons specific to humanitarian-technology collaborative projects and propose a framework for emergency humanitarian innovation. Time and effort is required to bridge

  20. 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.

  1. [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.

  2. The electronic patient records of the Hannover Medical School.

    PubMed

    Porth, A J; Niehoff, C; Matthies, H K

    1999-01-01

    In this paper, the successful introduction of a commercially available electronic patient record archiving system at the Hannover Medical School is described. Since 1996, more than 11 million document sheets of 130,000 patient records have been stored electronically. Currently, 100,000 sheets are stored each week.

  3. [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.

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

    PubMed

    Pisanelli, D M; Ricci, F L

    1994-12-01

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

  5. Recording performance and system integration of perpendicular magnetic recording

    NASA Astrophysics Data System (ADS)

    Tanaka, Yoichiro

    2005-02-01

    Perpendicular recording has been actively developed for future high-density recording system. We studied the integration of the perpendicular recording system to the hard disk drive (HDD). Double layer perpendicular media and single-pole type perpendicular head with GMR reader were employed in 2.5″ HDD. As a result of the integration test, it was confirmed that perpendicular recording 2.5″ test HDDs functioned well at the capacity of 50 GB/platter. Through the drive integration, the features of the perpendicular recording were thoroughly studied. The complementary features between perpendicular recording and longitudinal recording are also discussed.

  6. 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…

  7. Toward an integrated computerized patient record.

    PubMed

    Dole, T R; Luberti, A A

    2000-04-01

    Developing a comprehensive electronic medical record system to serve ambulatory care providers in a large health care enterprise requires significant time and resources. One approach to achieving this system is to devise a series of short-term, workable solutions until a complete system is designed and implemented. The initial solution introduced a basic (mini) medical record system that provided an automated problem/summary sheet and decentralization of ambulatory-based medical records. The next step was to partner with an information system vendor committed to continued development of the long-term system capable of supporting the health care organization well into the future.

  8. 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.

  9. 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.

  10. 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

  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. From computerized patient records to national resource.

    PubMed

    Zuker, Allon

    2003-01-01

    To help curb constantly rising costs of medical services, healthcare providers in Israel have been busy incorporating computerized patient record systems (CPR) into their organizations since the early 1990s. Our CPR based integrated system solutions (named Clicks) now serve over 90% of primary and secondary medical care professionals throughout the country, covering over 90% of the population across medical fields with all healthcare providers. Online verification of member rights, embedded business rules and medical protocols as well as Preventive Medical Assistance (PMA) rules are incorporated into the system. These, coupled by bi-directional communication to facilitate implementation and enforcement at all points of service and to transmit administrative and focal medical information, have created a firm foundation for carrying out the organization's cost control and expense management strategies. The CPR systems based on these underlying concepts and on token driven data entry methodology have transformed traditional medical work areas into virtually paperless environments. The enterprise wide solutions use dedicated viewports to address the needs and requirements of any medical field, user population and a wide range of medical facilities. Extensive data collection and detailed documentation are maintained universally at all points of service, for the entire patient population. Current applications, based on a distributed approach and local databases with communication to central systems for bi-directional transfer of information, gradually give way to unified databases located on central systems. Two concepts are being implemented: (a) MDC (Medical Data Core), which contains patients' focal medical data as transmitted from the local database at the physician's workstation, and (b) a complete centrally located database, where continuous communication is required from the physician's workstation to the central system, through dumb terminals. This concept

  13. 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.

  14. 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.

  15. 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.

  16. 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

  17. 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.

  18. [Electronic medical record--interface specifications with medical informatics systems].

    PubMed

    Mocanu, Carmen; Mocanu, Mihai

    2007-01-01

    The paper presents the initial efforts of description and implementation for a new scheme of electronic patients recording, based on distributed database for chronic ophthalmologic diseases. Structural specifications derived from principal system's goals are the implementation of an efficient and flexible way of patients' data administration, using actual Web technologies, permitting future extensions, without reducing in performances and without exponential cost increasing. A very important aspect, that must be take into consideration is their interfacing with other medical programs and systems, as the systems for recording clinical data, monitoring systems (Patient Administrations Systems - PAS) for demographical data, systems for monitoring of treatment (Hippocrates program), web systems, including wireless.

  19. 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

  20. 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

  1. Towards a Web-Based System for Family Health Record

    PubMed Central

    Marceglia, Sara; Bonacina, Stefano; Braidotti, Andrea; Nardelli, Marco; Pinciroli, Francesco

    2006-01-01

    Electronic health records are a fundamental support needed not only by healthcare providers, but also for individual patients. We considered the health management in the familiar environment and we developed a web-based system for family health record. The system permits an easy compilation and provides an effective visualization of the clinical data concerning family members also for friendly printing tasks. PMID:17238642

  2. Towards a web-based system for family health record.

    PubMed

    Marceglia, Sara; Bonacina, Stefano; Braidotti, Andrea; Nardelli, Marco; Pinciroli, Francesco

    2006-01-01

    Electronic health records are a fundamental support needed not only by healthcare providers, but also for individual patients. We considered the health management in the familiar environment and we developed a web-based system for family health record. The system permits an easy compilation and provides an effective visualization of the clinical data concerning family members also for friendly printing tasks.

  3. Privacy Act System of Records: Federal Lead-Based Paint Program System of Records, EPA-54

    EPA Pesticide Factsheets

    Learn about the Federal Lead-Based Paint Program System of Records (FLPPSOR), including the security classification, individuals covered by the system, categories of records, routine uses of the records, and other security procedures.

  4. An object oriented computer-based patient record reference model.

    PubMed Central

    Doré, L.; Lavril, M.; Jean, F. C.; Degoulet, P.

    1995-01-01

    In the context of health care information systems based on client/server architecture, we address the problem of a common Computer-based Patient Record (CPR). We define it as a collection of faithful observations about patients care, with respect to the free expression of physicians. This CPR model supports several views of the medical data, in order to provide applications with a comprehensive and standardized access to distributed patient data. Finally, we validated our CPR approach as a primary data model server for an application for hypertensive patient management. PMID:8563306

  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. Patient experiences with electronic medical records: Lessons learned

    PubMed Central

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

    2014-01-01

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

  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. 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.

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

    PubMed

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

    1993-05-01

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

  10. 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

  11. Digital optical recorder-reproducer system

    NASA Technical Reports Server (NTRS)

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

    1980-01-01

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

  12. Tempus Pro Patient Monitoring System

    DTIC Science & Technology

    2015-04-03

    AFRL-SA-WP-TR-2015-0006 Tempus Pro Patient Monitoring System Nigel D. Pritchard 3 April 2015 Final Report... System 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER Nigel D. Pritchard 5e. TASK NUMBER...subsequent demonstration of the Tempus Pro patient monitoring system to include the AF3899L critical care patient movement record. 15. SUBJECT TERMS

  13. Personal Health Records for Patients with Chronic Disease

    PubMed Central

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

    2014-01-01

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

  14. Giving patients a copy of their computer medical record.

    PubMed

    Sheldon, M G

    1982-02-01

    Medical summaries were prepared by a general practitioner for inclusion in a computer system. Both the medical records and a patient-filled questionnaire were used. A representative sample of the practice population were then sent their summaries. In creating the summaries the general practitioner felt the need to exclude 11 diagnoses whenever they appeared (5 per cent of the patients), and to suppress one or more diagnoses in a further 14 per cent of patients. In 2 per cent of summaries the general practitioner felt unable to give a copy to the patient because he was afraid of an adverse reaction by the patient or immediate relatives.The patients' views of the usefulness of the summaries, and of their accuracy and completeness, were sought by a questionnaire. Replies were received from 71 per cent; of these, 91 per cent reported that they thought the summary useful. However, in 18 per cent of cases, the patients requested additions, corrections or deletions. Only 1 per cent of patients replied that they definitely did not like the idea of a computer containing their medical information.Some of the benefits and difficulties both of using a computer to store medical information, and of giving the patient a copy of the medical summary, are discussed.

  15. 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...

  16. Customer-oriented medical records can promote patient satisfaction.

    PubMed

    MacStravic, R S

    1988-04-01

    The customer-oriented medical record helps promote patient satisfaction by providing a mechanism to monitor and document quality of care from the patient's perspective. Information that should be contained in the record includes the following: Personal and family information. Reasons for selecting the provider. Reasons for patient visit. Patient requests and responses thereto. Provider and staff observations. Patient feedback. Summaries of previous visits. Record of progress made. In addition to promoting patient satisfaction, the customer-oriented medical record provides a data base for analyzing the current market that can be used in designing marketing communications to attract new patients. It also contributes to provider success by reminding care givers of their commitment to patient satisfaction, motivating them to be sensitive to patients' needs and expectations, and helping them to personalize the care experience.

  17. 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

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

    PubMed Central

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

    2014-01-01

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

  19. 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.

  20. 76 FR 79660 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-22

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

  1. 78 FR 27276 - Privacy Act; System of Records: Security Records, State-36

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... Act; System of Records: Security Records, State-36 SUMMARY: Notice is hereby given that the Department of State proposes to amend an existing system of records, Security Records, State-36, pursuant to the... Department of State proposes that the current system retain the name ``Security Records''...

  2. 11 CFR 1.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... individual records in a record system. 1.3 Section 1.3 Federal Elections FEDERAL ELECTION COMMISSION PRIVACY... location and to the person specified in the notice describing that record system. (b) An individual who... record system contains those records, may request assistance by mail or in person from the Chief...

  3. 11 CFR 1.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... individual records in a record system. 1.3 Section 1.3 Federal Elections FEDERAL ELECTION COMMISSION PRIVACY... location and to the person specified in the notice describing that record system. (b) An individual who... record system contains those records, may request assistance by mail or in person from the Chief...

  4. 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

  5. Five-day recorder seismic system

    USGS Publications Warehouse

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

    1978-01-01

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

  6. 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...

  7. 76 FR 33286 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... the Establishment of New Systems of Records, Adoption of a Government-Wide System of Records, Removal of Existing Systems of Records, and notice of Government-Wide Systems of Records previously adopted... proposed establishment of seven new Privacy Act systems of records, the adoption of a...

  8. 77 FR 58816 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-24

    ... Agency is deleting five systems of records notices from its existing inventory of record systems subject... proposes to delete five systems of records from its inventory of record systems subject to the Privacy Act... Accounting Service system of records notice, T-7340d, Defense Military Pay Office Input and Reporting...

  9. 76 FR 1409 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... system of records notice from its existing inventory of record systems subject to the Privacy Act of 1974... delete one system of records notice from its inventory of record systems subject to the Privacy Act of... system are also covered by Defense Finance and Accounting Service records notice T7332, Defense...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... system of records notice in its existing inventory of record systems subject to the Privacy Act of 1974... Force proposes to delete one system of records notice from its inventory of record systems subject to... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force,...

  11. 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

  12. Security architecture for multi-site patient records research.

    PubMed Central

    Behlen, F. M.; Johnson, S. B.

    1999-01-01

    A security system was developed as part of a patient records research database project intended for both local and multi-site studies. A comprehensive review of ethical foundations and legal environment was undertaken, and a security system comprising both administrative policies and computer tools was developed. For multi-site studies, Institutional Review Board (IRB) approval is required for each study, at each participating site. A sponsoring Principal Investigator (PI) is required at each site, and each PI needs automated enforcement tools. Systems fitting this model were implemented at two academic medical centers. Security features of commercial database systems were found to be adequate for basic enforcement of approved research protocols. PMID:10566404

  13. 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

  14. Solving incompatibilities between electronic records for orthodontic patients.

    PubMed

    Magni, Antonio; de Oliveira Albuquerque, Robson; de Sousa, Rafael Timóteo; Hans, Mark G; Magni, Franco G

    2007-07-01

    Today, orthodontists should not need to burden their work load with tasks such as figuring out how to send patient information to colleagues or how to share the same patient record across different software programs. In a long-term attempt to lighten these tasks, we are developing a standard for electronic orthodontic patient records to enable a seamless interchange of data between software programs. This article describes a practical proposal that integrates 2 existing standards, HL7 and DICOM, to create a standard for electronic orthodontic patient records.

  15. [Introduction of a simple audio recording system to the operating room--experience at a small local hospital].

    PubMed

    Taniguchi, Ayano; Nakamura, Eriko; Yaegashi, Kazuhiro

    2012-10-01

    We developed a simple audio recording system using a small personal computer and free audio recording software that makes voice recordings for use in emergencies, particularly for emergency caesarean sections. The system makes a continuous audio recording while the patient receives medical treatment. The recording provides an accurate record of the anesthesia used during treatment. This audio recording system is useful as an auxiliary means of record keeping during medical emergencies.

  16. Multicenter patient records research: security policies and tools.

    PubMed

    Behlen, F M; Johnson, S 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.

  17. 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.

  18. Instrumentation Development of an Airborne Recording System.

    DTIC Science & Technology

    1978-01-01

    calculator and suitable peripheral equipment. Accelerometer time histories from an analog recorder are digitized and processed on the programmable calculator system...spectral data in support of materiel air transportability and air delivery testing missions. The new data processing is based on a programmable

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

    PubMed

    Canfield, K; Silva, M; Petrucci, K

    1994-01-01

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

  20. 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

  1. 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.

  2. 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

  3. Electronic Health Record Innovations for Healthier Patients and Happier Doctors

    PubMed Central

    Krist, Alex H.

    2015-01-01

    This special issue explores a range of health information technology (HIT) issues that can help primary care practices and patients. Findings address the design of HIT systems, primarily electronic health records (EHRs), the utility of various functionalities, and implementation strategies that ensure the greatest value. The articles also remind us that, while HIT can support the delivery of care, it is not a panacea. To be effective, functionality needs to be relevant and timely for both the clinician and patient. Prompts and better documentation can improve care, and “prompt fatigue” is not inevitable. Information presented within EHRs needs to be actionable. There is an ongoing tension between information overload and the right—and helpful—information. Even the order of presentation of information can make a difference in the outcome. Whether supported by HIT or not, basic tenants of care, such as including the whole care team in trainings, communicating with other providers, and engaging patients, remain essential. The studies in this issue will prove useful for informatics developers, practices and health systems making HIT decisions, and care teams refining HIT to support the needs of their patients. PMID:25957359

  4. PAMFOnline: integrating EHealth with an electronic medical record system.

    PubMed

    Tang, Paul C; Black, William; Buchanan, Jenny; Young, Charles Y; Hooper, David; Lane, Steven R; Love, Barbara; Mitchell, Charlotte; Smith, Nancy; Turnbull, Jenifer R

    2003-01-01

    The Institute of Medicine stressed the need for continuous healing relationships, yet the delivery of health care has traditionally been confined to the physician office or hospital. We implemented an eHealth application tightly integrated with our electronic medical record system that provides patients with a convenient, continuously available communication channel to their physician's office. Patients can view summary data from their medical record, including the results of diagnostic tests, and request medical advice, prescription renewals, appointments, or updates to their demographic information. We have found that patients embrace this new communication channel and are using the service appropriately. Patients especially value electronic messaging with their physicians and timely access to their test results. While initially concerned about an increase in work, physicians have found that use of electronic messaging can be an efficient method for handling non-urgent communication with their patients. Online tools for patients, when integrated with an electronic medical record, can provide patients with better access to health information, improve patient satisfaction, and improve operational efficiency.

  5. 21 CFR 21.71 - Disclosure of records in Privacy Act Record Systems; accounting required.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 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 Act Record Systems; accounting required. (a) Except as provided in § 21.70, a record about an individual...

  6. 32 CFR 318.6 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... individual seeking notification of whether a system of records, maintained by the Defense Threat Reduction... request in writing. Requesters are encourage to review the systems of records notices published by the... records in a record system. 318.6 Section 318.6 National Defense Department of Defense (Continued)...

  7. 32 CFR 318.6 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... individual seeking notification of whether a system of records, maintained by the Defense Threat Reduction... request in writing. Requesters are encourage to review the systems of records notices published by the... records in a record system. 318.6 Section 318.6 National Defense Department of Defense (Continued)...

  8. 32 CFR 318.6 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... individual seeking notification of whether a system of records, maintained by the Defense Threat Reduction... request in writing. Requesters are encourage to review the systems of records notices published by the... records in a record system. 318.6 Section 318.6 National Defense Department of Defense (Continued)...

  9. 32 CFR 318.6 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... individual seeking notification of whether a system of records, maintained by the Defense Threat Reduction... request in writing. Requesters are encourage to review the systems of records notices published by the... records in a record system. 318.6 Section 318.6 National Defense Department of Defense (Continued)...

  10. 76 FR 76215 - Privacy Act; System of Records: State-78, Risk Analysis and Management Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-06

    ... Act; System of Records: State-78, Risk Analysis and Management Records SUMMARY: Notice is hereby given that the Department of State proposes to create a system of records, Risk Analysis and Management... Office of Management and Budget Circular No. A-130, Appendix I. DATES: This system of records will...

  11. 78 FR 43258 - Privacy Act; System of Records: Human Resources Records, State-31

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-19

    ... Act; System of Records: Human Resources Records, State-31 SUMMARY: Notice is hereby given that the Department of State proposes to amend an existing system of records, Human Resources Records, State- 31... filed with the Office of Management and Budget. The amended system description, ``Human...

  12. A hypermedia-based medical records management system.

    PubMed

    Laforest, F; Frénot, S; Flory, A

    1998-01-01

    This article presents a new way to manage computerized medical records, based on a totally-hypermedia system. As a matter of fact, the classical use of a database limits the necessary variability of the medical record, in function of both the patient profile and the care practitioner habits. The system we propose is based on a hospital Intranet, and on the XML language. This language allows the definition of semantic tags in hyperdocuments, and thus information retrieval is ensured through semantic tags indexation.

  13. 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.

  14. 49 CFR 802.5 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., provided the record under the control of the NTSB is maintained in a system of records from which... solely as a statistical research or reporting record and that it is to be transferred in a form...

  15. 77 FR 5234 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... Privacy Act of 1974; System of Records AGENCY: Office of Inspector General (OIG), Department of Commerce... system of records entitled ``Investigative and Inspection Records--COMMERCE/DEPT-12,'' to include the new... records system. Accordingly, ``Investigative and Inspection Records--COMMERCE/DEPT--12,'' published in...

  16. 77 FR 2692 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-19

    ... Privacy Act of 1974; System of Records AGENCY: Office of Inspector General (OIG), Department of Commerce... system of records entitled ``Investigative and Inspection Records-- COMMERCE/DEPT-12,'' to include the... records system. Accordingly, ``Investigative and Inspection Records-- COMMERCE/DEPT--12,'' published...

  17. Integrated Electronic Health Record Database Management System: A Proposal.

    PubMed

    Schiza, Eirini C; Panos, George; David, Christiana; Petkov, Nicolai; Schizas, Christos N

    2015-01-01

    eHealth has attained significant importance as a new mechanism for health management and medical practice. However, the technological growth of eHealth is still limited by technical expertise needed to develop appropriate products. Researchers are constantly in a process of developing and testing new software for building and handling Clinical Medical Records, being renamed to Electronic Health Record (EHR) systems; EHRs take full advantage of the technological developments and at the same time provide increased diagnostic and treatment capabilities to doctors. A step to be considered for facilitating this aim is to involve more actively the doctor in building the fundamental steps for creating the EHR system and database. A global clinical patient record database management system can be electronically created by simulating real life medical practice health record taking and utilizing, analyzing the recorded parameters. This proposed approach demonstrates the effective implementation of a universal classic medical record in electronic form, a procedure by which, clinicians are led to utilize algorithms and intelligent systems for their differential diagnosis, final diagnosis and treatment strategies.

  18. Privacy Act System of Records: Libby Asbestos Exposure Assessment Records, EPA-48

    EPA Pesticide Factsheets

    Learn about the Libby Asbestos Exposure Assessment Records System, including who is covered in the system, the purpose of data collection, routine uses for the system's records, and other security procedure.

  19. Privacy Act System of Records: Employee Counseling and Assistance Program Records, EPA-27

    EPA Pesticide Factsheets

    Learn about the Employee Counseling and Assistance Program Records System, including who is covered in the system, the purpose of data collection, routine uses for the system's records, and other security procedures.

  20. Privacy Act System of Records: EPA Telecommunications Detail Records, EPA-32

    EPA Pesticide Factsheets

    Learn more about the EPA Telecommunications Detail Records System, including who is covered in the system, the purpose of data collection, routine uses for the system's records, and other security procedures.

  1. Privacy Act System of Records: Medical and Research Study Records of Human Volunteers, EPA-34

    EPA Pesticide Factsheets

    Learn about the Medical and Research Study Records of Human Volunteers System, including who is covered in the system, the purpose of data collection, routine uses for the system's records, and other security procedures.

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

    PubMed Central

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

    2014-01-01

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

  4. The Health of the Computer-Based Patient Record.

    ERIC Educational Resources Information Center

    Frisse, Mark E.

    1992-01-01

    The newly incorporated Computer-Based Patient Record Institute (CPRI) is discussed in the context of the history of medical records, the need for change (mainly because of health care reimbursement and regulation), and the need for involvement by all medical professionals in the development of standards of data collection which reflect public…

  5. 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

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

    NASA Astrophysics Data System (ADS)

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

    2012-02-01

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

  7. Challenges and methodology for indexing the computerized patient record.

    PubMed

    Ehrler, Frédéric; Ruch, Patrick; Geissbuhler, Antoine; Lovis, Christian

    2007-01-01

    Patient records contain most crucial documents for managing the treatments and healthcare of patients in the hospital. Retrieving information from these records in an easy, quick and safe way helps care providers to save time and find important facts about their patient's health. This paper presents the scalability issues induced by the indexing and the retrieval of the information contained in the patient records. For this study, EasyIR, an information retrieval tool performing full text queries and retrieving the related documents has been used. An evaluation of the performance reveals that the indexing process suffers from overhead consequence of the particular structure of the patient records. Most IR tools are designed to manage very large numbers of documents in a single index whereas in our hypothesis, one index per record, which usually implies few documents, has been imposed. As the number of modifications and creations of patient records are significant in a day, using a specialized and efficient indexation tool is required.

  8. 21 CFR 820.186 - Quality system record.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Quality system record. 820.186 Section 820.186...) MEDICAL DEVICES QUALITY SYSTEM REGULATION Records § 820.186 Quality system record. Each manufacturer shall maintain a quality system record (QSR). The QSR shall include, or refer to the location of, procedures...

  9. 21 CFR 820.186 - Quality system record.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 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...

  10. 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...

  11. 21 CFR 820.186 - Quality system record.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 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...

  12. 75 FR 27051 - Privacy Act of 1974: System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-13

    ..., AND DISPOSING OF RECORDS: Storage--NCCDB records are stored in an automated system operated and... Office of the Secretary Privacy Act of 1974: System of Records AGENCY: Federal Motor Carrier Safety Administration (FMCSA). ACTION: Notice to modify a system of records. SUMMARY: DOT proposes to modify a system...

  13. 77 FR 37006 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ...] Privacy Act of 1974; System of Records AGENCY: U.S. Strategic Command (USSTRATCOM), DoD. ACTION: Notice to add a system of records. SUMMARY: The U.S. Strategic Command proposes to add a new system of records to its inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as...

  14. 78 FR 44102 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... Department of the Navy Privacy Act of 1974; System of Records AGENCY: Department of the Navy, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Department of the Navy proposes to alter a system of records in its inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as...

  15. 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 Service is deleting a system of records notices in its existing inventory of record systems subject to...

  16. 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 Service is deleting two systems of records notices in its existing inventory of record systems subject...

  17. 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 Service is deleting a system of records notice in its existing inventory of record systems subject to...

  18. 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 Service is deleting a system of records notice in its existing inventory of record systems subject to...

  19. 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 Service is deleting a system of records notice in its existing inventory of record systems subject to...

  20. 77 FR 60400 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... 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 Accounting Service is deleting two systems of records notices in its existing inventory of record systems subject...

  1. 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 two Systems of Records. SUMMARY: The Defense Finance and Accounting Service is deleting two systems of records notices in its existing inventory of record systems subject...

  2. 77 FR 59251 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-26

    ...The Pension Benefit Guaranty Corporation is proposing four new routine uses applicable to all of its existing systems of records maintained pursuant to the Privacy Act of 1974, as amended (5 U.S.C. 552a), three new systems of records, adding new routine uses to existing systems of record, and is amending eight systems of records to make technical and clarifying...

  3. Confidentiality of Substance Use Disorder Patient Records. Final rule.

    PubMed

    2017-01-18

    The Department of Health and Human Services (HHS) is issuing this final rule to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records regulations and facilitate information exchange within new health care models while addressing the legitimate privacy concerns of patients seeking treatment for a substance use disorder. These modifications also help clarify the regulations and reduce unnecessary burden.

  4. Electronic health records and national patient-safety goals.

    PubMed

    Sittig, Dean F; Singh, Hardeep

    2012-11-08

    Hospitals and clinics are adapting to new technologies and implementing electronic health records, but the efforts need to be aligned explicitly with goals for patient safety. EHRs bring the risks of both technical failures and inappropriate use, but they can also help to monitor and improve patient safety.

  5. Clinical experience with a computerized record and verify system.

    PubMed

    Podmaniczky, K C; Mohan, R; Kutcher, G J; Kestler, C; Vikram, B

    1985-08-01

    To improve the quality of patient care by detecting and preventing many types of treatment mistakes, we have implemented a computerized system for recording and verifying external beam radiation treatments on our therapy machines. It inhibits the radiation beam if treatment machine settings do not agree with prescribed values to within maximum permissible deviations (tolerances). The tolerances are determined from experience and adjusted when necessary to make the system more effective and less susceptible to "false alarms." The system uses a common data base for all treatment machines. As a result, it permits statistical analysis and generation of reports based on data encompassing the entire patient population as well as verification of treatments of patients transferred from one machine to another. Reports of verification failures reveal patterns of mistakes. Knowing these, attempts can be made to reduce the frequency of verification failures. "Significant" mistakes that were prevented are extracted by treatment planning personnel from these reports. Analysis of data indicates a rate of approximately 150 "significant" mistakes detected and prevented per machine per year, representing 1.0% of all fields treated. We present and discuss our experiences with the system and with the frequency, patterns, and significance of verification failures. We selected a few of the patients for whose treatments significant set-up mistakes were made, and were detected and prevented by the Record and Verify System. We include discussions of the overall effect these mistakes would have had on dose distribution had they not been prevented.

  6. 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... Security of systems of records. (a) Each component shall establish administrative and physical controls to prevent unauthorized access to its systems of records, to prevent unauthorized disclosure of records,...

  7. 28 CFR 16.51 - Security of systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Security of systems of records. 16.51... Security of systems of records. (a) Each component shall establish administrative and physical controls to prevent unauthorized access to its systems of records, to prevent unauthorized disclosure of records,...

  8. 75 FR 66061 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... Privacy Act of 1974; System of Records AGENCY: U.S. Census Bureau, Department of Commerce. ACTION: Notice of Amendment, Privacy Act System of Records; COMMERCE/ CENSUS-8, Statistical Administrative Records... issuing an amendment to a notice of intent to amend the system of records under...

  9. 22 CFR 308.12 - Contents of records systems.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Contents of records systems. 308.12 Section 308.12 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.12 Contents of records systems. (a) The agency shall maintain in any records contained in any records system...

  10. 22 CFR 308.12 - Contents of records systems.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Contents of records systems. 308.12 Section 308.12 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.12 Contents of records systems. (a) The agency shall maintain in any records contained in any records system...

  11. 22 CFR 308.12 - Contents of records systems.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Contents of records systems. 308.12 Section 308.12 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.12 Contents of records systems. (a) The agency shall maintain in any records contained in any records system...

  12. From medical record to patient record through electronic data interchange (EDI).

    PubMed

    Kinkhorst, O M; Lalleman, A W; Hasman, A

    1996-07-01

    In this contribution the role of Electronic Data Interchange (EDI) for patient records is discussed. It is our opinion that unlimited access to patient records of different care provides is not a wise thing to do and may even not be acceptable legally. The exchange of EDI messages may be a solution in that the relevant information is exchanged on a need to know basis under the responsibility of the care provider that generated the information. The state of the art with respect to the availability of EDI messages in Europe is presented.

  13. A one-appointment impression and centric relation record technique for compromised complete denture patients.

    PubMed

    Ansari, I H

    1997-09-01

    This article describes a two-in-one modified custom tray and record block system that is recommended for compromised elderly patients. Custom trays, which are made on primary casts and formed from a patient's functionally corrected old dentures, are used to make final impressions and centric jaw relation records in one clinical appointment. The clinical visits are reduced without compromising the quality of denture construction.

  14. Cognitive Analysis of the Summarization of Longitudinal Patient Records

    PubMed Central

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

    2010-01-01

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

  15. 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...

  16. 78 FR 70543 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-26

    ...The Defense Information Systems Agency proposes to add a new system of records, KWHC 08, entitled ``DefenseReady'', to its inventory of record systems subject to the Privacy Act of 1974, as amended. This system will manage personnel and security records for the purpose of validation, analysis, and appraisal throughout the lifecycle. This system is used to track travel, security, sensitive......

  17. 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.

  18. Considering Governance for Patient Access to E-Medical Records.

    PubMed

    Day, Karen; Wells, Susan

    2015-01-01

    People having access to their medical records could have a transformative improvement effect on healthcare delivery and use. Our research aimed to explore the concerns and attitudes of giving people electronic access to their medical records through patient portals. We conducted 28 semi-structured interviews with 30 people, asking questions about portal design, organisational implications and governance. We report the findings of the governance considerations raised during the interviews. These revealed that (1) there is uncertainty about the possible design and extent of giving people access to their medical records to view/use, (2) existing policies about patient authentication, proxy, and privacy require modification, and (3) existing governance structures and functions require further examination and adjustment. Future research should include more input from patients and health informaticians.

  19. 8 CFR 103.34 - Security of records systems.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Security of records systems. 103.34 Section 103.34 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS POWERS AND DUTIES; AVAILABILITY OF RECORDS § 103.34 Security of records systems. The security of records...

  20. 8 CFR 103.34 - Security of records systems.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Security of records systems. 103.34 Section 103.34 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS POWERS AND DUTIES; AVAILABILITY OF RECORDS § 103.34 Security of records systems. The security of records...

  1. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Appeals), OPM/GOVT-10 (Employee Medical File System Records) and DOL/ESA-13 (Office of Workers... Financial Disclosure Reports and Other Ethics Program Records), OGE/GOVT-2 (Confidential Statements...

  2. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Appeals), OPM/GOVT-10 (Employee Medical File System Records) and DOL/ESA-13 (Office of Workers... Financial Disclosure Reports and Other Ethics Program Records), OGE/GOVT-2 (Confidential Statements...

  3. 11 CFR 9410.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 9410.3 Procedures for requests pertaining to individual records in a... in person or in writing at the location of the record system and to the person specified in...

  4. 78 FR 23810 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-22

    ... ADMINISTRATION Privacy Act System of Records AGENCY: Small Business Administration. ACTION: Notice of new Privacy... amending its Privacy Act Systems of Records to add a new System of Records to maintain the protected... Small Business Technology Transfer (STTR) Programs. DATES: Written comments on the system of...

  5. 75 FR 81247 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... by government-wide system notice OPM/GOVT-1, General Personnel Records. DWHS B45 DoD Salary Offset... DoD Salary Offset Suspense Control Records system of records is also covered by the Defense Finance and Accounting System T7330a, Salary Offset Reporting System (November 14, 2007, 72 FR 64055)...

  6. 75 FR 48655 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency is proposing to amend a system... Defense Logistics Agency's system of record notices subject to the Privacy Act of 1974 (5 U.S.C. 552a),...

  7. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 3 2011-07-01 2009-07-01 true Privacy Act systems of records. 505.3 Section 505... AND PUBLIC RELATIONS ARMY PRIVACY ACT PROGRAM § 505.3 Privacy Act systems of records. (a) Systems of... assigned to an individual. (2) Privacy Act systems of records must be— (i) Authorized by Federal statute...

  8. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

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

  9. 77 FR 13573 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ...: Notice to delete thirteen systems of records. SUMMARY: The Department of the Army is deleting thirteen... Department of the Army proposes to delete thirteen systems of records notices from its inventory of record.../Division Personnel System (SIDPERS) (December 11, 2006, 71 FR 71537). Reason: The system at Army...

  10. 78 FR 74122 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-10

    ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD... inventory of records systems subject to the Privacy Act of 1974, as amended. This system will be used to... notices for systems of records subject to the Privacy Act of 1974 (5 U.S.C. 552a(r)), as amended,...

  11. 75 FR 33792 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ... 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 of...) 231-1193. SUPPLEMENTARY INFORMATION: The Defense Intelligence Agency systems of records...

  12. 75 FR 81249 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ..., state and local agencies; educational institutions; and automated system interfaces. Exemptions claimed... Department of the Navy Privacy Act of 1974; System of Records AGENCY: U.S. Marine Corps, DoD. ACTION: Notice to Add a System of Records. SUMMARY: The U.S. Marine Corps proposes to add a system of records to...

  13. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  14. 77 FR 56630 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ...-0108] Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION... system of records in its existing inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C... Privacy Officer, Chief Information Office, 6916 Cooper Avenue, Fort Meade, MD 20755-7901, or by phone...

  15. 32 CFR 505.3 - Privacy Act systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  16. Access to records by persons other than the patient.

    PubMed

    Dimond, Bridgit

    This article explores what rights persons, other than the patient, have to access health records which come under Data Protection Act and other statutory provisions. These other persons could include the relatives of a patient, the parents of a child or those concerned with the estate of a deceased person. In addition, there are other rights of disclosure recognized by the common law and these will be considered in a later article.

  17. 76 FR 67561 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... Veterans Integrated Service Network Offices. CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM: The records... Systems Centers, VA Central Office, and Veterans Integrated Service Networks. Access is controlled by... Services Administration (GSA) in records management inspections conducted under authority of title...

  18. 76 FR 61680 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... Appendix I to OMB Circular No. A-130, ``Federal Agency Responsibilities for Maintaining Records About... Name: Standardized Student Records System. System Location: Army commands, installations and activities...: Course and personnel data to include: Individual's name, Social Security Number (SSN),...

  19. 75 FR 136 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-04

    ... Appendix I to OMB Circular No. A-130, ``Federal Agency Responsibilities for Maintaining Records About... Technology Student Information System (AFITSIS) Records''. * * * * * CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM: Delete entry and replace with ``Resident students, faculty, staff, distant learning students,...

  20. Hazard Ranking System (HRS) documentation record training

    SciTech Connect

    Not Available

    1994-01-01

    Documentation Record Training Course Agenda: Introduction; Review and organization of site information; Writing the documentation record; Overview of the NPL listing process; Quality assurance and public comment review; and Conclusion.

  1. 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...

  2. 42 CFR 491.10 - Patient health records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  3. 42 CFR 491.10 - Patient health records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  4. 42 CFR 491.10 - Patient health records.

    Code of Federal Regulations, 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...

  5. 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...

  6. 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…

  7. 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

    2016-05-17

    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.

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

    PubMed

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

    2013-06-01

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

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

    PubMed

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

    2015-01-01

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

  10. 75 FR 71090 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... Offices and Air Force customers world-wide. Routine uses of records maintained in the system including... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to add a system of records. SUMMARY: The Department of the Air Force is proposing to add...

  11. 75 FR 47797 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-09

    ... 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 delete... Defense Logistics Agency systems of records notices subject to the Privacy Act of 1974, (5 U.S.C....

  12. 75 FR 17910 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

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

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

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 13 Business Credit and Assistance 1 2011-01-01 2011-01-01 false Security of systems of records....33 Security of systems of records. (a) Each Program/Support Office Head or designee shall establish administrative and physical controls to prevent unauthorized access to its systems of records, to...

  14. 13 CFR 102.33 - Security of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Security of systems of records....33 Security of systems of records. (a) Each Program/Support Office Head or designee shall establish administrative and physical controls to prevent unauthorized access to its systems of records, to...

  15. 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 Employment Records--VA (58VA21/22/28).'' VA is amending the system of records by adding a new system location... INFORMATION CONTACT: Shayla V. Mitchell, Management and Program Analyst, Education Service (225C),...

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... PROGRAM Requirements Specific to the Medicaid Program § 495.346 Access to systems and records. The State agency must allow HHS access to all records and systems operated by the State in support of this program... 42 Public Health 5 2010-10-01 2010-10-01 false Access to systems and records. 495.346 Section...

  17. 5 CFR 2606.103 - Systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Senate confirmation, candidates for a position, and former employees. (b) OGE Internal systems of records. The Office of Government Ethics internal systems of records are under OGE's physical custody and... matters relating to the internal management of the Office. These systems of records consist of the...

  18. 77 FR 37885 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

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

  19. 77 FR 74282 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ... existing system of records ``Loan Guaranty Home, Condominium and Manufactured Home Loan Applicants Records... to amend its system of records entitled ``Loan Guaranty Home, Condominium and Manufactured Home Loan... revised to add a new Routine Use Number 35 as follows: 55VA26 System name: Loan Guaranty Home,...

  20. 75 FR 8313 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... 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...-6172. SUPPLEMENTARY INFORMATION: The Department of the Air Force systems of records notices subject...

  1. 21 CFR 820.186 - Quality system record.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Quality system record. 820.186 Section 820.186 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES QUALITY SYSTEM REGULATION Records § 820.186 Quality system record. Each manufacturer...

  2. 75 FR 4526 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... DEVELOPMENT Privacy Act of 1974, System of Records AGENCY: United States Agency for International Development. ACTION: Notice of new system of records. SUMMARY: The United States Agency for International Development... Federal Register notice of the existence and character of record systems maintained by the agency (5...

  3. 77 FR 11534 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-27

    ... INVESTMENT BOARD Privacy Act of 1974; Systems of Records AGENCY: Federal Retirement Thrift Investment Board. ACTION: Notice of revision to existing systems of records. SUMMARY: The Federal Retirement Thrift Investment Board (Agency) is proposing to revise its Privacy Act Systems of Records to reflect the...

  4. 75 FR 33791 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ... 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 a...) 231-1193. SUPPLEMENTARY INFORMATION: The Defense Intelligence Agency systems of records...

  5. 75 FR 3899 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ... 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 the.... Ed Hughes at 301-227-7714. SUPPLEMENTARY INFORMATION: The National Geospatial-Intelligence...

  6. 75 FR 43497 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... 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 the...: Mr. John Eller at 703-453-3808. SUPPLEMENTARY INFORMATION: The National...

  7. 75 FR 81247 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... 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 delete...-1193. SUPPLEMENTARY INFORMATION: The Defense Intelligence Agency systems of records notices subject...

  8. 76 FR 10010 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-23

    ... 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 delete..., DC 20340. SUPPLEMENTARY INFORMATION: The Defense Intelligence Agency systems of records...

  9. 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...

  10. 76 FR 79216 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ... Privacy Act of 1974; System of Records AGENCY: Federal Bureau of Prisons, Department of Justice. ACTION: Notice of Modification of a System of Records. SUMMARY: Pursuant to the Privacy Act of 1974 (5 U.S.C... Bureau clarifies that the records contained in this system may be located at any authorized location,...

  11. 78 FR 14292 - 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...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of Defense... proposes to amend a system of records in its inventory of record systems subject to the Privacy Act of 1974..., Defense Finance and Accounting Service, Freedom of Information/Privacy Act Program Manager,...

  13. 78 FR 14280 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of Defense... proposes to alter a system of records notice in its inventory of record systems subject to the Privacy Act.... Outlaw, Defense Finance and Accounting Service, Freedom of Information/Privacy Act Program...

  14. 78 FR 14285 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of Defense... proposes to alter a system of records in its inventory of record systems subject to the Privacy Act of 1974..., Defense Finance and Accounting Service, Freedom of Information/Privacy Act Program Manager,...

  15. From planning to realisation of an electronic patient record.

    PubMed

    Krämer, T; Rapp, R; Krämer, K-L

    1999-03-01

    The high complex requirements on information and information flow in todays hospitals can only be accomplished by the use of modern Information Systems (IS). In order to achieve this, the Stiftung Orthopädische Universitätsklinik has carried out first the Project "Strategic Informations System Planning" in 1993. Then realizing the neccessary infrastructure (network; client-server) from 1993 to 1997, and finally started the introduction of modern IS (SAP R/3 and IXOS-Archive) in the clinical area. One of the approved goal was the replacement of the paper medical record by an up-to-date electronical medical record. In this article the following three topics will be discussed: the difference between the up-to-date electronical medical record and the electronically archived finished cases, steps performed by our clinic to realize the up-to-date electronical medical record and the problems occured during this process.

  16. Retrospective record review in proactive patient safety work – identification of no-harm incidents

    PubMed Central

    2013-01-01

    Background In contrast to other safety critical industries, well-developed systems to monitor safety within the healthcare system remain limited. Retrospective record review is one way of identifying adverse events in healthcare. In proactive patient safety work, retrospective record review could be used to identify, analyze and gain information and knowledge about no-harm incidents and deficiencies in healthcare processes. The aim of the study was to evaluate retrospective record review for the detection and characterization of no-harm incidents, and compare findings with conventional incident-reporting systems. Methods A two-stage structured retrospective record review of no-harm incidents was performed on a random sample of 350 admissions at a Swedish orthopedic department. Results were compared with those found in one local, and four national incident-reporting systems. Results We identified 118 no-harm incidents in 91 (26.0%) of the 350 records by retrospective record review. Ninety-four (79.7%) no-harm incidents were classified as preventable. The five incident-reporting systems identified 16 no-harm incidents, of which ten were also found by retrospective record review. The most common no-harm incidents were related to drug therapy (n = 66), of which 87.9% were regarded as preventable. Conclusions No-harm incidents are common and often preventable. Retrospective record review seems to be a valuable tool for identifying and characterizing no-harm incidents. Both harm and no-harm incidents can be identified in parallel during the same record review. By adding a retrospective record review of randomly selected records to conventional incident-reporting, health care providers can gain a clearer and broader picture of commonly occurring, no-harm incidents in order to improve patient safety. PMID:23876023

  17. 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.

  18. Can Patient Record Summarization Support Quality Metric Abstraction?

    PubMed Central

    Pivovarov, Rimma; Coppleson, Yael Judith; Gorman, Sharon Lipsky; Vawdrey, David K.; Elhadad, Noémie

    2016-01-01

    We present a pre/post intervention study, where HARVEST, a general-purpose patient record summarization tool, was introduced to ten data abstraction specialists. The specialists are responsible for reviewing hundreds of patient charts each month and reporting disease-specific quality metrics to a variety of online registries and databases. We qualitatively and quantitatively investigated whether HARVEST improved the process of quality metric abstraction. Study instruments included pre/post questionnaires and log analyses of the specialists’ actions in the electronic health record (EHR). The specialists reported favorable impressions of HARVEST and suggested that it was most useful when abstracting metrics from patients with long hospitalizations and for metrics that were not consistently captured in a structured manner in the EHR. A statistically significant reduction in time spent per chart before and after use of HARVEST was observed for 50% of the specialists and 90% of the specialists continue to use HARVEST after the study period. PMID:28269899

  19. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...); (3) Any other information specified in the system notice; and (4) When the request is for access to... contained in the government-wide systems of records listed below should be submitted as follows: (1) For... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued)...

  20. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...); (3) Any other information specified in the system notice; and (4) When the request is for access to... contained in the government-wide systems of records listed below should be submitted as follows: (1) For... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued)...

  1. 29 CFR 1611.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...); (3) Any other information specified in the system notice; and (4) When the request is for access to... contained in the government-wide systems of records listed below should be submitted as follows: (1) For... a record system. 1611.3 Section 1611.3 Labor Regulations Relating to Labor (Continued)...

  2. 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...

  3. 77 FR 74176 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ... cabinets. Those in computer storage devices are protected by computer system software.'' Retention and..., macerating, or burning. Computer records are destroyed by erasing, deleting or overwriting.'' System...

  4. Epidemiology of Patient Harms in New Zealand: Protocol of a General Practice Records Review Study

    PubMed Central

    Leitch, Sharon; Wallis, Katharine A; Eggleton, Kyle S; Cunningham, Wayne K; Williamson, Martyn I; Lillis, Steven; McMenamin, Andrew W; Tilyard, Murray W; Reith, David M; Samaranayaka, Ari; Hall, Jason E

    2017-01-01

    Background Knowing where and why harm occurs in general practice will assist patients, doctors, and others in making informed decisions about the risks and benefits of treatment options. Research to date has been unable to verify the safety of primary health care and epidemiological research about patient harms in general practice is now a top priority for advancing health systems safety. Objective We aim to study the incidence, distribution, severity, and preventability of the harms patients experience due to their health care, from the whole-of-health-system lens afforded by electronic general practice patient records. Methods “Harm” is defined as disease, injury, disability, suffering, and death, arising from the health system. The study design is a stratified, 2-level cluster, retrospective records review study. Both general practices and patients will be randomly selected so that the study’s results will apply nationally, after weighting. Stratification by practice size and rurality will allow comparisons between 6 study groups (large, medium-sized, small; urban and rural practices). Records of equal numbers of patients from each study group will be included in the study because there may be systematic differences in patient harms in different types of practices. Eight general practitioner investigators will review 3 years of electronic general practice health records (consultation notes, prescriptions, investigations, referrals, and summaries of hospital care) from 9000 patients registered in 60 general practices. Double-blinded reviews will check the concordance of reviewers’ assessments. Study data will comprise demographic data of all 9000 patients and reviewers’ assessments of whether patients experienced harm arising from health care. Where patient harm is identified, their types, preventability, severity, and outcomes will be coded using the Medical Dictionary for Regulatory Activities (MedDRA) 18.0. Results We have recruited practices and

  5. 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

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

    NASA Astrophysics Data System (ADS)

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

    2016-05-01

    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.

  7. 75 FR 57740 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-22

    ...: Federal Docket Management System Office, Room 3C843 Pentagon, 1160 Defense Pentagon, Washington, DC 20301... 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...

  8. 75 FR 49482 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... submitting comments. Mail: Federal Docket Management System Office, Room 3C843 Pentagon, 1160 Defense... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Information Systems...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-22

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to delete a System of Records notice. SUMMARY: The Defense Information Systems... the instructions for submitting comments. * Mail: Federal Docket Management System Office, 4800...

  10. 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...

  11. 6 CFR 5.31 - Security of systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 6 Domestic Security 1 2011-01-01 2011-01-01 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...

  12. 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...

  13. 28 CFR 700.24 - Security of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Security of systems of records. 700.24... Records Under the Privacy Act of 1974 § 700.24 Security of systems of records. (a) The Office Administrator or Security Officer shall be responsible for issuing regulations governing the security of...

  14. 28 CFR 700.24 - Security of systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Security of systems of records. 700.24... Records Under the Privacy Act of 1974 § 700.24 Security of systems of records. (a) The Office Administrator or Security Officer shall be responsible for issuing regulations governing the security of...

  15. 77 FR 18205 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    ..., Individual and Household Statistical Surveys and Special Studies Records.'' The notice of proposed amendment... amended Privacy Act System of Records: COMMERCE/ CENSUS-3, Special Censuses, Surveys, and Other Studies... the Privacy Act System of Records titled, ``COMMERCE/CENSUS-3, Individual and Household...

  16. 78 FR 25974 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... Department of the Army Privacy Act of 1974; System of Records AGENCY: Department of the Army, DoD. ACTION: Notice to reinstate four Systems of Records. SUMMARY: The Department of the Army proposes to reinstate..., Jr., Department of the Army, Privacy Office, U.S. Army Records Management and Declassification...

  17. 76 FR 54743 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-02

    ... 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 to.... Leroy Jones, Department of the Army, Privacy Office, U.S. Army Records Management and...

  18. 77 FR 51949 - Privacy Act, Exempt Record System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-28

    ... Research Misconduct Proceedings, HHS/FDA/OC.'' HHS/FDA proposes to exempt this system of records from certain requirements of the Privacy Act to protect the integrity of FDA's scientific misconduct inquiries... a new system of records called the ``FDA Records Related to Research Misconduct Proceedings.''...

  19. 1 CFR 304.29 - Security of systems of records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 1 General Provisions 1 2012-01-01 2012-01-01 false Security of systems of records. 304.29 Section 304.29 General Provisions ADMINISTRATIVE CONFERENCE OF THE UNITED STATES DISCLOSURE OF RECORDS OR... Security of systems of records. (a) Administrative and physical controls. The agency will...

  20. 76 FR 43278 - Privacy Act; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... THE ACT: None. DNFSB-3 SYSTEM NAME: Drug Testing Program Records. SECURITY CLASSIFICATION... RECORDS IN THE SYSTEM: Records including the following information: 1. Pre-employment drug test requests... alleged drug abuse by DNFSB employees or applicants; and 4. Written statements or medical evaluations...

  1. 77 FR 56676 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ... Service is modifying a system of records to account for the previous omission of an accounting of... Financial Disclosure Reports. USPS 800.000 System Name: Address Change, Mail Forwarding, and Related... records, or who contest a record, subject to the provisions of the Privacy Act and privacy complaints....

  2. 75 FR 13575 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-22

    ... Justice, Justice/DOJ-001, to update the ``Record Source Categories'' section of the notice. The full text... Privacy Act of 1974; System of Records AGENCY: Justice Management Division, DOJ. ACTION: Minor modification to a system of records. SUMMARY: Pursuant to the Privacy Act of 1974, 5 U.S.C. 552a, the...

  3. 75 FR 71083 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... Responsibilities for Maintaining Records About Individual,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427..., 2009, 74 FR 7671) CHANGES: * * * * * SYSTEM LOCATION: Delete entry and replace with ``Student records... INDIVIDUALS COVERED BY THE SYSTEM: Delete entry and replace with ``Student records cover present, former,...

  4. 76 FR 39389 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-06

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION... of records notice in its existing inventory of record systems subject to the Privacy Act of 1974 (5 U.... Jody Sinkler, Privacy Act Officer, Headquarters Defense Logistics Agency, ATTN: DGA, 8725 John...

  5. 78 FR 14283 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION... of records in its inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as... information. FOR FURTHER INFORMATION CONTACT: Ms. Jody Sinkler, DLA FOIA/Privacy Act Office,...

  6. 76 FR 13991 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION... of records notice in its existing inventory of record systems subject to the Privacy Act of 1974 (5 U.... Jody Sinkler at (703) 767-5045, or the Privacy Act Officer, Headquarters Defense Logistics Agency,...

  7. 75 FR 19624 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-15

    ...] Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a... in its existing inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as... record notices subject to the Privacy Act of 1974 (5 U.S.C. 552a), as amended, have been published in...

  8. 77 FR 64095 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... for its record systems. These may be for internal communications or with external partners. Routine... provided through the use of internal standard operating procedures. Retention and disposal: Records will...

  9. 76 FR 58788 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-22

    ... change, including any personal identifiers or contact information. FOR FURTHER INFORMATION CONTACT: Mr..., ``Federal Agency Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996.... Categories of records in the system: Individual's name, Social Security Number (SSN), grade, rank,...

  10. 77 FR 40865 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-11

    ..., including any personal identifiers or contact information. FOR FURTHER INFORMATION CONTACT: Ms. Robin.... A-130, ``Federal Agency Responsibilities for Maintaining Records About Individuals,'' dated February... Postgraduate School. Categories of Records in the System: Name, Social Security Number (SSN), civilian...

  11. 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

  12. 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...

  13. 78 FR 45185 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-26

    ... alter a system of records, CIG-16, Defense Case Activity Tracking System (D-CATS), in its inventory of...: Delete entry and replace with ``Defense Case Activity Tracking System (D-CATS).'' System location:...

  14. 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%.

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

    PubMed Central

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

    2016-01-01

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

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

    PubMed

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

    2016-01-01

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

  17. 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

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

    PubMed Central

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

    2012-01-01

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

  19. 77 FR 4798 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-31

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

  20. 78 FR 14274 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to delete nineteen systems of records notices. SUMMARY: The Defense Information....gov . Follow the instructions for submitting comments. * Mail: Federal Docket Management System...

  1. 78 FR 21599 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems Agency, DoD. ACTION: Notice to delete three Systems of Records Notices. SUMMARY: The Defense Information....gov . Follow the instructions for submitting comments. * Mail: Federal Docket Management System...

  2. 78 FR 27193 - 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 Information Systems Agency, DoD. ACTION: Notice to delete seven Systems of Records Notices. SUMMARY: The Defense Information... . Follow the instructions for submitting comments. Mail: Federal Docket Management System Office, 4800...

  3. 28 CFR 25.6 - Accessing records in the system.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Accessing records in the system. 25.6 Section 25.6 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.6 Accessing records in the system. (a) FFLs...

  4. 28 CFR 25.6 - Accessing records in the system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Accessing records in the system. 25.6 Section 25.6 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.6 Accessing records in the system. (a) FFLs...

  5. 28 CFR 25.6 - Accessing records in the system.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Accessing records in the system. 25.6 Section 25.6 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.6 Accessing records in the system. (a) FFLs...

  6. 28 CFR 25.6 - Accessing records in the system.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Accessing records in the system. 25.6 Section 25.6 Judicial Administration DEPARTMENT OF JUSTICE DEPARTMENT OF JUSTICE INFORMATION SYSTEMS The National Instant Criminal Background Check System § 25.6 Accessing records in the system. (a) FFLs...

  7. 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...

  8. 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...

  9. 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...

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

    Code of Federal Regulations, 2013 CFR

    2013-07-01

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

  11. 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...

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

    NASA Astrophysics Data System (ADS)

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

    2004-04-01

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

  13. 12 CFR 310.3 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... government-wide records systems maintained by the Corporation, the procedures prescribed in the respective... individual records in a system of records. 310.3 Section 310.3 Banks and Banking FEDERAL DEPOSIT INSURANCE... to individual records in a system of records. (a) Any present or former employee of the...

  14. 12 CFR 310.3 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... government-wide records systems maintained by the Corporation, the procedures prescribed in the respective... individual records in a system of records. 310.3 Section 310.3 Banks and Banking FEDERAL DEPOSIT INSURANCE... to individual records in a system of records. (a) Any present or former employee of the...

  15. Managing integration work in an NHS electronic patient record (EPR) project.

    PubMed

    Martin, David; Mariani, John; Rouncefield, Mark

    2007-03-01

    This article uses an ethnographic study of the design and deployment of an electronic patient record (EPR) system in the UK NHS to document some of the difficulties of integrating new IT systems with existing and developing practices, technologies and regulatory requirements. It highlights that 'integration' in this situation produces a variety of different but connected and potentially competing requirements that create difficulties in achieving artful and successful system deployment.

  16. Designing a patient-centered personal health record to promote preventive care

    PubMed Central

    2011-01-01

    Background Evidence-based preventive services offer profound health benefits, yet Americans receive only half of indicated care. A variety of government and specialty society policy initiatives are promoting the adoption of information technologies to engage patients in their care, such as personal health records, but current systems may not utilize the technology's full potential. Methods Using a previously described model to make information technology more patient-centered, we developed an interactive preventive health record (IPHR) designed to more deeply engage patients in preventive care and health promotion. We recruited 14 primary care practices to promote the IPHR to all adult patients and sought practice and patient input in designing the IPHR to ensure its usability, salience, and generalizability. The input involved patient usability tests, practice workflow observations, learning collaboratives, and patient feedback. Use of the IPHR was measured using practice appointment and IPHR databases. Results The IPHR that emerged from this process generates tailored patient recommendations based on guidelines from the U.S. Preventive Services Task Force and other organizations. It extracts clinical data from the practices' electronic medical record and obtains health risk assessment information from patients. Clinical content is translated and explained in lay language. Recommendations review the benefits and uncertainties of services and possible actions for patients and clinicians. Embedded in recommendations are self management tools, risk calculators, decision aids, and community resources - selected to match patient's clinical circumstances. Within six months, practices had encouraged 14.4% of patients to use the IPHR (ranging from 1.5% to 28.3% across the 14 practices). Practices successfully incorporated the IPHR into workflow, using it to prepare patients for visits, augment health behavior counseling, explain test results, automatically issue patient

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

    PubMed

    Webster, C; Copenhaver, J

    2001-01-01

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

  18. 75 FR 43494 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

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

  19. 78 FR 6077 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    ... names used, date and place of birth, and Social Security Number.'' Record access procedures: Delete... only former names used, date and place of birth, and Social Security Number.'' Contesting record... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Security Service, DoD....

  20. 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... of record for a non-significant change, to reflect the address change for the location of the...

  1. 75 FR 13099 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-18

    ... replace with ``Army Criminal Investigation Intelligence System (ACI2); Central Operations Police Suite... from the system manager. RECORD SOURCE CATEGORIES: Army Criminal Investigation Intelligence System... offender identified in a report of sexual assault investigated by the Criminal Investigation Command...

  2. 77 FR 13571 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... NARA retention schedule; therefore, the system of records notice can be deleted. A0600-8-22j AHRC Cold War Recognition System (January 6, 2004, 69 FR 790). Reason: The system at Army Human Resource...

  3. Automated NFC enabled rural healthcare for reliable patient record maintainance.

    PubMed

    Sethia, Divyashikha; Jain, Shantanu; Kakkar, Himadri

    2012-01-01

    Body sensor networks can be used for health monitoring of patients by expert medical doctors, in remote locations like rural areas in developing countries, and can also be used to provide medical aid to areas affected by natural disasters in any part of the world. An important issue to be addressed, when the number of patients is large, is to reliably maintain the patient records and have simple automated mobile applications for healthcare helpers to use. We propose an automated healthcare architecture using NFC-enabled mobile phones and patients having their patient ID on RFID tags. It utilizes NFC-enabled mobile phones to read the patient ID, followed by automated gathering of healthcare vital parameters from body sensors using Bluetooth, analyses the information and transmits it to a medical server for expert feedback. With limited hospital resources and less training requirement for healthcare helpers through simpler applications, this automation of healthcare processing can provide time effective and reliable mass health consultation from medical experts in remote locations.

  4. 76 FR 65185 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-20

    ... submitting comments. * Mail: Federal Docket Management System Office, 4800 Mark Center Drive, East Tower, 2nd... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, Department of Defense. ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency...

  5. 77 FR 77048 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... submitting comments. * Mail: Federal Docket Management System Office, 4800 Mark Center Drive, East Tower, 2nd... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Contract Audit Agency, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Contract Audit Agency is amending...

  6. 76 FR 12076 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ... instructions for submitting comments. * Mail: Federal Docket Management System Office, 1160 Defense Pentagon... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency is proposing to amend a...

  7. 77 FR 40863 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-11

    ... . Follow the instructions for submitting comments. Mail: Federal Docket Management System Office, 4800 Mark... Office of the Secretary Privacy Act of 1974; System of Records AGENCY: National Reconnaissance Office, DoD. ACTION: Notice to Add a New System of Records. SUMMARY: The National Reconnaissance...

  8. 77 FR 40861 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-11

    ... . Follow the instructions for submitting comments. Mail: Federal Docket Management System Office, 4800 Mark... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary, DoD. ACTION: Notice to add a new system of records. SUMMARY: The Office of the Secretary of Defense proposes to add...

  9. 77 FR 65939 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-31

    ... 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... currently entitled ``Veterans Health Information Systems and Technology Architecture (VistA)...

  10. 78 FR 60265 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... instructions for submitting comments. * Mail: Federal Docket Management System Office, 1160 Defense Pentagon... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary, DoD. ACTION: Notice to delete a System of Records. SUMMARY: The Office of the Secretary of Defense is deleting...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Defense Logistics Agency proposes to delete a... Sinkler at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency systems of...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a System of Records. SUMMARY: The Defense Logistics Agency is proposing to amend a system..., Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644, Fort Belvoir, VA...

  13. 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,...

  14. 75 FR 10474 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ... 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 a...: Jody Sinkler at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency systems...

  15. 75 FR 6000 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to delete a system of records. SUMMARY: The Defense Logistics Agency proposes to delete a...: Jody Sinkler at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency systems...

  16. 78 FR 17386 - 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 alter a System of Records. SUMMARY: The Defense Logistics Agency proposes to alter a system of..., Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644, Fort Belvoir, VA...

  17. 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 Logistics Agency, DoD. ACTION: Notice to delete a System of Records. SUMMARY: The Defense Logistics Agency is deleting a system of... Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644,...

  18. 78 FR 22854 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-17

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Logistics Agency proposes to alter a system of..., Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644, Fort Belvoir, VA...

  19. 77 FR 21755 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-11

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency is proposing to amend a system.... Jody Sinkler, DLA FOIA/Privacy Act Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725...

  20. 76 FR 12078 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency. ACTION: Notice to alter a system of records. SUMMARY: The Defense Logistics Agency proposes to alter a system of.... Jody Sinkler at (703) 767-5045, or the Privacy Act Officer, Headquarters, Defense Logistics...

  1. 78 FR 14273 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    .... * Mail: Federal Docket Management System Office, 4800 Mark Center Drive, East Tower, 2nd Floor, Suite..., duplicates existing DoD-wide and OPM/Government-wide Privacy Act systems of records which cover Training and... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD....

  2. 78 FR 21600 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... covered under the Office of Personnel Management (OPM) government-wide Privacy Act system of records.... Mail: Federal Docket Management System Office, 4800 Mark Center Drive, East Tower, 2nd Floor, Suite... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD....

  3. 12 CFR 792.67 - Security of systems of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Security of systems of records. 792.67 Section... AND PRIVACY ACT, AND BY SUBPOENA; SECURITY PROCEDURES FOR CLASSIFIED INFORMATION The Privacy Act § 792.67 Security of systems of records. (a) Each system manager, with the approval of the head of...

  4. 12 CFR 792.67 - Security of systems of records.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Security of systems of records. 792.67 Section... AND PRIVACY ACT, AND BY SUBPOENA; SECURITY PROCEDURES FOR CLASSIFIED INFORMATION The Privacy Act § 792.67 Security of systems of records. (a) Each system manager, with the approval of the head of...

  5. 78 FR 70020 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... 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/ PAT-TM-24... Processing (e-QIP) automated system, which was developed for the U.S. Office of Personnel Management...

  6. 78 FR 33807 - Privacy Act New System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-05

    ... Act New System of Records AGENCY: Department of Commerce. ACTION: Notice; COMMERCE/DEPT-23... of Commerce Activities, Events, and Programs.'' The Department is creating a new system of records... from this system will be accessible by authorized representatives from the Department of...

  7. 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...

  8. 77 FR 26261 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Defense Logistics Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Logistics Agency proposes... Management System Office, 4800 Mark Center Drive, East Tower, 2nd Floor, Suite 02G09, Alexandria, VA...

  9. 75 FR 42720 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-22

    ... 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.... Charles J. Shedrick, 703-696-6488. SUPPLEMENTARY INFORMATION: The Department of the Air Force systems...

  10. 77 FR 3238 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    .... SUPPLEMENTARY INFORMATION: The Defense Logistics Agency's system of record subject to the Privacy Act of 1974 (5... address in FOR FURTHER INFORMATION CONTACT. The proposed changes to the record system being amended are... whether information about themselves is contained in this system should address written inquiries to...

  11. 77 FR 70136 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-23

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

  12. 77 FR 77047 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Contract Audit Agency, DoD. ACTION: Notice to delete a Systems of Records. SUMMARY: The Defense Contract Audit Agency (DCAA) is... instructions for submitting comments. * Mail: Federal Docket Management System Office, 4800 Mark Center...

  13. 77 FR 26260 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... 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 delete... number (202) 231-1193. SUPPLEMENTARY INFORMATION: The Defense Intelligence Agency systems of...

  14. 75 FR 17904 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to alter a system of records. Summary: The Defense Intelligence Agency is proposing to.... Theresa Lowery at (202) 231-1193. SUPPLEMENTARY INFORMATION: The Defense Intelligence Agency system...

  15. 5 CFR 2606.103 - Systems of records.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Systems of records. 2606.103 Section 2606.103 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES PRIVACY ACT RULES... system, comprised of Computer Systems Activity and Access Records; and the OGE/INTERNAL-5...

  16. 5 CFR 2606.103 - Systems of records.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Systems of records. 2606.103 Section 2606.103 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES PRIVACY ACT RULES... system, comprised of Computer Systems Activity and Access Records; and the OGE/INTERNAL-5...

  17. 75 FR 13094 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-18

    ... interfaces. Exemptions claimed for the system: None. BILLING CODE 5001-06-P ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to add a system of records. SUMMARY: The Department of the Air Force proposes to add...

  18. 78 FR 78946 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Inspector General, DoD... inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as amended. This system...: Mark Dorgan, DoD IG FOIA/Privacy Office, Department of Defense, Inspector General, 4800 Mark...

  19. 78 FR 2695 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-14

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

  20. 78 FR 79412 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ... Maintaining Records About Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427). Dated... 13, 2007, 72 FR 32630) Changes: * * * * * Categories of individuals covered by the system:...

  1. 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

  2. Embedded-structure template for electronic records affects patient note quality and management for emergency head injury patients: An observational pre and post comparison quality improvement study.

    PubMed

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

    2016-10-01

    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.

  3. 21 CFR 21.71 - Disclosure of records in Privacy Act Record Systems; accounting required.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Disclosure of records in Privacy Act Record Systems; accounting required. 21.71 Section 21.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT... sufficient historical or other value to warrant its continued preservation by the U.S. Government, or to...

  4. 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... sufficient historical or other value to warrant its continued preservation by the U.S. Government, or to...

  5. 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... sufficient historical or other value to warrant its continued preservation by the U.S. Government, or to...

  6. 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... sufficient historical or other value to warrant its continued preservation by the U.S. Government, or to...

  7. 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 §...

  8. 18 CFR 1301.13 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Procedures for requests pertaining to individual records in a record system. 1301.13 Section 1301.13 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY PROCEDURES Privacy Act § 1301.13 Procedures for requests pertaining...

  9. 18 CFR 1301.13 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Procedures for requests pertaining to individual records in a record system. 1301.13 Section 1301.13 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY PROCEDURES Privacy Act § 1301.13 Procedures for requests pertaining...

  10. 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.

  11. 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.

  12. 77 FR 65564 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-29

    ... will enable the IHS PHR to store the patient's self-entered information in a separate database, which... Government's records that are no longer actively used but which may be appropriate for preservation. The...

  13. Patient Experiences With Full Electronic Access to Health Records and Clinical Notes Through the My HealtheVet Personal Health Record Pilot: Qualitative Study

    PubMed Central

    Schwartz, Erin; Tuepker, Anais; Press, Nancy A; Nazi, Kim M; Turvey, Carolyn L; Nichol, W. Paul

    2013-01-01

    Background Full sharing of the electronic health record with patients has been identified as an important opportunity to engage patients in their health and health care. The My HealtheVet Pilot, the initial personal health record of the US Department of Veterans Affairs, allowed patients and their delegates to view and download content in their electronic health record, including clinical notes, laboratory tests, and imaging reports. Objective A qualitative study with purposeful sampling sought to examine patients’ views and experiences with reading their health records, including their clinical notes, online. Methods Five focus group sessions were conducted with patients and family members who enrolled in the My HealtheVet Pilot at the Portland Veterans Administration Medical Center, Oregon. A total of 30 patients enrolled in the My HealtheVet Pilot, and 6 family members who had accessed and viewed their electronic health records participated in the sessions. Results Four themes characterized patient experiences with reading the full complement of their health information. Patients felt that seeing their records positively affected communication with providers and the health system, enhanced knowledge of their health and improved self-care, and allowed for greater participation in the quality of their care such as follow-up of abnormal test results or decision-making on when to seek care. While some patients felt that seeing previously undisclosed information, derogatory language, or inconsistencies in their notes caused challenges, they overwhelmingly felt that having more, rather than less, of their health record information provided benefits. Conclusions Patients and their delegates had predominantly positive experiences with health record transparency and the open sharing of notes and test results. Viewing their records appears to empower patients and enhance their contributions to care, calling into question common provider concerns about the effect of full

  14. 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

  15. Ensuring Privacy When Integrating Patient-Based Datasets: New Methods and Developments in Record Linkage

    PubMed Central

    Brown, Adrian P.; Ferrante, Anna M.; Randall, Sean M.; Boyd, James H.; Semmens, James B.

    2017-01-01

    In an era where the volume of structured and unstructured digital data has exploded, there has been an enormous growth in the creation of data about individuals that can be used for understanding and treating disease. Joining these records together at an individual level provides a complete picture of a patient’s interaction with health services and allows better assessment of patient outcomes and effectiveness of treatment and services. Record linkage techniques provide an efficient and cost-effective method to bring individual records together as patient profiles. These linkage procedures bring their own challenges, especially relating to the protection of privacy. The development and implementation of record linkage systems that do not require the release of personal information can reduce the risks associated with record linkage and overcome legal barriers to data sharing. Current conceptual and experimental privacy-preserving record linkage (PPRL) models show promise in addressing data integration challenges. Enhancing and operationalizing PPRL protocols can help address the dilemma faced by some custodians between using data to improve quality of life and dealing with the ethical, legal, and administrative issues associated with protecting an individual’s privacy. These methods can reduce the risk to privacy, as they do not require personally identifying information to be shared. PPRL methods can improve the delivery of record linkage services to the health and broader research community. PMID:28303240

  16. 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

  17. Automatic Application of Health Care Criteria to Narrative Patient Records

    PubMed Central

    Hirschman, Lynette; Sager, Naomi; Lyman, Margaret

    1979-01-01

    This paper describes an experimental computer program for the application of health care review criteria to hospital discharge summaries. The use of the computer in this process would make it possible to speed up the routine screening of patient records; it could also facilitate experimental evaluation of alternate proposed audit criteria. The computer program has two components. The first component creates a structured form of the information contained in natural language medical records. It maps the words of each sentence into labelled columns of a table (or information format) according to the type of medical information contained in each word. This structured information is suitable for use as a data base in many areas of clinical research. The second component consists of a set of retrieval routines, each of which corresponds to a criterion of the health care evaluation form, e.g., was the patient afebrile at discharge? The retrieval component is built up in modular fashion, so that basic routines can be used in other applications. The application of this program to a sample hospital discharge summary is presented and compared to the results obtained by a physician reviewer.

  18. 77 FR 4002 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE RIN 0605-XA37 Privacy Act of 1974; System of Records AGENCY: U.S. Census Bureau, Department of Commerce. ACTION: Notice of Amendment, Privacy Act System of Records; COMMERCE/ CENSUS-3, Individual and...

  19. 77 FR 5860 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... From the Federal Register Online via the Government Publishing Office RECOVERY ACCOUNTABILITY AND TRANSPARENCY BOARD Privacy Act of 1974; System of Records AGENCY: Recovery Accountability and Transparency Board ACTION: Notice of amendment to existing Privacy Act system of records. SUMMARY: The...

  20. 77 FR 15143 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... From the Federal Register Online via the Government Publishing Office RECOVERY ACCOUNTABILITY AND TRANSPARENCY BOARD Privacy Act of 1974; System of Records AGENCY: Recovery Accountability and Transparency Board. ACTION: Notice of amendment to existing Privacy Act system of records. SUMMARY: The...

  1. 76 FR 47277 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-04

    ... From the Federal Register Online via the Government Publishing Office RECOVERY ACCOUNTABILITY AND TRANSPARENCY BOARD Privacy Act of 1974; System of Records AGENCY: Recovery Accountability and Transparency Board. ACTION: Notice of new Privacy Act system of records. SUMMARY: The Recovery Accountability...

  2. 78 FR 16835 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE... Trademark Office, Commerce. ACTION: Notice of amendment of Privacy Act system of records. SUMMARY: In... Trademark Office (USPTO) is amending the system of records currently listed under ``COMMERCE/...

  3. 75 FR 5579 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-03

    ..., Department of Defense. S500.60 System name: Defense Logistics Agency Hotline Program Records (March 26, 2007... 2358, Fort Belvoir, VA 22060-6221, and at the offices of the designated Hotline Points of Contact of...: Defense Logistics Agency Hotline Program Records. System location: Director, DLA Accountability Office...

  4. 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...

  5. 75 FR 10473 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ... 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 a...: Ms. Jody Sinkler at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency...

  6. 76 FR 28002 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to delete three systems of records. SUMMARY: The Defense Logistics Agency proposes to... Sinkler at (703) 767-5045, or Chief Privacy and FOIA Officer, Headquarters Defense Logistics Agency,...

  7. 75 FR 22562 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Logistics Agency proposes to alter a...: Ms. Jody Sinkler at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency...

  8. 75 FR 5997 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Logistics Agency proposes to alter a...: Ms. Jody Sinkler at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency...

  9. 76 FR 20341 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Logistics Agency proposes to alter a...: Ms. Jody Sinkler at (703) 767-5045, or Privacy Act Officer, Headquarters, Defense Logistics...

  10. 75 FR 17906 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ... 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 a...: Ms. Jody Sinkler at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency...

  11. 76 FR 37082 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... 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 a..., Privacy Act Officer, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road,...

  12. 7 CFR 1520.3 - Indexes/Record systems.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Indexes/Record systems. 1520.3 Section 1520.3... OF AGRICULTURE AVAILABILITY OF INFORMATION TO THE PUBLIC § 1520.3 Indexes/Record systems. 5 U.S.C. 552(a)(2) required that each agency publish or otherwise make available a current index of...

  13. 7 CFR 1520.3 - Indexes/Record systems.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Indexes/Record systems. 1520.3 Section 1520.3... OF AGRICULTURE AVAILABILITY OF INFORMATION TO THE PUBLIC § 1520.3 Indexes/Record systems. 5 U.S.C. 552(a)(2) required that each agency publish or otherwise make available a current index of...

  14. 76 FR 28961 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-19

    ... and supporting documentation. Financial information to include government code/budget information... system of records to its inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a..., identified by docket number and/ Regulatory Information Number (RIN) and title, by any of the...

  15. 78 FR 19244 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-29

    ... patent or a patent by means of a written instrument recorded in the USPTO; intellectual property owners... United States Patent and Trademark Office Privacy Act of 1974; System of Records AGENCY: United States Patent and Trademark Office, Commerce. ACTION: Notice of amendment of Privacy Act system of...

  16. 76 FR 4334 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Privacy Act of 1974; System of Records AGENCY: Office of Elementary and Secondary Education, Department of Education. ACTION: Notice of a new system of records. SUMMARY: In accordance with the Privacy Act of...

  17. 78 FR 5785 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF DEFENSE Office of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary of Defense, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Office of the Secretary of...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... internal management control; for reporting purposes; and to forecast future telecommunications requirements... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, Department of Defense (DoD). ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics...

  19. 76 FR 49455 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Intelligence Agency is proposing to...) 231-1193, Defense Intelligence Agency, DAN 1-C, 600 McDill Blvd. Washington, DC...

  20. 77 FR 40921 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-11

    ... and organizational changes. II. Rationale for Changes to USPS Privacy Act Systems of Records The... their amended systems of records in the Federal Register when there is a revision, change, or addition... reflect changes in the identity or title of responsible officials. III. Description of Changes to...

  1. 75 FR 32915 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, DoD. ACTION: Notice to amend three systems of records. SUMMARY: The Defense Logistics Agency is proposing to amend...: Ms. Jody Sinkler at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency's...

  2. 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...

  3. 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...

  4. 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...

  5. 78 FR 19462 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE... Trademark Office, Commerce. ACTION: Notice of amendment of Privacy Act system of records. SUMMARY: In... Trademark Office (USPTO) is amending the system of records currently listed under ``COMMERCE/...

  6. 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)....

  7. 76 FR 12082 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

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

  8. 75 FR 65007 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-21

    ... Department of the Air Force Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. ACTION: Notice to add a system of records. SUMMARY: The Department of the Air Force is proposing to add a...: Mr. Charles J. Shedrick, 703-696-6488. SUPPLEMENTARY INFORMATION: The Department of the Air...

  9. 76 FR 10010 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-23

    ... 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...-696-6488, or Department of the Air Force Privacy Office, Air Force Privacy Act Office, Office...

  10. 77 FR 58107 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... 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..., Department of the Air Force Privacy Office, Air Force Privacy Act Office, Office of Warfighting......

  11. 77 FR 61582 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-10

    ..., Air Force Privacy Act Office, Office of Warfighting Integration and Chief Information Officer, ATTN... 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...

  12. 77 FR 17035 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-23

    ..., Air Force Privacy Act Office, Office of Warfighting Integration and Chief Information Officer, ATTN... 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...

  13. 77 FR 60411 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... and Chief Information officer, ATTN: SAF/XCPPI, 1800 Air Force Pentagon, Washington, DC 20330-1800 or... 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. 77 FR 13570 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ..., Air Force Privacy Act Office, Office of Warfighting Integration and Chief Information officer, ATTN... 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...

  15. 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.

  16. 76 FR 22682 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ...: Washington Headquarters Services no longer provides human resource services for the Defense Advanced Research... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary, DoD. ACTION: Notice to Delete a System of Records. SUMMARY: The Office of the Secretary of Defense is deleting...

  17. 76 FR 20343 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ..., identified by dock number and/RIN number and title, by any of the following methods: Federal Rulemaking... Liaison Officer, Department of Defense. F036 AFPC J System name: Promotion Documents/Records Tracking (PRODART) and Airman Promotion Historical Records (APHR) System (June 11, 1997, 62 FR 31793)....

  18. 77 FR 51910 - Privacy Act, Exempt Record System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-28

    ... Related to Research Misconduct Proceedings, HHS/FDA/OC.'' HHS/FDA is exempting this system of records from certain requirements of the Privacy Act to protect the integrity of FDA's scientific misconduct inquiries... Related to Research Misconduct Proceedings.'' The purpose of this system of records is to implement...

  19. 76 FR 55388 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ..., FCC/OMD-28, ``Time and Attendance Records,'' in the Federal Register in which the numbering of the system of records was incorrectly identified as FCC/ OMD-14. The correct numbering of the system is FCC... Communications Commission (FCC), 445 12th Street, SW., Washington, DC 20554, (202) 418-0217, or via the...

  20. 10 CFR 1705.03 - Systems of records notification.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

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

  1. 75 FR 13089 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-18

    ... 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 a.... Theresa S. Lowery at (202) 231- 1193. SUPPLEMENTARY INFORMATION: The Defense Intelligence Agency...

  2. 78 FR 22525 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Intelligence Agency is proposing the... Intelligence Agency, DAN 1-C, 600 MacDill Blvd., Washington, DC 20340- 0001 or by phone at (202)...

  3. 75 FR 30003 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... 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 delete...: Ms. Theresa Lowery at (202) 231-1193. ] SUPPLEMENTARY INFORMATION: The Defense Intelligence...

  4. 77 FR 21975 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-12

    ... 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 to add a.... Theresa Lowery at Defense Intelligence Agency, DAN 1-C, 600 MacDill Blvd., Washington, DC 20340- 0001...

  5. 75 FR 26201 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ... 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 to...: Ms. Theresa Lowery at (202) 231-1193. SUPPLEMENTARY INFORMATION: The Defense Intelligence...

  6. 77 FR 57076 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Intelligence Agency is proposing to... Intelligence Agency, DAN 1-C, 600 MacDill Blvd., Washington, DC 20340- 0001 or by phone at (202)...

  7. 77 FR 21976 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-12

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Intelligence Agency proposes to alter a...: Ms. Theresa Lowery at Defense Intelligence Agency, DAN 1-C, 600 MacDill Boulevard, Washington,...

  8. 78 FR 5787 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-28

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to alter a System of Records. SUMMARY: The Defense Intelligence Agency is proposing to... Intelligence Agency, DAN 1-C, 600 MacDill Blvd., Washington, DC 20340- 0001 or by phone at (202)...

  9. 77 FR 21974 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-12

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Intelligence Agency proposes to alter a.... Theresa Lowery at Defense Intelligence Agency, DAN 1-C, 600 McDill Boulevard, Washington, DC...

  10. 77 FR 57077 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... 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 add... Intelligence Agency, DAN 1-C, 600 MacDill Blvd., Washington, DC 20340- 0001 or by phone at (202)...

  11. 75 FR 30791 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-02

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Intelligence Agency, DoD. ACTION: Notice to alter a system of records. SUMMARY: The Defense Intelligence Agency is proposing to... CONTACT: Ms. Theresa Lowery at (202) 231-1193. SUPPLEMENTARY INFORMATION: The Defense Intelligence...

  12. 75 FR 20346 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-19

    ... Privacy Act of 1974; System of Records AGENCY: Federal Student Aid, Department of Education. ACTION: Notice of an altered system of records. SUMMARY: In accordance with the Privacy Act of 1974, as amended (Privacy Act), 5 United States Code (U.S.C.) 552a, the Chief Operating Officer for Federal Student Aid...

  13. 78 FR 63196 - Privacy Act System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... COMMISSION Privacy Act System of Records AGENCY: Federal Communications Commission (FCC, Commission, or the Agency). ACTION: Notice; one altered Privacy Act system of records; one new routine use. SUMMARY: Under subsection (e)(4) of the Privacy Act of 1974, as amended (``Privacy Act''), 5 U.S.C. 552a, the FCC...

  14. 77 FR 44207 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Privacy Act of 1974, System of Records AGENCY: United States Agency... system of records maintained in accordance with the Privacy Act of 1974 (5 U.S.C. 552a), as amended... requirements of the Privacy Act to publish in the Federal Register notice of the existence and character...

  15. 76 FR 79216 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ... Privacy Act of 1974; System of Records AGENCY: Federal Bureau of Prisons, Department of Justice. ACTION: Notice of Modification of a System of Records. SUMMARY: Pursuant to the Privacy Act of 1974 (5 U.S.C... Location'' section--the Bureau deletes language relating to the pilot programs as they will be converted...

  16. 75 FR 33608 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-14

    ... Privacy Act of 1974; System of Records AGENCY: Office of Inspector General, Department of Education. ACTION: Notice of an altered system of records. SUMMARY: In accordance with the Privacy Act of 1974, as amended (Privacy Act), the Department of Education (Department) publishes this notice proposing to...

  17. 78 FR 43247 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-19

    ... From the Federal Register Online via the Government Publishing Office POSTAL SERVICE Privacy Act... systems of records. SUMMARY: The United States Postal Service is proposing to modify four General Privacy... to one record system to include assessments of postal employees and to expand the locations...

  18. 76 FR 72691 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-25

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, Department of Defense (DoD). ACTION: Notice to amend a system of records. SUMMARY: The Defense Logistics Agency.../Privacy Act Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road,...

  19. 76 FR 72692 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-25

    ... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Logistics Agency, Department of Defense (DoD). ] ACTION: Notice to Alter a System of Records. SUMMARY: The Defense Logistics... Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644,...

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

    PubMed

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

    2014-02-01

    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.

  1. 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

  2. 18 CFR 1301.13 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Resources TENNESSEE VALLEY AUTHORITY PROCEDURES Privacy Act § 1301.13 Procedures for requests pertaining to.... Certain TVA system notices designate officials at field locations of TVA systems. With respect to such TVA systems, an individual who believes his record is located at the field location may present a request...

  3. 18 CFR 1301.13 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Resources TENNESSEE VALLEY AUTHORITY PROCEDURES Privacy Act § 1301.13 Procedures for requests pertaining to.... Certain TVA system notices designate officials at field locations of TVA systems. With respect to such TVA systems, an individual who believes his record is located at the field location may present a request...

  4. 18 CFR 1301.13 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Resources TENNESSEE VALLEY AUTHORITY PROCEDURES Privacy Act § 1301.13 Procedures for requests pertaining to.... Certain TVA system notices designate officials at field locations of TVA systems. With respect to such TVA systems, an individual who believes his record is located at the field location may present a request...

  5. Healthtrak(tm): Technology Enhanced Human Interface to the Computerized Patient Record

    DTIC Science & Technology

    2002-07-01

    Jan 2003 THIS PAGE IS UNCLASSIFIED AD Award Number: DAMD17-02-C-0032 TITLE: HealthTrakM : Technology Enhanced Human Interface to the Computerized...Patient Record PRINCIPAL INVESTIGATOR: Azad M. Madni, Ph.D. Doctor Weiwen Lin Carla C. Madni CONTRACTING ORGANIZATION: Intelligent Systems Technology ...Intelligent Systems Technology , Incorporated For a period of five (5) years after completion of the project from which the data was generated, the

  6. 77 FR 15086 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ...DIIS) Customer Relationship Management System. The records will assume the same retention schedule as... Management System Office, 4800 Mark Center Drive, East Tower, 2nd Floor, Suite 02G09, Alexandria, VA...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-18

    ... Third Party Collection System. DHA 16 DoD EDHA 16 DoD...... Special Needs Program Management Information System (SNPMIS) Records. ] DHA 17 DoD EDHA 17 DoD...... Defense Nutrition Management Information...

  8. 76 FR 32359 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ... Name: Navy Fleet and Family Readiness (FFR) Internship Program (March 10, 2008, 73 FR 12713). Reason...) Internship Program system of records notice can therefore be deleted. NM12410-1 Deletion: System Name:...

  9. 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.

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

    PubMed Central

    Ahmadi, Maryam; Ghazisaeidi, Marjan; Bashiri, Azadeh

    2015-01-01

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

  11. 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.

  12. 78 FR 46929 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ...The Defense Information Systems Agency is amending a system of records notice, KD3D.01, Continuity of Operations Plans, in its existing inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as amended. This system will apprise the Continuity of Operations Office designated personnel of their responsibilities and relocation assignments in conditions of emergency; and......

  13. 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

  14. 42 CFR 2.2 - Statutory authority for confidentiality of alcohol abuse patient records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... abuse patient records. 2.2 Section 2.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND... § 2.2 Statutory authority for confidentiality of alcohol abuse patient records. The restrictions of... section. (2) Whether or not the patient, with respect to whom any given record referred to in...

  15. 42 CFR 2.2 - Statutory authority for confidentiality of alcohol abuse patient records.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... abuse patient records. 2.2 Section 2.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND... § 2.2 Statutory authority for confidentiality of alcohol abuse patient records. The restrictions of... section. (2) Whether or not the patient, with respect to whom any given record referred to in...

  16. 42 CFR 2.2 - Statutory authority for confidentiality of alcohol abuse patient records.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... abuse patient records. 2.2 Section 2.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND... § 2.2 Statutory authority for confidentiality of alcohol abuse patient records. The restrictions of... section. (2) Whether or not the patient, with respect to whom any given record referred to in...

  17. 42 CFR 137.180 - Are there other laws that govern access to patient records?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Are there other laws that govern access to patient... Provisions Records § 137.180 Are there other laws that govern access to patient records? Yes, a Tribe must... requests for access to Tribal patient records, such as the provisions 42 CFR 2.1-2.67 pertaining to...

  18. 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...

  19. 42 CFR 2.2 - Statutory authority for confidentiality of alcohol abuse patient records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... abuse patient records. 2.2 Section 2.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND... § 2.2 Statutory authority for confidentiality of alcohol abuse patient records. The restrictions of... section. (2) Whether or not the patient, with respect to whom any given record referred to in...

  20. 42 CFR 2.2 - Statutory authority for confidentiality of alcohol abuse patient records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... abuse patient records. 2.2 Section 2.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND... § 2.2 Statutory authority for confidentiality of alcohol abuse patient records. The restrictions of... section. (2) Whether or not the patient, with respect to whom any given record referred to in...

  1. 42 CFR 2.1 - Statutory authority for confidentiality of drug abuse patient records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 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 these regulations upon the disclosure and use of drug abuse patient records were initially authorized by section...

  2. Patient-Centered Personal Health Record and Portal Implementation Toolkit for Ambulatory Clinics: A Feasibility Study.

    PubMed

    Nahm, Eun-Shim; Diblasi, Catherine; Gonzales, Eva; Silver, Kristi; Zhu, Shijun; Sagherian, Knar; Kongs, Katherine

    2017-04-01

    Personal health records and patient portals have been shown to be effective in managing chronic illnesses. Despite recent nationwide implementation efforts, the personal health record and patient portal adoption rates among patients are low, and the lack of support for patients using the programs remains a critical gap in most implementation processes. In this study, we implemented the Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit in a large diabetes/endocrinology center and assessed its preliminary impact on personal health record and patient portal knowledge, self-efficacy, patient-provider communication, and adherence to treatment plans. Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit is composed of Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit-General, clinic-level resources for clinicians, staff, and patients, and Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit Plus, an optional 4-week online resource program for patients ("MyHealthPortal"). First, Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit-General was implemented, and all clinicians and staff were educated about the center's personal health record and patient portal. Then general patient education was initiated, while a randomized controlled trial was conducted to test the preliminary effects of "MyHealthPortal" using a small sample (n = 74) with three observations (baseline and 4 and 12 weeks). The intervention group showed significantly greater improvement than the control group in patient-provider communication at 4 weeks (t56 = 3.00, P = .004). For other variables, the intervention group tended to show greater improvement; however, the differences were not significant. In this preliminary study, Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit showed potential for filling the gap in the current

  3. The AMPATH Nutritional Information System: Designing a Food Distribution Electronic Record System in Rural Kenya

    PubMed Central

    Lim, Jason LitJeh; Yih, Yuehwern; Gichunge, Catherine; Tierney, William M.; Le, Tung H.; Zhang, Jun; Lawley, Mark A.; Petersen, Tomeka J.; Mamlin, Joseph J.

    2009-01-01

    Objective The AMPATH program is a leading initiative in rural Kenya providing healthcare services to combat HIV. Malnutrition and food insecurity are common among AMPATH patients and the Nutritional Information System (NIS) was designed, with cross-functional collaboration between engineering and medical communities, as a comprehensive electronic system to record and assist in effective food distribution in a region with poor infrastructure. Design The NIS was designed modularly to support the urgent need of a system for the growing food distribution program. The system manages the ordering, storage, packing, shipping, and distribution of fresh produce from AMPATH farms and dry food supplements from the World Food Programme (WFP) and U.S. Agency for International Development (USAID) based on nutritionists' prescriptions for food supplements. Additionally, the system also records details of food distributed to support future studies. Measurements Patients fed weekly, patient visits per month. Results With inception of the NIS, the AMPATH food distribution program was able to support 30,000 persons fed weekly, up from 2,000 persons. Patient visits per month also saw a marked increase. Conclusion The NIS' modular design and frequent, effective interactions between developers and users has positively affected the design, implementation, support, and modifications of the NIS. It demonstrates the success of collaboration between engineering and medical communities, and more importantly the feasibility for technology readily available in a modern country to contribute to healthcare delivery in developing countries like Kenya and other parts of sub-Saharan Africa. PMID:19717795

  4. Implementation of an Electronic Medical Records System

    DTIC Science & Technology

    2008-05-07

    their patients and their previous medical history. Capitalizing on progress made in the informational technology realm, which include more...example, medication and allergy list, problem list and past medical and family/ social history); • Building the descriptive tags for a lab or radiology...clinical trials. Arch Fam Med. 1996; 5: 271-278. 14. Mitchell E, Sullivan F. A descriptive feast but an evaluative famine: systematic review of

  5. The Effects of Promoting Patient Access to Medical Records: A Review

    PubMed Central

    Ross, Stephen E.; Lin, Chen-Tan

    2003-01-01

    The Health Insurance Privacy and Portability Act (HIPPA) stipulates that patients must be permitted to review and amend their medical records. As information technology makes medical records more accessible to patients, it may become more commonplace for patients to review their records routinely. This article analyzes the potential benefits and drawbacks of facilitating patient access to the medical record by reviewing previously published research. Previous research includes analysis of clinical notes, surveys of patients and practitioners, and studies of patient-accessible medical records. Overall, studies suggest the potential for modest benefits (for instance, in enhancing doctor-patient communication). Risks (for instance, increasing patient worry or confusion) appear to be minimal in medical patients. The studies, however, were of limited quality and low statistical power to detect the variety of outcomes that may result from implementation of a patient-accessible medical record. The data from these studies lay the foundation for future research. PMID:12595402

  6. Recording and Scanning Advances in Cartographic EBR Systems.

    DTIC Science & Technology

    1981-06-01

    34Cartographic Electron Beam Recording," 2nd Annual William T. Pecora Memorial Symposium on Mapping and Remote Sensing Data, Sponsored ASP, USGS, NASA...using the experimental Cartographic EBR System. These were: (a) GAF Electrostatic Film - toner processed (b) GAF Direct Recording Materials - no...processing required (c) Kodak Direct Recording ESR-l - no processing required (d) GAF Electrostatic Films - color toner processed (e) Kodak S0214

  7. 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

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

    PubMed Central

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

    2014-01-01

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

  9. 76 FR 45783 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-01

    ...-2b USACIDC System name: Criminal Investigation and Crime Laboratory Files (August 5, 2002, 67 FR... at the U.S. Army Crime Records Center, U.S. Army Criminal Investigation Command, 27130 Telegraph Road... Director, U.S. Army Crime Records Center, U.S. Army Criminal Investigation Command, ATTN: CICR-FP,...

  10. 77 FR 58109 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ...) (June 8, 2009, 74 FR 27125). Reason: All data from PISTOL was transferred to the Advanced Skills Management application, and is now covered by System of Records, NM01500-3, Advanced Skills Management (ASM... retained and shall be destroyed in accordance with the National Archives and Records...

  11. 75 FR 17978 - Privacy Act of 1974: Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ..., Attendance, Retirement and Leave Records. SYSTEM LOCATION: 1. Payroll files, retirement case files, time and...(S): The primary uses of the records are for the Commission's fiscal operations for payroll, time and... Human Resources, Securities and Exchange Commission, 100 F Street, NE., Washington, DC...

  12. 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 §...

  13. 78 FR 55703 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... for maintenance of the system, safeguards, retention and disposal, and record source. FMC-24 maintains.... Retention and disposal: Maintain Office of Personnel Management reports of investigation and other FMC... disposal: Records are maintained in the Office of the Secretary for 10 years after applicant ceases...

  14. 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..., Millington, TN 38054-5045 for records of all active duty and reserve members. Primary locations: Personnel... List. Secondary locations: Director, National Personnel Records Center, Military Personnel...

  15. 77 FR 42593 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-19

    ...As required by the Privacy Act of 1974 (5 United States Code (U.S.C.) 552a(e)(4)), notice is hereby given that the Department of Veterans Affairs (VA) proposes to modify an existing system of records, ``VA Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records--VA''...

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

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Access to systems and records. 495.346 Section 495.346 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY...

  17. 77 FR 77049 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... and Chief Information officer, ATTN: SAF/XCPPI, 1800 Air Force Pentagon, Washington DC 20330-1800 or.... IPDS is used as a management tool for statistical and analysis tracking, reporting, and evaluation of... personnel records covered under System of Records Notices F036 AF PC C and OPM/GOVT-1. Therefore F038...

  18. 77 FR 26254 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ...://www.regulations.gov as they are received without change, including any personal identifiers or contact... Agency Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20... General. Categories of records in the system: Individual's name, Social Security Number (SSN),...

  19. 77 FR 26256 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... at http://www.regulations.gov as they are received without change, including any personal identifiers..., ``Federal Agency Responsibilities for Maintaining Records About Individuals, dated February 8, 1996... Intelligence Agency. Categories of records in the system: Delete entry and replace with ``Name, Social...

  20. 75 FR 61861 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (61 FR 6427, February 20, 1996... the responsibility of investigating or prosecuting such violation, or charged with enforcing or... RECORDS IN THE SYSTEM: Personal identification information related to the POW experience and...

  1. 75 FR 36640 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-28

    ... personal identifiers or contact information. FOR FURTHER INFORMATION CONTACT: Ms. Cindy Allard at (703) 588... Circular No. A-130, ``Federal Agency Responsibilities for Maintaining Records About Individuals,'' dated... subsidy.'' Categories of records in the system: Delete entry and replace with ``Name, last four of...

  2. 75 FR 16760 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-02

    ... without change, including any personal identifiers or contact information. FOR FURTHER INFORMATION CONTACT..., ``Federal Agency Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996... Records in the System: Personnel data includes full name, Social Security Number (SSN), rank/grade,...

  3. 76 FR 61679 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... grant is completed and/or payment obligation as annotated in the student agreement is completed. Records... of records in the system: Individual information to include: Title, full name, Social Security Number... degree to include start date, student status and anticipated date of graduation. Work related...

  4. A Record Linking System for Research on School Improvement.

    ERIC Educational Resources Information Center

    Mandeville, Garrett K.

    This paper describes and evaluates a computerized system, MATCH, which is being used in South Carolina to match or link student records from year to year. The functioning of MATCH and its specific features are described, and its use in matching student test scores is detailed. The problem of mismatched records and the use of visual editing to…

  5. 22 CFR 308.12 - Contents of records systems.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Contents of records systems. 308.12 Section 308.12 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.12 Contents of... efforts to notify the individual whose record was so disclosed after the process becomes a matter...

  6. 76 FR 49755 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ..., tangible information on aircrew and system performance for each aircraft flight to prevent mishaps and.... NM03760-5 System name: DON Military Flight Operations Quality Assurance System location: Primary databases... the operation of an aircraft. Categories of records in the system: Name, last four of Social...

  7. 75 FR 29728 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-27

    .... Mail: Federal Docket Management System Office, 1160 Defense Pentagon, Washington, DC 20301-1160... concluded that this system is covered by the following government-wide system notices, OGE/Govt 2, OPM/Govt... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary, DoD....

  8. 77 FR 57561 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-18

    ..., Fort Belvoir, VA 22060-6201.'' HDTRA 022 System name: Learning Management System (LMS) (December 18... the instructions for submitting comments. Mail: Federal Docket Management System Office, 4800 Mark... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Threat Reduction Agency,...

  9. 75 FR 58368 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-24

    ... System (CGES) personnel). Additional information maintained in the system includes DeCA business partner... Exchange (MCX)/Coast Guard Exchange System (CGES) personnel), and DeCA business partners personnel that... doing business with DeCA). Categories of records in the system: First and last name,...

  10. 76 FR 76149 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-06

    ... 39650). Changes: * * * * * System location: Delete entry and replace with ``Human Resources Policy....'' * * * * * S300.10 System name: Voluntary Leave Transfer Program Records. System location: Human Resources Policy.... System manager(s) and address: Staff Director, Human Resources Policy, Defense Logistics Agency, ATTN:......

  11. 76 FR 56501 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-13

    ... the Currency (OCC) give notice of alterations to the Privacy Act systems of records entitled ``CC .210-- Bank Securities Dealers System,'' ``CC .220--Section 914 Tracking System;'' and ``CC .600--Consumer... covered individuals related to national banks: Treasury/CC .210--Bank Securities Dealers System;...

  12. 75 FR 12001 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-12

    ... AFFAIRS Privacy Act of 1974; System of Records AGENCY: Department of Veterans Affairs (VA). ACTION: Notice... amended the system by revising paragraphs for Systems Numbers, System Location, Categories of Individuals... CONTACT: Shonta Wright MBA, CIPP, CIPP/G, Information Access and Privacy Office, VHA Privacy...

  13. Pupil Master Record System: History and Outlook.

    ERIC Educational Resources Information Center

    Miller, J. J.; Skees, W. D.

    The Montgomery County, Maryland Public Schools, working with Operations Research, Incorporated, developed a Pupil Master File (PLMF). PLMF is one of the several applications included within the Pupil Subsystem of the district's overall computerized School Information System. The PLMF is designed to provide: 1) a master file which enables users to…

  14. 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.

  15. Examination of an Electronic Patient Record Display Method to Protect Patient Information Privacy.

    PubMed

    Niimi, Yukari; Ota, Katsumasa

    2017-02-01

    Electronic patient records facilitate the provision of safe, high-quality medical care. However, because personnel can view almost all stored information, this study designed a display method using a mosaic blur (pixelation) to temporarily conceal information patients do not want shared. This study developed an electronic patient records display method for patient information that balanced the patient's desire for personal information protection against the need for information sharing among medical personnel. First, medical personnel were interviewed about the degree of information required for both individual duties and team-based care. Subsequently, they tested a mock display method that partially concealed information using a mosaic blur, and they were interviewed about the effectiveness of the display method that ensures patient privacy. Participants better understood patients' demand for confidentiality, suggesting increased awareness of patients' privacy protection. However, participants also indicated that temporary concealment of certain information was problematic. Other issues included the inconvenience of removing the mosaic blur to obtain required information and risk of insufficient information for medical care. Despite several issues with using a display method that temporarily conceals information according to patient privacy needs, medical personnel could accept this display method if information essential to medical safety remains accessible.

  16. 42 CFR 2.1 - Statutory authority for confidentiality of drug abuse patient records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... this section. (b) Purposes and circumstances of disclosure affecting consenting patient and patient... disclosed in accordance with the prior written consent of the patient with respect to whom such record is... abuse patient records. 2.1 Section 2.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-12

    ... visits, extraction of source data from VA data systems at the Austin Information and Technology Center... magnetic tape, disk, encrypted flash memory, and laser optical media. Retrievability: Records are...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-12

    ... proposing to revise the system of records notice for the Hotline Complaint Files of the Inspector General... ``Hotline Complaint Files'' in the subject line of your electronic message. During and after the...

  20. 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...

  1. 32 CFR 310.33 - New and altered record systems.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 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...

  2. 32 CFR 310.33 - New and altered record systems.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 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...

  3. 75 FR 69644 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-15

    ..., middle initial); unique identifiers including Electronic Data Interchange Person Identifier (EDI PI..., AND DISPOSING OF RECORDS IN THE SYSTEM: STORAGE: Electronic storage media. RETRIEVABILITY: By individual's name. SAFEGUARDS: Access to the type and amount of data is governed by privilege...

  4. 77 FR 6543 - Privacy Act of 1974: Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-08

    ... National Telecommunications and Information Administration RIN 0660-XA26 Privacy Act of 1974: Systems of Records AGENCY: National Telecommunications and Information Administration, U.S. Department of Commerce...-Advisor, Office of the Chief Counsel, National Telecommunications and Information Administration,...

  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,...

  6. 76 FR 7825 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-11

    .../mailing address, service computation date, veteran's preference for Reduction in Force (RIF), performance.... Access to records is only by authorized Reduction in Force (RIF) team personnel.'' * * * * * System... computation date, veteran's preference for Reduction in Force (RIF), performance appraisal ratings,...

  7. 75 FR 77849 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... Defense Media Activity. Categories of records in the system: For all employees: name, Social Security... report is submitted: Name, Social Security Number (SSN), job title, agency/ directorate/division, office... tool for statistical analysis, tracking, reporting, evaluating program effectiveness and...

  8. 77 FR 66793 - Privacy Act of 1974, System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-07

    ...Pursuant to the Privacy Act of 1974 (U.S.C. 552a), as amended, the United States Agency for International Development (USAID) is deleting the AID-29 Deployment Tracking, system of records in its existing...

  9. 77 FR 29619 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... personal identifiers or contact information. FOR FURTHER INFORMATION CONTACT: Ms. Robin Patterson... Agency Responsibilities for Maintaining Records About Individuals,'' dated February 8, 1996 (February 20... system: Name, Social Security Number (SSN), gender, race/ethnicity, birth date, place of birth,...

  10. 75 FR 20420 - Privacy Act of 1974: System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-19

    ... Officer, Bureau of Transportation Statistics, Research & Innovative Technology Administration, Department... inquiries to: C\\3\\RS Data Collection Officer, Bureau of Transportation Statistics, Research & Innovative... Statistics, DOT. ACTION: Notice to establish a system of records. SUMMARY: DOT intends to establish a...

  11. 75 FR 33789 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ...: Individual, social workers, rehabilitation counselors, and/or health care personnel. Exemptions claimed for... mental impairments and applicants for employment with Washington Headquarters Services/Human Resources... of records in the system: Storage: Paper files folders and electronic storage media....

  12. A flexible time recording and time correlation analysis system

    NASA Astrophysics Data System (ADS)

    Shenhav, Nathan J.; Leiferman, Gabriel; Segal, Yitzhak; Notea, Amos

    1983-02-01

    A system was developed to digitize and record the time intervals between detection event pulses, feed to its input channels from a detection device. The accumulated data is transferred continuously in real time to a dise through a PDP 11/34 minicomputer. Even though the system was designed for a specific scope, i.e., the comparative study of passive neutron nondestructive assay methods. It can be characterized by its features as a general purpose time series recorder. The time correlation analysis is performed by software after completion of the data accumulation. The digitizing clock period is selectable and any value, larger than a minimum of 100 ns may be selected. Bursts of up to 128 events with a frequency up to 10 MHz may be recorded. With the present recorder-minicomputer combination, the maximal average recording frequency is 40 kHz.

  13. Crash Survivable Flight Data Recording System Study.

    DTIC Science & Technology

    1981-06-30

    characteristics of recommended systems and an analysis showing a high cost -effectiveness for implementation of - ,r CSFDRS. DD 1 1473 IrTION OF I NOV 65...Configuration II 6-7 Configuration III i 6-7 A IRESiARCH MANUFACTURING COMPANY 81179 L Page iii CONTENTS (Continued) Section Page 7 COST EFFECTIVENESS 7-1...Life-Cycle Cost 7-1 Cost Benefit 7-4 Cost Benefit Conclusion 7-7 Life-Cycle Cost Analysis--LCC-2A Model 7-7 Appendixes 7-11 Exhibit 7A: Glossary of

  14. 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.

  15. 77 FR 15033 - Privacy Act Systems of Records; APHIS Veterinary Services User Fee System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... Animal and Plant Health Inspection Service Privacy Act Systems of Records; APHIS Veterinary Services User..., as amended. The system of records being proposed is the APHIS Veterinary Services User Fee System... Department of Agriculture (USDA) is proposing to add a new system of records, entitled APHIS...

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

    PubMed

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

    2016-03-01

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

  17. 76 FR 65535 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... Bureau of Investigation (FBI) proposes to delete ``FBI Automated Payroll Records, Justice/FBI-007...,'' published at 72 FR 51663 (Sept. 10, 2007), which added FBI employees to this DOJ system. The FBI also is modifying another system notice, the ``Time Utilization Recordkeeping System (TURK), Justice/FBI-012,''...

  18. 75 FR 53262 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-31

    ... Register, the Federal Bureau of Investigation (FBI), a component of the Department of Justice, has published a notice of a new Privacy Act system of records, JUSTICE/FBI- 021, the Data Integration and Visualization System (DIVS). In this notice of proposed rulemaking, the FBI proposes to exempt this system...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ....gov . Follow the instructions for submitting comments. * Mail: Federal Docket Management System Office...-005 System name: National Geospatial-Intelligence Agency Maritime Safety Office Metrics Database...] Privacy Act of 1974; System of Records AGENCY: National Geospatial-Intelligence Agency, DoD....

  20. 76 FR 53420 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-26

    ... Management (OPM) government-wide Privacy Act systems of records. OPM has government-wide responsibility for.... * Mail: Federal Docket Management System Office, 4800 Mark Center Drive, Suite 02G09, Alexandria, VA..., or by phone at (703) 767-5045. SUPPLEMENTARY INFORMATION: The Defense Logistics Agency systems...

  1. 77 FR 75621 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-21

    ... submitting comments. Mail: Federal Docket Management System Office, 4800 Mark Center Drive, East Tower, 2nd... maintenance of the system: Delete and replace with ``5 U.S.C. 6331 et seq., Leave; 10 U.S.C. 136, Assistant... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Contract Audit Agency,...

  2. 75 FR 14142 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-24

    ...-7478. DTS Archive/Management Information System, Defense Manpower Data Center, DoD Center, Monterey Bay..., and payment for such travel. To establish a repository of archived/Management Information System (MIS...-1546. For archived records: Deputy Director, Defense Travel System/ Management Information...

  3. 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... of the NSA/CSS compilation of system of records notices apply to this system.'' * * * * * Storage... with ``The NSA/CSS rules for contesting contents and appealing initial determinations are published...

  4. 78 FR 44100 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... and administer a Learning Management System (LMS) for training and development programs; for the purpose of reporting, tracking, assessing and monitoring training events, and DoD Financial Management... new system of records, DWHS P50, iCompass, Learning Management System (LMS), to its inventory...

  5. A CLASSIFICATION AND RETRIEVAL SYSTEM FOR RECORDED FOREIGN LANGUAGE TAPES.

    ERIC Educational Resources Information Center

    KAY, J.B.; JAMESON, A.

    A CLASSIFICATION SYSTEM FOR FOREIGN LANGUAGE RECORDINGS, DEVISED FOR USE AT THE UNIVERSITY OF ESSEX, IS DESCRIBED IN THIS ARTICLE. CODING AND CROSS-REFERENCE SYSTEMS FOR THE VARIOUS CATEGORIES OF TAPES ARE OUTLINED, AND SPECIFIC EXAMPLES ARE INCLUDED. APPENDED IS A LIST OF TAPE REFERENCE CODES. THE SYSTEM OUTLINED IS NOT CONSIDERED IDEAL, BUT IT…

  6. 75 FR 16760 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-02

    ... Grants Managements Information System (Protocols/Grants) (February 22, 1993; 58 FR 10920) Reason: The... Management System Office, 1160 Defense Pentagon, Washington, DC 20301-1160. Instructions: All submissions... of the Secretary Privacy Act of 1974; System of Records AGENCY: Office of the Secretary, DoD....

  7. 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.

  8. 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.

  9. 32 CFR 319.5 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... OF THE SECRETARY OF DEFENSE (CONTINUED) PRIVACY PROGRAM DEFENSE INTELLIGENCE AGENCY PRIVACY PROGRAM... seeking notification of whether a system of records, maintained by the Defense Intelligence Agency... request to the Defense Intelligence Agency, DSP-1A, Washington, DC 20340-3299 and indicate clearly on...

  10. 32 CFR 319.5 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... OF THE SECRETARY OF DEFENSE (CONTINUED) PRIVACY PROGRAM DEFENSE INTELLIGENCE AGENCY PRIVACY PROGRAM... seeking notification of whether a system of records, maintained by the Defense Intelligence Agency... request to the Defense Intelligence Agency, DSP-1A, Washington, DC 20340-3299 and indicate clearly on...

  11. 32 CFR 319.5 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... OF THE SECRETARY OF DEFENSE (CONTINUED) PRIVACY PROGRAM DEFENSE INTELLIGENCE AGENCY PRIVACY PROGRAM... seeking notification of whether a system of records, maintained by the Defense Intelligence Agency... request to the Defense Intelligence Agency, DSP-1A, Washington, DC 20340-3299 and indicate clearly on...

  12. 19 CFR 201.24 - Procedures for requests pertaining to individual records in a records system.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... COMMISSION GENERAL RULES OF GENERAL APPLICATION Safeguarding Individual Privacy Pursuant to 5 U.S.C. 552a... which is contained in a system of records maintained by the Commission shall be addressed to the Privacy... shall indicate clearly both on the envelope and in the letter that it is a Privacy Act request. (b)...

  13. 19 CFR 201.24 - Procedures for requests pertaining to individual records in a records system.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... COMMISSION GENERAL RULES OF GENERAL APPLICATION Safeguarding Individual Privacy Pursuant to 5 U.S.C. 552a... which is contained in a system of records maintained by the Commission shall be addressed to the Privacy... shall indicate clearly both on the envelope and in the letter that it is a Privacy Act request. (b)...

  14. 78 FR 54945 - Privacy Act; System of Records: Protocol Records, State-33

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... printing audit trails of access from the computer media, thereby permitting regular and ad hoc monitoring of computer usage. When it is determined that a user no longer needs access, the user account is... Records, a user must first be granted access to the Department of State computer system. Remote access...

  15. 77 FR 48199 - Privacy Act; System of Records: State-35, Information Access Programs Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ... user must first be granted access to the Department of State computer system. All employees of the... trails of access from the computer media, thereby permitting regular and ad hoc monitoring of computer usage. RETENTION AND DISPOSAL: Records are retired and destroyed in accordance with published...

  16. 12 CFR 310.3 - Procedures for requests pertaining to individual records in a system of records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... government-wide records systems maintained by the Corporation, the procedures prescribed in the respective... identifying information, as specified in the Corporation's Federal Register “Notice of Systems of Records” for... individual records in a system of records. 310.3 Section 310.3 Banks and Banking FEDERAL DEPOSIT...

  17. Interoperability of a mobile health care solution with electronic healthcare record systems.

    PubMed

    De Toledo, P; Lalinde, W; Del Pozo, F; Thurber, D; Jimenez-Fernandez, S

    2006-01-01

    Mobile health care solutions involving patient monitoring are an increasingly accepted element in chronic disease management strategies. When used in healthcare systems with different providers, it is essential that the information gathered from the patient is available at each of these providers information repositories. This paper describes the design of a connectivity interface based on the HL7 standard that allows the MOTOHEALTH mobile health care solution to communicate with external electronic healthcare record systems supporting HL7.

  18. Pedunculopontine nucleus microelectrode recordings in movement disorder patients.

    PubMed

    Weinberger, Moran; Hamani, Clement; Hutchison, William D; Moro, Elena; Lozano, Andres M; Dostrovsky, Jonathan O

    2008-06-01

    The pedunculopontine nucleus (PPN) lies within the brainstem reticular formation and is involved in the motor control of gait and posture. Interest has focused recently on the PPN as a target for implantation of chronic deep brain stimulation (DBS) electrodes for Parkinson's disease (PD) and progressive supranuclear palsy (PSP) therapy. The aim of this study was to examine the neurophysiology of the human PPN region and to identify neurophysiological landmarks that may aid the proper placement of DBS electrodes in the nucleus for the treatment of PD and PSP. Neuronal firing and local field potentials were recorded simultaneously from two independently driven microelectrodes during stereotactic neurosurgery for implantation of a unilateral DBS electrode in the PPN in five PD patients and two PSP patients. Within the PPN region, the majority (57%) of the neurons fired randomly while about 21% of the neurons exhibited 'bursty' firing. In addition, 21% of the neurons had a long action potential duration and significantly lower firing rate suggesting they were cholinergic neurons. A change in firing rate produced by passive and/or active contralateral limb movement was observed in 38% of the neurons that were tested in the PPN region. Interestingly, oscillatory local field potential activity in the beta frequency range ( approximately 25 Hz) was also observed in the PPN region. These electrophysiological characteristics of the PPN region provide further support for the proposed role of this region in motor control. It remains to be seen to what extent the physiological characteristics of the neurons and the stimulation-evoked effects will permit reliable identification of PPN and determination of the optimal target for DBS therapy.

  19. Low-Power, 8-Channel EEG Recorder and Seizure Detector ASIC for a Subdermal Implantable System.

    PubMed

    Do Valle, Bruno G; Cash, Sydney S; Sodini, Charles G

    2016-04-20

    EEG remains the mainstay test for the diagnosis and treatment of patients with epilepsy. Unfortunately, ambulatory EEG systems are far from ideal for patients who have infrequent seizures. These systems only last up to 3 days and if a seizure is not captured during the recordings, a definite diagnosis of the patient's condition cannot be given. This work aims to address this need by proposing a subdermal implantable, eight-channel EEG recorder and seizure detector that has two modes of operation: diagnosis and seizure counting. In the diagnosis mode, EEG is continuously recorded until a number of seizures are recorded. In the seizure counting mode, the system uses a low-power algorithm to track the number of seizures a patient has, providing doctors with a reliable count to help determine medication efficacy or other clinical endpoint. An ASIC that implements the EEG recording and seizure detection algorithm was designed and fabricated in a 0.18 μm CMOS process. The ASIC includes eight EEG channels and is designed to minimize the system's power and size. The result is a power-efficient analog front end that requires 2.75 μW per channel in diagnosis mode and 0.84 μW per channel in seizure counting mode. Both modes have an input referred noise of approximately 1.1 μVrms.

  20. Low-Power, 8-Channel EEG Recorder and Seizure Detector ASIC for a Subdermal Implantable System.

    PubMed

    Do Valle, Bruno G; Cash, Sydney S; Sodini, Charles G

    2016-12-01

    EEG remains the mainstay test for the diagnosis and treatment of patients with epilepsy. Unfortunately, ambulatory EEG systems are far from ideal for patients who have infrequent seizures. These systems only last up to 3 days and if a seizure is not captured during the recordings, a definite diagnosis of the patient's condition cannot be given. This work aims to address this need by proposing a subdermal implantable, eight-channel EEG recorder and seizure detector that has two modes of operation: diagnosis and seizure counting. In the diagnosis mode, EEG is continuously recorded until a number of seizures are recorded. In the seizure counting mode, the system uses a low-power algorithm to track the number of seizures a patient has, providing doctors with a reliable count to help determine medication efficacy or other clinical endpoint. An ASIC that implements the EEG recording and seizure detection algorithm was designed and fabricated in a 0.18 μm CMOS process. The ASIC includes eight EEG channels and is designed to minimize the system's power and size. The result is a power-efficient analog front end that requires 2.75 μW per channel in diagnosis mode and 0.84 μW per channel in seizure counting mode. Both modes have an input referred noise of approximately 1.1 μVrms.