Fr. 150.00

Electronic Health Record - Standards, Coding Systems, Frameworks, and Infrastructures

English · Hardback

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Informationen zum Autor PRADEEP K. SINHA, PhD, is the Senior Director (High Performance Computing) at the Centre for Develop- ment of Advanced Computing (C-DAC), India, and coordinator and mentor to several high-technology R&D groups there. GAUR SUNDER heads research and development at Medical Informatics Group (MIG) at C-DAC, India, and is a member of the eHealth Committee of the Bureau of Indian Standards and the National EHR Standards Committee of the Union Health Ministry of India. PRASHANT BENDALE is involved in the research and development of the distribution and integration model for building EHR stores at C-DAC. MANISHA D. MANTRI is involved in the research and development of an evolving EHR model, compliance to eHealth standards, and security policies for EHR systems at C-DAC. ATREYA C. DANDE is involved in the research and development of EHR standards, national EHR frameworks, distributed technologies, and optimal search algorithms in healthcare at C-DAC. Klappentext Discover How Electronic Health Records Are Built to Drive the Next Generation of Healthcare DeliveryThe increased role of IT in the healthcare sector has led to the coining of a new phrase "health informatics," which deals with the use of IT for better healthcare services. Health informatics applications often involve maintaining the health records of individuals, in digital form, which is referred to as an Electronic Health Record (EHR). Building and implementing an EHR infrastructure requires an understanding of healthcare standards, coding systems, and frameworks. This book provides an overview of different health informatics resources and artifacts that underlie the design and development of interoperable healthcare systems and applications.Electronic Health Record: Standards, Coding Systems, Frameworks, and Infrastructures compiles, for the first time, study and analysis results that EHR professionals previously had to gather from multiple sources. It benefits readers by giving them an understanding of what roles a particular healthcare standard, code, or framework plays in EHR design and overall IT-enabled healthcare services along with the issues involved.This book on Electronic Health Record:* Offers the most comprehensive coverage of available EHR Standards including ISO, European Union Standards, and national initiatives by Sweden, the Netherlands, Canada, Australia, and many others* Provides assessment of existing standards* Includes a glossary of frequently used terms in the area of EHR* Contains numerous diagrams and illustrations to facilitate comprehension* Discusses security and reliability of data Zusammenfassung With the EHR (Electronic Health Record) being central to most health informatics applications, several countries have initiated programs for implementing national EHR infrastructures. Inhaltsverzeichnis Preface XVII Acronyms XXVII PART ONE Introduction 1 Introduction to EHR 3 1.1 Introduction, 3 1.2 Definition of EHR, 4 1.3 Functions of EHR, 5 1.4 Significance of EHR, 6 1.5 Factors Affecting Implementation of EHR, 7 1.6 Role of Standards, 8 1.7 Role of Clinical Coding Systems, 9 1.8 Role of Standard Frameworks, 9 1.9 Case Studies of National EHR Implementations, 10 PART TWO EHR Standards 2 Standard for EHR Architecture Requirements 15 2.1 Introduction, 15 2.2 ISO/TS 18308 Requirement Specification, 16 2.2.1 Content Structure Model, 16 2.2.2 Inclusion of Clinical and Record Processes, 17 2.2.3 Content Exchange, 17 2.2.4 Privacy and Security, 17 2.2.5 Legal Considerations, 17 2.2.6 Ethical, Consumer/Cultural Aspects, 18 2.2.7 Future-proof Framework, 18 2.3 Discussion, 18 2.4 Conclusion, 20 3 Standard for He...

List of contents

Preface XVII
 
Acronyms XXVII
 
PART ONE Introduction
 
1 Introduction to EHR 3
 
1.1 Introduction, 3
 
1.2 Definition of EHR, 4
 
1.3 Functions of EHR, 5
 
1.4 Significance of EHR, 6
 
1.5 Factors Affecting Implementation of EHR, 7
 
1.6 Role of Standards, 8
 
1.7 Role of Clinical Coding Systems, 9
 
1.8 Role of Standard Frameworks, 9
 
1.9 Case Studies of National EHR Implementations, 10
 
PART TWO EHR Standards
 
2 Standard for EHR Architecture Requirements 15
 
2.1 Introduction, 15
 
2.2 ISO/TS 18308 Requirement Specification, 16
 
2.3 Discussion, 18
 
2.4 Conclusion, 20
 
3 Standard for Healthcare Concepts 23
 
3.1 Introduction, 23
 
3.2 CEN/TC EN 13940-1, 24
 
3.3 CEN/TC prEN 13940-2, 28
 
3.4 Discussion, 30
 
3.5 Conclusion, 32
 
4 Standard for EHR Functional Specifications 33
 
4.1 Introduction, 33
 
4.2 HL7 EHR-S Functional Model, 34
 
4.3 Comparison of HL7 EHR-S FM and ISO/TS 18308, 38
 
4.4 Discussion, 39
 
4.5 Conclusion, 40
 
5 Standard for EHR Communication 43
 
5.1 Introduction, 43
 
5.2 CEN/ISO EN 13606 Requirement Specification, 45
 
5.3 Discussion, 51
 
5.4 Conclusion, 53
 
6 Messaging Standard for Healthcare Data 57
 
6.1 Introduction, 57
 
6.2 HL7 v2.x, 58
 
6.3 Discussion, 64
 
6.4 Conclusion, 67
 
7 Model-Based Messaging Standard for Healthcare Data 69
 
7.1 Introduction, 69
 
7.2 HL7 v3, 69
 
7.3 HL7 v2.x and v3 Comparison, 75
 
7.4 Discussion, 75
 
7.5 Conclusion, 77
 
8 Clinical Document Standards 81
 
8.1 Introduction, 81
 
8.2 Clinical Document Architecture (CDA), 82
 
8.3 Continuity of Care Document (CCD), 85
 
8.4 Clinical Document Exchange, 87
 
8.5 Discussion, 87
 
8.6 Conclusion, 89
 
9 Standard for Medical Imaging and Communication 93
 
9.1 Introduction, 93
 
9.2 DICOM, 94
 
9.3 Improvements in DICOM Standard, 96
 
9.4 Discussion, 96
 
9.5 Conclusion, 100
 
10 Standard for Patient Health Summary 103
 
10.1 Introduction, 103
 
10.2 Continuity of Care Record (CCR), 103
 
10.3 Discussion, 107
 
10.4 Conclusion, 108
 
PART THREE Coding Systems
 
11 Coding System for Classification of Diseases and Related Health Problems 113
 
11.1 Introduction, 113
 
11.2 ICD, 114
 
11.3 Improvements in ICD-10, 114
 
11.4 Discussion, 116
 
11.5 Conclusion, 116
 
12 Coding System for Laboratory Tests and Observations 119
 
12.1 Introduction, 119
 
12.2 LOINC, 120
 
12.3 Discussion, 122
 
12.4 Conclusion, 123
 
13 Coding System for Patient Care Procedures 125
 
13.1 Introduction, 125
 
13.2 CPT, 126
 
13.3 Discussion, 129
 
13.4 Conclusion, 130
 
14 Extended Coding System for Patient Care Procedures 131
 
14.1 Introduction, 131
 
14.2 HCPCS, 132
 
14.3 Discussion, 134
 
14.4 Conclusion, 134
 
15 Comprehensive Coding System for Clinical Terms 137
 
15.1 Introduction, 137
 
15.2 SNOMED CT, 138
 
15.3 SNOMED CT Database Browsers, 141
 
15.4 Discussion, 141
 
15.5 Conclusion, 142
 
16 Unified Medical Language System 145
 
16.1 Introduction, 145
 
16.2 UMLS-Supported Coding Systems, 146
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