Skip to main content

The Health Record Component

  • Chapter
  • 187 Accesses

Part of the book series: Health Informatics ((HI))

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alpay L, Baud R, J-R Scherrer. Representing semantical knowledge of medical texts for natural language processing. In: AIM-CEN European Workshop on the Medical Record. Brussels: March 31–April 2, 1993; pp. 298–303.

    Google Scholar 

  2. Bainbridge M, Salmon P, Rappaport A, Hayes G, Williams J, Teasdale S. The Problem Oriented Medical Record-Just a Little More Structure to Help the World go Round? Clinical Computing Special Interest Group (CLICSIG) of the PHCSG. http://www.ncl.ac.uk/~nphcare/PHCSG/conference/camb96/mikey.htm, 1996.

  3. Baud R, Rassinoux A, Wagner J, Lovis C, Juge C, Scherrer J. Representing Clinical Narratives. Sowa Conceptual Graphs IMIA WG 6 — Working Conferences, Geneva, (May 29–June 1), 1994.

    Google Scholar 

  4. Bishop CW. A new format for the medical record. MD Computing. 1991; 8(4): 208–215.

    CAS  PubMed  Google Scholar 

  5. CEN/TC251. PrENV 12265. Electronic Healthcare Record Architecture. July 1995. [http://www.centx251.org].

  6. CEN/TC251. PrENV 13606-1. Electronic Healthcare Record Communication. May 2000. [http://www.centx251.org].

  7. Chute GC, Cesnik B, Van Bemmel JH. Medical data and knowledge management by integrated medical workstations. Summary and recommendations. Int J Bio-Med Comput. 1994; 34: 175–183.

    CAS  Google Scholar 

  8. Claus PL, Carpenter PC, Chute CG, Mohr DN, Gibbons PS. Clinical care management and workflow by episodes. Proc AMIA Annu Fall Symp. 1997; p. 91–95.

    Google Scholar 

  9. CORBAmed. http://www.omg.org/homepages/corbamed/.

  10. Creed A, Dennis I, Newstead S. Effect of display-format on proof-reading with VDUs. Behav Information Technol. 1988; 7: 467–478.

    Google Scholar 

  11. De Brota DJ. In front of us. Int J Bio-Med Comput. 1994; 34: 131–135.

    Google Scholar 

  12. de Bruijn D. The influence of screen size and text layout on the study of text. Behav Inform Technol. 1992; 11: 71–78.

    Google Scholar 

  13. Degoulet P, Jean FC. The need for pragmatic database models. In: Scherrer JR, Côté R, Mandil S, eds. Computerized Natural Medical Language Processing for Knowledge Engineering. Amsterdam: North Holland, 1989; pp. 157–67.

    Google Scholar 

  14. De Moor GJE. The future and the Impact of Telematics for Healthcare. Proc Workshop European Health Care Record Architecture, Brussels, 1994.

    Google Scholar 

  15. De Vries R. Useful elements of POMR [report of experience]. Med Rec. 1975; 16(6): 13–17.

    Google Scholar 

  16. Dick R, Andrew WF. Explosive growth in CPRs: evaluation criteria needed. Healthcare Informatics. April 1995; 110–114.

    Google Scholar 

  17. Donnelly WJ, Hines E, Brauner DJ. Why SOAP is bad for the medical record. Arch Intern Med. 1992; 152: 481–484.

    Article  CAS  PubMed  Google Scholar 

  18. EHCR Support Action Project: http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/.

  19. Frenckner K. Legibility of continuous text on computer screens—a guide to the literature. Report no. 25 from IP Lab, Royal Institute of Technology, Stockholm, 1990.

    Google Scholar 

  20. GEHR Projects. Requirements-deliverables 4–9: http://www.chime.ucl.ac.uk/HealthI/GEHR/GEHR. Foundation: http://www.gehr.org/, 1992.

  21. The Good European Health Record AIM Project 2014. Deliverable 1–6, 1993.

    Google Scholar 

  22. Helander M, ed. Handbook of Human-Computer Interaction. Amsterdam: North Holland, Elsevier Science, 1988.

    Google Scholar 

  23. HL7 SGML/XML SIG: Patient Record Architecture/Kona Proposal. http://www.mcis.duke.edu/standards/HL7/committees/sgml/white-Papers/Prap/, 1999.

  24. Holman BL, Aliabadi P, Silverman SG, Weissman BN, Rudolph LE, Tener EF. Medical impact of unedited preliminary radiology reports. Radiology 1994; 191(2): 519–521.

    CAS  PubMed  Google Scholar 

  25. Hripcsak G. Call for participation. IMIA Spring Congress, 1995.

    Google Scholar 

  26. Iakovidis I. Toward personal health record: current situation, obstacles and trends in implementation of electronic healthcare record in Europe. Int J Medical Inform 1998; 52: 105–115.

    CAS  Google Scholar 

  27. Johnson SB, Terre P, Khenina A. Generic database design for patient management information. Proc AMIA Annu Fall Symp. 1997; 22–26.

    Google Scholar 

  28. Kuperman GJ, Garoner RN. The impact of the HELP computer system on the LDS hospital paper medical record. Proc 14th Annu Symp Comput Appl Med Care. 1990; 673–677.

    Google Scholar 

  29. Maskens AP. GEHR General Syntax and Semantics: Interim Description. Brussels: AIM Office, Deliverable 10, 1993.

    Google Scholar 

  30. McDonald CJ, Tierney WM. Computer stored medical records: their future role in medical practice. JAMA. 1988; 259: 3433–3340.

    CAS  PubMed  Google Scholar 

  31. http://www.medialogic.com/products/implementing/whitepapers/dl_struclo2.doc.

  32. NHS Information Authority. Headings for communicating clinical information draft information standard headings framework version 2. Final Draft, March 2000.

    Google Scholar 

  33. Nygren E, Allard A, Lind M. Skilled users interpretation of visual displays. Report no 63/96 from Center for Human-Computer Studies. Uppsala, Sweden: Uppsala University, submitted, 1996.

    Google Scholar 

  34. Rector AL, Nowlan WA, Kay S. Foundations for an electronic medical record. Methods Inform Med. 1991; 30–38.

    Google Scholar 

  35. Rector AL, Soloman WD, Nowlan WA, Rush TW. A Terminology Server for Medical Language and Medical Information Systems. Geneva: IMIA WG 6-Working Conferences, 1994.

    Google Scholar 

  36. Rector AL, Medical-concept models and medical records: an approach based on GALEN and PEN&PAD. J Am Med Inform Assoc. 1995; 2(1): 19–35.

    CAS  PubMed  Google Scholar 

  37. Rector AL. Computer-based patient records. In: Van Bemmel JH, McGray AT, eds. Yearbook of Medical Informatics. Stuttgart: 1996; 195–198.

    Google Scholar 

  38. Rector A, Rossi A, Consorti MF, Zanstra P. Practical development of re-usable terminologies: GALEN-IN-USE and the GALEN Organisation. Int J Med Inf. 1998; 48(1–3): 71–84.

    CAS  Google Scholar 

  39. Reisel JF, Schneiderman B. Is bigger better? The effects of display size on program reading. In: Salvendy G ed. Social, Ergonomic and Stress Aspects of Work with Computers. Elsevier Science, 1997; 113–122.

    Google Scholar 

  40. RSNA Radiology Society of North America. Efficient Multimedia Report Creation SR System 9502 NT-I, 2000.

    Google Scholar 

  41. Salmon P, Rappaport A, Bainbridge M, Hayes G, Williams J. Taking the problems oriented medical record forward. Proc AMIA Annu Fall Symp. 1996; 463–467.

    Google Scholar 

  42. Solon JA, Feeney JJ, Jones, SH, Rigg RD, Sheps G. Delineating episodes of medical care. Am J Public Health. 1967; 57: 401–408.

    CAS  Google Scholar 

  43. Synapses Project: http://www.cs.tcd.ie/synapses/public/.

  44. Takeda H, Matsumura Y, Kuwata S, Nakano H, Sakomoto N, Yamamoto R. Architecture for networked electronic patient record systems. Int J Med Informatics. 2000; 60: 161–167.

    Article  CAS  Google Scholar 

  45. Tang PC, McDonald CJ. Computer-Based Patient-Record Systems. In: Shortliffe EH, Perreault LE eds. Medical Informatics. Computer Applications in Health Care and Biomedicine. Reading, Massachusetts: Addison Wesley, 1990; 327–358.

    Google Scholar 

  46. Tielemans L. Het medisch dossier. Uitgaven VUB. Brussels, 1998.

    Google Scholar 

  47. Details on ToMeLo can be found at: http://www.ehm.kun.nl/tomelo. ToMeLo Workshop; Paris CNIT La Defense, 1997.

  48. Tuttle MS, Stuart JN. The role of the UMLS in storing and sharing across systems. Int J Bio-Med Comput. 1994; 34: 207–237.

    CAS  Google Scholar 

  49. van Bemmel JH. Medical data, information and knowledge. Methods Inform Med. 1988; 27: 109–110.

    Google Scholar 

  50. Weed LL. Medicals record that guide and teach. N Engl J Med. 1968; 278: 593–599, 652–657.

    CAS  PubMed  Google Scholar 

  51. Weed LL. Medical Records, Medical Education and Patient Care. The Problem Oriented Record as a Basic Tool. Cleveland: Case Western Reserve University Press, 1968.

    Google Scholar 

  52. Weed LL. Medical Records, Medical Education and Patient Care. Cleveland: Case Western University Press, 1969.

    Google Scholar 

  53. Weed LL. The POMR as a basic tool in medical education, patient care and clinical research. Ann Clin Res. 1971; 3: 131–134.

    CAS  PubMed  Google Scholar 

  54. Whiting-O’Keefe QE, Whiting A, Henke J. The store clinical information system. MD-Comput. 1988; 5(5): 8–21.

    CAS  PubMed  Google Scholar 

  55. Wyatt JC. Clinical data systems. Lancet. 1994; 344: 1543–1546.

    CAS  PubMed  Google Scholar 

  56. Yoshihara H. Development of the electronic health record in Japan. Int J Med Inf. 1998; 49: 53–58.

    Article  CAS  Google Scholar 

Download references

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

(2003). The Health Record Component. In: Clinical Information Systems. Health Informatics. Springer, New York, NY. https://doi.org/10.1007/0-387-21699-5_6

Download citation

  • DOI: https://doi.org/10.1007/0-387-21699-5_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-95538-4

  • Online ISBN: 978-0-387-21699-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics