Electronic Health Record in Dermatology Service

  • Júlio Duarte
  • Carlos Filipe Portela
  • António Abelha
  • José Machado
  • Manuel Filipe Santos
Part of the Communications in Computer and Information Science book series (CCIS, volume 221)


In this paper we describe the implementation of an Electronic Health Record in the Dermatology service of a Portuguese hospital. This system must follow the principle of simplicity, enabling recording quality and analytical processing. Standards and norms were also followed and it is shown that interoperability has a key role in the whole process. This project is a good example of cooperation between academic and healthcare institutions and shows the impact of new technology on healthcare organizations.


Health Records Interoperability XML 


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  1. 1.
    Van Bemmel, J.H., Musen, M.A.: Handbook of Medical Informatics. Springer, Heidelberg (1999)Google Scholar
  2. 2.
    Haux, R., Winter, A., Ammenwerth, E., Brigl, B.: Strategic Information Management in Hospitals: An Introduction to Hospital Information Systems. Springer, New York (2004)CrossRefGoogle Scholar
  3. 3.
    Haux, R.: Individualization, globalization and health – about sustainable information technologies and the aim of medical informatics. International Journal of Medical Informatics 75, 795–808 (2006)CrossRefGoogle Scholar
  4. 4.
    Costa, R., Novais, P., Machado, J., Alberto, C., Neves, J.: Inter-organization Cooperation for Care of the Elderly. In: Wang, W., Li, Y., Duan, Z., Yan, L., Li, H., Yang, X. (eds.) Integration and Innovation Orient to E-Society. IFIP International Federation for Information Processing. Springer, Heidelberg (2007) ISBN: 978-0-387-75493-2Google Scholar
  5. 5.
    Ammenwerth, E., Buchauer, A., Haux, R.: A requirements index for information processing in hospitals. Methods of Information in Medicine 41, 282–288 (2002)Google Scholar
  6. 6.
    Hübner-Bloder, G., Ammenwerth, E., Brigl, B., Winter, A.: Specification of a Reference Model for the Domain Layer of a Hospital Information System. In: Connecting Medical Informatics and Bio-Informatics Section 8: Implementation & Evaluation of Clinical Systems, pp. 497–502 (2005)Google Scholar
  7. 7.
    Abelha, A.: Multi-Agent Systems to Support Cooperative Work in Health Care Units - PhD Thesis. Departamento de Informática, Universidade do Minho, Braga, Portugal (2004) Google Scholar
  8. 8.
    Slee, V., Slee, D., Schmidt, J.: The Endangered Medical Record: Ensuring Its Integrity in the Age of Informatics. In: Tringa Press k Maxwell, A Treatise on Electricity and Magnetism, 1892, 3rd edn., vol. 2, pp. 68–73. Clarendon, Oxford (2000)Google Scholar
  9. 9.
    Neves, J., Santos, M., Machado, J., Abelha, A., Allegro, S., Salazar, M.: Electronic Health Records and Decision Support - Local and Global Perspectives. WSEAS Transactions on Biology and Biomedicine 5(8), 189–198 (2008) ISSN 1109-9518Google Scholar
  10. 10.
    Dick, R., Steen, E.: The Computer-based Patient Record - An Essential Technology for Health Care. National Academy Press, Washington, DC (1991)Google Scholar
  11. 11.
    Kay, S., Purves, I.: Medical Records and Other Stories: A Narrational Framework. Methods of Information in Medicine 35, 72–87 (1996)Google Scholar
  12. 12.
    Elberg, P.B.: Electronic patient records and innovation in health care services. International Journal of Medical Informatics 64, 201–205 (2001); Gurley, L.: Advantages and Disadvantages of the Electronic Medical Record, American Academy of Medical Administrators (2004)Google Scholar
  13. 13.
    International Organization for Standardization. Requirements for an Electronic Health Record Reference Architecture - ISO 18308. International Organization for Standardization, GenevaGoogle Scholar
  14. 14.
    Häyrinen, K., Saranto, K., Nykänen, P.: Definition, structure, content, use and impacts of electronic health records: A review of the research literature (Review). International Journal of Medical Informatics 77, 291–304 (2008)CrossRefGoogle Scholar
  15. 15.
    Coiera, E.: Guide to Health Informatics, 2nd edn. Hodder Arnold, London (2003)CrossRefGoogle Scholar
  16. 16.
    Abelha, A., Machado, J., Santos, M., Allegro, S., Rua, F., Paiva, M., Neves, J.: Agency for Integration, Diffusion and Archive of Medical Information. In: Proceedings of the Third IASTED International Conference - Artificial Intelligence and Applications, Malaga, Spain (2002) ISBN 0-88986-390-3Google Scholar
  17. 17.
    Abelha, A., Santos, M., Machado, J., Neves, J.: Auditing Agents in the Context of a Telemedical Information Society. In: Vale, Z., Ramos, C., Faria, L. (eds.) Proceedings of the 2nd International Conference on Knowledge Engineering and Decision Support, Knowledge and Decision Technologies, Lisbon, Portugal (2006) ISBN: 972-8688-39-3Google Scholar
  18. 18.
    Machado, J., Abelha, A., Novais, P., Neves, J., Neves, J.: Quality of service in healthcare units. Int. J. Computer Aided Engineering and Technology 2(4), 436–449Google Scholar
  19. 19.
    Bossen, C.: Evaluation of a computerized problem-oriented medical record in a hospital department: Does it support daily clinical practice? International Journal of Medical Informatics 76, 592–600 (2007)CrossRefGoogle Scholar
  20. 20. (accessed in December de 2010)
  21. 21. (accessed in July 2010)

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Júlio Duarte
    • 1
  • Carlos Filipe Portela
    • 2
  • António Abelha
    • 1
  • José Machado
    • 1
  • Manuel Filipe Santos
    • 2
  1. 1.CCTCUniversidade do MinhoBragaPortugal
  2. 2.Centro AlgoritmiUniversidade do MinhoGuimarãesPortugal

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