Abstract
Since the emergence of electronic medical records (EMRs) several implementations have been faced with problems such as technical issues, high implementation costs and usability issues. In the case of specialized medicine, healthcare institutions are finding out that the one-size-fits-all approach to EMR deployment does not work. In the field of pediatrics, studies show that general EMRs have limited usefulness in pediatrics because they are generally designed for adult care.
In previous years, several EMRs, Ped-Files, PEDiA and PedSync included, have been developed with the aim of providing an EMR designed to address the specialized needs of pediatrics, which conforms to the standards set by the Philippine Pediatric Society. However these EMRs have encountered problems with database management and synchronization issues.
With the aim of addressing the issues encountered, PedInfoSys, an OpenMRS-based Pediatric Information System, was developed. It is a web-based medical records system built on OpenMRS, which is an open source EMR application that provides the ‘building block’ to the creation of customized EMRs. The use of OpenMRS has provided advantages over previous systems like PEDiA and PedSync. These include the elimination of complications presented by having different databases, the ease of database communication through simple calls, the restriction of invalid data to maintain data integrity and the use of standards like HL7 to promote reusability and interoperability. More importantly, it has a highly scalable model and uses an approach that allows ease of use and flexibility with regards to the users’ needs.
This paper aims to present the system design modifications to create PedInfoSys, and its capabilities in addressing the shortcomings of previous systems. It also analyzes the issues encountered with the implementation of the application and presents recommendations regarding future improvements.
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References
Jethani, J.: Medical Records - Its Importance and the Relevant Law. AECS Illumination 4(1), 10–12 (2004)
Stimpfel, N.: Quality Medical Charts: The Importance of Proper Medical Record Documentation. TransforMed (2007)
Roukema, J., et al.: Paper Versus Computer: Feasibility of an Electronic Medical Record in General Pediatrics. Pediatrics 117(1), 15–21 (2006)
Hsieh, S., Hou, I., Cheng, et al.: Design and Implementation of Web-Based Mobile Electronic Medication Administration Record. Journal of Medical Systems 34, 947–958 (2009)
Fraser, H., Choi, S., Galipot, M., et al.: Successful transfer of a Web-based TB medical record from Peru to the Philippines. In: AMIA Annual Symposium Proceedings (2006)
Floss Manuals: OpenMRS, OpenMRS Guide, http://en.flossmanuals.net/openmrs-guide/ (accessed April 4, 2012)
Firaza, P.: Capiz Province Embraces Hospital Informatics, Rolls out Electronic Medical Records. University of the Philippines - Manila, National Telehealth Center (2011), http://bit.ly/Hrb9l2 (accessed April 6, 2012)
Open Clinical. OpenClinical: Knowledge Management Technologies for Healthcare, http://www.openclinical.org/publicreportsEMR.html (accessed April 3, 2012)
Smelcer, J.B., Miller-Jacobs, H., Kantrovich, L.: Usability of Electronic Medical Records. Journal of Usability Studies 4(2), 70–84 (2009)
Adams, W., Mann, A., Bauchner, H.: Use of an Electronic Medical Record Improves the Quality of Urban Pediatric Primary Care. Pediatrics 111, 626 (2003)
Black Book Rankings, Survey Findings of Top EHR Vendors. Primary Care Physician Practices, http://bit.ly/IcQYqw (accessed April 5, 2012)
Practice Fusion, Top EMR for Physician Satisfaction, http://bit.ly/IaypAn (accessed April 4, 2012)
Constine, J.: Practice Fusion, # 1 in EMR With 25M Electronic Medical Records, Debuts iPad App. (2011), http://tcrn.ch/HiqEbx (accessed April 4, 2012)
Yahoo! Finance, Healthcare Systems Nationwide Select Greenway’s PrimeSUITE EHR, http://yhoo.it/I0PCgK (accessed April 1, 2012)
Health Market Innovation, Community Health Information Tracking System (CHITS) (2012), http://bit.ly/HrbfJl
Fernandez-Mark, P., Sy, M., Bañez, N.: Case Study: Community Health Information Tracking System (CHITS). Center for Health Market Innovation (CHMI) (2010)
Domingo, C., Ramirez, N., Feria, R.: Evaluationof CHITS’ Database. In: Proceedings of IADIS International Conference e-Health 2011. IADIS Press, Rome (2011)
Open Data Kit, AMPATH Improving Care At Scale With ODK and OpenMRS, http://bit.ly/HrrHJ6 (accessed April 2, 2012)
World Health Organization, Community Health Workers at the Millennium Villages Project increase access to the health workforce, http://bit.ly/HrrIN7 (accessed April 2, 2012)
Dolan, P.: Use of mobile devices by physicians influences EMR purchases. American Medical News, http://bit.ly/I5lJzq (accessed April 3, 2012)
Hernandez, P.: Survey: EMR most commonly supported mobile app in hospitals. Aruba Networks 2012 Healthcare Mobility Trends Survey, http://bit.ly/HirIw4 (accessed April 3, 2012)
Epic Canto, Epic Canto for iPad in iTunes (2011), http://bit.ly/Ikv8i0 (accessed April 8, 2012)
DrChrono, DrChrono for iPad in iTunes, http://bit.ly/Ifh3aq (accessed April 8, 2012)
OfficeEMR, OfficeEMR for iPad in iTunes (2011), http://bit.ly/I6bgQW (accessed April 8, 2012)
Chavis, S.: Pediatric EMRs: Big Considerations for Small Patients. For the Record 20(2), 14 (2008)
Spooner, S.A.: Special Requirements of Electronic Health Record Systems in Pediatrics. Pediatrics 119(3), 631–637 (2007)
Mendoza, C., Pajarito, K., Valentino, M.: PEDiA: Streamlining Pediatric Healthcare Delivery Using an End-to-End Mobile and Desktop Information System. University of the Philippines - Diliman (unpublished)
Tyagi, S.: RESTful Web Services (2006), http://bit.ly/Rz5bDB (accessed September 1, 2012)
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Caro, R.S.D., Maghuyop, D.M.A., Silapan, I.R., Feria, R.P. (2013). PedInfoSys: An OpenMRS Based Pediatric Information System. In: Nishizaki, Sy., Numao, M., Caro, J., Suarez, M.T. (eds) Theory and Practice of Computation. Proceedings in Information and Communications Technology, vol 7. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54436-4_13
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DOI: https://doi.org/10.1007/978-4-431-54436-4_13
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