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

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1 Brochure More information from Electronic Health Record. Standards, Coding Systems, Frameworks, and Infrastructures Description: Discover How Electronic Health Records Are Built to Drive the Next Generation of Healthcare Delivery The 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 Contents: Preface XVII Acronyms XXVII PART ONE Introduction 1 Introduction to EHR Introduction, Definition of EHR, Functions of EHR, Significance of EHR, Factors Affecting Implementation of EHR, Role of Standards, Role of Clinical Coding Systems, Role of Standard Frameworks, Case Studies of National EHR Implementations, 10 PART TWO EHR Standards 2 Standard for EHR Architecture Requirements 15

2 2.1 Introduction, ISO/TS Requirement Specification, Content Structure Model, Inclusion of Clinical and Record Processes, Content Exchange, Privacy and Security, Legal Considerations, Ethical, Consumer/Cultural Aspects, Future-proof Framework, Discussion, Conclusion, 20 3 Standard for Healthcare Concepts Introduction, CEN/TC EN , Actors in Continuity of Care, Health Issues and Their Management, Concepts Related to Responsibility, Time-Related Concepts, Concepts Related to Knowledge, Activities, and Decision Support, Health Data Management, CEN/TC pren , Healthcare Process, Discussion, Conclusion, 32 4 Standard for EHR Functional Specifications Introduction, HL7 EHR-S Functional Model, Functional Profiles, Exchange, Security/Privacy, Comparison of HL7 EHR-S FM and ISO/TS 18308, 38

3 4.4 Discussion, Conclusion, 40 5 Standard for EHR Communication Introduction, CEN/ISO EN Requirement Specification, Part 1: Reference Model, Part 2: Archetypes Interchange Specification, Part 3: Reference Archetypes and Term Lists, Part 4: Security, Part 5: Exchange Models, Discussion, Conclusion, 53 6 Messaging Standard for Healthcare Data Introduction, HL7 v2.x, Message Structure, Auxiliary Messaging Protocols, Usage Scenario, Example of HL7 v2.x Message, Discussion, Conclusion, 67 7 Model-Based Messaging Standard for Healthcare Data Introduction, HL7 v3, Message Structure, Interaction Model, Role-Based Access Control, HL7 v3 and SNOMED CT, HL7 v3 and Service-Oriented Architecture (SOA), HL7 v2.x and v3 Comparison, Discussion, Conclusion, 77

4 8 Clinical Document Standards Introduction, Clinical Document Architecture (CDA), Document Structures, Example of CDA Component, Continuity of Care Document (CCD), Example of CCD Component, Clinical Document Exchange, Discussion, Conclusion, 89 9 Standard for Medical Imaging and Communication Introduction, DICOM, Information Model, Message Exchange Model, Improvements in DICOM Standard, Discussion, Conclusion, Standard for Patient Health Summary Introduction, Continuity of Care Record (CCR), Structural Model, Exchange, Discussion, Conclusion, 108 PART THREE Coding Systems 11 Coding System for Classification of Diseases and Related Health Problems Introduction, ICD, Chapters, Blocks, 114

5 11.3 Improvements in ICD-10, Discussion, Conclusion, Coding System for Laboratory Tests and Observations Introduction, LOINC, Code Classification, Code Structure, Regenstrief LOINC Mapping Assistant (RELMA), Discussion, Conclusion, Coding System for Patient Care Procedures Introduction, CPT, Data Model, CPT Sections, CPT Index, CPT Symbols, CPT Modifiers, Descriptive Qualifiers, Discussion, Conclusion, Extended Coding System for Patient Care Procedures Introduction, HCPCS, Level I Codes, Level II Codes, Discussion, Conclusion, Comprehensive Coding System for Clinical Terms Introduction, SNOMED CT, 138

6 Concepts, Structure of SNOMED CT Code, SNOMED CT Database Browsers, Discussion, Conclusion, Unified Medical Language System Introduction, UMLS-Supported Coding Systems, UMLS Architecture, Metathesaurus, Semantic Network, Specialist Lexicon and Lexical Tools, UMLS Licensing, Discussion, Conclusion, Other Coding Systems Introduction, AHFS Drug Information (AHFS DI), Current Dental Terminology (CDT), International Classification of Diseases for Oncology (ICD-O), International Classification of Functioning, Disability and Health (ICF), Coding Systems for Nursing Practices, North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), Nursing Outcomes Classification (NOC), Radiology Lexicon (RADLEX), RxNorm, Discussion, Conclusion, 158 PART FOUR Standard Frameworks 18 openehr 163

7 18.1 Introduction, openehr Process Model, openehr Architecture, EHR Information Model, Exchange, Discussion, Conclusion, Integrating the Healthcare Enterprise (IHE) Introduction, IHE Domains, Integration Profiles, Integration Statements, Technical Frameworks, IHE Initiatives on Electronic Health Record, Exchange, Cross-Enterprise Document Sharing (XDS), Security, Audit Trail & Node Authentication (ATNA), Discussion, Conclusion, 183 PART FIVE Case Studies: National EHR Efforts 20 Australia's HealthConnect Introduction, Overview, Architecture, EHR Concept, EHR Design, e-health Services, National Privacy Principles (NPP), Exchange, Discussion, Conclusion, 196

8 21 Austria's ELGA Introduction, Overview, Architecture, Master Patient Index, HSP Index, Authorization System, HSP System, Storage (Document Registry), Network, ELGA Portal, Functional Implementation, Healthcare Services, Exchange, Discussion, Conclusion, Canada's EHRS Blueprint Introduction, Overview, Architecture, Electronic Health Record Solution (EHRS), Electronic Health Record Infostructure (EHRi), Exchange, Legal Framework, Discussion, Conclusion, 219 Bibliography, Denmark s MedCom Introduction, Overview, Architecture, 222

9 EHR Concept, EHR Design, Danish Health Data Network, Security Infrastructure, National Health Portal (Sundheds.dk), Exchange, Discussion, Conclusion, Hong Kong's ehr Sharing System Introduction, Overview, Architecture, E-Health Engagement Initiative (EEI), ehr Sharing System, Exchange, Security/Privacy Guidelines, Discussion, Conclusion, India's Health IT Initiatives Introduction, Overview, ITIH Framework, Recommendations on Guidelines, Standards, and Practices for Telemedicine in India, ihind, Architecture, Confidentiality, Access, and Security, Standards, Other Initiatives, Integrated Disease Surveillance Project, National Rural Telemedicine Network (NRTN), National Medical College Network, Standardization of EHR, 248

10 25.7 Discussion, Conclusion, Netherlands' AORTA Introduction, Overview, Architecture, Dutch Electronic Patient Dossier (EPD) System, NICTIZ Healthcare IT Infrastructure Workflow, Exchange, Security/Privacy Guidelines, Discussion, Conclusion, Singapore's NEHR Introduction, Overview, Architecture, Health Clusters, EMR Exchange (EMRX), National Electronic Health Record (NEHR), Discussion, Conclusion, Sweden's NPO Introduction, Overview, Architecture, Clinical Process Model, Information Model, Sjunet, Electronic Catalog For Health and Social Care, Secure it in Health Services, Basic Services for Information, 271

11 Regulatory Framework for Information Interoperability in Healthcare, National Patient Summary, Discussion, Conclusion, Taiwan's Health Information Network Introduction, Overview, Architecture, National Health Information Network (HIN) 2.0, Exchange, TMT Standard, Discussion, Conclusion, United Kingdom's Spine Introduction, Overview, Architecture, Spine Infrastructure, Structure of Summary Care Record, Content of Summary Care Record, Security Infrastructure, Exchange, Discussion, Conclusion, USA's EHR Meaningful Use Introduction, Overview, EHR Meaningful Use, Requirement Specifications, National Health Information Network (NHIN), NHIN Architecture, Exchange Services, 303

12 Transaction Profiles, Authorization Framework, NHIN Trial Project, NHIN Direct Project, Discussion, Conclusion, 307 PART SIX Findings and Conclusion 32 Findings and Conclusion EHR Standards, Coding Systems, Standard Frameworks, Case Studies: National EHR Efforts, Quantitative Assessment, Qualitative Assessment, Recommended Phases for Implementing A National EHR System, 325 Glossary 327 Index 339 Ordering: Order Online - Order by Fax - using the form below Order by Post - print the order form below and send to Research and Markets, Guinness Centre, Taylors Lane, Dublin 8, Ireland.

13 Page 1 of 2 Fax Order Form To place an order via fax simply print this form, fill in the information below and fax the completed form to (from USA) or (from Rest of World). If you have any questions please visit Order Information Please verify that the product information is correct and select the format(s) you require. Product Name: Web Address: Office Code: Electronic Health Record. Standards, Coding Systems, Frameworks, and Infrastructures SC Product Formats Please select the product formats and quantity you require: Hard Copy (Hard Back): Hard Copy (Hard Back): Quantity USD USD 28 Shipping/Handling USD USD 28 Shipping/Handling * Shipping/Handling is only charged once per order. Contact Information Please enter all the information below in BLOCK CAPITALS Title: Mr Mrs Dr Miss Ms Prof First Name: Last Name: Address: * Job Title: Organisation: Address: City: Postal / Zip Code: Country: Phone Number: Fax Number: * Please refrain from using free accounts when ordering (e.g. Yahoo, Hotmail, AOL)

14 Page 2 of 2 Payment Information Please indicate the payment method you would like to use by selecting the appropriate box. Pay by credit card: You will receive an with a link to a secure webpage to enter your credit card details. Pay by check: Please post the check, accompanied by this form, to: Research and Markets, Guinness Center, Taylors Lane, Dublin 8, Ireland. Pay by wire transfer: Please transfer funds to: Account number Sort code Swift code IBAN number Bank Address ULSBIE2D IE78ULSB Ulster Bank, Main Street, Blackrock, Co. Dublin, Ireland. If you have a Marketing Code please enter it below: Marketing Code: Please note that by ordering from Research and Markets you are agreeing to our Terms and Conditions at Please fax this form to: (646) or (646) From USA or From Rest of World

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