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Electronic patient records : moving from islands and bridges towards electronic health records for continuity of care

journal contribution
posted on 06.12.2017, 00:00 by P Knaup, O Bott, C Kohl, C Lovis, Sebastian GardeSebastian Garde
Objectives: Electronic patient record (EPR) systems are increasingly used and have matured sufficiently so as to contribute to high quality care and efficient patient management. Our objective is to summarize current trends and major achievements in the field of EPRin the last year and to discuss their future prospects. Results: Integrating health data from a variety of sources in a comprehensive EPR is a major prerequisite for e-health and eresearch. Current research continues to elaborate architectures, technologies and security concepts. To achieve semantic interoperability standards are developed on different levels, including basic data types, messages, services, architectures, terminologies,ontologies, scope and presentation of EPR content. Standards development organisations have started to harmonize their work to arrive at a consensus standard for EPR systems. Integrating the health care enterprise as a whole will optimize efficient use of resources, logistics and scheduling. Conclusions: The past few years have seen a myriad of developments of EPR systems. However, it is still a long way, until EPR systems can flexibly fulfill all user requirements and an EHR will become broadly accepted. Semantic interoperability will be a key to successful EPRuse, especially to avoid double data entries and to better integrate data recording within local workflows. The patient will become an empowered partner, not only by giving him access to his health data. All this will result in enormous quantities of data. Thus, time has come to determine how relevant data can be presented to the stakeholders adequately.

Funding

Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)

History

Volume

46

Issue

1

Start Page

34

End Page

46

Number of Pages

13

ISSN

0943-4747

Location

Stuttgart, Germany

Publisher

Schattauer

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Abteilung Medizinische Informatik; Austin Hospital (Heidelberg, Vic.); Faculty of Business and Informatics; Hospital; Technische Universitat Braunschweig;

Era Eligible

Yes

Journal

IMIA yearbook of medical informatics 2007 : biomedical informatics for sustainable health systems.