Computerised linking of medical records: methodological guidelines.

Professionalism in the age of computerised medical records.

Electronic medical records have the potential to improve clinical care and to provide answers to important research questions. Research using existing medical records has provided important knowledge about the effectiveness and risks of widely-used medications. However, electronic medical records also raise ethical dilemmas regarding informed consent and confidentiality. Breaches of confidentia...

The Importance of Linking Primary and Secondary Electronic Medical Records.

Linking survey data with computerised records to predict consulting by older people.

Despite high consultation rates, little is known about predictors of primary care use by older people. A survey of patients aged > or = 65 years from two London practices included details on physical health and functioning, psychological measures, social support, and socioeconomic measures. The response rate was 75% (1704/2276). We obtained consent to link the survey data to subjects' computeri...

An Archetype-Based Solution for the Interoperability of Computerised Guidelines and Electronic Health Records

Clinical guidelines contain recommendations based on the best empirical evidence available at the moment. There is a wide consensus about the benefits of guidelines and about the fact that they should be deployed through clinical information systems, making them available during consultation time. However, one of the main obstacles to this integration is still the interaction with the electroni...

ASHP guidelines on documenting pharmaceutical care in patient medical records.

The professional actions of pharmacists that are intended to ensure safe and effective use of drugs and that may affect patient outcomes should be documented in the patient medical record (PMR). These guidelines describe the kinds of information pharmacists should document in the PMR, how that information should be documented, methods for obtaining authorization for pharmacist documentation, an...