introduction: due to the importance of electronic medical record (emr) in the quality of health care services, checking the readiness of hospitals to implement it is a vital step to define success or failure of the electronic medical record in the first place. the aim of this study was to evaluate the readiness of shiraz teaching hospitals to implement electronic medical record. method: this st...

introduction: obeying patient rights is dependent upon the knowledge of healthcare providers about ethical and legal aspects of healthcare. this study aimed to determine the knowledge of physicians, nurses and medical record personnel about legal aspects of medical records in teaching hospitals affiliated to kashan university of medical sciences. methods: in this cross-sectional study, 325 heal...

introduction: since hospitals are the main healthcare providers, they are assumed as the main institutions for implementing information systems. hospitals need efficient hospital information system (his) to manage their raising needs. this study reviewed the importance of his, implementation of prerequisites and selection factors from views of staff of medical record department in hospitals aff...

OBJECTIVE A primary goal of the University of Pittsburgh's 1990-94 UMLS-sponsored effort was to develop and evaluate PostDoc (a lexical indexing system) and Pindex (a statistical indexing system) comparatively, and then in combination as a hybrid system. Each system takes as input a portion of the free text from a narrative part of a patient's electronic medical record and returns a list of sug...

In the recent decades the importance of the information systems (IS) has been steadily growing. Nowadays most of the operations that imply complex manipulations with data and storage of large volumes of data are being automated through the use of various IS. One of the areas where the use of an integrated IS can be considered as a must is medicine. There are many different types of systems that...

We define a new approach to locating and replacing personally-identifying information in medical records that extends beyond straight search-and-replace procedures, and we provide techniques for minimizing risk to patient confidentiality. The straightforward approach of global search and replace properly located no more than 30-60% of all personally-identifying information that appeared explici...

The importance of medical records in health care delivery has been recognised for a long time. Its relevance to patient care and health administration was documented by Florence Nightingale in 1873 a book entitled Notes on a Hospital. Health care is a continuous process in which data is progressively accumulated, therefore the record must function as a ‘pre-birth to post-death system that meets...