QUESTION What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center? SETTING The development took place at the University of Pittsburgh Health Sciences Library System. METHOD The clinical information tool developed is a search box with subject tabs to provide quick access to designated full...

BACKGROUND This paper describes a change management strategy, including a self-assessment survey tool and electronic medical record (EMR) maturity model (EMM), developed to support the adoption and implementation of EMRs among community-based physicians in the province of Ontario, Canada. OBJECTIVE The aim of our study was to present an analysis of progress in EMR use in the province of Ontar...

In natural language processing, stand-off annotation uses the starting and ending positions of an annotation to anchor it to the text and stores the annotation content separately from the text. We address the fundamental problem of efficiently storing stand-off annotations when applying natural language processing on narrative clinical notes in electronic medical records (EMRs) and efficiently ...

Partners Healthcare System, Boston, MA, has developed a patient Web portal that features a patient-controlled electronic "journal" to allow patients to interact with their physician's electronic medical record. Patients can view and respond to health reminders, critique electronic chart information maintained by their doctor's office, enter additional clinical information, and prepare informati...

BACKGROUND Electronic medical record (EMR) systems are used for many purposes including patient care, administration, research, quality improvement and reimbursement. This study aimed to test a data extraction tool (QTools) and to provide information to support the interpretation of EMR data. METHODS Comparison of aggregated practice data for selected EMR fields and interviews with practice s...

As the adoption of electronic health records (EHRs) increases, more opportunities are available for leveraging the system and the data to facilitate research. Historically, for patients enrolled in clinical research trials or studies, data have been documented in the medical record, and then study-related data are manually reentered into an electronic case report form in a research system. By u...

A summary card in the form of a four page folder is described for use in the standard medical record envelope. It holds the current continuation card, has space for basic patient data, a problem list and a simple biography and provides an aid to regular screening and other preventive measures.

the purpose of the present study was to assess job stress in medical records personnel. 117 females and 78 males were assessed by osipow et al.'s job roles inventory. data were analyzed by descriptive statistics and chi-square test. the findings indicated that the physical environment was the main source of stress for the staff of the four different units of the medical records department,...