This report, based on a workshop jointly sponsored the National Institute of Biomedical Imaging and Biomedical Engineering and the Office of the National Coordinator for Health Information Technology, examines the role and value of images as multimedia data in electronic health records (EHRs). The workshop, attended by a wide range of stakeholders, was motivated in part by the absence of image ...

Emerging technological innovations such as electronic health records (EHRs), regional health information organizations (RHIOs), and the nationwide health information network (NHIN) have enabled increased sharing of medical records in the healthcare community. Recent studies have shown that patients do not trust their healthcare providers to keep their medical records safe from unauthorized rele...

ELECTRONIC HEALTH RECORDS (EHRs) have tremendous potential for improving healthcare quality and safety. However, as EHRs become more complex and interconnected with several different computer systems, health information management (HIM) related activities become more challenging. Moreover, the potential for EHR-related safety concerns increases dramatically. The rapid growth of EHR adoption int...

INTRODUCTION Data based on electronic health records (EHRs) are rich with individual-level longitudinal measurement information and are becoming an increasingly common data source for clinical risk prediction worldwide. However, few EHR-based cohort studies are available in China. Harnessing EHRs for research requires a full understanding of data linkages, management, and data quality in large ...

Participatory approaches to health care are getting increasingly popular in Western countries. But are the perspectives on informatics changing as well? Because not every patient (always) can or wants to actively participate in his health care process, differentiation in medical encounters is needed. We use the term ‘‘relational responsibility’’ to refer to a process in which doctor and patient...

INTRODUCTION Electronic health records (EHRs) are receiving a lot of attention for their potential to improve care. OBJECTIVE To develop and implement EHRs in the antenatal clinic (ANC) of a teaching and referral hospital in Western Kenya. RESULTS A multidisciplinary team developed a phased implementation of EHRs in the ANC as part of a CDC-funded effort to develop and implement primary car...

The digital revolution is transforming pencil and paper medicine. Increasingly, health information is being recorded, stored, and analyzed using computerized tools. This information conversion has significant public health implications. Public health informatics: The systematic application of information science, computer science, and technology to public health practice, research, and learning...

Electronic health records (EHRs) have been widely adopted among modern hospitals to collect and track clinical data. Secondary analysis of EHRs could complement the traditional randomized control trial (RCT) research model. However, most researchers in China lack either the technical expertise or the resources needed to utilize EHRs as a resource. In addition, a climate of cross-disciplinary co...

Title XIII of the American Recovery and Reinvestment Act of 2009 (ARRA) includes the subsection known as the Health Information Technology for Economic and Clinical Health (HITECH) Act. In addition to its incentives for health care organizations to adopt electronic health records (EHRs), HITECH extended the scope of the HIPAA Privacy Rule and the Security Rule, increased penalties for failing t...

n engl j med 362;5 nejm.org february 4, 2010 382 I is the lifeblood of modern medicine. Health information technology (HIT) is destined to be its circulatory system. Without that system, neither individual physicians nor health care institutions can perform at their best or deliver the highest-quality care, any more than an Olympian could excel with a failing heart. Yet the proportion of U.S. h...