List Of Figures And Functions Requirements

List Of Figures And Functions Requirements
List of Figures Figure Number Figure Figure 1 Number of recruiting studies and percentage Figure 2 Clinical Trials
Figure 3 MediData Figure 4 Mongo DB Figure 5 Word Cloud Figure 6 Search results Figure 7 Google Charts Figure 8
State of Art Figure 9 center watch website Figure 10 FDA website Figure 11 National Library of Medicine Figure 12
Clinical Trials website Figure 13 Mediate website Figure 14 PERT Chart Figure 15 Agile Software Development
Figure 16 Architecture Design Figure 17 Use case Diagram Figure 18 Database Design Figure 19 Periodic update of
database Figure 20 Connectivity Interface Diagram Figure 21 User interaction flow diagram Figure 22 UI Mockup
Figure 23 Component diagram Figure 24 Test plan cycle Figure 25 Testing with ... Show more content on
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Millions of researches are being carried out across the world. Hence the scope is very limited for a
person/organization to follow all the studies going on. Even if you track a study, it becomes a real problem to analyze
data that is being updated continuously on that trial. Apart from this problem, there are many other obstacles like
inaccurate results in search of a particular medical problem and even if you do find accurate results, it becomes hard
to put all information at one place retrieved from various sources. In order to overcome the above problems, we are
developing a one–stop clinical trials user–friendly application that addresses all the related problems. In addition, we
plan on providing a platform for business users to analyze the stocks of the companies that are conducting the clinical
trials. Business users can benefit by making use of these analyses to make right choice before investing on a stock.
When a company starts the research on any disease, its stock prices see a change relative to this research. If the
research seems useful and helpful for the society, it grabs the attention of the investors thereby, increases the stock
prices of that firm. This analysis is carried out in this project. 1.2 Problem and motivation There are numerous clinical
trials being conducted around the world every day. In spite of the technological advances like Internet,
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Health Current Toolkit Paper
While I was looking over the Health Current Toolkit information, I was very impressed on how they covered just
about everything. One of my favorite things that I found was the frequently asked questions page, for me it was very
helpful because this is all new to me and this page was extremely helpful to understand the basics about HIE records. I
feel that the whole thing had all the details you needed to understand what they were and how they worked. The only
thing that was not too clear for me was that they are able to access your all your records in the case of an emergency. I
am all for that because in an emergency, I want all my records available to receive the best care, however what is
classified as an emergency and are there a ... Show more content on Helpwriting.net ...
I also like the fact that if for whatever reason I felt that I did not want some information to be accessible, I can opt out
there and then they cannot access that information. Overall, I feel that HIE is a safe and helpful program that I would
want my information in. Some data that might be considered sensitive is maybe if one had an illness that almost cost
them their life or an injury or an accident or the death of a loved one due to illness. I do feel that this data should be
shared differently. I feel like this type of data should have its own set of opt in and opt out system because this is data
that could be very sensitive to a patient and should be treated with care. Although this data can be helpful in
diagnosing problems or treatments, I feel that they should not be talked about casually if they are talked about, they
should be spoken of with just the doctor and the patient and whomever else the patient wishes to hear the sensitive
data and that is it. As long as this data is handled with care and not taken lightly, it will not be a problem. The
relationship between standards is that they are rules or guidelines that help in keeping the information safe. According
to himss.org (1), 'The Consolidated Clinical Document Architecture (C–CDA) is an emerging document standard for
the transmission of structured

Health Information Technology
Introduction: Office of National coordinator for Health Information Technology (ONC) has funded this program to
find breakthrough innovations in the field of Health Information Technology (IT). This research program was awarded
$60 million and this program is divided into four focus areas. This program brings together researchers, healthcare
providers, and other health IT sector stakeholders in order to transform the research products into practice. This
program is designed to improve quality, safety and efficiency of healthcare using advanced information technology.
According to Healthit.gov "current adoption rates of health IT in different states we see that some states are better than
others" [1], hence this program is designed to find the factors that are hindering the adoption of health IT and the
products developed using this project should help propagate the growth of health IT. This program has both short–
term and long–term related goals hence they focus both on current and future needs of health IT products. I have
selected this program because it is important to understand the factors that are effecting healthcare practices health IT
adoption and work towards analyzing and finding solutions to those problems, so that there is a 100% rate of adoption
and data flow is seamless between the healthcare practices. This program helps keep the maintenance cost of the
products developed to minimal as it focuses both short and long term needs. There are 4 focus areas to

Cloud Computing And Healthcare Industry Essay
Cloud computing in healthcare Neha Dubey Sangeeta Vishwakarma Department of Computer Application Department
of Computer Application Sardar Patel Institute of Technology Sardar Patel Institute of Technology Bhavan's Campus,
Munshi Nagar, Andheri (W), Mumbai Bhavan's Campus, Munshi Nagar, Andheri (W), Mumbai Abstract– Healthcare
sector is facing more number of problems like high IT costs, more processing power, scalability and demand for
interoperability etc. Present health technology is deficient to address these challenges. Cloud computing having many
qualities such as multi–tenancy, flexibility and metered delivery appears a viable approach. The purpose of this
document is to provide a point of view on how cloud computing is applicable in healthcare and set some of the key
principles that healthcare industry need to focus on when building a strategy for their organization's adoption of cloud
computing. The paper also addresses the common problem that are being faced by different healthcare industry while
implementing cloud computing. Index Terms– Cloud computing, Healthcare I. INTRODUCTION In order to
understand Cloud Computing in the healthcare industry, we must understand the basics of cloud computing in general.
Fig 1, gives overview of Cloud computing There are different definition available of cloud computing, one of them is
as "Cloud computing is a new way of delivering computing resources and services. There are many researcher and
experts believe that

Immunization Information Systems At University Of...
Immunization Information Systems at University of Pennsylvania Background The University of Pennsylvania
conducted a case study for managing information privacy and security with their Immunization Information Systems.
Healthcare information systems are credited with helping with the overall improvement of healthcare in the United
States today at the same time reducing costs with providing healthcare. Research has now become an important reason
for information systems to provide data needed to target specific patient populations. Immunization programs have
been an important part of saving lives and improve productivity. What is needed is more than just security there is an
apparent need for these systems to be an accurate and accessible ... Show more content on Helpwriting.net ...
(Artz, 2007) Smart Objectives The development of an effective information system will require the development of
specific objectives. These objectives in the interest of achieving good public health must be strong enough to monitor
progress and achieve the required outcomes. Healthcare organizations that struggle with the creation of objectives find
it difficult with those that measure progress and make sense to all stakeholders. "A SMART objective is one that is
specific, measurable, achievable, relevant and time–bound" (Minnesota Department of Health, 2017, para. 1). The
University of Pennsylvania in collaboration with the Centers for Disease Control has the following objectives that
must be implemented no later than December of 2017. (CDC.gov, 2017) Objectives 1. Support the delivery of clinical
immunization services at the point of immunization administration, regardless of setting. The system will need to
provide individual immunization records for authorized users The system should have an automated function that
determines vaccines due, past due or coming due The system should be able to enable the production of reminder–
recall notifications from interoperable systems in accordance with the CDC. 2. Maintain data quality that is accurate,
complete, and timely on all immunization and demographic information entered into the system. The system should

Lifelong Personal Health Data And Application Software Via...
Summary of the academic paper "Lifelong personal health data and application software via virtual machines in the
cloud" by Van Gorp, P & Comuzzi, M
The authors emphases their research on exploring and presenting a novel prototype system which would provide
opportunities for patients to access their Personal Health Records (PHR) regardless of location and time and, also very
importantly to share this information with relevant health practitioners and institution. They identify that "Cloud
computing offers unique opportunities for supporting long–term record preservation" . The authors further argued that
the latest cloud technology would be the best solution architecturally to access PHR data from virtually any device.
They state that ... Show more content on Helpwriting.net ...
With the radiology case, the authors used real patient data collected over the past 15 years to show that real savings
could be made if patients were able to show their PHR history to every specialist, as record shows duplication in scan
exams. The authors were certain that this indicates that there is no data integration between different health
institutions. In the second use case they refer to the importance of PHR data privacy, and how this data, if revealed to
organizations like employers or banks could compromise relationships with these institutions. The authors establish
that the cloud setup would meet all requirements extracted from those two use cases: particularly a patient's ability to
share PHR with any medical institution from any physical location and at any time, and also patients providing and
assigning access to relevant health institution whilst ensuring that data will not be used inappropriately. Based on
those requirements, the authors argue that current PHR systems only meet part of the requirements but not the whole
set of them produced from real 2 case studies From the requirements, the author's derived prototype for
MyPHRMachine technical architecture, requires a Java enabled browser or native RDP client. The authors explain
that cloud technology would be used for MyPHRMachines allowing patients to build

Questions On The Healthcare System
Discussion Questions 1. As the healthcare system prepares to select a outsource company as its vendor for this project,
what types of information should it give to and gather from each vendor under consideration? An request for
information (RFI) is typically used as a pre–screening tool and is generally sent to a large number of vendors who
EHR systems could potentially meet the needs of the organization. Essentially, it is used in the planning process to
eliminate vendors. Typically, the scope of an RFI includes vendor background information, system technical
architecture, interoperability & health information exchange, system features and functionality, specific patient
centered care functions are features (what's makes your product different), typically implementation process and
install time; and lastly training and support. Once the vendor list is eliminated to a select few, an RFP is issued to
those vendors. RFP is generally a request is more specific details on the system requirements and provides guidelines
for vendors to following bidding. Typically, the RFP includes 1) instructions for vendor bidding, 2) organizational
objectives, 3) organizational background and description of the facility including departmental applications and
current infrastructure, 4) the type of system and applications being sought along with necessary requirements, 5)
vendor qualifications with background information, experience, number of installs, financial reports, and

Data Quality Management : The Business Processes That...
Data Quality Management: The business processes that ensure the integrity of an organization 's data during
collection, application (including aggregation), warehousing, and analysis. While the healthcare industry still has quite
a journey ahead in order to reach the robust goal of national healthcare data standards, the following initiatives are a
step in the right direction for data exchange and interoperability: Continuity of Care Document (CCD), Clinical
Documentation Architecture (CDA) Data Elements for Emergency Department Systems (DEEDS) Uniform Hospital
Discharge Data Set (UHDDS) Minimum Data Set (MDS) for long–term care ICD–10–CM/PCS, Systemized
Nomenclature of Medicine–Clinical Terms (SNOMED CT), Logical Observation Identifiers Names and Codes
(LOINC). Data Quality Measurement: A quality measure is a mechanism to assign a quantity to quality of care by
comparison to a criterion. Quality measurements typically focus on structures or processes of care that have a
demonstrated relationship to positive health outcomes and are under the control of the healthcare system. This is
evidenced by the many initiatives to capture quality/performance measurement data, including: The Joint Commission
Core Measures Outcomes and Assessment Information Set (OASIS) for home health care National Committee for
Quality Assurance 's (NCQA) Health Plan Employer Data and Information Set (HEDIS) Meaningful Use–defined
core and menu sets These data sets will be used within

Business Analysis : Health Care Industry
Table of Contents Word did not find any entries for your table of contents. In your document, select the words to
include in the table of contents, and then on the Home tab, under Styles, click a heading style. Repeat for each heading
that you want to include, and then insert the table of contents in your document. To manually create a table of
contents, on the Document Elements tab, under Table of Contents, point to a style and then click the down arrow
button. Click one of the styles under Manual Table of Contents, and then type the entries manually. Executive
Summary Health–care industry needs several reforms, especially in cost management strategies, in order to survive in
a bruised–economy of 21st ... Show more content on Helpwriting.net ...
This business report details how SaaS delivery of "intelligent" healthcare cost containment solutions offers deep and
significant impact from a business, technology and economic perspective. The organization will be able to increase
recoveries in less time and at lower cost, a beneficial plan for Queensland Health which is looking for to innovate
their larger healthcare cost management strategies. After implementation of SaaS the organization can achieve greater
operational efficiency as a result of effective interaction and decreased paper work among xxx. Additionally, improved
ability to access information creates integrated ecosystem which is more reliable and accurate. Through Usable,
flexible and scalable systems Queensland Health will manage to gain incremental cost saving without concern of
growing patient base. However, before implementation of SaaS Queensland Health need to pay close attention to
several factors such as terms of Service Legal Agreement, data security and selection of experienced on–demand
software provider for which offers suitable healthcare customization. It should be noted that sufficient project
governance has an utmost importance for successful implementation of SaaS. Introduction HealthCare Industry is
witnessing a surge in the adoption of cloud computing and software on–demand is expected to bring about a
revolution in the healthcare IT market. Meanwhile, hospitals are expected to deliver more while reducing

Evolution of Health Care Information Systems
Health Information Systems
HCS/533
April 21, 2013
The evolution of the health care information systems (HCIS) since 20 years ago had a profound impact in how health
care is deliver today. In the mid–60's health care information system began its history with President Lyndon Johnson
signing of the law that provides medical coverage to the poor, the elderly, and the people with long–term disabilities
through Medicare and Medicaid programs. This revolution brought along the Computer system technology to speed
the billing and reimbursement from Medicare and Medicaid. The health care system notice the necessity to improve
the billing process ... Show more content on Helpwriting.net ...
Similar to any other industries, the nature of healthcare industry has changed over time from a relatively stable
industry to a dynamic one. And health information systems have evolved through several different technologies"
(Almunawar & Anshari, 2011, p. 1) 20 years ago these technologies did not exist in many hospitals and
organizations including the Veteran Hospital Administration for that reason many hospital suffered multiple medical
errors, loss of documentations, time consuming for providers and staff at the time of updating patient's document
records, more workload, unable to make reports, the collecting of data was poor, and decreasing hospital revenues.
The majority of health care documents 20 years ago including the Veteran Hospital Administration were hand–written
with carbon copy to be store or send to pharmacy for prescriptions. In the Mid 60's the Veteran Hospital
Administration was using paper based documentation and medication cards making the billing process difficult and
increasing the workload. In the past the roles of computers in the health care industry was marginal, and normally use
just for administrative and human resources purposes.
Two major events that influenced current health care information systems was the implementation of the health
information technology (HIT) and electronic

Evaluation Of Smart On Fhir Website
Evaluation of SMART on FHIR Introduction According to the HealthIT.gov website, the Strategic Health IT
Advanced Research Projects (SHARP) Program is a major collaboration at the University of Illinois at Urbana–
Champaign, the University of Texas at Houston, Harvard University, the Mayo Clinic of Medicine, and Massachusetts
General Hospital. SHARP program was chosen as one of the awarded grants to evaluate due to its four clearly set
goals. Those four goals focused on achieving breakthrough advances to address well–documented problems that have
impeded adoption: 1) Security of Health Information Technology; 2) Patient–Centered Cognitive Support; 3)
Healthcare Application and Network Platform Architectures; and, 4) Secondary Use of EHR ... Show more content on
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SMART platform project was then created to achieve the goals of 1) Develop a user interface which allows "iPhone–
like" substitutability for medical apps based upon shared basic components; and 2) Create a set of services that
enables efficient data capture, storage, retrieval and analytics, which are scalable to the national level and respectful of
institutional autonomy and patient privacy. Mandel et al. (2016) described SMART as an interoperability project with
the distinctive goal of developing a platform to enable medical applications to be written once and run unmodified
across different healthcare IT systems. HL7 FHIR Standard Fast Healthcare Interoperability Resources (FHIR,
pronounced "fire") is an emerging HL7 standard that, despite still being in draft status, has gained a tremendous
following with significant investments from academic, government, and commercial sectors. For instance, both
Cerner and Epic, the two largest EHR vendors in the United States, have committed to development based on FHIR.
FHIR differs from past HL7 messaging standards in that it takes a more service–oriented approach to information
exchange that combines data (e.g., patient, encounter, practitioner, lab result) with operations that can be performed on
them (e.g., read, create, update, query). These operations are invoked using commodity networking protocols that are
simple and straightforward to implement. According to the HL7's

Getting Successful Universal Ehr Is Not Just Technology...
Getting successful universal EHR is not just technology selection, implementation question it needs to address many
other aspects such as physician's acceptance, policy/laws, incentives, security, and privacy and training issues before
we can concentrate or focus on technology selection and implementations. The ecosystem should be ready with all
these critical elements addressed only then successful EHR implementation can sustain in US. First and foremost
there is a need to have consistency around the state/federal and HIPPA regulations which defines security and privacy
issues in US. Due to conflicting requirements in these regulations mass acceptance of any medical system/technology
cannot be effectively done. Second biggest issue for universal EHR adoption is the acceptance of EHR by physician's
communities. The benefits of EHR has been identified and acknowledged by medical communities at large however
the rate of adoption and use after implementation is sluggish. The biggest common contributor for implementation,
design and use of EHR systems is physician. Physicians should be properly trained and emphasis on continual
education should also be placed through continuing education credits. Unless small physician office (stand–alone
offices) buy–in the adoption of EHR no matter what technology and processes we have in place, EHR won't be
universally accepted and the entire benefit and value associated with EHR can be realized with universal acceptance
of EHR. Thus need for

Emr System Proposal
Existing healthcare record system is incomplete and inefficient which cannot provide the reliable and efficient
healthcare services to patients. So, the proposed EMR System's Architecture design is produced by keeping following
in mind:
a. After an increased emphasis on needs of integrated prevented care system is versioned,
b. After an increased complexity of medicine, standards of clinical care, shortage of qualified physicians and
healthcare delivery is spotted,
c. An increased population which require efficient healthcare system.
The backbone of proposed EMR System is centralization of patient's information which will be securely accessed
from any physician's office (after patient's consent). Therefore, the proposed EMRS is designed ... Show more content
on Helpwriting.net ...
For instance, the design has servers that verifies and validates through activate directory of users. Through active
directory, access to specific applications/databases is determined. In addition, encryption and firewall rules will
further enhance the security of data. Moreover, 2–factor authentication feature is designed for remote users accessing
EMRS database from remote locations.
 Scalability & Extensibility: The modular based design of EMRS offers scalability and extensibility to meet
dynamic requirements.
Furthermore, the EMR System proposed in this report is developed while keeping major lessons learned from existing
users and developers. The proposed system is designed to support workflow in customization fashion. It is designed to
keep users and stakeholders' needs and users can test or pilot this EMR System before even make any decision to
acquire it. All related hardware is ergonomically designed to fit user's comfort and needs. In addition, user would not
have to spend enormous time to learn this system. Some additional features are:
1. With customizable features to support workflow
2. User can test the EMRS before final procurement decision can be made. The testing feature not only focuses on
daily use functions, but also ergonomics

The Defense Of Defense Health Agency Essay
The Department of Defense has multiple components supporting our nation with servicemen, servicewomen, and their
dependents around the world and in support of the United States of America. The healthcare of these individuals is a
critical mission for the United States of America. There was a time in recent history that each component of the United
States of America military was the responsibility of each component of the armed services. Recently the United States
of America determined that the health care of the service members and their families need a centralized health care
agency. On October 1, 2013, the Defense Health Agency was established. This research paper will discuss the primary
role and purpose of the Defense Health Agency and how it performs the critical mission of serving the health needs of
the Department of Defense. Company Description The Defense Health Agency is a multi–service, integrated military
agency that enables the Army, Navy, and Air Force to provide medical services and medically ready force to
Combatant Commands in both peacetime and wartime. The Defense Health Agency ensures the delivery of integrated,
affordable, and high–quality health services to Military Health System beneficiaries. The Defense Health Agency is
responsible for driving greater integration of clinical and business processes across the Military Health System. The
Defense Health Agency accomplishes this mission by implementing shared services with common

A Brief Note On The Migration Of Patient Health Records
Samara Zamora
Final Project
Steps Involved in Migration of Patient Health Records
A hospital in Orlando, FL has decided to switch from a paper–based system to an electronic health record system. An
electronic health record is a computerized, accessible record that contains multimedia data (scanned images, digital,
video, voice, and so on) about the patient; it is basically the patient's paper chart. EHR's are real–time records which
allow instant availability to those who have authorized access to the EHR (Bowie, 2011). There are many reasons for
a hospital to want to change from paper records to an EHR; the usual primary reason is to improve medical
documentation. First and foremost it is important to establish what the hospital's primary reason is to establish an
EHR. Knowing this will make the transition smoother and faster because of comprehensive EHR software and
hardware installation that is comprised of a number of different components (Medflow).
The steps involved in the migration of patient health records from a paper–based system to an electronic health record
in a hospital setting are as follows:
1. It is important to have an estimated project budget for the transition, having this will prevent delays or cost overruns
later.
2. The hospital might need to hire an outside company or decentralize document imaging at different locations in the
practice. If an outside company is hired records are sent offsite to be scanned and converted, the hospital needs to

Case Study Patient Referral
Patient Referral Case Study The referral of a patient to care outside of your practice is an importance decision for a
primary care manager (PCM) in the care of their beneficiaries. The referral decision must include not only whether
that patient would be best since by a specialist, but by which specialist (Kinchen, Cooper et al. 2004) the beneficiary
would best benefit. In order to ensure the best care from the specialist effective patient information must be exchanged
between care providers in a timely manner. Health Information Exchange (HIE), which is also known as "Summary of
Care", is an objective that is required for eligible professionals (EPs), eligible hospitals and critical access hospitals
(CAHs) that are taking part of the Electronic Health Record (EHR) Incentive Program from 2015 until 2017 under
Meaningful Use Stage 2 (MU2). The objective contains one required measure for participation in the program. The
measure is: certified EHR technology (CEHRT) must be used to create a summary of care record which is to be used
transmit care information between entities involved in the care of the patient referred (Services 2016). The items that
must be included in the Summary of Care documents, provided the referring provider knows the information, are
shown in Table 1 (Mostashari 2012, Services 2016). Currently the standard format that has been adopted for Summary
of Care documents follows Consolidated Clinical Document Architecture (C–CDA) guidelines.

Clinically Related Data in the Healthcare Industry
Healthcare industry generates large volumes of clinically related data every minute. It can be in the form of electronic
records, scan reports, printed documents, images etcetera. The sources of these records are technologies like CT scan,
MRI scan, Ultrasound, ECG, Dialysis, biopsy equipment etc. The objectives of this smart approach are to make this
data useful and productive for analysis and study of health patterns and create statistics. A detailed analysis can help
the community to get awareness for improved nutrition and hygiene. Objectives Perform empirical analysis on the
data and determine the forecasting power of the collected data to study health patterns Create statistics based on the
information obtained in the form of user friendly charts and graphs Build an extensive GUI which makes the product
understandable and easy to comprehend Help the customers customize the API to cater their needs. Design and
implement use cases to tailor the needs of the health industry. Construct a web console with administrative facilities, a
customizable dashboard, and a web accessible application for importing and exporting data. 1.2 Problem statement,
project motivation, and needs In today's world, all the information and knowledge is being collected in the form of
data. The amount of data is huge, continually increasing and changing. To utilize this data, analyze it and derive useful
information out of it, some cutting–edge technologies are being devised. To

Inrodction to Health Services and Information System
Introduction to Health Services and Information Systems Barnabas Health is a nonprofit nonsectarian hospital own by
john F. Bonamo, MD, MS President and CEO. It's New Jersey's largest integrated health care delivery system. It
includes Clara Maass Medical Center in Belleville; Community Medical Center in Toms River; Kimball Medical
Center in Lakewood; Monmouth Medical Center in Long Branch; Newark Beth Israel Medical Center in Newark;
Barnabas Health Behavioral Health Center in Toms River; and Saint Barnabas Medical Center in Livingston. The
System also includes the Barnabas Health Outpatient Centers with the Barnabas Health Ambulatory Care Center in
Livingston and the Saint Barnabas Family Imaging and Breast ... Show more content on Helpwriting.net ...
A team of clinical adoption strategists from Cerner met with representatives at the acute care hospitals. These process
team leaders, who are subject matter experts for the team they represent, will serve to ensure that all designs,
decisions, and work flow changes are discussed at the hospital level and communicated so all have an equal voice in
this project. These process team leaders will meet with all levels of staff at their hospital to gather information related
to current processes and practices. The IT Clinical analysts are assigned to work with each process team to facilitate,
gather, and support completion of assigned tasks. This information will be shared with all other process teams at
weekly meetings as they work to implement a standardized, enterprise wide clinical information system. Cerner
Solution Architects or SA's, are assigned to each team and will guide us through this process every step of the way.
This is an exciting time for Barnabas Health as they move along a path focused on clinical excellence, connecting our
hospitals to provider offices, and building an architecture that supports the capture and sharing of real time
information. We are pleased to have a staff, both clinical and technical,

The Preferred Format For Clinical Health Information
The preferred format for clinical health information is Health Level Seven (HL7) Clinical Document Architecture
(CDA) for both Personal Health Record (PHR) and Electronic Medical Record (EMR). It is XML–based format
identifies the encoding, configuration, and semantics of a clinical file. Blue Button+ Direct implementation ensures
ease of transmission of medical records to a third party by the health care provider or patient. Direct uses SMTP,
S/MIME, and X.509 licenses to maintain security, data reliability, privacy and verification of sender and receiver.
Additionally, it meets the requirements for Meaningful Use (MU) Stage 2 of View, Download, and Transmit (VDT)
that is required for certified electronic medical record (EMR) ... Show more content on Helpwriting.net ...
PHRs can contain medical information from the patient, whereas an EHR contains medical records, medical history,
patient demographics, medications, vital and weight, and diagnosis.
Some PHRs are obtainable by covered entities under the Health Insurance Portability and Accountability Act (HIPAA)
Privacy Rule. The HIPAA Privacy Rule applies to these types of PHRs. However, in the cases where PHRs are not
offered by HIPAA covered entity, it becomes the responsibility of the PHR vendor to establish privacy policies and
follow any laws that may apply protecting the data in the PHR (HHS, 2003). HIPAA covered entities are regulated by
the Privacy Rule on how they access the PHR to enter health information. Furthermore the Privacy Rule oversees the
use and disclosure of an individual's protected health information (PHI) and EHR, gives individuals certain rights to
their health information, and requires the cover entity to appropriately safeguard health information. Covered entities
may hire a third party entity, as a business associate, to administer the PHR and its related tasks. The covered entity
must ensure that the information will be appropriately safeguarded by the business associate through a contract or
agreement. The business associate nor the covered entity can release information for any

The CCR and CCD Contain Some of the Same Standard Rules Essay
One of the demands in healthcare today is to have the ability to allow healthcare organizations to exchange patient
health related information with other healthcare organizations. This was made possible by the creation of the
electronic health record (EHR), electronic medical record (EMR) and personal health record (PHR). The EHR, PHR
and the EMR allowed for patient's paper medical charts into transformed into electronic charts. This allowed for a
better way to organize the information that was contained the paper medical chart. The health organization began to
realize they could use these electronic charts for a better way to care and share patient health related information.
However, as the transmission of data continued, the need ... Show more content on Helpwriting.net ...
This allows for the transmission of information to happen either electronically or paper based. Therefore patients can
either carry their information manually to the receiving physician, especially for the receiving physicians that do not
have the current or compatible technology to transfer documents accurately (Health, 2009). With the current
technologies, most documents are transferred electronically. In order for this to happen, a structure electronic format
must be created. Therefore, CCR is a XML based standard that is used for the exchange of clinical data (Health,
2009). The CCR format must adhere to a strict XML schema and accompanied by implementation guide required to
support the standards compliant interoperability (E31.25, 2012). The XML scheme creates flexibility for the
transmission and view of the CCR in many ways, such as in a web browser, Health Level 7(HL7) messaging, secured
emails, PDF files, HTML files and word documents. This XML schema also makes it possible for the interchange of
data with electronic healthcare records (EHR) with CCR data (E31.25, 2012). However, one problem the CCR faces is
that it cannot send free text and is not acceptable by all system (Health, 2009). Therefore, the CCR opened doors for
the creations of Continuity of CARE Document (CCD). Another organization that creates standards for the creation of
healthcare systems is Health Seven 7 (HL7)

Information Technology Systems, Their Performance And Risk...
–According to Richard Brisebois, Greg Boyd, and Ziad Shadid, "IT Governance focuses specifically on information
technology systems, their performance and risk management. The primary goals of IT Governance are to assure that
the investments in IT generate business value, and to mitigate the risks that are associated with IT. This can be done
by implementing an organizational structure with well–defined roles for the responsibility of information, business
processes, applications, and infrastructure." (Brisebois, Boyd, and Shadid, n.d.). IM/IT priorities recently changed to
concentrate on the integration of systems across several facilities, computerization of patient records and improve
decision support for clinicians and managers. The IT Governance Institute business models developed an in–depth
value realization process, directing IM/IT leadership to obtain their goals, and guides organizations make business
decisions accurately and timely. The five primary components of a healthcare IM/IT governance includes 1)
Developing a consistent IM/IT strategy, 2) Aligning IM/IT with organizational strategy, 3) Developing IM/IT
infrastructure, architecture, and policies, 4) Setting IM/IT project priorities, and overseeing investments in IM/IT
infrastructure, and 5) Using IM/IT benefits assessment to enhance accountability. The first component, Developing a
Consistent IM/IT Strategy, information systems supporting the strategic goals, objectives, and priorities of the

Framework For Clinical Decision Support Systems With...
tual Framework for clinical Decision Support Systems with Considering the Distributed Electronic Health Records
and Centralized Knowledge Engines
Hassan Ghaedi1,*, Hassan SHakeri2, Elham Gholami3, Alireza Chamkoori4
1,4Department Of computer, Khormuj Branch, Islamic Azad University, Khormuj, Iran
*Hassan.ghaedi@yahoo.com
chamkoori_alireza@yahoo.co.uk
3Department Of computer, Shirvan Branch, Islamic Azad University, Shirvan, Iran
Gholami.elh@gmail.com
2Department Of computer, Mashhad Branch, Islamic Azad University, Mashhad, Iran
Hassan.shakeri@gmail.com
Abstract: In this paper, a new Clinical Decision Support System (CDSS) Framework was proposed which satisfies the
compatibility, interoperability, and scalability objectives of EHR. The system will also have a set of Distributed
Electronic Health Records and centralized Knowledge Engines. These Electronic Health Records are minimized and
distributed In some parts of the country Knowledge Engines are centralized and work together. Each centralized
Knowledge Engine is specialized in a specific domain.
Index Terms– Clinical decision support systems, Electronic Health Record, Knowledge Engine, decision making
I. INTRODUCTION
A Decision Support System is an interactive computer–based system intended to help decision makers utilize data and
models in order to identify and solve problems and make decisions [1]. A Clinical Decision Support System (CDSS) is
an active knowledge system, where two or more items of patient data

Clinical Health Information Analysis
The preferred format for clinical health information is Health Level Seven (HL7) Clinical Document Architecture
(CDA) for both Personal Health Record (PHR) and Electronic Medical Record (EMR). It is XML–based format
identifies the encoding, configuration, and semantics of a clinical file. Blue Button+ Direct implementation ensure
ease of transmission of medical records to a third party by the health care provider or patient. Direct uses SMTP,
S/MIME, and X.509 licenses to maintain security, data reliability, privacy and verification of sender and receiver.
Additionally, it meets the requirements for Meaningful Use (MU) Stage 2 of View, Download, and Transmit (VDT)
that is required for certified EMR/EHR (Graham–Jones & Panchadsaram, 2013). ... Show more content on
Helpwriting.net ...
There concerns whether the information in the PHRs was correct and might possible result in a medical error. Another
concern was inappropriate or unapproved access to the information in PHRs as patients are unclear of what
information to put in their PHR and that some information should be verified by a HCP before it is entered in the
PHR. Some other concerns were patients might try to use their PHR to inappropriately request narcotics. Providers
also acknowledged possible barriers related to PHRs if a patient has to get online to access the information and then
the provider has to page through multiple pages to find what he needs in a fifteen minute appointment timeframe.
Some providers said they have concerns over accuracy and want to be able to control the data going in the PHRs.
Specifically when it comes to medications and doses some provides stated concerns that the patient should not be able
to enter the information without their HCP ensuring its correct (Witry et al., 2010). **PATIENT

Evaluation Of Integration Technologies For The Healthcare...
Evaluation of integration technologies
In an attempt to provide a clear perspective of the available technological approaches that can be implemented in the
healthcare supply chain, this section discusses the overall advantages and disadvantages of each integration
technology, in particular, message– and object–oriented technologies.
Electronic data interchange
For many years, EDIFACT has been the most widely used protocol for EDI messages. Many healthcare organisations,
as well as businesses in other industries, have used the EDI approach in order to exchange specific domain documents
towards the elimination of labour–intensive tasks. Generally speaking, EDI facilitates the application–to–application
electronic exchange of syntactically structured data–oriented documents. However, over the years it has become
apparent that healthcare communication standards, such as EDI messages, fail to effectively establish requirements for
the internal structure and architecture of communicating systems, requiring the information in any one system to be
mapped twice: once into the message standard format by the contributing system, and once back into the internal
representation of the receiving system (Dudeck, 1998).Although the EDI approach achieves integration at the data
level, it does not provide process integration. Thus, it has been characterised by many as a complex technology owing
to the daunting task of the mapping activity. Moreover, it does not provide high flexibility,

Integrated Audit Practice Case 5th Edition Solutions Essay
Integrated Audit Practice
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4th edition, by Kerr, Elder & Arens (ISBN No. 978–0–. 91–250325–7) identify issues and to research solutions. 6.
Understand the . ... Show more content on Helpwriting.net ...
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download free internal audit effectiveness: an ethiopian public sector case you need to register.
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NARUC Rate Case and Audit Manual Institute of Public Utilities

NARUC Rate Case
And Audit Manual
Institute Of Public
Utilities
Rate Case and Audit Manual Prepared by NARUC Staff. Subcommittee on Accounting and Finance
(2003). 1 FOCUSING THE AUDIT. . OPERATING EXPENSES

Compare And Contrast Ccd And Ccr
Compare CDA, CCD, CCR, describe each of them and who uses these standard for what purpose?
CDA stands for clinical documentation architecture is a documentation standard that is overseen or governed by the
HL7 organization. This XML based standards holds the intended use of encoding, semantics and even structure for
clinical documentation exchanged. CDA is certified under ASNI–certified standard through HL7 international. With
CDA, it specifies the given framework with full semantics of the clinical documentation. These clinical documents
would have the following six characteristics.
Persistence
Stewardship
Potential for authentication
Context
Wholeness
Human readability
Some CDA may contain clinical notations, discharge summaries, imaging reporting's, ... Show more content on
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The primary purpose for CCD is for the exchange of information when a patient is transitioning from one care setting
to the next. CCD allows for the development of clinical data by our physicians so that they are able to transmit
electronic health information to other providers especially in the instances of transition of care or medication
reconciliation. CCR helps with the prevention or loss of data meaning which ultimately improves patient care all
together. To specify patient summary data of the continuation of care document includes demographic, clinical
information facts, health encounters and administrative information.
CCR stands for Continuity of Care record. This health record standard was collaboratively developed by the
healthcare information and management systems society or HIMSS, American Academy of Family Physicians, ASTM
international and other health informatics vendors. The continuation of care records helps with the involvement of the
patient, allowing each individual the opportunity to manage their own health while reducing the likelihood of error.
This patient summary

What Are The Advantages And Disadvantages Of Electronic...
Digitization has transformed the world order almost in every sector, including health sector. There are numbers of
Information and Communication Technology (ICT) based tools and applications in the health sector. Electronic Health
Record (EHR), one of such popular ICT based systems, is an electronic record system that acts as a depository of
patients' past and present medical records. Clinical documentation, clinical test and imaging results, computerized
order entry system and decision support system are all comprised in EHR (Hayrinen, Saranto & Nykanen, 2008). Thus
EHR can construct an errorless data management system for quality, safety and efficient health sector.
EHR have both merits and demerits. From merit prospective, trying to avoid the fragile ambiguity of human mind to
process larger amount of data EHR will help the physicians. Patient can achieve the leverage of esthetic knowledge in
... Show more content on Helpwriting.net ...
n.d.b). As one of the third world countries, Bangladesh face a daunting challenge to provides a healthier health
service. Over 159 million people live in Bangladesh; population density is 881 people per square KM, more than 60%
people lives below the poverty line, and 77% people lives in rural areas (Siddiqua & Awal, 2012). The doctor patient
ratio is 1: 2000 (Directorate General of Health Services, n.d.a), thus, the Bangladesh is one of 55 countries which have
a shortage of health workforce (Hoque, Mazmum & Bao, 2014). As a result, on aggregate level almost 40.21% people
obtain their treatment from dispensary or pharmacy, 24.46% visit private doctors, 14.34% go to government doctors
and 15.57% people are not getting any treatment at all (Sikder et al.,

Biopsy
Ateneo de Zamboanga University
College of Nursing
Nursing Skills Output (NSO)
Biopsy
Report no.___
I. Description: A biopsy is a medical test commonly performed by a surgeon, interventional radiologist, or an
interventional cardiologist involving sampling of cells or tissues for examination. It is the medical removal of tissue
from a living subject to determine the presence or extent of a disease. The tissue is generally examined under a
microscope by a pathologist, and can also be analyzed chemically. When an entire lump or suspicious area is removed,
the procedure is called an excisional biopsy. When only a sample of tissue is removed with preservation of the
histological architecture of the tissue's cells, the procedure is called ... Show more content on Helpwriting.net ...
If the area being biopsied is on the skin, ascalpelwill beused to scrape off a sample.The biopsy may be taken with the
assistance of medical imaging such asultrasound. The medical imaging is used to correctly identify the area of
interestso that the sample is taken from the right place.In a wire–guided biopsy, the imaging is used while fine wires
are placed to mark the area which needs to be biopsied, and a surgeon uses the wires as a guide for asurgical biopsy.
Assess client's response. IV. Diagram/ Illustration
September 12–14,2011Date Que, Honey Sharlotte Clinical Instructor's InitialsIllustration/diagram
NURSING RESPONSIBILITIES Before Procedure:
Before the procedure, you need to discuss a range of issues with your doctor or surgeonincluding:
Medical history, including any prescription drugs, over–the–counter drugs, herbs, vitaminor mineral supplements you
may be taking. Some preparations can interact with surgicalmedications and need to be avoided.
Other tests, such as blood tests or ultrasound scans, may need to be done prior to the biopsy (depending on the nature
of the condition under investigation).
Clean the area where the biopsy is supposed to be done. If hair is present, shave it off.
Inform the patient that he/she will experience discomfort during the procedure.
Instruct the patient to stay completely still during the procedure, if conscious. During Procedure:

Health Information Exchange Analysis
Health information exchange (HIE) delivers information when and where it is needed to provide improvements in
healthcare quality and efficiency. HIE requires essential coding standards throughout health information management
so that information can be accessed, merged, divided and/or shared with other healthcare organizations. In order to
reach interoperability; message, exchange, and terminological standards are a few key attributes needed. HL7 v2,
CDA and RxNorm aid in reaching these standards to achieve HIE. Standards are important because it facilitates good
representation of data and interoperability across systems. It also creates consistency in how we represent data. A large
portion of utilizing data is around data–management and clean–up because data is inconsistently represented. The
HL7 v2 standard helps achieve data standardization by having required segments in messages met so that all relevant
information delivered can be interpreted clearly by the receiving party. HL7 v2 messages use a non–XML syntax that
is based on segments separated by one–character delimiters. While not all segments are required, it is pertinent to have
agreed on relevant segments, limit over–customization, and overcome implementation challenges. What type of
systems exchange HL7 ... Show more content on Helpwriting.net ...
CDA is an XML–based document markup standard that specifies the structure and semantics of "clinical documents"
for the purpose of exchange between healthcare providers and patients. CDA content is composed of two main parts.
First, the textual part, which is mandatory, and allows for human interpretations of the content. Second, the structured
part, which is optional, and based on coding systems to represent concepts for software processing. SNOMED and
LOINC are examples of coding systems used in structured parts. What type of systems exchange CDA's? Add one
sentence concluding how this is important to

Hospital Information Security
A hospitals HIM director needs to understand how to maintain the integrity and security of all financial and clinical
data as it travels seamlessly across a network of different applications. For this to happen, the applications must first
go through a hardwired translation process to ensure proper communication between the various software systems;
this is called integration. However, none of this is possible without interfaces which connect the multitude of hardware
devices and software applications that are used throughout the different departments in a hospital system. Information
security is another major concern the director of HIM has to account for during the system selection process.
Confidentiality and privacy of personal health ... Show more content on Helpwriting.net ...
During the system selection process, the HIM director should choose a vendor that offers full interoperability. "The
Office of the National Coordinator for Health IT (ONC) defines interoperability as ensuring that health–related
information flows seamlessly. Information needs to follow the patient regardless of geographic, organizational, or
vendor boundaries. Interoperability refers to the architecture or standards that make it possible for diverse EHR
systems to work compatibly" (American Health Information Management Association, 2013). The system should
include standard functional interface capabilities to ensure data integrity, and privacy is kept between different
departmental and care setting information systems. For example, can the proposed vendor support the transmission of
data to and from various department information systems? Accurate lab results need to be populated into the patients'
health record, and pharmacy orders are sent to the automated drug dispensing machines and show up on patient's
medication profile so that nurses can administer the right drug at the appropriate dosage and then document

Joint Legacy Viewer (JLV): Feasibility Study
Feasibility Study SCQC Environment: Joint Legacy Viewer (JLV) 2 June 2015 Prepared By: Valytics LLC 10758
Riverscape Run Great Falls, VA 22066 Version tested: JLV v2.3.0.9 Hardware requirements (memory, HD space)?
=====================================================================================
Begin template http://www.projectmanagementdocs.com/project–initiation–templates/feasibility–
study.html#ixzz3eYfxjQy6
=====================================================================================
1. Executive Summary The Joint Legacy Viewer (JLV )is a patient–centric, web presentation system that pulls
information from disparate health–care systems in real time for presentation in a browser design. ... Show more
content on Helpwriting.net ...
It is widely used to transmit arbitrarily structured data in mixed client/server environments. XML and HTML are
compatible members of a family of markup languages called Standard Generalized Markup Language (SGML).
HTML is an SGML language with a specific Document Object Model (DOM) focused on describing hypertext
documents. Document Object Model (DOM) is a dictionary and grammar for interpreting HTML. A DOM describes
HTML elements and their attributes and properties and how they are used to create web pages. JavaScript Object
Notation (JSON) is a language–independent system for representing data objects, although it is based on JavaScript. It
is simpler than XML and is often used as an alternative to XML in Ajax applications to transfer data objects between a
server and a script running in a user's browser. Ext JS is a JavaScript UI library that uses HTML and CSS to build its
UI controls and widgets. Ext JS has a complete suite of layout management tools that allow full control over
organizing and manipulating the UI as requirements dictate. Dynamic Content Creation (CGI) Utilizing all of the
above components, the web content can reload without a complete page refresh for updated data received. It generates
html for new text, hyperlinks and tables rows. It does not create any additional scripting. 5.2 Server–side

Xacc/280 Week 6 Cloud Auditing
Your paper this week should explain in your own words the responsibilities of auditors in understanding the security
risks facing their organization with the use of cloud services. How has auditing's role changed as we've moved from
client–server architecture to the cloud model? Include steps auditors must take to assess the level of compliance of the
CSP with standards. Provide examples of how auditors assure due diligence when it comes to security and risk. Some
of the characteristics that affect organization's audit by cloud computing services are: Cloud services are never
dependable they are easily transformable and by which it can change the entity's organization processes and internet
command over financial reporting during broadcasting period. Majority of organizations migrate to cloud because it is
very easy to deploy, cost efficient and readily available throughout an entity. It may result in cloud environments
being applied with low involvement or minimal control by entity's IT department and thus may ... Show more content
on Helpwriting.net ...
Without an Internal Audit Group to shepherd the IT's activities and guarantee that they stay agreeable with the security
administration systems to which the association has submitted, the presentation of danger could be intemperate and a
genuine risk to the fruitful operation of the association. The Audit's presentation and Compliance Framework denote a
noteworthy change in the Office's audit hones. Further, it reasoned that the presentation of the graduated danger based
methodology has met global principles and speak to best work on, bringing about a viable and effective audit

Root Cause Analysis
Determining the potential issues that cause poor usability require a systematic and comprehensive approach. The key
to identifying the root cause of a usability problem is to combine multiple testing methods. By running separate
studies to measure the information architecture and the user interface, the likelihood of correctly identifying the cause
of usability issues is increased. There are several root cause analysis (RCA) tools used for data collection, data display
and analysis, idea generation, problem solving, and risk assessment (Amatayakul, 2017). A good place to start is with
workflow and process mapping. Comparing what the intended process flow was versus what actually happened may
lend itself to some valuable insight. Revelations ... Show more content on Helpwriting.net ...
Naturalness – Naturalness also refers to how familiar and easy an application is to use and to what extent it follows
the "natural" workflow of the system (Hollin, Griffin, & Kachnowski, 2012). Logically structuring interface content
based on work flow and highlighting task–critical information mirrors user work flow in real health care operations.
EMR interface design should make entry processes as natural as possible for users and avoid mismatches between
EHR work flow and actual clinical processes.
2. Consistency – Consistency is an important usability principle that should be considered in interactive system
interface design in order to reduce learnability and increase task efficiency. Basic colors and unified form layouts
allow users to predict experiences once they learn the patterns of the system. Standards and conventions in product
design should be followed.
3. Minimizing cognitive load – By facilitating efficient information navigation, EHR designers can reduce a user's
mental workload and cognitive processing. This can be accomplished in a variety of ways. Use a design structure
matrix that minimizes or eliminates the number of steps to complete a task. Rank data in terms of importance and
presented only highly ranked items on the screen for clinicians. Delete objects on screen and that may not be relevant
to a user's work domain and increase relevant domain–related content. Combine related information and use fewer
screens to reduce errors and task completion time.

The Vision For Vital Connect Programs Essay
4. RESOLUTION The vision for vital connect program is to create a model for coordinated, collaborative and
coordinated patient care system. This model can be implemented by creating a well structured and connected
province–wide health information technology solution. This HIT solution will consist of following: Provincial clinical
information system E–referral system Personal health portal 4.1 Provincial clinical information system EHR is
defined in the Health Information Act (HIA)[4] as " the interconnected electronic health information which is
developed to be shared across authorized users in a secure environment ." By creating a vast network of
interconnected repositories, EHR will provide a easy access to health information about individual patients to care,
providers.To create a province–wide clinical information system, the first challenge is to connect individual Electronic
Medical Records (EMR) that may be concise to a particular healthcare facility. Currently, more than 1200 standalone
EMR systems exist within Alberta Health Services (AHS), with very few of them interconnected and most of them
outdated. The vision to create a province–wide fully connected clinical information system can be fulfilled if all these
stand–alone systems are updated and attached to each other to facilitate seamless flow of information and instructions.
There are various advantages to using provincial CIS: Better Patient Care Increased efficiency Better quality of care

The Importance Of Order Sets
Order Sets Seeing that order sets are part of the new record is the responsibility of the EHR team. Thus, by following
The Center for Medicare and Medicaid Services (CMS) 2013 optional measure for CPOE, EHR will obtain
meaningful use and order sets used will create a protected and efficient way to enter patient information and order
medications, labs, etc. Also, referred to as Meaningful Use Stage 1, using a measure of greater than 30 percent of
specific patients with one or more medications in their EHR seen by a health care professional, has one medication
order using CPOE (HealthIT, 2015) [Click and drag to move] . Another method to ensure order sets are part of the
new record is to follow the Meaningful Use Stage 1 Changes Tip sheet ... Show more content on Helpwriting.net ...
And, by quickly checking off boxes on the checklist, selections will automatically correspond to an approved process
worksheet you can access from a link on the page for improvement modifications if necessary(The Office of the
National Coordinator for Health Information Technology, 2016) [Click and drag to move] . Furthermore, using
multiple avenues for internal communications may be necessary, as well as meetings and training sessions for ultimate
success during this transition. As well as, ongoing communications during the entire process so the staff team
members are aware of the changes and the schedule for the changes. And, the important details are: Schedule of
changes and who it affects The technology used in the process Training schedule Computer tracking of work achieved
(HealthIT, 2014) [Click and drag to move] Indeed, consideration for all communication channels is important. For
example, meetings, email, desktop messaging, visual screensaver messages, computer surveys, computer desktop
ticker with implementation updates scrolling, and internal newsletters (SnapComms, 2017) [Click and drag to move] .
On the other hand, providers while in the exam room should follow the five communication practices designed by the
National Learning Consortium (NLC) to foster a effortless integration and transition of computers into their practice:
Allow patient to look on computer

Designing A Model For A Computer As A Soft Copy And The...
In the literature analysis, alternates are used to differentiate between the characteristics of the information that had
been saved in files on a computer as a soft copy and the information that had been saved in less thoroughly reviewed
outlet. This review identifies more focused literature requirements for the literature survey phase of the research. More
specific topics give a solid background and knowledge to develop a model and methodology to solve the research
problems. The study of this research builds the prototype model. Building stage is the phase of the requirements,
design, specifying software tools, and designing the interfaces. Prototyping stage is the phase of coding and testing.
The study of this research will prove that the model works. The model provides prototyping stage developer with
outlines to follow. There are three approaches. The first is top down. That is, the research starts from the top
component and ends with the bottom component. The second is bottom up; the research starts from the bottom
component and ends with the top component. The third is hybrid; the research starts from the middle of the model and
ends with both the top and bottom components. 2.1 Health Informatics When physiology is defined as 'the logic of
life', and pathology is defined as 'the logic of disease', then health informatics means the logic of healthcare. Health
informatics is the study of how clinical knowledge is established, formed, shared, and employed. It is

The Patient Monitoring System
The Patient Monitoring System The patient monitoring system defined in the problem was developed 5 years ago.
That means it was developed somewhere in the year 2009. C32 was the standard at that time. Consolidated Clinical
Document Architecture (CCDA) was not developed until 2011. This means that the system was never designed by
keeping meaningful use of EHRs in mind. Hence, it should be difficult for the system to pass all the criteria of
meaningful use. Since the criteria described in Stage 1 of meaningful use are present in Stage 2 as well, only Stage 2
will be discussed in the following section. Problematic Meaningful Use Certification Criteria Following is a list of
Meaningful Use certification criteria that will likely be problematic for the patient monitoring system of the ICU in
Stage 2 attestations: Transitions of Care The EHR technology used in patient monitoring system must be able to
receive, display, transmit and incorporate transition of care document. For this, the system must use the specification
for such documents. Since this system is fairly old, it will not support the structured documents that are supported by
new systems. Electronic Prescribing Electronic prescription allows the user to create a prescription electronically. The
user can attach all kinds of information to this electronic prescription. Again, the structured document used by this
system is not in conformance with the current standards and hence will be problematic in Stage 2

Big Data And Analytics Analysis
BIG DATAAND ANALYTICS: The emergence of new technologies, applications and network systems makes it hard
to run the current business models and huge data types, and thus emerged various types of analytic tools like Big Data,
which make this work easier by way of proper organization of data. Big Data is all about analyzing different forms of
data (Structured, Semi–structured and Un–structured) and it is not about the procedure, creation or consumption of
data. Definition of Big Data: "Big Data technologies are the new generation of technologies and architectures that are
designed to economically extract value from very large volumes of a wide variety of data, by enabling high velocity
capture, discovery and/or ... Show more content on Helpwriting.net ...
Velocity: Refers to the speed of data processing. There is huge demand to analyze the data on a more regular basis and
at a faster pace. This 3v's model has several challenges of big data management, which result from the expansion of
all the above properties, rather than just the volume alone. Big Data Technologies and Analytics: Big Data is now
going to be the mainstream, as a result various new technologies have come into the market. The table below is an
overview of them: We are currently using Hadoop and Data warehousing as a means for analysis of huge data sets in
my organization. I work for a Population health management company which is a health care IT organization. There
are various sources from which we receive data for analytics some of them include: Ambulatory, Inpatient and
Outpatient EHRs. Pharmacies. Labs, Radiology and other testing services. Physical Therapy and Rehab services.
Nursing homes, PCMH and extended care facilities/ Disease registries Behavioral health and hospice care. Patient
generated data Public health agencies Specialty and sub–specialty practices. Few other Big data sources beyond HER
include genomics, Combination data from multiple body systems and Social determinants of health like economic
status and insurance eligibility. Different types of Analytics: There are mainly

Continuity Of Care Essay
In order to ensure patient safety, maintain the continuity of patient care, and improve patient outcomes, complete and
accurate patient information must be collected. Standards and guidelines for patient documentation have been
established that hospitals must adhere to in order to either maintain current accreditation, or receive payment. The
three organizations setting these standards are The Joint Commission (TJC), The Commission on Accreditation of
Rehabilitation Facilities (CARF), and The Center for Medicare and Medicaid (CMS). The Joint Commission (TJC), in
an independent, not for profit, organization that accredits healthcare organizations. The Commission was founded in
1951 with the goal of improving healthcare to the pubic by ... Show more content on Helpwriting.net ...
Patient documentation is an essential element in patient safety. Failing to adequately document patient information not
only affects the quality of care provided to the patient, it posses a legal risk to the provider and the institution, and
affects reimburse levels. The medical record should document the care of the patient in Chronological order. This
enables the physician or health practitioner to not only evaluate the care being given but also create a "road map" of
the treatment plan. This helps to provide immediate treatment for the patient, and continues over time in order to
monitor the patient care along the way. This will also assist to maintain the quality and continuity of care among
physicians and practitioners involved in the patients overall care. (Centers for Medicare and Medicaid Services, 2016)
There are ten principles of proper documentation for medical records as outlined by the Center for Medicare and
Medicaid. In order for practitioners to meet these standards, these best practice guidelines should be All medical
records need to be complete, accurate, and legible. Entries in the patient's medical record that are not clearly written
can lead to medical errors. If documentation is illegible clarification of orders, progress notes, medication dosages
must first be confirmed prior to initiating patient treatment. (Centers for Medicare and Medicaid Services, 2016) The
documentation of each patient

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