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Published on: September 26, 2018
Contextualized access to electronical health records in cardiology
Belén Prados-Suárez1, Carlos Molina, Carmen Peña Yañez
1Department of Software Engineering, University of Granada, Granada, Spain. belenps@ugr.es
Insights
This study introduces a new method for accessing electronic health records (EHR) by prioritizing information based on user context. This approach enhances efficiency and usability for healthcare professionals, especially on devices with limited interfaces.
Area of Science:
- Health Informatics
- Information Science
Background:
- Electronic Health Records (EHR) offer improved data management but face challenges with large data volumes and difficult retrieval.
- Accessing specific information within extensive EHR systems can be inefficient and hinder clinical workflows.
Purpose of the Study:
- To develop a novel approach for accessing EHR data tailored to specific clinical contexts.
- To enhance the efficiency and usability of EHR systems, particularly for cardiology.
Main Methods:
- A context-aware access method for EHR was proposed, prioritizing information relevant to the user's current clinical task.
- Fuzzy logic was employed to define contexts and assess document relevance, focusing on system efficiency with large databases.
- The approach prioritizes data access based on immediate needs, without restricting overall access.
Main Results:
- The proposed method effectively contextualizes EHR access, delivering prioritized information relevant to clinical assistance acts.
- Efficiency was a key consideration, addressing the challenges posed by large EHR databases.
- The system facilitates the use of devices with interface limitations, such as tablet PCs and PDAs.
Conclusions:
- Contextualization of EHR access significantly improves information retrieval efficiency and clinical workflow.
- The fuzzy logic-based prioritization system offers a flexible and effective solution for managing large health datasets.
- This approach enhances EHR accessibility across various devices, supporting modern healthcare delivery.
Abstract:
In this paper, we propose a new approach for accessing the electronical health records (EHR), and we apply it to the cardiology medical specialty. Though the use of EHR improves the storage and access to the information in it regarding the previous health records in papers, it entails the risk of having the same problems of huge size and of becoming inoperative and really difficult to handle, especially if the user is looking for a specific data item. Our proposal is based on the contextualization of the access, providing the user with the most important information for the assistance act in which he/she is involved. To do this, we define the set of possible contexts and consider different aspects of the pertinence of the documents to each context. We do it by using fuzzy logic and pay special attention to the efficiency, due to the huge size of the involved databases. Our proposal does not limit the access to the EHR, but establishes a prioritization based on the access needs, which provides the system with an additional advantage, easily enabling the use of new terminals and devices like tablet PCs and PDAs, which have great limitations in the interfaces.
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