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Patient health record on a smart card
1National Institute of Pulmonology, Budapest, Hungary.
International Journal of Medical Informatics
|May 26, 1998
Summary
This study details a 25-year electronic patient record system using smart cards for 5000 chronically ill patients. The system securely stores comprehensive health data, enabling accurate healthcare needs assessment and cost calculation.
Area of Science:
- Medical Informatics
- Health Information Systems
- Digital Health
Background:
- A clinical ward has utilized a validated health questionnaire for patient history and physical examination documentation over 25 years.
- A computerized patient record system was developed to manage extensive patient data, including laboratory tests and medications.
Purpose of the Study:
- To develop a comprehensive, secure, and paperless electronic patient record (EPR) system.
- To facilitate accurate healthcare needs assessment and cost calculation through data analysis.
Main Methods:
- Implementation of a computerized patient record using EUCLIDES and ATC/EAN codes.
- Inclusion of emergency data on EEPROM chipcards with secure access via doctor's PIN coded key cards.
- Development of a paperless EPR system integrating texts, curves, and pictures on an optical card.
Main Results:
- A system was established for 5000 chronically ill inpatients, securely storing their health data on smart cards.
- Depersonalized data were collected for statistical evaluation, aiding in healthcare needs assessment and cost calculation.
- A fully integrated, paperless electronic patient record system was successfully developed.
Conclusions:
- The developed electronic patient record system provides a secure and efficient method for managing comprehensive patient health information.
- The system supports data-driven healthcare planning, needs assessment, and cost analysis for improved healthcare management.