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Revision of the electronic diabetic file at Clinic of Diabetology IKEM
Fialová, Lenka ; Blaha, Milan (referee) ; Provazník, Ivo (advisor)
Electronic diabetic record (EDR) is an electronic medical record used in Diabetology Clinics, Instittute for Clinical and Experimental Medicine (IKEM), Prague. EDR is complex record of patient statistical and clinical data. It´s complexity and large time demands on filling in all items make EDR not user friendly. Thus, benefits of electronic medical record are not fully utilized. The paper describes solution that leads to simpler user interface as component of outpatient message allowing easy entering data. The new interface has been designed and created in the form of program module. There are described other procedures to implement module into IKEM information system Zlatokop. At the end, there are discussed the advantages and shortcomings of this revised vision and current status of project of EDR. The first part of the work is about the basic concepts and problems regarding EDR. It is about e-health, specially about the electronic health record, databases, specially about Caché, which is used in Zlatokop, about diabetes mellitus and about user experience.
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Dental status in handicapped patients
Chleborád, Karel ; Dostálová, Taťjana (advisor) ; Racek, Jaroslav (referee) ; Hanzlíček, Petr (referee)
The information in the medical records serve many purposes: they can be used for diagnosis and therapy, medical documentation contains information that can be the basis for financial authorities for treatment or for pumping reimbursement from health insurance. The data can be used in statistics and other scientific purposes. The aim of study is to verify the simplicity of data process implementation and time of data storing for modification of classical paper WHO dental card, lifetime dental EHR controlled by keyboard and lifetime dental EHR controlled by voice. All three methods were applied on 126 patients. At first the patients were inspected by a standard technique (communication between dentist and nurse) and the data recorded into the paper WHO dental card. The same person recorded all data to lifetime dental EHR using keyboard and using voice. Then we compared the time, which was needed for recording the data using these three methods. Using Friedman test we found very significant differences in time of recording among three methods (p<0.001). We can see that the paper WHO dental card was recorded quickly, but its rise due to missing electronic form is difficult. Times for recording data using keyboard or voice in lifetime dental EHR were not significantly different. The clinical practice...
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The language of medical reports and its information-lexical analysis
Přečková, Petra ; Zvárová, Jana (advisor) ; Hanzlíček, Petr (referee) ; Skalská, Hana (referee)
The objective of the dissertation thesis has been the information-lexical analysis of Czech medical reports and the usability of international classification systems in the Czech healthcare environment. The analysis of medical reports has been based on the attributes of the Minimal Data Model for Cardiology (MDMC). Narrative medical reports and structured medical reports from the ADAMEK software application have been used. For the thesis SNOMED CT and ICD-10 classification systems have been used. There has been compared how well attributes of MDMC are recorded in narrative and structured medical reports. The language analysis of the Czech narrative medical reports has been made. A new application for measuring diversity in medical reports written in any language is proposed. The application is based on the general concepts of diversities derived from f-diversity, relative f- diversity, self f-diversity and marginal f-diversity. The thesis has come to the conclusion that using a free text in medical reports is not consistent and not standardized. The standardized terminology would bring benefits to physicians, patients, administrators, software developers and payers and it would help healthcare providers as it could provide complete and easily accessible information that belongs to the process of...
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Extracting Information from Medical Texts
Zvára, Karel ; Svátek, Vojtěch (advisor) ; Veselý, Arnošt (referee) ; Skalská, Hana (referee)
The aim of my work was to find out the specific features of Czech medical reports in terms of the possibility of extracting specific information from them. For my work, I had a total of 268 anonymized narrative medical reports from two outpatient departments. I have studied standards for preserving electronic health records and for transferring clinical information between healthcare information systems. I have also participated in the process of implementing electronic medical record in the field of dentistry. First of all, I tried to process narrative medical reports using natural language processing (NLP) tools. I came to the conclusion that narrative medical reports in the Czech language are very different than a typical Czech text, especially because it mostly contains short telegraphic phrases and the texts lack typical Czech sentence structure. It also contains many misspellings, acronyms and abbreviations. Another problem was the absence of existence of the Czech translation of the main international classification systems. Therefore I decided to continue the research by developing the method for pro-processing the input text for translation and its semantic annotation. The main objective of this part of the research was to propose a method and support software for interactive correction...
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Dental status in handicapped patients
Chleborád, Karel ; Dostálová, Taťjána (advisor) ; Racek, Jaroslav (referee) ; Hanzlíček, Petr (referee)
The information in the medical records serve many purposes: they can be used for diagnosis and therapy, medical documentation contains information that can be the basis for financial authorities for treatment or for pumping reimbursement from health insurance. The data can be used in statistics and other scientific purposes. The aim of study is to verify the simplicity of data process implementation and time of data storing for modification of classical paper WHO dental card, lifetime dental EHR controlled by keyboard and lifetime dental EHR controlled by voice. All three methods were applied on 126 patients. At first the patients were inspected by a standard technique (communication between dentist and nurse) and the data recorded into the paper WHO dental card. The same person recorded all data to lifetime dental EHR using keyboard and using voice. Then we compared the time, which was needed for recording the data using these three methods. Using Friedman test we found very significant differences in time of recording among three methods (p<0.001). We can see that the paper WHO dental card was recorded quickly, but its rise due to missing electronic form is difficult. Times for recording data using keyboard or voice in lifetime dental EHR were not significantly different. The clinical practice...
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The language of medical reports and its information-lexical analysis
Přečková, Petra ; Zvárová, Jana (advisor) ; Hanzlíček, Petr (referee) ; Skalská, Hana (referee)
The objective of the dissertation thesis has been the information-lexical analysis of Czech medical reports and the usability of international classification systems in the Czech healthcare environment. The analysis of medical reports has been based on the attributes of the Minimal Data Model for Cardiology (MDMC). Narrative medical reports and structured medical reports from the ADAMEK software application have been used. For the thesis SNOMED CT and ICD-10 classification systems have been used. There has been compared how well attributes of MDMC are recorded in narrative and structured medical reports. The language analysis of the Czech narrative medical reports has been made. A new application for measuring diversity in medical reports written in any language is proposed. The application is based on the general concepts of diversities derived from f-diversity, relative f- diversity, self f-diversity and marginal f-diversity. The thesis has come to the conclusion that using a free text in medical reports is not consistent and not standardized. The standardized terminology would bring benefits to physicians, patients, administrators, software developers and payers and it would help healthcare providers as it could provide complete and easily accessible information that belongs to the process of...
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Revision of the electronic diabetic file at Clinic of Diabetology IKEM
Fialová, Lenka ; Blaha, Milan (referee) ; Provazník, Ivo (advisor)
Electronic diabetic record (EDR) is an electronic medical record used in Diabetology Clinics, Instittute for Clinical and Experimental Medicine (IKEM), Prague. EDR is complex record of patient statistical and clinical data. It´s complexity and large time demands on filling in all items make EDR not user friendly. Thus, benefits of electronic medical record are not fully utilized. The paper describes solution that leads to simpler user interface as component of outpatient message allowing easy entering data. The new interface has been designed and created in the form of program module. There are described other procedures to implement module into IKEM information system Zlatokop. At the end, there are discussed the advantages and shortcomings of this revised vision and current status of project of EDR. The first part of the work is about the basic concepts and problems regarding EDR. It is about e-health, specially about the electronic health record, databases, specially about Caché, which is used in Zlatokop, about diabetes mellitus and about user experience.
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Electronic Health Records as an Instrument to Potentially Optimize the Work Flow in Small Medical Practices
Bannach, Anne-Kathleen ; Král, Petr (advisor) ; Cook, Gina (referee)
This master thesis contributes to a growing body of literature analysing electronic health records (EHRs) and their importance to potentially optimization of the work flow in small medical practices. Additionally, general information about different health care systems is given, especially about the Canadian health care system. It gives a theoretical overview of information technologies used through health care providers. This thesis addresses the new technologies for communication and describes them. Problem: The "lack of clear channels of communication in patient transfer between care facilities leads to fragmentation in care." To prevent this, new communication channels need to be more effective in improving communication. Before trying to enhance communication channels used between care facilities, locally and nationally, the current focus needs to be on communication channels used within care facilities. This is of great importance especially for patients and other stakeholders who deem it as the most critical health care item. The slow implementation of EHRs in small medical practices makes it difficult to improve and evaluate performance and to ensure the confidence of patients in new technologies. On the other hand, the lack of implementation in this area has a negative effect on other health care providers, e.g. hospitals which already implemented the system. Through the existing gap the delivery of health care information is not complete possible and does not help to make the system safer for users. Research Question: The main goal is to obtain an understanding of individual physicians' attitudes and barriers to EHR. The thesis will show the advantages and obstacles as well as the pros and cons for small- and medium-sized practices to adopt EHRs. Result: It is not necessary anymore to discuss if EHRs should be implemented. It is more important to discuss how they should implement. The main problem for implementation is the financial barrier for small medical practices as well as personal attitudes connected with the age distribution of physicians and patients.
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