Abstract:
INTRODUCTION:Electronic medical records (EMRs) may address the need for decision and language support for Western clinicians on mobile medical service trips (MSTs) in low resource settings abroad, while providing improved access to records and data management. However, there has yet to be a review of this emerging technology used by MSTs in low-resource settings. The aim of this study is to describe EMR systems designed specifically for use by mobile MSTs in remote settings, and accordingly, determine new opportunities for this technology to improve quality of healthcare provided by MSTs. METHODS:A MEDLINE, EMBASE, and Scopus/IEEE search and supplementary Google search were performed for EMR systems specific to mobile MSTs. Information was extracted regarding EMR name, organization, scope of use, platform, open source coding, commercial availability, data integration, and capacity for linguistic and decision support. Missing information was requested by email. RESULTS:After screening of 122 abstracts, two articles remained that discussed deployment of EMR systems in MST settings (iChart, SmartList To Go), and thirteen additional EMR systems were found through the Google search. Of these, three systems (Project Buendia, TEBOW, and University of Central Florida's internally developed EMR) are based on modified versions of Open MRS software, while three are smartphone apps (QuickChart EMR, iChart, NotesFirst). Most of the systems use a local network to manage data, while the remaining systems use opportunistic cloud synchronization. Three (TimmyCare, Basil, and Backpack EMR) contain multilingual user interfaces, and only one (QuickChart EMR) contained MST-specific clinical decision support. DISCUSSION:There have been limited attempts to tailor EMRs to mobile MSTs. Only Open MRS has a broad user base, and other EMR systems should consider interoperability and data sharing with larger systems as a priority. Several systems include tablet compatibility, or are specifically designed for smartphone, which may be helpful given the environment and low resource context. Results from this review may be useful to non-government organizations (NGOs) considering modernization of their medical records practices as EMR use facilitates research, decreases paper administration costs, and improves perceptions of professionalism; however, most MST-specific EMRs remain in their early stages, and further development and research is required before reaching the stage of widespread adoption.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Dainton C,Chu CHdoi
10.1016/j.ijmedinf.2016.11.008subject
Has Abstractpub_date
2017-02-01 00:00:00pages
33-40eissn
1386-5056issn
1872-8243pii
S1386-5056(16)30265-9journal_volume
98pub_type
杂志文章,评审abstract:BACKGROUND:The authors have been conducting text mining analyses (extraction of useful information from text) of Medline records, using Abstracts as the main data source. For literature-based discovery, and other text mining applications as well, all records in a discipline need to be evaluated for determining prior ar...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2004.02.008
更新日期:2004-06-30 00:00:00
abstract:BACKGROUND AND OBJECTIVE:This work aims at extracting Adverse Drug Reactions (ADRs), i.e. a harm directly caused by a drug at normal doses, from Electronic Health Records (EHRs). The lack of readily available EHRs because of confidentiality issues and their lexical variability make the ADR extraction challenging. Furth...
journal_title:International journal of medical informatics
pub_type: 杂志文章
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2011.12.011
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abstract:CONTEXT:Data mining (DM) provides the methodology and technology needed to transform huge amounts of data into useful information for decision making. It is a powerful process employed to extract knowledge and discover new patterns embedded in large data sets. Data mining has been increasingly used in medicine, particu...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
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journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2003.11.023
更新日期:2004-03-31 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2005.07.034
更新日期:2006-01-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(98)00170-1
更新日期:1999-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2018.03.017
更新日期:2018-07-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2020.104343
更新日期:2021-02-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2006.11.005
更新日期:2008-01-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2010.11.006
更新日期:2011-02-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2008.06.012
更新日期:2009-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2013.02.002
更新日期:2013-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-11-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2011-08-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 历史文章,杂志文章
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更新日期:1999-06-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2012.07.012
更新日期:2012-10-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2000-11-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章,meta分析,多中心研究
doi:10.1016/j.ijmedinf.2015.09.003
更新日期:2015-12-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:1998-02-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2019-03-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
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更新日期:2007-06-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2007.02.001
更新日期:2008-04-01 00:00:00