M-Health Application for Managing a Patient's Medical Record based on the Cloud: Design and Implementation

Author(s):  
Sihem Souiki ◽  
Mourad Hadjila ◽  
Djillali Moussaoui ◽  
Soria Ferdi ◽  
Soumia Rais
2017 ◽  
Vol 24 (2) ◽  
pp. 186 ◽  
Author(s):  
Anant Raut ◽  
Chase Yarbrough ◽  
Vivek Singh ◽  
Bikash Gauchan ◽  
David Citrin ◽  
...  

IntroductionGlobally, electronic medical records are central to the infrastructure of modern healthcare systems. Yet the vast majority of electronic medical records have been designed for resource-rich environments and are not feasible in settings of poverty. Here we describe the design and implementation of an electronic medical record at a public sector district hospital in rural Nepal, and its subsequent expansion to an additional public sector facility.DevelopmentThe electronic medical record was designed to solve for the following elements of public sector healthcare delivery: 1) integration of the systems across inpatient, surgical, outpatient, emergency, laboratory, radiology, and pharmacy sites of care; 2) effective data extraction for impact evaluation and government regulation; 3) optimization for longitudinal care provision and patient tracking; and 4) effectiveness for quality improvement initiatives.ApplicationFor these purposes, we adapted Bahmni, a product built with open-source components for patient tracking, clinical protocols, pharmacy, laboratory, imaging, financial management, and supply logistics. In close partnership with government officials, we deployed the system in February of 2015, added on additional functionality, and iteratively improved the system over the following year. This experience enabled us then to deploy the system at an additional district-level hospital in a different part of the country in under four weeks. We discuss the implementation challenges and the strategies we pursued to build an electronic medical record for the public sector in rural Nepal.DiscussionOver the course of 18 months, we were able to develop, deploy and iterate upon the electronic medical record, and then deploy the refined product at an additional facility within only four weeks. Our experience suggests the feasibility of an integrated electronic medical record for public sector care delivery even in settings of rural poverty.


2020 ◽  
Vol 5 (3) ◽  
pp. 1-11
Author(s):  
Moses Kwasi Torkudzor ◽  
Patrick Atsu Agbemabiese ◽  
Wellington Amponsah

Health Information System aims at improving and enhancing the delivery of quality, data availability and administrative effectiveness of people’s health. Medical record has come under severe threat as a result of the manual system of medical record keeping in spite of its important functions. This system of record-keeping involves taking down patient data on pieces of paper, which are put into files and kept in cabinets. In fact, this is an improper means of documentation resulting in loss and mismatch of patient data, and time wastage. It is alsocumbersome, bulky and consumes a lot of the office space. In this paper, a complete web-based health information system is designed to solve these problems so as to enable users handle details on policies efficiently and effectively. A test of the system over various network topologies reveals that time taken to move a packet and received acknowledgment for standalone, LAN, WAN and Intranet is 3ms, 4ms, 8ms and 10ms respectively. These short periods of time show faster and efficient delivery of health activities. The Web Based HealthInformation System thus provides significant benefit to institutions as it can capture data and store it in the developed database for future use. Citation: Kwasi, T. M., Patrick, A.A, Amponsah Wellington, A. Design and Implementation of a Web-BasedHealth Information System, 2020; 5(3): 1-11. Received: August 4, 2019Accepted: September 30, 2020


Author(s):  
Dean E. Johnson

For many years the electronic medical record has been the holy grail of hospital system integration. Hundreds of millions of dollars have been spent in attempts to develop effective electronic medical records (EMR) to provide clinical care for patients. The advantages of an EMR are listed as reducing error, streamlining care, and allowing multiple people to provide simultaneous care. Unfortunately, most current EMR implementations are developed without completely understanding the processes that are being automated. In some implementations, there is an effort to first outline the process, and then try to create software that will facilitate the existing process, but this effort is not typically done systematically or with the discipline of an engineer. We will discuss the areas that management systems engineers can facilitate the design and implementation of the EMR, reducing the errors in the current processes and preparing the healthcare system for further improvements.


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