http://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&feed=atom&action=historyDesign, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan - Revision history2024-03-28T13:51:29ZRevision history for this page on the wikiMediaWiki 1.22.4http://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=27842&oldid=prevLcorrales: /* Related Articles */2015-10-21T06:53:10Z<p><span dir="auto"><span class="autocomment">Related Articles</span></span></p>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== References ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== References ==</div></td></tr>
</table>Lcorraleshttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=27553&oldid=prevShyla Narasimhan: /* Introduction */2015-10-18T19:32:04Z<p><span dir="auto"><span class="autocomment">Introduction</span></span></p>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Introduction ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Introduction ==</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Contingency planning for electronic health record-based care continuity: a survey of recommended practices|Contingency plan]] is necessary to ensure safe and smooth workflow of [[EMR|EHRs]] during downtimes. An effective contingency plan should be part of the health care organization and able to address the causes and consequences of EHR unavailability, triggering process and preparations that can minimize the frequency and impact of such events while ensuring care continuity. The authors of this study illustrate the design, implementation and evaluate a contingency plan at the lab scale that uses the [[Clinical Document Architecture (CDA)|Clinical Document Architecture (CDA)]] Release 2 (R2) document repository to support continuity of care during downtime. <ref name="2015 Campos">Campos, 2015. Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan. http://www.ncbi.nlm.nih.gov/pubmed/26262033 </ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Contingency planning for electronic health record-based care continuity: a survey of recommended practices|Contingency plan]] is necessary to ensure safe and smooth workflow of [[EMR|EHRs]] during downtimes. An effective contingency plan should be part of the health care organization and able to address the causes and <ins class="diffchange diffchange-inline">[[Characteristics of health IT outage and suggested risk management strategies: an analysis of historical incident reports in China|</ins>consequences of EHR unavailability<ins class="diffchange diffchange-inline">]]</ins>, triggering process and preparations that can minimize the frequency and impact of such events while ensuring care continuity. The authors of this study illustrate the design, implementation and evaluate a contingency plan at the lab scale that uses the [[Clinical Document Architecture (CDA)|Clinical Document Architecture (CDA)]] Release 2 (R2) document repository to support continuity of care during downtime. <ref name="2015 Campos">Campos, 2015. Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan. http://www.ncbi.nlm.nih.gov/pubmed/26262033 </ref></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
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</table>Shyla Narasimhanhttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=26980&oldid=prevShyla Narasimhan: /* Comments */2015-10-13T21:14:19Z<p><span dir="auto"><span class="autocomment">Comments</span></span></p>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Comments ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Comments ==</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>This is the first study that proposes and tests a contingency plan for EHRs at the lab scale. However, the robustness of this method has to be further tested in other large and small organizations. Additional costs incurred for this contingency plan may make its implementation difficult, which may arise a need for more affordable alternatives.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>This is the first study that proposes and tests a contingency plan for EHRs at the lab scale. However, the robustness of this method has to be further tested in other large and small organizations. Additional costs incurred for this contingency plan may make its implementation difficult, which may arise a need for more <ins class="diffchange diffchange-inline">[[Downtime procedures for a clinical information system: a critical issue|</ins>affordable alternatives<ins class="diffchange diffchange-inline">]]</ins>.</div></td></tr>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Related Articles ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Related Articles ==</div></td></tr>
</table>Shyla Narasimhanhttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=26921&oldid=prevAnnathehybrid: Annathehybrid moved page Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan. to [[Design, Implementation and Evaluation of an Architecture based on the CDA R2 ...2015-10-12T17:23:59Z<p>Annathehybrid moved page <a href="/wiki/index.php/Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan." class="mw-redirect" title="Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan.">Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan.</a> to [[Design, Implementation and Evaluation of an Architecture based on the CDA R2 ...</p>
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</td></tr></table>Annathehybridhttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=26568&oldid=prevElizaN: /* Introduction */2015-10-07T22:13:43Z<p><span dir="auto"><span class="autocomment">Introduction</span></span></p>
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<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Contingency planning for electronic health record-based care continuity: a survey of recommended practices|Contingency plan]] is necessary to ensure <del class="diffchange diffchange-inline">a </del>safe and smooth workflow of [[EMR|EHRs]] during downtimes. <del class="diffchange diffchange-inline">The authors point out that an </del>effective contingency plan should be able to address the causes and consequences of EHR unavailability, triggering process and preparations that can minimize the frequency and impact of such events while ensuring care continuity. <del class="diffchange diffchange-inline">To </del>this <del class="diffchange diffchange-inline">end, </del>the <del class="diffchange diffchange-inline">authors </del>design, <del class="diffchange diffchange-inline">implement </del>and evaluate a contingency plan at the lab scale that uses the [[Clinical Document Architecture (CDA)|Clinical Document Architecture (CDA)]] Release 2 (R2) document repository to support continuity of care during downtime. <ref name="2015 Campos">Campos, 2015. Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan. http://www.ncbi.nlm.nih.gov/pubmed/26262033 </ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Contingency planning for electronic health record-based care continuity: a survey of recommended practices|Contingency plan]] is necessary to ensure safe and smooth workflow of [[EMR|EHRs]] during downtimes. <ins class="diffchange diffchange-inline">An </ins>effective contingency plan should be <ins class="diffchange diffchange-inline">part of the health care organization and </ins>able to address the causes and consequences of EHR unavailability, triggering process and preparations that can minimize the frequency and impact of such events while ensuring care continuity. <ins class="diffchange diffchange-inline">The authors of </ins>this <ins class="diffchange diffchange-inline">study illustrate </ins>the design, <ins class="diffchange diffchange-inline">implementation </ins>and evaluate a contingency plan at the lab scale that uses the [[Clinical Document Architecture (CDA)|Clinical Document Architecture (CDA)]] Release 2 (R2) document repository to support continuity of care during downtime. <ref name="2015 Campos">Campos, 2015. Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan. http://www.ncbi.nlm.nih.gov/pubmed/26262033 </ref></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Methods ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Methods ==</div></td></tr>
</table>ElizaNhttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=26513&oldid=prevAnita Bandri: /* References */2015-10-07T14:41:03Z<p><span dir="auto"><span class="autocomment">References</span></span></p>
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</table>Anita Bandrihttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=26417&oldid=prevShyla Narasimhan: /* References */2015-10-07T03:03:33Z<p><span dir="auto"><span class="autocomment">References</span></span></p>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Category: Reviews]]</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Category: Reviews]]</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Category: EMR]]</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Category: EMR]]</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category: HI5313-2015-FALL]]</ins></div></td></tr>
</table>Shyla Narasimhanhttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=26388&oldid=prevShyla Narasimhan: /* Results */2015-10-07T01:33:31Z<p><span dir="auto"><span class="autocomment">Results</span></span></p>
<table class='diff diff-contentalign-left'>
<col class='diff-marker' />
<col class='diff-content' />
<col class='diff-marker' />
<col class='diff-content' />
<tr style='vertical-align: top;'>
<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 01:33, 7 October 2015</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 10:</td>
<td colspan="2" class="diff-lineno">Line 10:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Results ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Results ==</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>In order to tackle level 1 contingency, the authors developed a CDA navigator, which has some of the elements of CDS as its indexes, which is used to generate a tree that can be accessed based on patient information. From the tree root (any patient of interest), time line for inpatient can be navigated and the caregiver can access all the data from the specified date. This application is deployed on a different server from the EHR, and with a different and redundant database. During EHR contingency the document based EHR can be retrieved.  </div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>In order to tackle level 1 contingency, the authors developed a CDA navigator, which has some of the elements of CDS as its indexes, which is used to generate a tree that can be accessed based on patient information. From the tree root (any patient of interest), time line for inpatient can be navigated and the caregiver can access all the data from the specified date. This application is deployed on a different server from the EHR, and with a different and redundant database. During EHR contingency the document based EHR can be retrieved.  </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>In designing a plan to overcome level 2 contingency two pieces of information, present medication list and proper labeling for laboratory samples, were identified as necessities to provide continued care. Based on this, an application was developed to access the document repository every 30 minutes. The computers running this application were dedicated only for downtime use and connected to a local printer and uninterrupted power supply. These computers have a specific local disk space to a folder tree organized by department and inpatient location. Several computers run this application redundantly at specific locations.</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>In designing a plan to overcome level 2 contingency two pieces of information, present medication list and proper labeling for laboratory samples, were identified as necessities to provide continued care. Based on this, an application was developed to access the document repository every 30 minutes. The computers running this application were dedicated only for downtime use and connected to a local printer and uninterrupted power supply. These computers have a specific local disk space to a folder tree organized by department and inpatient location. Several computers run this application redundantly at specific locations.</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>During this study, there were both planned and unplanned downtimes from a minimum of one hour to a maximum of 25.01 hours, during which the facility was able to access patient medications and print prescriptions<del class="diffchange diffchange-inline">, </del>in some occasions more than thousand <del class="diffchange diffchange-inline">times </del>and these printed prescriptions were erroneous in only < 2% of cases.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>During this study, there were both planned and unplanned downtimes from a minimum of one hour to a maximum of 25.01 hours, during which the facility was able to access patient medications and print prescriptions <ins class="diffchange diffchange-inline">(</ins>in some occasions more than thousand <ins class="diffchange diffchange-inline">print outs were taken) </ins>and these printed prescriptions were erroneous in only < 2% of cases.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Conclusions ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Conclusions ==</div></td></tr>
</table>Shyla Narasimhanhttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=26384&oldid=prevShyla Narasimhan: /* Results */2015-10-07T01:30:42Z<p><span dir="auto"><span class="autocomment">Results</span></span></p>
<table class='diff diff-contentalign-left'>
<col class='diff-marker' />
<col class='diff-content' />
<col class='diff-marker' />
<col class='diff-content' />
<tr style='vertical-align: top;'>
<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 01:30, 7 October 2015</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 10:</td>
<td colspan="2" class="diff-lineno">Line 10:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Results ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Results ==</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>In order to tackle level 1 contingency, the authors developed a CDA navigator, which has some of the elements of CDS as its indexes, which is used to generate a tree that can be accessed based on patient information. From the tree root (any patient of interest), time line for inpatient can be navigated and the caregiver can access all the data from the specified date. This application is deployed on a different server from the EHR, and with a different and redundant database. During EHR contingency the document based EHR can be retrieved.  </div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>In order to tackle level 1 contingency, the authors developed a CDA navigator, which has some of the elements of CDS as its indexes, which is used to generate a tree that can be accessed based on patient information. From the tree root (any patient of interest), time line for inpatient can be navigated and the caregiver can access all the data from the specified date. This application is deployed on a different server from the EHR, and with a different and redundant database. During EHR contingency the document based EHR can be retrieved.  </div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>In designing a plan to overcome level 2 contingency two pieces of information, present medication list and proper labeling for laboratory samples, were identified as <del class="diffchange diffchange-inline">a necessity </del>to provide continued care. Based on this, an application was developed to access the document repository every 30 minutes. The computers running this application were dedicated only for downtime use and connected to a local printer and uninterrupted power supply. These computers have a specific local disk space to a folder tree organized by department and inpatient location. Several computers run this application redundantly at specific locations.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>In designing a plan to overcome level 2 contingency two pieces of information, present medication list and proper labeling for laboratory samples, were identified as <ins class="diffchange diffchange-inline">necessities </ins>to provide continued care. Based on this, an application was developed to access the document repository every 30 minutes. The computers running this application were dedicated only for downtime use and connected to a local printer and uninterrupted power supply. These computers have a specific local disk space to a folder tree organized by department and inpatient location. Several computers run this application redundantly at specific locations.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>During this study, there were both planned and unplanned downtimes from a minimum of one hour to a maximum of 25.01 hours, during which the facility was able to access patient medications and print prescriptions, in some occasions more than thousand times and these printed prescriptions were erroneous in only < 2% of cases.</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>During this study, there were both planned and unplanned downtimes from a minimum of one hour to a maximum of 25.01 hours, during which the facility was able to access patient medications and print prescriptions, in some occasions more than thousand times and these printed prescriptions were erroneous in only < 2% of cases.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
</table>Shyla Narasimhanhttp://clinfowiki.org/wiki/index.php?title=Design,_Implementation_and_Evaluation_of_an_Architecture_based_on_the_CDA_R2_Document_Repository_to_Provide_Support_to_the_Contingency_Plan&diff=26382&oldid=prevShyla Narasimhan: /* Results */2015-10-07T01:29:56Z<p><span dir="auto"><span class="autocomment">Results</span></span></p>
<table class='diff diff-contentalign-left'>
<col class='diff-marker' />
<col class='diff-content' />
<col class='diff-marker' />
<col class='diff-content' />
<tr style='vertical-align: top;'>
<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 01:29, 7 October 2015</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 10:</td>
<td colspan="2" class="diff-lineno">Line 10:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Results ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Results ==</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>In order to tackle level 1 contingency, the authors developed a CDA navigator, which has some of the elements of CDS as its indexes, which is used to generate a tree that can be accessed based on patient information. From the tree root (any patient of interest), time line for inpatient can be navigated and the caregiver can access all the data from the specified date. This application is deployed on a different server from the EHR, and with a different and redundant database. During EHR contingency the document based EHR can be retrieved.  </div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>In order to tackle level 1 contingency, the authors developed a CDA navigator, which has some of the elements of CDS as its indexes, which is used to generate a tree that can be accessed based on patient information. From the tree root (any patient of interest), time line for inpatient can be navigated and the caregiver can access all the data from the specified date. This application is deployed on a different server from the EHR, and with a different and redundant database. During EHR contingency the document based EHR can be retrieved.  </div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>In designing a plan to overcome level 2 contingency<del class="diffchange diffchange-inline">, </del>two pieces of information, present medication list and proper labeling for laboratory samples, were identified as a necessity to provide continued care. Based on this, an application was developed to access the document repository every 30 minutes. The computers running this application were dedicated only for downtime use and connected to a local printer and uninterrupted power supply. These computers have a specific local disk space to a folder tree organized by department and inpatient location. Several computers run this application redundantly at specific locations.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>In designing a plan to overcome level 2 contingency two pieces of information, present medication list and proper labeling for laboratory samples, were identified as a necessity to provide continued care. Based on this, an application was developed to access the document repository every 30 minutes. The computers running this application were dedicated only for downtime use and connected to a local printer and uninterrupted power supply. These computers have a specific local disk space to a folder tree organized by department and inpatient location. Several computers run this application redundantly at specific locations.</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>During this study, there were both planned and unplanned downtimes from a minimum of one hour to a maximum of 25.01 hours, during which the facility was able to access patient medications and print prescriptions, in some occasions more than thousand times and these printed prescriptions were erroneous in only < 2% of cases.  </div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>During this study, there were both planned and unplanned downtimes from a minimum of one hour to a maximum of 25.01 hours, during which the facility was able to access patient medications and print prescriptions, in some occasions more than thousand times and these printed prescriptions were erroneous in only < 2% of cases.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Conclusions ==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>== Conclusions ==</div></td></tr>
</table>Shyla Narasimhan