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=The Clinical Informatics Wiki -- Clinfowiki=
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'''Welcome to the OHSU Clinfowiki'''
  
The Clinical Informatics Wiki is an implementation of a [http://en.wikipedia.org/wiki/Wiki wiki] devoted to topics in clinical informatics. To begin a new article, or edit an existing article, you must first create an account and login to the ClinfoWiki.
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The OHSU Clinical Informatics Wiki (aka ClinfoWiki) is the implementation of a [http://en.wikipedia.org/wiki/Wiki wiki] website devoted to topics in [[Biomedical Informatics]].  
  
Please see [http://meta.wikipedia.org/wiki/MediaWiki_i18n documentation on customizing the interface]
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The Department of Medical Informatics & Clinical Epidemiology (DMICE) is one of 27 academic departments in the School of Medicine at Oregon Health & Science University (OHSU). The mission of DMICE is to provide leadership, discovery and dissemination of knowledge in clinical informatics, clinical epidemiology, and bioinformatics / computation biology. This mission is fulfilled through programs of research, education, and service. DMICE programs are recognized internationally for their accomplishment and innovation. The OHSU Biomedical Informatics program is one of the largest of its kind in the world.  
and the [http://meta.wikipedia.org/wiki/MediaWiki_User's_Guide User's Guide] for usage and configuration help.
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You can test your edits as much as you want in the [http://en.wikipedia.org/wiki/Wikipedia:Sandbox Sandbox].
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Clinfowiki is edited by [https://www.ohsu.edu/people/vishnu-mohan/2BD88C7AE00A4A21861DFB0964974984 Vishnu Mohan, M.D., M.B.I.], and was created in 2005 by [https://en.wikipedia.org/wiki/Dean_F._Sittig Dean F. Sittig, Ph.D.].
  
[[Special:Listusers|We]] are currently working on [[Special:Statistics|{{NUMBEROFARTICLES}}]] articles, and we [[JFWiki:To Do|need your help]] to complete this study of Clinical Informatics. See [[Special:Statistics]] for more complete information on the site.
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The site can be browsed by anyone.  To begin a new article, or edit an existing article, you must first create an account and login to the ClinfoWiki.  The easiest way to create a new page is to edit an existing page where you want your article to link from, and then place your page's name within double square brackets, like so: <nowiki> [[Your page name here]] </nowiki> If you then save the page and click on that link, you will be taken to a screen with a box where you can begin to write your content.
  
== Free and Open Source Software (FOSS) licensing in medicine ==
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[[Special:ActiveUsers|We]] are currently working on [[Special:Statistics|{{NUMBEROFARTICLES}}]] articles, and we '''[[Clinfowiki To Do|need your help]]''' to complete this study of Informatics. See [[Special:Statistics]] for more complete information on the site.
see [[FOSSM]]
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== Electronic Medical Record (EMR) Systems==
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The Clinfowiki has recently been reorganized into the <u>20</u> categories below. When adding (or editing) content, please try to ensure the content traces back to one of these categories.
see [[EMR]]
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== Computer-based Provider Order Entry -- CPOE==
 
see [[CPOE]]
 
  
== Clinical Decision Support -- CDS==
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=[[:Category:Technologies | Technologies]]=
see [[CDS]]
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== Personal Health Records -- PHRs==  
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==[[:Category: EHR | Electronic Medical Record (EMR)]]==
see [[PHR]]
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* [[EHR | What is the Electronic Medical Record]]
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* [[EMR v. EHR]]
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* [[Interface Design of the EHR]]
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* [[EHR-enabled Research]]
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* [[Security of the distributed electronic patient record: a case-based approach to identifying policy issues]]
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* [[Purpose of EMRs]]
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* [[Registries]]
  
== Personal Health Applications -- PHAs==  
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==[[:Category: CPOE | Computerized Physician Order Entry (CPOE)]]==
see [[PHA]]
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* [[CPOE | Computerized Physician Order Entry]]
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* [[Barcode medication administration]]
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* [[E-prescribing | Electronic Prescribing (E-prescribing)]]
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* [[Medication Errors]]
  
== Informatics Students' Contributions==  
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==[[:Category: CDS | Clinical Decision Support (CDS)]]==
see[[Informatics Students' Contributions|Contributions]]
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* [[CDS | Clinical Decision Support]]
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* [[Timeline of the Development of Clinical Decision Support]]
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* [[The Evolution of Clinical Decision Support]]
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* [[Decision Support Service]]
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* [[Effect of Computerized Clinical Decision Support on the Use and Yield of CT Pulmonary Angiography in the Emergency Department]]
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* [[Automated Clinical Decision Support (CDS) using Pattern Recognition/Temporal Relationships]]
  
==Blueprint for a Comprehensive HIT System==
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==[[:Category: PHR | Personal Health Record (PHR)]]==
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* [[PHR | Personal Health Records]]
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* [[PHA | Personal Health Applications]]
  
*[http://wellness.wikispaces.com/Tactic+-+Use+Evolving+Health+Information+Technology+Tools Introducing new categories of HIT tools, which compliment the ones above]
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==[[:Category: Reviews | Reviews of scientific papers]]==
*[http://wellness.wikispaces.com/Blueprint+for+an+Integrated+HIT+system+-+The+Patient+Life-Cycle+Wellness+System Blueprint for an Integrated HIT system]
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==Biobanking -- a.k.a. Biorepositories or Tissue Banks ==
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==[[:Category:Integrated Data Repositories (IDR) | Integrated Data Repositories (IDR)]]==
see [[BioBanking]]
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* [[CIDR | Clinical Integrated Data Repositories (CIDR)]]
==Organizational issues==
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[[The Role of the CMIO]]
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==Regional Health Information Organizations -- RHIOs==
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==[[:Category:Ancillary Systems | Ancillary Systems]]==
see [[RHIO]]
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* [[Ancillary Clinical Information Systems]]
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* [[BioBanking | Biobanking -- a.k.a. Biorepositories or Tissue Bank]]
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* [[Anesthesia Information Management Systems (AIMS)]]
  
==Evidence-Based Medicine -- EBM==  
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==[[:Category:Medical Devices | Medical Devices]]==
see [[EBM]]
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<DynamicPageList>
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category = Medical Devices
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</DynamicPageList>
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[[mHealth]]
  
==Evaluation Methods in Informatics==  
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==[[:Information Retrieval]]==
An overview of qualitative and quantitative design methodologies used in informatics.
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* [[Semantic MEDLINE]]
See [[Evaluation]]
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==Unintended Consequences of Health Information Technology ==  
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==[[:Category:Other Technologies | Other Technologies]]==
see [[Unintended Consequences of HIT]]
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* [[:Category:New_Technology| New CIS-related Technologies]]
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* [[FOSSM | Free and Open Source Software (FOSS) licensing in medicine]]
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* [[Unintended Consequences of HIT]]
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* [[i2b2 Informatics for Integrating Biology and the Bedside]]
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*  [[The Cloud and it's impact on Health IT]]
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* [[Teleconcussion - An Emerging Sports Concussion Management Model]]
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* [[The Blockchain in Healthcare]]
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* [[Robot Anesthesia]]
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* [[American College of Emergency Physicians:  InnovatED]]
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* [[Software-Guided insulin therapy]]
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* [[L1000 assay and the Connectivity Map dataset]]
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* [[5G and Healthcare]]
  
==Quality & Quality Informatics==
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=[[:Category:Applications | Applications]]=
see [[Quality Informatics|Quality & Quality Informatics]]
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==U.S. Federal Health Information Technology Initiatives==
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==[[:Category:Evidence Based Medicine (EBM) | Evidence Based Medicine (EBM)]]==
*'''[[Assistant Secretary for Planning &amp; Evaluation]]'''
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* [[EBM | Evidence Based Medicine]]
*'''[[Office of the National Coordinator for Health Information Technology (ONC)]]'''
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* [[Hierarchy of Evidence]]
*'''[[Council on the Application of Health Information Technology (CAHIT)]]'''
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* Rationale, design,and implementation protocol of an electronic health record integrated clinical prediction rule (iCPR) randomized trial in primary care
*'''[[Agency for Healthcare Research and Quality (AHRQ)]]'''
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* [[Efficacy of an Evidence-Based Clinical Decision Support in Primary Care Practices A Randomized Clinical Trial]]
*'''[[Centers for Medicare and Medicaid Services (CMS)]]'''
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*'''[[U.S. Food and Drug Administration (FDA)]]'''
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*'''[[National Institutes of Health (NIH)]]'''
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*'''[[Indian Health Service (IHS)]]'''
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*'''[[Health Services and Resource Administration (HRSA)]]'''
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*'''[[Centers for Disease Control and Prevention (CDC)]]'''
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*'''[[U.S. Department of Commerce]]'''
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*'''[[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]'''
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*'''[[U.S. Department of Defense (DoD) Initiatives]]'''
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*'''[[Department of Veterans Affairs Initiatives]]'''
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*'''[[U.S. Department of Homeland Security]]'''
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==The E-Patient-Provider Relationship==
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==[[:Category:Methodologies and Frameworks | Methodologies and Frameworks]]==
*'''[[SMS, Blogs and the Patient-Provider Relationship: Enhancing Communication, Improving Treatment Outcomes]]'''
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* [[Evaluation and Design Methodologies]]
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* [[EHR Data Quality]]
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* [[The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation]]
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* [[Sociotechnical systems]]
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* [[Data Center Planning and Design Overview for Healthcare Organizations]]
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* [[EHR Participatory Deployment Vs Black box Deployment methods]]
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* [[Real-time automatic polyp detection system for colonoscopy using artificial intelligence]]
  
==Interface Terminology==
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==[[:Category:Government, Public and Private Initiatives | Government, Public and Private Initiatives]]==
* '''[[Definition and Use of Interface Terminologies]]'''
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* [[HITREC | Health Information Technology Regional Extension Centers (HITREC)]]
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* [[RHIO | Regional Health Information Organization (RHIO)]]
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* [[NHIN | Nationwide Health Information Network (NwHIN)]]
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* [[Assistant Secretary for Planning & Evaluation]]
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* [[Office of the National Coordinator for Health Information Technology (ONC)]]
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* [[Trusted Exchange Framework and Common Agreement (TEFCA)]]
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* [[Council on the Application of Health Information Technology (CAHIT)]]
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* [[Agency for Healthcare Research and Quality (AHRQ)]]
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* [[Centers for Medicare and Medicaid Services (CMS)]]
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* [[U.S. Food and Drug Administration (FDA)]]
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* [[National Institutes of Health (NIH)]]
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* [[Big Data to Knowledge (BD2K)]]
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* [[Indian Health Service (IHS)]]
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* [[Health Services and Resource Administration (HRSA)]]
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* [[Centers for Disease Control and Prevention (CDC)]]
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* [[U.S. Department of Commerce]]
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* [[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]
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* [[U.S. Department of Defense (DoD) Initiatives]]
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* [[Department of Veterans Affairs Initiatives]]
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* [[U.S. Department of Homeland Security]]
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* [[Healthcare Information Technology Standards Panel (HITSP)]]
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* [[Purpose and overview | International perspectives]]
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* [[UK]]
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* [[National Electronic Health Record Program in United Kingdom]]
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* [[:Category:Blogposium|All articles resulting from the Blogposium collaboration]]
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* [[Maternal and Perinatal Quality Care Collaboratives]]
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* [[EHealth Initiative]]
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* [[Meaningful use]]
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* [[Electronic Laboratory Reporting]]
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* [[Department of Education]]
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* [[PMI | Precision Medicine Initiative (PMI)]]
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* [[Health Information and Management Systems Society (HIMSS)]]
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* [[Society for Participatory Medicine]]
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* [[Veteran’s Affairs Switch from VistA based Electronic Health Record to Cerner Millennium]]
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* [[Singapore NEHR]]
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* [[ORCATECH | Oregon Center for Aging and Technology (ORCATECH)]]
  
==[[:Category:New_Technology| New CIS-related Technologies]]==
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==[[:Category:Training and User Support | Training and User Support]]==
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* [[Learning Health Systems (LHS)]]
  
==International views==
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==[[:Category:Terminology and Coding | Terminology and Coding]]==
* '''[[Purpose and overview]]'''
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* [[Glossary of acronyms]]
* '''[[UK]]'''
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*  [[Definition and Use of Interface Terminologies]]
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*  [[Common Terminology Services | Common Terminology Services (CTS)]]
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*  [[Distributed Cognition and Knowledge-based Controlled Medical Terminologies]]
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*  [[Ontology]]
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*  [[International Statistical Classification of Diseases | International Statistical Classification of Diseases (ICD)]]
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*  [[Systematized Nomenclature Of Medicine | Systematized Nomenclature Of Medicine (SNOMED)]]
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*  [[International Dietetics and Nutrition Terminology | International Dietetics and Nutrition Terminology (IDNT)]]
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*  [[International Classification of Primary Care | International Classification of Primary Care (ICPC)]]
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*  [[Unified Medical Language System | Unified Medical Language System (UMLS)]]
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* [[Aggregated data]]
  
==Blogposium, April 2006==
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==[[:Category:Workflow | Workflow]]==
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* [[Methods to capture workflow]]
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* [[Measurement]]
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* [[Importance of Workflow Analysis During Physician Office EMR Implementation]]
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* [[Workflow Management System]]
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* [[Process Mining]]
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* [[Using Evidence-Based Layout Design to Enhance Workflow in the Clinical Laboratory]]
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* [[Planning for Radiology CDS Technology]]
  
The Blogposium, held from April 18-20, was an innovation in collaborative blogging and wiki building.
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==[[:Category:Interface, Usability and Accessibility | Interface, Usability and Accessibility]]==
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*  [[Usability]]
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* [[Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA]]
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*  [[Software Test Documentation]]
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* [[Data Model to Enhance the Security and Privacy of Healthcare Data]]
  
The effort marshalled the expertise and energy of several dozen health bloggers and volunteers to expand and refine this Clinical Informatics Wiki. Bloggers posted their first drafts of entries as posts or links to this wiki and invited readers to provide comments and edit suggestions.
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==[[:Category:Data Visualization | Data Visualization]]==
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* [[Clinically Relevant Data Visualization]]
  
*[[:Category:Blogposium|All articles resulting from the BlogPosium collaboration]]'''
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=[[:Category:Reference | Reference]]=
  
While many bloggers and readers contributed to this Web 2.0 innovation in collaborative work, key participants included the follow blogs. Please visit them and thank them for their contributions:
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==[[:Category:Academics and Education | Academics and Education]]==
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* [[Informatics Students' Contributions|Contributions from OHSU students]]
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* [[List of Informatics Departments]]
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* [[Endowed Professorships | Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics]]
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* [[Graduate Medical Education Milestones]]
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* [[List of Clinical Informatics Conferences]]
  
* [http://thielst.typepad.com/my_weblog/Christina's Considerations] on Regional Health Information Organizations
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==[[:Category:Specialties and Disciplines | Specialties and Disciplines]]==
* [http://www.conmergence.com/ Conmergence] on Telehealth
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* [[Bioinformatics]]
* [http://www.drugwonks.com/ Drugwonks] on FDA Critical Path Initiative
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* [[Chief Nursing Informatics Officer]]
* [http://www.bloglines.com/blog/eHealth eHealth] on Integration of Personal Health Records and Electronic Medical Records
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* [[Clinical Informatics Fellowship]]
* [http://www.emrandhipaa.com/ EMR and HIPAA] on Electronic Medical Records and Biometric Integration
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* [[Clinical research informatics]]
* [http://fardj.prblogs.org/ Envisioning 2.0] on The E-Patient-Provider Relationship
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* [[Clinical Social Work Informatics]]
* [http://www. healthnex.org HealthNex] (two other topics: Biobanking and Genetic Privacy Issues
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* [[Cognitive Informatics]]
* [http://www.hitsmit.com/ HITsmit] on e-MAR Systems
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* [[Consumer health informatics]]
* [http://blog.hittransition.com/ HIT Transition] on RHIO Startup Funding and Finance
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* [[Dental informatics]]
* [http://www.rodspace.co.uk/blog/blogger.html Informaticopia] on International Perspectives on Clinical Informatics
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* [[Health informatics]]
* [http://marketplace.md/community/blogs/marketplace.md_blog/default.aspx Marketplace.MD] on the Consumer-Driven Health Care Movement
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* [[Imaging informatics]]
* [http://medicalconnectivity.com/ Medical Connectivity] on Integrating Medical Devices into EMRs
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* [[Medical laboratory informatics]]
* [http://www.enochchoi.com/thoughts/ medmusings] on Mobile Access to EMR/EHR/PHR for Providers and Patients
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* [[Medical Subspecialty Board of Clinical Informatics]]
* [http://usemed.com/ Usemed] on Ongoing and Completed EHR, CPOE and CDS Implementation Projects
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* [[Mental health informatics]]
* [http://wellness.wikispaces.com/ WellnessWiki] an ever-evolving virtual encyclopedia of the healthcare crisis and potential remedies
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* [[Neuroinformatics]]
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* [[Nursing informatics]]
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* [[Pediatric Informatics]]
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* [[Pharmacy Informatics]]
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* [[Public Health Informatics]]
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* [[Quality Informatics]]
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* [[Traditional Chinese Medicine (TCM) informatics]]
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* [[Translational Bioinformatics]]
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* [[Ethics in Informatics]]
  
==[[:Category:Reviews| Reviews of Recent articles on Clinical Informatics]]==
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==[[:Category:Research Groups | Research Groups]]==
Redesigning electronic health record systems to support public health. 
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* [[CIRCLE: Clinical Informatics Research Collaborative]]
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* [[Biomedical Informatics Research Network (BIRN)]]
  
Rita Kukafka , Jessica S Ancker , Connie Chan , John Chelico , Sharib Khan , Selasie Mortoti , Karthik Natarajan , Kempton Presley , Kayann Stephens 
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==[[:Category:Literature | Literature]]==
J Biomed Inform. 2007 Jul 9;   
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* [[Books | Books on Topics in Clinical Informatics]]
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* [[Leading Health Informatics and Medical Informatics Journals]]
  
This article discusses the following question: Why current electronic health record systems need to be redesigned to better support public health goals and core functions (assessment, policy development, assurance). Current EHR systems are clinically oriented. Identification and discussion of design, implementation, and methodological issues.Current EHR systems focus on the individual patient care provided by clinicians. Recommendations are provided for changes to current EHR systems will benefit public health but also provide benefits to consumers and health care providers.  The needs of public health are not met by the current clinically focused EHR systems.  Changes in these EHR systems would benefit but also pose challenges to a number of stakeholders. Two broad suggestions are offered: reuse of clinical data for public health purposes and expansion of the clinical data model to collect and process public health data such as psychosocial, behavioral, and environmental variables. The article identifies a third issue as outside the scope of this discussion (privacy and security protections). The authors offer specific suggestions for expanding the current clinical model (to better reflect and address public health core functions) using informatics methods.
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==[[:Category:External Links | External Links]]==
 
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* [http://www.ohsu.edu/xd/ Oregon Health & Science University]
As discussed by Kukafka and colleagues, in order to serve public health needs current (and by implication) future electronic health record systems should be redesigned. The authors identify specific public health data collection and reporting requirements that are not routinely met by current EHR systems. If EHR systems are modified, public health might be able to reduce the amount of reportable data collection that is currently conducted via surveys and paper-based processes, thus reducing the amount of redundant or duplicate data reporting by clinicians. The authors’ suggestion that “data should be collected once and only once” seems sensible but idealistic given the current complex health system and the diversity of data user needs and specifications.  However, the authors make a good case for relooking at the data that are currently collected and proposing that current standards and data modeling efforts be enhanced to better address the (increasing) needs of public health. The authors pose relevant arguments that benefits would accrue to clinicians and public health by incorporating 2 major changes to current EHR systems (more reuse of currently collected data and collection of new data).
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* [http://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/clinical-departments/dmice/ The Department of Medical Informatics and Clinical Epidemiology at OHSU]
 
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* [http://www.cpoe.org Website of the Provider Order Entry Team from Oregon Health]
==Departments of Biomedical or Medical Informatics==
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* [http://hittransition.com/tools.htm Links to online tools for HIT/RHIO development]
See [[List of Informatics Departments]]
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* [http://www.hitdashboard.com/unitedStates.aspx Health Information Technology Dashboard]
==Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics==
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* [http://wellness.wikispaces.com/Tactic+-+Use+Evolving+Health+Information+Technology+Tools Wellness Wiki: Use Evolving Health Information Technology Tools]
see [[Endowed Professorships]]
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* [http://www.emedicine.com/ eMedicine] Physician contributed medical articles and CME
 
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* [http://www.kmle.com KMLE Medical Dictionary] Medical dictionary and medical related links
==External Links==
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* [http://www.merckmedicus.com Merck Medicus] Contains a significant number of textbook resources (requires free registration
*[http://www.cpoe.org Website of the Provider Order Entry Team from Oregon Health]
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* [http://www.nlm.nih.gov NLM] (US National Library of Medicine)
*[http://hittransition.com/tools.htm Links to online tools for HIT/RHIO development]
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* [http://www.webmd.com WebMD] General comprehensive online health information
*[http://www.hitdashboard.com/unitedStates.aspx Health Information Technology Dashboard]
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* [http://www.open.medicdrive.org Medicine 2.0] Comprehensive online Personal health record information.
*[http://wellness.wikispaces.com/Tactic+-+Use+Evolving+Health+Information+Technology+Tools Wellness Wiki: Use Evolving Health Information Technology Tools]
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* [http://www.searchmedica.com SearchMedica.com] Searches medical literature for health care professionals
 
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* [http://www.ahima.org AHIMA] American Health Information Management Association
==External Medical Reference Links==
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* [http://www.amia.org AMIA] American Medical Informatics Association
*[http://www.emedicine.com/ eMedicine] Physician contributed medical articles and CME
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* [http://www.ania-caring.org ANIA-CARING] American Nursing Informatics Association and the Capital Area Roundtable on Informatics in NursinG
*[http://www.kmle.com KMLE Medical Dictionary] Medical dictionary and medical related links
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* [http://www.himss.org HIMSS] Healthcare Information and Management Systems
*[http://www.nlm.nih.gov NLM] (US National Library of Medicine, contains resources for patients and health care professionals)
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* [http://www.imia-medinfo.org IMIA] International Medical Informatics Association
*[http://www.webmd.com WebMD] General comprehensive online health information
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* [http://wellness.wikispaces.com/Tactic+-+Use+Evolving+Health+Information+Technology+Tools Use Evolving Health Information Technology Tools]
 +
* [http://wellness.wikispaces.com/Blueprint+for+an+Integrated+HIT+system+-+The+Patient+Life-Cycle+Wellness+System Blueprint for an Integrated HIT system - The Patient Life-Cycle Wellness System]
 +
* [http://circleinformatics.org CIRCLE: Clinical Informatics Research Collaborative]

Latest revision as of 13:46, 26 April 2022

Welcome to the OHSU Clinfowiki

The OHSU Clinical Informatics Wiki (aka ClinfoWiki) is the implementation of a wiki website devoted to topics in Biomedical Informatics.

The Department of Medical Informatics & Clinical Epidemiology (DMICE) is one of 27 academic departments in the School of Medicine at Oregon Health & Science University (OHSU). The mission of DMICE is to provide leadership, discovery and dissemination of knowledge in clinical informatics, clinical epidemiology, and bioinformatics / computation biology. This mission is fulfilled through programs of research, education, and service. DMICE programs are recognized internationally for their accomplishment and innovation. The OHSU Biomedical Informatics program is one of the largest of its kind in the world.

Clinfowiki is edited by Vishnu Mohan, M.D., M.B.I., and was created in 2005 by Dean F. Sittig, Ph.D..

The site can be browsed by anyone. To begin a new article, or edit an existing article, you must first create an account and login to the ClinfoWiki. The easiest way to create a new page is to edit an existing page where you want your article to link from, and then place your page's name within double square brackets, like so: [[Your page name here]] If you then save the page and click on that link, you will be taken to a screen with a box where you can begin to write your content.

We are currently working on 1,583 articles, and we need your help to complete this study of Informatics. See Special:Statistics for more complete information on the site.

The Clinfowiki has recently been reorganized into the 20 categories below. When adding (or editing) content, please try to ensure the content traces back to one of these categories.


Technologies

Electronic Medical Record (EMR)

Computerized Physician Order Entry (CPOE)

Clinical Decision Support (CDS)

Personal Health Record (PHR)

Reviews of scientific papers

Integrated Data Repositories (IDR)

Ancillary Systems

Medical Devices

Information Retrieval

Other Technologies

Applications

Evidence Based Medicine (EBM)

Methodologies and Frameworks

Government, Public and Private Initiatives

Training and User Support

Terminology and Coding

Workflow

Interface, Usability and Accessibility

Data Visualization

Reference

Academics and Education

Specialties and Disciplines

Research Groups

Literature

External Links