Main Page
Contents
- 1 The Clinical Informatics Wiki -- Clinfowiki
- 1.1 Free and Open Source Software (FOSS) licensing in medicine
- 1.2 Electronic Medical Record (EMR) Systems
- 1.3 Computer-based Provider Order Entry -- CPOE
- 1.4 Clinical Decision Support -- CDS
- 1.5 Personal Health Records -- PHRs
- 1.6 Personal Health Applications -- PHAs
- 1.7 Informatics Students' Contributions
- 1.8 Ancillary Clinical Information Systems
- 1.9 Blueprint for a Comprehensive HIT System
- 1.10 Biobanking -- a.k.a. Biorepositories or Tissue Banks
- 1.11 Organizational issues
- 1.12 Regional Health Information Organizations -- RHIOs
- 1.13 Evidence-Based Medicine -- EBM
- 1.14 Evaluation Methods in Informatics
- 1.15 Unintended Consequences of Health Information Technology
- 1.16 Quality & Quality Informatics
- 1.17 Public Health Informatics
- 1.18 U.S. Federal Health Information Technology Initiatives
- 1.19 The E-Patient-Provider Relationship
- 1.20 Interface Terminology
- 1.21 New CIS-related Technologies
- 1.22 [[:Category:| Teich J. The supporting player. Second generation CDS goes beyond the basics to become intuitive. Health Manag Technol. 2008 Feb;29(2):56, 58.]]
- 1.23 International views
- 1.24 Blogposium, April 2006
- 1.25 Departments of Biomedical or Medical Informatics
- 1.26 Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics
- 1.27 External Links
- 1.28 External Medical Reference Links
The Clinical Informatics Wiki -- Clinfowiki
The Clinical Informatics Wiki is an implementation of a 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.
Please see documentation on customizing the interface and the User's Guide for usage and configuration help.
You can test your edits as much as you want in the Sandbox.
We are currently working on 1,583 articles, and we need your help to complete this study of Clinical Informatics. See Special:Statistics for more complete information on the site.
Free and Open Source Software (FOSS) licensing in medicine
see FOSSM
Electronic Medical Record (EMR) Systems
see EMR
Computer-based Provider Order Entry -- CPOE
see CPOE
Clinical Decision Support -- CDS
see CDS
Personal Health Records -- PHRs
see PHR
Personal Health Applications -- PHAs
see PHA
Informatics Students' Contributions
Ancillary Clinical Information Systems
Blueprint for a Comprehensive HIT System
- Introducing new categories of HIT tools, which compliment the ones above
- Blueprint for an Integrated HIT system
Biobanking -- a.k.a. Biorepositories or Tissue Banks
see BioBanking
Organizational issues
Regional Health Information Organizations -- RHIOs
see RHIO
Evidence-Based Medicine -- EBM
see EBM
Evaluation Methods in Informatics
An overview of qualitative and quantitative design methodologies used in informatics. See Evaluation
Unintended Consequences of Health Information Technology
see Unintended Consequences of HIT
Quality & Quality Informatics
see Quality & Quality Informatics
Public Health Informatics
U.S. Federal Health Information Technology Initiatives
- Assistant Secretary for Planning & Evaluation
- Office of the National Coordinator for Health Information Technology (ONC)
- Council on the Application of Health Information Technology (CAHIT)
- Agency for Healthcare Research and Quality (AHRQ)
- Centers for Medicare and Medicaid Services (CMS)
- U.S. Food and Drug Administration (FDA)
- National Institutes of Health (NIH)
- Indian Health Service (IHS)
- Health Services and Resource Administration (HRSA)
- Centers for Disease Control and Prevention (CDC)
- U.S. Department of Commerce
- Combined U.S. Department of Defense / Veterans Affairs Initiatives
- U.S. Department of Defense (DoD) Initiatives
- Department of Veterans Affairs Initiatives
- U.S. Department of Homeland Security
The E-Patient-Provider Relationship
Interface Terminology
[[:Category:| Teich J. The supporting player. Second generation CDS goes beyond the basics to become intuitive. Health Manag Technol. 2008 Feb;29(2):56, 58.]]
The article describes the potential added value of emerging second generation Clinical Decision Support Systems (CDSS). While first generation CDSS mainly offer reactive hazard alerts and guideline-based reminders, second generation systems offer the user the recommended "action items" to follow the alert/reminder he has just encountered i.e. providing information regarding recommended next step action, and actually helping on executing it, in an interactive, workflow friendly way.
The author emphasizes some of the innovations IT professionals are likely to experience through second generation CDSS, essentially the variety of information support models to match variety of user profiles and needs:
1. Variety of time-to-knowledge tools: From infobuttons, which are links to succinct, ready for use within seconds, answers which are linked right from the patient's data screens in the EHR and intended to the point-of-care, through links to quick guides, up to full-text links that targets physician's education in a much broader way, making it unsuitable for execution during a medical encounter.
2. Multilevel reference:
Newer CDSS serves critical information first and then surround it with more general, supporting information, enabling utilization of different levels of information at a variety of different workflows.
3. Workflow support:
Upper level information can lead directly to relevant actionable tools such as order sets.
4. Delivering patient information reference:
The diagnosis, test and procedure codes used in the EHR can trigger a targeted search of the CDSS reference library, offering to print or mail patient information handouts directed specifically to the encounter scenario. Furthermore, patient adapted CDS tools embedded in patient disease management tools, would enable patients to be more involved in their health related decisions.
5. Multimodal reference:
Combining different information presentation mediums i.e. text, animation, illustrations, images and video which can be especially useful in medical procedures support, imaging and visual dependant diagnosis descisions.
6. Two-factor clinical questions:
Providing information which is based on a combination of clinical parameters presented by the patient, such as CHF and diabetes, pulmonary embolus and renal failure etc.
The author concludes that an educated decision with regards to the purchase of healthcare IT systems requires mapping of the organizational own clinical environment and determining, in detail, the organization quality targets. This will lead to prioritization of CDS needs. Only then, a CDSS market research should be performed, aiming at fitting the nature, quality and performance of the available CDSS candidates with the organizational needs.
Yossef Bahagon M.D.
International views
Blogposium, April 2006
The Blogposium, held from April 18-20, was an innovation in collaborative blogging and wiki building.
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.
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:
- Considerations on Regional Health Information Organizations
- Conmergence on Telehealth
- Drugwonks on FDA Critical Path Initiative
- eHealth on Integration of Personal Health Records and Electronic Medical Records
- EMR and HIPAA on Electronic Medical Records and Biometric Integration
- Envisioning 2.0 on The E-Patient-Provider Relationship
- healthnex.org HealthNex (two other topics: Biobanking and Genetic Privacy Issues
- HITsmit on e-MAR Systems
- HIT Transition on RHIO Startup Funding and Finance
- Informaticopia on International Perspectives on Clinical Informatics
- Marketplace.MD on the Consumer-Driven Health Care Movement
- Medical Connectivity on Integrating Medical Devices into EMRs
- medmusings on Mobile Access to EMR/EHR/PHR for Providers and Patients
- Usemed on Ongoing and Completed EHR, CPOE and CDS Implementation Projects
- WellnessWiki an ever-evolving virtual encyclopedia of the healthcare crisis and potential remedies
Departments of Biomedical or Medical Informatics
See List of Informatics Departments
Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics
External Links
- Website of the Provider Order Entry Team from Oregon Health
- Links to online tools for HIT/RHIO development
- Health Information Technology Dashboard
- Wellness Wiki: Use Evolving Health Information Technology Tools
External Medical Reference Links
- eMedicine Physician contributed medical articles and CME
- KMLE Medical Dictionary Medical dictionary and medical related links
- NLM (US National Library of Medicine, contains resources for patients and health care professionals)
- WebMD General comprehensive online health information
- newshunyi provide professional Shunyi property information
- Medicine 2.0 Comprehensive online Personal health record information.
- SearchMedica.com Searches medical literature for health care professionals
