Views on Electronic Health Record

  • Manuel GrañaEmail author
  • Oier Echaniz
Conference paper
Part of the Smart Innovation, Systems and Technologies book series (SIST, volume 60)


The Electronic Health Record (EHR) is the central information object for healthcare and medical related industries. However, it has been given little academic attention per se, because it is always embedded in the information system of the hospitals. This paper consider several aspects of EHR management systems: security and privacy, data mining, design of decision support systems, acceptance by users and producers of health resources, and system implementation.


Cloud Computing Electronic Health Records Personal Health Record Health Information Exchange Electronic Health Records System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Andrews, L., Gajanayake, R., Sahama, T.: The australian general public’s perceptions of having a personally controlled electronic health record (pcehr). Int. J. Med. Inform. 83(12), 889–900 (2014)CrossRefGoogle Scholar
  2. 2.
    Ben-Assuli, O.: Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy 119(3), 287–297 (2015)CrossRefGoogle Scholar
  3. 3.
    Ben-Assuli, O., Sagi, D., Leshno, M., Ironi, A., Ziv, A.: Improving diagnostic accuracy using EHR in emergency departments: a simulation-based study. J. Biomed. Inform. (2015)Google Scholar
  4. 4.
    Berger, M.L., Lipset, C., Gutteridge, A., Axelsen, K., Subedi, P., Madigan, D.: Optimizing the leveraging of real-world data to improve the development and use of medicines. Value Health 18(1), 127–130 (2015)CrossRefGoogle Scholar
  5. 5.
    Bonacina, S., Marceglia, S., Bertoldi, M., Pinciroli, F.: Modelling, designing, and implementing a family-based health record prototype. Comput. Biol. Med. 40(6), 580–590 (2010)CrossRefGoogle Scholar
  6. 6.
    Burns, A.J., Johnson, M.E.: Securing health information. IT Prof. 17(1), 23–29 (2015)CrossRefGoogle Scholar
  7. 7.
    Byrne, C.M., Mercincavage, L.M., Bouhaddou, O., Bennett, J.R., Pan, E.C., Botts, N.E., Olinger, L.M., Hunolt, E., Banty, K.H., Cromwell, T.: The department of veterans affairs’ (va) implementation of the virtual lifetime electronic record (vler): Findings and lessons learned from health information exchange at 12 sites. Int. J. Med. Inform. 83(8), 537–547 (2014)CrossRefGoogle Scholar
  8. 8.
    Caine, K., Lesk, M.: Security and privacy in health it [guest editors’ introduction]. IEEE Secur. Priv. 11(6), 10–11 (2013)CrossRefGoogle Scholar
  9. 9.
    Castillejo, P., Martinez, J.-F., Rodriguez-Molina, J., Cuerva, A.: Integration of wearable devices in a wireless sensor network for an e-health application. IEEE Wireless Commun. 20(4), 38–49 (2013)CrossRefGoogle Scholar
  10. 10.
    Chazard, E., Mouret, C., Ficheur, G., Schaffar, A., Beuscart, J.-B., Beuscart, R.: Proposal and evaluation of fasdim, a fast and simple de-identification method for unstructured free-text clinical records. Int. J. Med. Inform. 83(4), 303–312 (2014)CrossRefGoogle Scholar
  11. 11.
    Chignell, M., Rouzbahman, M., Kealey, R., Samavi, R., Yu, E., Sieminowski, T.: Nonconfidential patient types in emergency clinical decision support. IEEE Secur. Priv. 11(6), 12–18 (2013)CrossRefGoogle Scholar
  12. 12.
    Clynch, N., Kellett, J.: Medical documentation: part of the solution, or part of the problem? a narrative review of the literature on the time spent on and value of medical documentation. Int. J. Med. Inform. 84(4), 221–228 (2015)CrossRefGoogle Scholar
  13. 13.
    Danwei, C., Linling, C., Xiaowei, F., Liwen, H., Su, P., Ruoxiang, H.: Securing patient-centric personal health records sharing system in cloud computing. Commun. China 11(13), 121–127 (2014) SupplementGoogle Scholar
  14. 14.
    De Moor, G., Sundgren, M., Kalra, D., Schmidt, A., Dugas, M., Claerhout, B., Karakoyun, T., Ohmann, C., Lastic, P.-Y., Ammour, N., Kush, R., Dupont, D., Cuggia, M., Daniel, C., Thienpont, G., Coorevits, Pl: Using electronic health records for clinical research: the case of the EHR4CR project. J. Biomed. Inform. 53, 162–173 (2015)CrossRefGoogle Scholar
  15. 15.
    Diederich, L., Johnson, T.: Integrating remote follow-up into electronic health records workflow. Health Policy Technol. 3(2), 126–131 (2014)CrossRefGoogle Scholar
  16. 16.
    Fernandez-Aleman, J.L., Senor, I.C., Lozoya, P.A.O., Toval, A.: Security and privacy in electronic health records: a systematic literature review. J. Biomed. Inform. 46(3), 541–562 (2013)Google Scholar
  17. 17.
    Gan, Q.: Is the adoption of electronic health record system “contagious”? Health Policy Technol. (2015)Google Scholar
  18. 18.
    Geissbuhler, A., Safran, C., Buchan, I., Bellazzi, R., Labkoff, S., Eilenberg, K., Leese, A., Richardson, C., Mantas, J., Murray, P., De Moor, G.: Trustworthy reuse of health data: a transnational perspective. Int. J. Med. Inform. 82(1), 1–9 (2013)CrossRefGoogle Scholar
  19. 19.
    Gkoulalas-Divanis, A., Loukides, G., Sun, J.: Publishing data from electronic health records while preserving privacy: a survey of algorithms. J. Biomed. Inform. 50(0):4–19 (2014). Special Issue on Informatics Methods in Medical PrivacyGoogle Scholar
  20. 20.
    Gleason, R.P., Farish-Hunt, H.: How to choose or change an electronic health record system. J. Nurse Practit. 10(10):835–839 (2014). Special Issue: Technology That Transforms Health Care Practice and EducationGoogle Scholar
  21. 21.
    Haluza, D., Jungwirth, D.: ICT and the future of health care: aspects of health promotion. Int. J. Med. Inform. 84(1), 48–57 (2015)CrossRefGoogle Scholar
  22. 22.
    Hanauer, D., Aberdeen, J., Bayer, S., Wellner, B., Clark, C., Zheng, K., Hirschman, L.: Bootstrapping a de-identification system for narrative patient records: cost-performance tradeoffs. Int. J. Med. Inform. 82(9), 821–831 (2013)CrossRefGoogle Scholar
  23. 23.
    Huang, L.-C., Chu, H.-C., Lien, C.-Y., Hsiao, C.-H., Kao, Tsair: Privacy preservation and information security protection for patients’ portable electronic health records. Comput. Biol. Med. 39(9), 743–750 (2009)CrossRefGoogle Scholar
  24. 24.
    Iqbal, U., Ho, C.-H., Li, Y.C.J., Nguyen, P.A., Jian, W.S., Wen, H.C.: The relationship between usage intention and adoption of electronic health records at primary care clinics. Comput. Methods Programs Biomed. 112(3), 731–737 (2013)Google Scholar
  25. 25.
    Kerai, P., Wood, P., Martin, M.: A pilot study on the views of elderly regional australians of personally controlled electronic health records. Int. J. Med. Inform. 83(3), 201–209 (2014)CrossRefGoogle Scholar
  26. 26.
    Kim, D., Labkoff, S., Holliday, S.H.: Opportunities for electronic health record data to support business functions in the pharmaceutical industry–a case study from pfizer, inc. J. Am. Med. Inform. Assoc. 15(5), 581–584 (2008)CrossRefGoogle Scholar
  27. 27.
    Kukafka, R., Ancker, J.S., Chan, C., Chelico, J., Khan, S., Mortoti, S., Natarajan, K., Presley, K., Stephens, K.: Redesigning electronic health record systems to support public health. J. Biomed. Inform. 40(4), 398–409 (2007). Public Health InformaticsGoogle Scholar
  28. 28.
    Lesk, M.: Electronic medical records: confidentiality, care, and epidemiology. IEEE Secur. Priv. 11(6), 19–24 (2013)CrossRefGoogle Scholar
  29. 29.
    Li, J.: Ensuring privacy in a personal health record system. Computer 48(2), 24–31 (2015)MathSciNetCrossRefGoogle Scholar
  30. 30.
    Liu, J., Huang, X., Liu, J.K.: Secure sharing of personal health records in cloud computing: ciphertext-policy attribute-based signcryption. Future Gener. Comput. Syst. 52, 67–76 (2014)CrossRefGoogle Scholar
  31. 31.
    Loukides, G., Liagouris, J., Gkoulalas-Divanis, A., Terrovitis, M.: Disassociation for electronic health record privacy. J. Biomed. Inform. 50(0), 46–61 (2014). Special Issue on Informatics Methods in Medical PrivacyGoogle Scholar
  32. 32.
    Magni, A., de Oliveira Albuquerque, R., de Sousa Jr, R.T., Hans, M.G., Magni, F.G. Solving incompatibilities between electronic records for orthodontic patients. Am. J. Orthod. Dentofac. Orthop. 132(1), 116–121 (2007)Google Scholar
  33. 33.
    Mertz, L.: Saving lives and money with smarter hospitals: streaming analytics, other new tech help to balance costs and benefits. IEEE Pulse 5(6), 33–36 (2014)CrossRefGoogle Scholar
  34. 34.
    Michel-Verkerke, M.B., Stegwee, R.A., Spil, T.A.M.: The six p’s of electronic health records. Health Policy Technol. (2015)Google Scholar
  35. 35.
    Moreno-Conde, A., Jódar-Sánchez, F., Kalra, D.: Requirements for clinical information modelling tools. Int. J. Med. Inform. (2015)Google Scholar
  36. 36.
    Naszlady, A., Naszlady, J.: Patient health record on a smart card. Int. J. Med. Inform. 48(1–3), 191–194 (1998)CrossRefGoogle Scholar
  37. 37.
    Newhauser, W., Jones, T., Swerdloff, S., Newhauser, W., Cilia, Mark, Carver, R., Halloran, A., Zhang, R.: Anonymization of DICOM electronic medical records for radiation therapy. Comput. Biol. Med. 53, 134–140 (2014)CrossRefGoogle Scholar
  38. 38.
    Nguyen, L., Bellucci, E., Nguyen, L.T.: Electronic health records implementation: an evaluation of information system impact and contingency factors. Int. J. Med. Inform. 83(11), 779–796 (2014)CrossRefGoogle Scholar
  39. 39.
    Petrakaki, D., Klecun, E.: Hybridity as a process of technology’s ‘translation’: customizing a national electronic patient record. Soc. Sci. Med. 124, 224–231 (2015)CrossRefGoogle Scholar
  40. 40.
    Pinciroli, F., Pagliari, C.: Understanding the evolving role of the personal health record. Comput. Biol. Med. 59(0), 160–163 (2015). The State of the Personal Health Record Guest EditorsGoogle Scholar
  41. 41.
    Puentes, J., Batrancourt, Be, Atif, J., Angelini, E., Lecornu, L., Zemirline, A., Bloch, I., Coatrieux, G., Roux, C.: Integrated multimedia electronic patient record and graph-based image information for cerebral tumors. Comput. Biol. Med. 38(4), 425–437 (2008)CrossRefGoogle Scholar
  42. 42.
    Robson, B., Caruso, T.P., Balis, U.G.J.: Suggestions for a web based universal exchange and inference language for medicine. Continuity of patient care with PCAST disaggregation. Comput. Biol. Med. 56, 51–66 (2015)Google Scholar
  43. 43.
    Rosenthal, D.I.: Instant replay. Healthcare 1(1–2), 52–54 (2013)Google Scholar
  44. 44.
    Rossi, E., Rosa, M., Rossi, L., Priori, A., Marceglia, S.: Webbiobank: A new platform for integrating clinical forms and shared neurosignal analyses to support multi-centre studies in parkinson’s disease. J. Biomed. Inform. 52(0), 92–104 (2014). Special Section: Methods in Clinical Research InformaticsGoogle Scholar
  45. 45.
    Safadi, H., Chan, D., Dawes, M., Roper, M., Faraj, S.: Open-source health information technology: a case study of electronic medical records. Health Policy Technol. 4(1), 14–28 (2015)CrossRefGoogle Scholar
  46. 46.
    Senathirajah, Y., Bakken, S., Kaufman, D.: The clinician in the driver’s seat: part 1—a drag/drop user-composable electronic health record platform. J. Biomed. Inform. 52(0), 165–176 (2014). Special Section: Methods in Clinical Research InformaticsGoogle Scholar
  47. 47.
    Senathirajah, Y., Kaufman, D., Bakken, S.: The clinician in the driver’s seat: part 2—intelligent uses of space in a drag/drop user-composable electronic health record. J. Biomed. Inform. 52(0), 177–188 (2014). Special Section: Methods in Clinical Research InformaticsGoogle Scholar
  48. 48.
    Simplicio, M.A., Iwaya, L.H., Barros, B.M., Carvalho, T.C.M.B., Naslund, M.: Secourhealth: a delay-tolerant security framework for mobile health data collection. IEEE J. Biomed. Health Inform. 19(2), 761–772 (2015)CrossRefGoogle Scholar
  49. 49.
    Spil, T., Klein, R.: The personal health future. Health Policy Technol. 4(2), 131–136 (2015)CrossRefGoogle Scholar
  50. 50.
    Sujansky, W., Wilson, T.: DIRECT secure messaging as a common transport layer for reporting structured and unstructured lab results to outpatient providers. J. Biomed. Inform. 54, 191–201 (2015)CrossRefGoogle Scholar
  51. 51.
    Tran, T., Nguyen, T.D., Phung, D., Venkatesh, S.: Learning vector representation of medical objects via emr-driven nonnegative restricted boltzmann machines (enrbm). J. Biomed. Inform. 54, 96–105 (2015)Google Scholar
  52. 52.
    Trcek, D., Brodnik, A.: Hard and soft security provisioning for computationally weak pervasive computing systems in e-health. IEEE Wireless Commun. 20(4), 22–29 (2013)CrossRefGoogle Scholar
  53. 53.
    Urbauer, P., Sauermann, S., Frohner, M., Forjan, M., Pohn, B., Mense, A.: Applicability of ihe/continua components for PHR systems: learning from experiences. Comput. Biol. Med. 59(0), 186–193 (2015). The State of the Personal Health Record Guest EditorsGoogle Scholar
  54. 54.
    Van Gorp, P., Comuzzi, M., Jahnen, A., Kaymak, U., Middleton, B.: An open platform for personal health record apps with platform-level privacy protection. Comput. Biol. Med. 51, 14–23 (2014)CrossRefGoogle Scholar
  55. 55.
    Vawdrey, D.K., Hripcsak, G.: Publication bias in clinical trials of electronic health records. J. Biomed. Inform. 46(1), 139–141 (2013)CrossRefGoogle Scholar
  56. 56.
    Vivas-Consuelo, D., Usó-Talamantes, R., Trillo-Mata, J.S., Caballer-Tarazona, M., Barrachina-Martínez, I., Buigues-Pastor, L.: Predictability of pharmaceutical spending in primary health services using clinical risk groups. Health Policy 116(2–3), 188–195 (2014)Google Scholar
  57. 57.
    Zhou, J., Cao, Z., Dong, X., Lin, X., Vasilakos, A.V.: Securing m-healthcare social networks: challenges, countermeasures and future directions. IEEE Wireless Commun. 20(4), 12–21 (2013)Google Scholar
  58. 58.
    Zuccon, G., Kotzur, D., Nguyen, A., Bergheim, A.: De-identification of health records using anonym: Effectiveness and robustness across datasets. Artif. Intell. Med. 61(3), 145–151 (2014). Text Mining and Information Analysis of Health DocumentsGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Computational Intelligence Group of the University of the Basque CountrySan SebastianSpain

Personalised recommendations