Electronic Support for Public Health: validated case finding and reporting for notifiable diseases using electronic medical data.

Health care providers are legally obliged to report cases of specified diseases to public health authorities, but existing manual, provider-initiated reporting systems generally result in incomplete, error-prone, and tardy information flow. Automated laboratory-based reports are more likely accurate...

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Publicado en:Journal of the American Medical Informatics Association Vol. 16; no. 1; pp. 18 - 25
Autores principales: Lazarus R, Klompas M, Campion FX, McNabb SJ, Hou X, Daniel J, Haney G, DeMaria A, Lenert L, Platt R, Lazarus, Ross, Klompas, Michael, Campion, Francis X, McNabb, Scott J N, Hou, Xuanlin, Daniel, James, Haney, Gillian, DeMaria, Alfred, Lenert, Leslie, Platt, Richard
Formato: research Journal Article
Publicado: Oxford University Press / USA Jan/Feb2009
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Electronic Support for Public Health: validated case finding and reporting for notifiable diseases using electronic medical data.
      aug:
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          Lazarus R
          Klompas M
          Campion FX
          McNabb SJ
          Hou X
          Daniel J
          Haney G
          DeMaria A
          Lenert L
          Platt R
          Lazarus, Ross
          Klompas, Michael
          Campion, Francis X
          McNabb, Scott J N
          Hou, Xuanlin
          Daniel, James
          Haney, Gillian
          DeMaria, Alfred
          Lenert, Leslie
          Platt, Richard
        affil: Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
      sug:
        subj:
          Disease Surveillance Legislation and Jurisprudence
          Informatics
          Public Health Administration
          Communicable Diseases
          Computer Systems
          Natural Language Processing
          Patient Record Systems
          United States
      ab: Health care providers are legally obliged to report cases of specified diseases to public health authorities, but existing manual, provider-initiated reporting systems generally result in incomplete, error-prone, and tardy information flow. Automated laboratory-based reports are more likely accurate and timely, but lack clinical information and treatment details. Here, we describe the Electronic Support for Public Health (ESP) application, a robust, automated, secure, portable public health detection and messaging system for cases of notifiable diseases. The ESP application applies disease specific logic to any complete source of electronic medical data in a fully automated process, and supports an optional case management workflow system for case notification control. All relevant clinical, laboratory and demographic details are securely transferred to the local health authority as an HL7 message. The ESP application has operated continuously in production mode since January 2007, applying rigorously validated case identification logic to ambulatory EMR data from more than 600,000 patients. Source code for this highly interoperable application is freely available under an approved open-source license at http://esphealth.org.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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