Implementation of a Patient Summary Web Application According to the International Patient Summary and Validation in Common Use Cases in Japan.

Background: The application of standardized patient summaries would reduce the risk of information overload and related problems for physicians and nurses. Although the International Patient Summary (IPS) standard has been developed, disseminating its applications has challenges, including data conv...

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Publicado en:Journal of Medical Systems Vol. 47; no. 1; pp. 1 - 10
Autores principales: Song, Chong, Nakayama, Masaharu
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature 9/23/2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/23/2023
      vid: 47
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-023-01993-6
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        atl: Implementation of a Patient Summary Web Application According to the International Patient Summary and Validation in Common Use Cases in Japan.
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          Song, Chong
          Nakayama, Masaharu
        affil: https://ror.org/01dq60k83 Department of Medical Informatics, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan
      sug:
        subj:
          Patient Discharge Summaries Standards
          Electronic Health Records
          Health Information Systems Standards
          World Wide Web
          Program Implementation
          Software Design Evaluation
          Human
          Japan
          Usability Study
          User-Computer Interface
          Electronic Data Interchange
          Information Retrieval
          Clinical Documentation Improvement
          Funding Source
      ab: Background: The application of standardized patient summaries would reduce the risk of information overload and related problems for physicians and nurses. Although the International Patient Summary (IPS) standard has been developed, disseminating its applications has challenges, including data conversion of existing systems and development of application matching with common use cases in Japan. This study aimed to develop a patient summary application that summarizes and visualizes patient information accumulated by existing systems. Methods: We converted clinical data from the Standardized Structured Medical Information eXchange version 2 (SS-MIX2) storage at Tohoku University Hospital into the Health Level 7 Fast Healthcare Interoperability Resource (FHIR) repository. Subsequently, we implemented a patient summary web application concerning the IPS and evaluated 12 common use cases of the discharge summary. Results: The FHIR resources of seven of the necessary IPS sections were successfully converted from existing SS-MIX2 data. In the main view of the application we developed, all the minimum necessary patient information was summarized and visualized. All types of mandatory or required sections in the IPS and all structured information items of the discharge summary were displayed. Of the discharge summary, 75% of sections and 61.7% of information items were completely displayed, matching 12 common use cases in Japan. Conclusions: We implemented a patient summary application that summarizes and visualizes patient information accumulated by existing systems and is evaluated in common use cases in Japan. Efficient sharing of the minimum necessary patient information for physicians is expected to reduce information overload, workload, and burnout.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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