Collaborative Patient Centered eHealth : Proceedings of the HIT@HealthCare 2008 joint event : 25th MIC Congress, 3rd International Congress Sixi, Special ISV-NVKVV Event, 8th Belgian eHealth Symposium / edited by Etienne de Clercq [and others].

Includes bibliographical references and indexes.

Preface -- Medical informatics in evolution / Jan H. van Bemmel and Georges J.E. De Moor -- Part One. Keynotes' papers -- Using detailed clinical models to bridge the gap between clinicians and HIT / William T.F. Goossen -- Knowedge driven health: Microsoft vision for future health care / Octavian Purcarea -- Part Two. Scientific papers -- I. Primary and Secondary Care Networking -- Health networks: actors, professional relationships, and controversies / Caroline Artoisement, Michel Roland and Marie-Christine Closon -- LISA, the next generation: from a web-based application to a fat client / Noëlla Pierlet [and others] -- Trans-ecare: creating a transparant [sic] data exchange platform / Heidi Buysse [and others] -- 2. Transeuropean health -- Legal aspects of E-HEALTH / Stefaan Callens and Kim Cierkens -- ehealth services and directive on Electronic Commerce 2000/31/EC / Jean-Marc Van Gyseghem -- A data protection framework for transeuropean genetic research projects / Brecht Claerhout [and others] -- 3. Electronic patient records -- From a paper-based to an electronic registry in physiotherapy / Ronald Buyl and Marc Nyssen -- Certification of electronic health record systems and the importance of the validation of clinical archetypes / Georges de Moor, Dipak Kalra and Jos Devlies -- An electronic out-of-hours health record / Koen Thomeer and Marc Nyssen.

4. Secondary usage of EPR data -- Electronic patient record data as proxy of GPs' thoughts / Etienne De Clercq [and others] -- Privacy protection through pseudonymisation in ehealth / F. De Meyer, G. De Moor and L. Reed-Fourquet -- 5. Hospital patient record -- Eliminating the paper medical archive by bulk document scanning of historic folders and implementing revised workflows for scanning new documents / Erwin Bellon [and others] -- The implementation of an electronic nursing record in a general hospital in the Netherlands: lessons to learn / R. Verwey [and others] -- Open source electronic health record and patient data management system for intensive care / Jacques Massaut and Pascal Reper -- Part Three. Technical Reports Related Papers -- The use of a compliant EHR when providing clinical pathway driven care to a subset of diabetic patients: recommendation from a working group / J. Devlies [and others] -- Health data exchange, health data sharing and decentralised clinical data collections: recommendations from a Belgian expert group / Jos Devlies [and others].

Print version record.

In Medical Informatics three types of processes play a central role: organizational, patient-related and decision making-related processes. The first type deals with settings, such as a hospital care setting or a primary care setting; the second is related to health and disease (i.e. to patients); the third type of process aims at assisting in decision making and therapy and evolves in the brains of healthcare professionals. Hence, in all domains data, information and knowledge play a key role. As these tree processes evolve, dealing with individuals - patients, doctors and nurses - because of that human factor there are obviously limitations imposed by formalization and standardization. In the past, there have been some unrealistic expectations regardingthe possible contributions of medical informatics to healthcare. However, such contributions appeared to be very modest, to say the least. The same applies to the overly optimistic expectations regarding the introduction of electronic health records. Althugh the technology is widely available, all these developments appear to be far more complex than expected. The need for an improved understanding of the nature of medical knowledge to better serve health remains to be emphasized.

English.

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