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Computers, Health Records, and Citizen Rights

Description: Report issued by the Bureau of Standards over studies on the benefits of computerized record-keeping. Medical records were chosen for the studies, and they also focus on patient privacy and rights. This report includes tables, and illustrations.
Date: December 1976
Creator: Westin, Alan F.; Baker, Michael A.; Annas, George J.; Silberberg, Richard; Broder, Jamie; Isbell, Florence et al.
Partner: UNT Libraries Government Documents Department

Protecting Privacy in Computerized Medical Information

Description: This report analyzes the implications of computerized medical information and the challenges it brings to individual privacy. The report examines: 1) the nature of the privacy interest in health care information and the current state of the law protecting that information; 2) the nature of proposals to computerize health care information and the technologies available to both computerize and protect privacy in the information; and 3) models for protection of health care information.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Compliance with the HIPAA Medical Privacy Rule

Description: As of April 14, 2003, most health care providers (including doctors and hospitals) and health plans are required to comply with the new Privacy Rule mandated by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), and must comply with national standards to protect individually identifiable health information. The HIPAA Privacy Rule creates a federal floor of privacy protections for individually identifiable health information; establishes a set of basic consumer protections; institutes a series of regulatory permissions for uses and disclosures of protected health information; permits any person to file an administrative complaint for violations; and authorizes the imposition of civil or criminal penalties.
Date: April 24, 2003
Creator: Stevens, Gina Marie
Partner: UNT Libraries Government Documents Department

Submission of Mental Health Records to NICS and the HIPAA Privacy Rule

Description: This report provides an overview of prohibiting mental health records under current federal law, and distinguishes those records from other types of mental health information that would not disqualify an individual from purchasing a firearm. This report also provides an overview of National Instant Criminal Background Check System (NICS) and discusses potential issues arising from state and federal medical privacy laws that may impede states' efforts to submit prohibiting mental health records to NICS.
Date: February 20, 2014
Creator: Liu, Edward C.; Bagalman, Erin; Chu, Vivian S. & Redhead, C. Stephen
Partner: UNT Libraries Government Documents Department

The Health Information Technology for Economic and Clinical Health (HITECH) Act

Description: This report provides a summary and explanation of the provisions in the HITECH Act, which is intended to promote the widespread adoption of health information technology (HIT) for the electronic sharing of clinical data among hospitals, physicians, and other health care stakeholders. It gives an overview of prior actions taken by Congress and the Administrations to promote HIT, and briefly describes efforts by the 109th and 110th Congresses to enact comprehensive HIT legislation.
Date: February 23, 2009
Creator: Redhead, C. S.
Partner: UNT Libraries Government Documents Department

The Effects of Different Confidentiality Conditions on Adolescent Minor Patients' Self-Report of Behavioral and Emotional Problems

Description: The primary purpose of the present study was to determine if information regarding potential parental or legal guardian access to mental health information would deleteriously impact male and female adolescent psychiatric patients' willingness to self-report personal problems and symptoms.
Date: May 1992
Creator: Drake, David Warren
Partner: UNT Libraries

Evaluating parallel relational databases for medical data analysis.

Description: Hospitals have always generated and consumed large amounts of data concerning patients, treatment and outcomes. As computers and networks have permeated the hospital environment it has become feasible to collect and organize all of this data. This raises naturally the question of how to deal with the resulting mountain of information. In this report we detail a proof-of-concept test using two commercially available parallel database systems to analyze a set of real, de-identified medical records. We examine database scalability as data sizes increase as well as responsiveness under load from multiple users.
Date: March 1, 2012
Creator: Rintoul, Mark Daniel & Wilson, Andrew T.
Partner: UNT Libraries Government Documents Department

Scoping Meeting Summary, Waimea, Hawai'i, March 16, 1992, 2 PM Session

Description: The meeting began with presentations by the facilitator and the representative from DOE. The facilitator introduced those on the podium. He then described the general structure of the meeting and its purpose: to hear the issues and concerns of those present regarding the proposed Hawaiian Geothermal Project. He described his role as assuring the impartiality and fairness of the meeting. Dr. Lewis of DOE further defined the scope of the project, introduced those of the EIS team present and briefly described the EIS process. A number of process issues were covered, including the current State dependence on imported petroleum (>90%), the public nature of the DOE EIS process, DOE's responsibility to consider general impacts to the global situation, and database availability. Dr. Lewis assured those present that the EIS would examine transmission system/cable-related impacts and alternatives to the proposed action, within geothermal and outside it (including coal), including different mixes of supply- or demand-side options on each island using an integrated resource planning approach. With respect to prior and on-going geothermal developments in Puna, Dr. Lewis explained that although DOE will not conduct new environmental reviews of the HGP(A) and other federal geothermal development in Puna, these and the present developments will be considered (including medical records) from the perspective of cumulative impacts.
Date: June 10, 1992
Creator: Quinby-Hunt, Mary S.
Partner: UNT Libraries Government Documents Department

Final Technical Report on DOE Awards DE-FG03 94ER61918, DE-FG06 94ER61918 to Oregon Health Sciences University, September 15, 1994 - September 29, 1999

Description: This report describes the activities conducted with DOE funds at Oregon Health Sciences University between 9/15/94 and 9/29/99. The activities fall into four major categories: Information Technology, Information Services and Support, Medical Informatics and Outcomes Research, and collaboration with other institutions. The focus of these activities was to implement and maintain a regional healthcare information network.
Date: November 23, 1999
Creator: Krages, Kathryn Pyle
Partner: UNT Libraries Government Documents Department

Medical Records Privacy: Access Needed for Health Research, but Oversight of Privacy Protections Is Limited

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the types of health research conducted outside the Common Rule and Federal Drug Administration (FDA) regulations, focusing on: (1) examining how medical information is used for research and the need for personally identifiable information; (2) identifying research that is and is not subject to current federal oversight requirements; (3) examining how institutional review boards (IRB) ensure the confidentiality of health information used in research; and (4) identifying the safeguards health care organizations have put in place to protect the confidentiality of health information used in research."
Date: February 24, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Infrastructure support for Clinical Information Systems

Description: Executive Summary: For the past 5 years, Adventist Health has been implementing a clinical information system, titled Project IntelliCare, throughout its 19 hospitals. To successfully do this, a commitment was made to ensure continuous availability of vital patient health information to the local hospitals. This commitment required a centralized data center with sufficient capacity and a backup data center to be used in case of technical software or natural disaster where interruptions could occur. The DOE grant provided financial assistance to purchase equipment to increase the capacity of an existing data center, along with purchase of more sophisticated software for the data center thus providing a reduction in time that information is unavailable to the local hospitals when hardware or software problems occur. Relative to public good, this translates into increased safety and convenience for the patients we serve because their electronic medical records are current and available a higher percentage of the time.
Date: June 15, 2007
Creator: McGovern, Greg, A.
Partner: UNT Libraries Government Documents Department

EMBOS User Manual

Description: The Electronic Medical Business Operations System (EMBOS) is a state-of-the-art, web-based electronic medical records (EMR) system. It captures all patient data and the medical workflow, giving the medical provider a knowledge-based tool to support the health assessment process. EMBOS is a comprehensive system providing the following features: (1) Easy-to-use interface that reflects provider and support staff real-world workflows; (2) On-line patient questionnaires that enable pre-appointment updating of medical histories; (3) Patient scheduling and auto-scheduling of recurring exams with automated preappointment notifications and single-click patient registration; (4) Automated interfaces to lab devices and digital imaging systems; (5) Easy navigation to patient electronic health record summaries with drill-down functionality; (6) Support of psychological evaluation with results imported from standard psychological tools; (7) Real-time entry of clinical notes in easy-to-use exam forms; and (8) Roll-based function and data access, ensuring maximum security of patient health information.
Date: October 1, 2011
Creator: Metcalf, J. R.
Partner: UNT Libraries Government Documents Department

A Proposed Information Architecture for Telehealth System Interoperability

Description: Telemedicine technology is rapidly evolving. Whereas early telemedicine consultations relied primarily on video conferencing, consultations today may utilize video conferencing, medical peripherals, store-and-forward capabilities, electronic patient record management software, and/or a host of other emerging technologies. These remote care systems rely increasingly on distributed, collaborative information technology during the care delivery process, in its many forms. While these leading-edge systems are bellwethers for highly advanced telemedicine, the remote care market today is still immature. Most telemedicine systems are custom-designed and do not interoperate with other commercial offerings. Users are limited to a set of functionality that a single vendor provides and must often pay high prices to obtain this functionality, since vendors in this marketplace must deliver entire systems in order to compete. Besides increasing corporate research and development costs, this inhibits the ability of the user to make intelligent purchasing decisions regarding best-of-breed technologies. We propose a secure, object-oriented information architecture for telemedicine systems that promotes plug-and-play interaction between system components through standardized interfaces, communication protocols, messaging formats, and data definitions. In this architecture, each component functions as a black box, and components plug together in a lego-like fashion to achieve the desired device or system functionality. The architecture will support various ongoing standards work in the medical device arena.
Date: April 7, 1999
Creator: Warren, S.; Craft, R.L.; Parks, R.C.; Gallagher, L.K.; Garcia, R.J. & Funkhouser, D.R.
Partner: UNT Libraries Government Documents Department

Data acquisition instruments: Psychopharmacology

Description: This report contains the results of a Direct Assistance Project performed by Lockheed Martin Energy Systems, Inc., for Dr. K. O. Jobson. The purpose of the project was to perform preliminary analysis of the data acquisition instruments used in the field of psychiatry, with the goal of identifying commonalities of data and strategies for handling and using the data in the most advantageous fashion. Data acquisition instruments from 12 sources were provided by Dr. Jobson. Several commonalities were identified and a potentially useful data strategy is reported here. Analysis of the information collected for utility in performing diagnoses is recommended. In addition, further work is recommended to refine the commonalities into a directly useful computer systems structure.
Date: January 1, 1998
Creator: Hartley, D.S. III
Partner: UNT Libraries Government Documents Department

Medical Records Privacy: Uses and Oversight of Patient Information in Research

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the privacy of medical records used for health research, focusing on: (1) to what extent medical information used for research depends on personally identifiable information; (2) research that is and is not subject to current federal oversight requirements; (3) how the institutional review board (IRB) ensures the confidentiality of health information used in research; and (4) what steps organizations have taken to safeguard information."
Date: February 24, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Domain-independent information extraction in unstructured text

Description: Extracting information from unstructured text has become an important research area in recent years due to the large amount of text now electronically available. This status report describes the findings and work done during the second year of a two-year Laboratory Directed Research and Development Project. Building on the first-year`s work of identifying important entities, this report details techniques used to group words into semantic categories and to output templates containing selective document content. Using word profiles and category clustering derived during a training run, the time-consuming knowledge-building task can be avoided. Though the output still lacks in completeness when compared to systems with domain-specific knowledge bases, the results do look promising. The two approaches are compatible and could complement each other within the same system. Domain-independent approaches retain appeal as a system that adapts and learns will soon outpace a system with any amount of a priori knowledge.
Date: September 1, 1996
Creator: Irwin, N.H.
Partner: UNT Libraries Government Documents Department

Designing Smart Health Care Technology into the Home of the Future

Description: The US health care industry is experiencing a substantial paradigm shift with regard to home care due to the convergence of several technology areas. Increasingly-capable telehealth systems and the internet are not only moving the point of care closer to the patient, but the patient can now assume a more active role in his or her own care. These technologies, coupled with (1) the migration of the health care industry to electronic patient records and (2) the emergence of a growing number of enabling health care technologies (e.g., novel biosensors, wearable devices, and intelligent software agents), demonstrate unprecedented potential for delivering highly automated, intelligent health care in the home. This editorial paper presents a vision for the implementation of intelligent health care technology in the home of the future, focusing on areas of research that have the highest potential payoff given targeted government funding over the next ten years. Here, intelligent health care technology means smart devices and systems that are aware of their context and can therefore assimilate information to support care decisions. A systems perspective is used to describe a framework under which devices can interact with one another in a plug-and-play manner. Within this infrastructure, traditionally passive sensors and devices will have read/write access to appropriate portions of an individual's electronic medical record. Through intelligent software agents, plug-and-play mechanisms, messaging standards, and user authentication tools, these smart home-based medical devices will be aware of their own capabilities, their relationship to the other devices in the home system, and the identity of the individual(s) from whom they acquire data. Information surety technology will be essential to maintain the confidentiality of patient-identifiable medical information and to protect the integrity of geographically dispersed electronic medical records with which each home-based system will interact.
Date: April 7, 1999
Creator: Warren, S.; Craft, R.L. & Bosma, J.T.
Partner: UNT Libraries Government Documents Department

The importance of Java and CORBA in medicine

Description: One of the most powerful tools available for telemedicine is a multimedia medical record accessible over a wide area and simultaneously editable by multiple physicians. The ability to do this through an intuitive interface linking multiple distributed data repositories while maintaining full data integrity is a fundamental enabling technology in healthcare. The authors discuss the role of distributed object technology using Java and CORBA in providing this capability including an example of such a system (TeleMed) which can be accessed through the World Wide Web. Issues of security, scalability, data integrity, and usability are emphasized.
Date: July 1, 1997
Creator: Forslund, D.W. & Cook, J.L.
Partner: UNT Libraries Government Documents Department