First, it is now feasible to apply telemedicine solutions to control remote dialysis centers or to monitor home hemodialysis patients, thus maintaining the quality of.
telemedicine and automated monitoring of dialysis sessions .... certification of the service. .... of unit, the head nurse and the technician, respectively. Each visit is ...
Amsterdam: IOS Press ... Experience with an XML/HTTP-based Federative Approach to Develop a ... to Advanced, then, as Stead [2] suggested, to Area,.
Oulunsalo, Finland), which has another password layer be- ... Transfer manager. Information viewer. Portable device. Hospital boundary ..... IT Baseline Pro-.
country the idea to work with hosted systems (ASP) becomes not only feasible but very attractive. The understanding that IT is a strategic tool for the health.
percent of hospitals have POE and to answer several related questions. The results .... other hand, were proud when they succeeded in getting clinicians to use ...
kinds of applications are invaluable to, for example, patients with total motor paralysis. Recently ... communicate via a special word processor [1]. Because in.
actively pushed to the individual via email, thereby ensuring the .... consistent TD are selected to compose the PHI ... HTML format for Internet based delivery.
Haptic Reproduction and Interactive Visualization of a Beating Heart ... The data for the beating heart ... The heart datasets are 15 time series chest formed.
a Faculty of Informatics, University Of Ulster, Shore Road, Newtownabbey, BT37 0QB, UK b Institute of Medical Informatics, Erasmus University Rotterdam 3000 ...
Amsterdam: IOS Press ... a Laboratory for Linguistics and Computation at Brandeis University, Waltham .... We will call this the regular expression .... Conference.
Amsterdam: IOS Press ... b Center for Clinical Computing and Beth Israel Deaconess Medical Center, ..... interface for skillful developers to use a standard.
accredited hospitals in the U.S., was selected. A survey instrument was ... pharmacists, information technology staff, administrators, and others. One week visits ...
research and demonstrate how those themes resonate throughout the work that we do. Nearly two decades ago,. Blois [1] argued that the essence of medical ...
area and how those concepts can be used computationally. In the world of e-commerce and the Semantic Web [3], the development and use of ontologies are ...
David W. Glasspoola, John Foxa, Andrew S. Coulsona, Jon Emeryb. aAdvanced ..... Chapman C, Coulson A, Glasspool D and Fox, J. Computer support for ...
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b Section on Medical Informatics at Stanford University Medical School, Stanford, CA, USA c Department of Medical Informatics at Columbia University College of Physicians and Surgeons, ..... the American Medical Informatics Association.
Information Repository (HIR). (2) The selection of TD is .... repository (comprising a large number of TD), such that the selected TD can .... Email: [email protected].
medical coders, using the International Classification of Primary Care (ICPC). Daniel Luna MD .... are expressed as mean and standard deviation (SD). Results:.
Medinfo, 2001. 10(Pt 2): p. 300
Reliability of secondary central coding of medical problems in primary care by non medical coders, using the International Classification of Primary Care (ICPC). Daniel Luna MD, Fernán González B de Quirós MD, Leonardo Garfi MD, Enrique Soriano MD, Martín O´Flaherty MD. Plan de Salud y Servicio de Clínica Médica del Hospital Italiano de Buenos Aires - Argentina Abstract
Introduction: There are several ways to codify medical problems in primary care. ICPC was developed as an epidemiological tool for use by primary care provider during the consultation as a primary decentralized coding system. In practice however this is difficult to se up, so we apply ICPC in a secondary centralized coding system by a limited number of non medical coders. Objectives: To assess the reliability of secondary central coding of medical problems by trained medical students and nurses using ICPC.
Material and Methods: All medical problems in our adult population recorded by primary care physicians in a electronic medical record system as narrative text are centralized coded by trained medical students and nurses. Use of the electronic medical record by physicians is not compulsive but is strongly encouraged. A random sample of 300 medical problems were selected for intra-coder reliability by asking coders to blindly re-code the free text and comparing it with the previous coding, and for intercoder reliability by comparison with a group of expert physicians. Percentage of agreement and Kappa statistic was calculated at chapter and rubric levels. The coding centre was treated as a single observer, as the objective was to assess the system reliability and not observers themselves.
Results: In the last two years 164,745 medical problems were codified in 45,365 adult patients (mean 3.63 problems DS: 2.69). Intra-coder agreement at chapter level was: 97,7 % (Kappa: 0,97; p
