Development of Electronic Health Record Application for Integrated Surgery Center
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The development of the EHR Application at the surgical service center in the hospital is a combination of two service units working together, namely: the surgery unit and the anesthesia unit. Although there has been a lot of research into the development of applications in surgical and anesthesia units, that it is necessary to build an EHR application that can combines the integration concepts of surgery and anesthesia medical services unit. This study aims to develop an EHR Application for Surgery Center which consists of integrated surgical and anesthesia service units. Methodology in developing EHR surgery center application consist of several stage, start from requirements analysis, design, construction and implementation. EHR Application for surgery center which integrates surgical units and anesthesia units has been successfully built with features: registration of surgery and anesthesia patients, pre-operation, pre-anesthesia, intra-operation, intra-anesthesia, post-operation and post-anesthesia and an implementation test was carried out at one of the regional hospitals in Riau Province, Indonesia.
R. R. Aguirre, O. Suarez, M. Fuentes, and M. A. Sanchez-Gonzalez, “Electronic Health Record Implementation: A Review of Resources and Tools,” Cureus, vol. 11, no. 9, 2019, doi: 10.7759/cureus.5649.
R. S. Janett and P. P. Yeracaris, “Electronic medical records in the american health system: Challenges and lessons learned,” Cienc. e Saude Coletiva, vol. 25, no. 4, pp. 1293–1304, 2020, doi: 10.1590/1413-81232020254.28922019.
J. G, S. R, G. H L, V. Ravi, M. Almeshari, and Y. Alzamil, “Electronic Health Record (EHR) System Development for Study on EHR Data-based Early Prediction of Diabetes Using Machine Learning Algorithms,” Open Bioinforma. J., vol. 16, no. 1, pp. 1–18, 2023, doi: 10.2174/18750362-v16-e230906-2023-15.
R. A. Meehan et al., “Increasing EHR system usability through standards: Conformance criteria in the HL7 EHR-system functional model,” J. Biomed. Inform., vol. 63, pp. 169–173, 2016, doi: 10.1016/j.jbi.2016.08.015.
X. He, L. Cai, S. Huang, X. Ma, and X. Zhou, “The design of electronic medical records for patients of continuous care,” J. Infect. Public Health, vol. 14, no. 1, pp. 117–122, 2021, doi: 10.1016/j.jiph.2019.07.013.
M. M. M. Pai, R. Ganiga, R. M. Pai, and R. K. Sinha, “Standard electronic health record (EHR) framework for Indian healthcare system,” Heal. Serv. Outcomes Res. Methodol., vol. 21, no. 3, pp. 339–362, 2021, doi: 10.1007/s10742-020-00238-0.
C. J. McDonald and B. L. Humphreys, “The U.S. National Library of Medicine and standards for electronic health records: One thing led to another,” Inf. Serv. Use, vol. 42, no. 1, pp. 81–94, 2022, doi: 10.3233/ISU-210142.
M. Jokar, M. A. Sahmeddini, F. Zand, R. Rezaee, and A. Bashiri, “Development and evaluation of an anesthesia module for electronic medical records in the operating room: an applied developmental study,” BMC Anesthesiol., vol. 23, no. 1, pp. 1–11, 2023, doi: 10.1186/s12871-023-02335-2.
A. F. Simpao and M. A. Rehman, “Anesthesia information management systems,” Anesth. Analg., vol. 127, no. 1, pp. 90–94, 2018, doi: 10.1213/ANE.0000000000002545.
M. Howarth et al., “Development and initial implementation of electronic clinical decision supports for recognition and management of hospital-acquired acute kidney injury,” BMC Med. Inform. Decis. Mak., vol. 20, no. 1, 2020, doi: 10.1186/s12911-020-01303-x.
B. Independent et al., “Standard Practice for Content and Structure of the Electronic Health Record,” 2017.
L. Keikha, S. S. S. Farajollah, R. Safdari, M. Ghazisaeedi, and N. Mohammadzadeh, “Development of Hospital-based Data Sets as a Vehicle for Implementation of a National Electronic Health Record,” Perspect. Heal. Inf. Manag., vol. 15, no. Winter, 2018.
M. Sheykhotayefeh et al., “Development of a Minimum Data Set (MDS) for C-section Anesthesia Information Management System (AIMS),” Anesthesiol. Pain Med., vol. 7, no. 2, 2017, doi: 10.5812/aapm.44132.
H. M. Ahmed et al., “Recommendations for effective documentation in regional anesthesia: An expert panel Delphi consensus project,” Reg. Anesth. Pain Med., vol. 47, no. 5, pp. 301–308, 2022, doi: 10.1136/RAPM-2021-103136.
D. R. Prytherch, J. S. Sirl, P. C. Weaver, P. Schmidt, B. Higgins, and G. L. Sutton, “Towards a national clinical minimum data set for general surgery,” Br. J. Surg., vol. 90, no. 10, pp. 1300–1305, 2003, doi: 10.1002/bjs.4274.
