Assimilation of Web-Based Urgent Stroke Evaluation: A Qualitative Study of Two Networks
by Rajendra Singh, Lars Mathiassen, Jeffrey A Switzer, Robert J Adams
(Published on 15 Apr 2014)
Background: Stroke is a leading cause of death and serious, long-term disability across the world. Urgent stroke care treatment is time-sensitive and requires a stroke-trained neurologist for clinical diagnosis. Rural areas, where neurologists and stroke specialists are lacking, have a high incidence of stroke-related death and disability. By virtually connecting emergency department physicians in rural hospitals to regional medical centers for consultations, specialized Web-based stroke evaluation systems (telestroke) have helped address the challenge of urgent stroke care in underserved communities. However, many rural hospitals that have deployed telestroke have not fully assimilated this technology. Objective: The objective of this study was to explore potential sources of...
Next Generation Phenotyping Using the Unified Medical Language System
by Tomasz Adamusiak, Naoki Shimoyama, Mary Shimoyama
(Published on 18 Mar 2014)
Background: Structured information within patient medical records represents a largely untapped treasure trove of research data. In the United States, privacy issues notwithstanding, this has recently become more accessible thanks to the increasing adoption of electronic health records (EHR) and health care data standards fueled by the Meaningful Use legislation. The other side of the coin is that it is now becoming increasingly more difficult to navigate the profusion of many disparate clinical terminology standards, which often span millions of concepts. Objective: The objective of our study was to develop a methodology for integrating large amounts of structured clinical information that is both terminology agnostic and able to capture heterogeneous clinical phenotypes including...
JMIR Medical Informatics (JMI, ISSN 2291-9694) focusses on clinical informatics, decision support for health professionals, electronic health records, and ehealth infrastructures.
Published by JMIR Publications, publisher of the Journal of Medical Internet Research (JMIR), the leading eHealth/mHealth journal (Impact Factor 2011: 4.4), JMIR Med Inform has a different scope (emphasizing more on applications for clinicians and health professionals rather than consumers/citizens, which is the focus of JMIR), publishes even faster, and also allows papers which are more technical or more formative than what would be published in the Journal of Medical Internet Research.
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