Applied Clinical Informatics, Inhaltsverzeichnis Appl Clin Inform 2017; 08(01): 137-148DOI: 10.4338/ACI-2016-07-RA-0120 Research Article Schattauer GmbH Screening Consolidated Clinical Document Architecture (CCDA) Documents for Sensitive Data Using a Rule-Based Decision Support System Beatriz H Rocha * 1 Wolters Kluwer Health, Waltham, United States 2 Harvard Medical School, Boston, United States , Deepika Pabbathi 3 Partners HealthCare System, Information Systems, Wellesley, United States , Molly Schaeffer 3 Partners HealthCare System, Information Systems, Wellesley, United States , Howard S Goldberg 2 Harvard Medical School, Boston, United States 3 Partners HealthCare System, Information Systems, Wellesley, United States 4 Brigham and Women’s Hospital, Boston, United States › Institutsangaben Artikel empfehlen Abstract Volltext als PDF herunterladen Keywords KeywordsClinical decision support - meaningful use - health information exchange - continuity of patient care Referenzen References 1 Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology. 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology. Federal Register 2012: 77(171); 45 CFR Part 170. 2 Medicare and Medicaid Programs; Electronic Health Record Incentive Program – Stage 2. Federal Register 2012: 77(171); 42 CFR Parts 412, 413, and 495. 3 Health Level Seven International.. HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation. DSTU Release 1.1 (US Realm) Draft Standard for Trial Use July 2012. 4 Massachusetts Laws: HIV test; informed consent; disclosure of results or identity of subject of test. https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapter111/Section70F. Last accessed on June 1st, 2016. 5 Electronic Code of Federal Regulations [Internet]. Available from: http://www.ecfr.gov/cgi-bin/text-idx?rgn=div5;node=42%3A1.0.1.1.2. Last accessed on June 1st, 2016. 6 Cohen GR, Adler-Milstein J. Meaningful use care coordination criteria: Perceived barriers and benefits among primary care providers. J Am Med Inform Assoc 2016; 23 e1 e146-e151. 7 Rothstein MA, Talbot MK. Compelled Disclosure of Health Information. Protecting against the Greatest Potential Threat to Privacy. JAMA 2006; 295 (Suppl. 24) 2882-2885. 8 Rothstein MA. The Hippocratic Bargain and health Information Technology. J Law Med Ethics 2010; 38 (Suppl. 01) 7-13. 9 Sittig DF, Singh H. Rights and responsibilities of users of electronic health records. CMAJ 2013; 184 (Suppl. 13) 1479-1483. 10 Health Level Seven International.. HL7 Clinical Document Architecture. Release 2.0. Normative Edition – May, 2005. 11 Health Level Seven International.. HL7 Implementation Guide: CDA Release 2 – Continuity of Care Document (CCD) April 2007. 12 Healthcare Information Technology Standards Panel. HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component HITSP/C32. 2009 July. 13 The Massachusetts Health Information Highway. http://www.mass.gov/eohhs/gov/commissions-and-initiatives/masshiway/. Last accessed on June 1st, 2016. 14 Goldberg HS, Paterno MD, Rocha BH, Schaeffer M, Wright A, Erickson JL, Middleton B. A highly scalable, interoperable clinical decision support service. JAMIA 2014; 21 e1 e55-e62. 15 SNOMED CT. Available from: http://ihtsdo.org/snomed-ct. Last accessed on June 1st, 2016. 16 RxNorm.. Available from: http://www.nlm.nih.gov/research/umls/rxnorm. Last accessed on June 1st, 2016. 17 FDB Enhanced Therapeutic Classification System. Available from: http://www.fdbhealth.com/fdbmedknowledge-foundations. Last accessed on June 1st, 2016. 18 Meystre SM, Friedlin FJ, South BR, Shen S, Samore MH. Automatic de-identification of textual documents in the electronic health record: a review of recent research. Available from: http://www.biomedcentral.com/1471-2288/10/70. Last accessed on November 7th, 2016. 19 Stubbs A, Kotfila C, Uzuner O. Automated systems for the de-identification of longitudinal clinical narratives: Overview of 2014 i2b2/UTHealth shared task Track 1. Journal of Biomedical Informatics 2015; 58: S11-S19. 20 Confidentiality of Substance Use Disorder Patient Records. Available from: https://www.regulations.gov/#!documentDetail;D=HHS-OS-2016-0005-0001. Last accessed on June 1st, 2016.
