An Automated Fast Healthcare Interoperability Resources-Based 12-Lead Electrocardiogram Mobile Alert System for Suspected Acute Coronary Syndrome

Hur, Sujeong; Lee, Jeanhyoung; Kim, Taerim; Choi, Jong Soo; Kang, Mira; Chang, Dong Kyung; Chul, Won

doi:10.3349/ymj.2020.61.5.416

Cited by 10 publications

(8 citation statements)

References 17 publications

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“…Health information interoperability is defined the ability to capture, review, share, and reuse electronic health data seamlessly across health system, thus capture of data is important step to design interoperability framework between healthcare systems [29][30][31]. The preliminary effort to create these three electronic data capture forms is part of a larger program to address the lack of data interoperability between the clinical information systems and clinical registries in field of cardiac EP invasive procedures [32,33].…”

Section: Discussionmentioning

confidence: 99%

Using Electronic Data Capture for Cardiovascular Electrophysiology Invasive Procedures: An Important Step Towards Interoperable Clinical Registries

Shanbehzadeh

Kazemi-Arpanahi²,

Bostan

et al. 2020

Front Health Inform

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Introduction: The capture and integration of structured data from point of care into clinical registries has been a challenge. However, this effort is very important toward a qualitative patient care and research. Collection, organization and interpretation of clinical data can help to improve evidence-based medicine practices. Worksheets data capture are prevalent, but, not flexible, protected, workflow pleasant, and user friendly and do not support the creation of standardized and interoperable data. The aim of this study was to design and implement an Electronic Data Capture (EDC) instruments to be use in context of cardiovascular invasive procedures.Material and Methods: This descriptive and developmental study conducted in three phases as follows. (1) data standardization according national and international data element templates published by specialized societies; (2) developing of an initial data collection and clinical research workflow (3), establishing of electronic case reports using Research Electronic Data Capture (REDCap) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) privacy rule.Results: Three case report forms was developed that included demographics, medical history, physical examination, laboratory tests, radiology examinations, Electrophysiology (EP) procedures, as well as medications and follow-up information. Data-entry validation criteria have been implementing in electronic data collection instrument to assure validity and precision when data enter in electronic form.Conclusion: This paper describes the process used to create an EDC application. Data collection applications were successfully develop as an a priori step in a clinical research for assisting data collection and management in a case of cardiovascular EP invasive procedures.

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Section: Discussionmentioning

confidence: 99%

Using Electronic Data Capture for Cardiovascular Electrophysiology Invasive Procedures: An Important Step Towards Interoperable Clinical Registries

Shanbehzadeh

Kazemi-Arpanahi²,

Bostan

et al. 2020

Front Health Inform

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“…1 Cockpit view of the control panel for the Tiantanzhixin app H et al reported that pre-hospital electrocardiography (ECG) transfer using the Wechat app (a popular social media application in China) resulted in earlier reperfusion of ST elevation myocardial infarction patients who were transferred from the non-percutaneous coronary intervention center [55]. Hur S et al observed that the automated Fast Healthcare Interoperability Resources (FHIR)-based 12-lead ECG mobile alert system was successfully implemented in an emergency department, especially for older patients [56]. In a study that enrolled 897 suitable AMI patients, Ben-Assa E, et al demonstrated that telemedicine technology exhibited considerable promise in reducing 30-day readmission rates for post-AMI patients [57].…”

Section: Preliminary Experiences With Using Telemedicine To Manage Stemi Patients At Our Centermentioning

confidence: 99%

The Impact of the COVID-19 Pandemic and the Importance of Telemedicine in Managing Acute ST Segment Elevation Myocardial Infarction Patients: Preliminary Experience and Literature Review

et al. 2021

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The coronavirus disease 2019 , which is caused by a novel coronavirus (SARS-COV-2), has compromised health care systems and normal management of patients with cardiovascular diseases [1][2][3]. Patients with non-communicable diseases, including acute myocardial infarction (AMI) are vulnerable to this stress [4,5]. Acute ST segment elevation myocardial infarction (STEMI), the most critical type of AMI, is associated with high mortality even with modern medicine [6][7][8]. Timely reperfusion therapy is critical for STEMI patients because a short ischemia time is associated with better clinical outcomes and lower acute and long -term mortality [9][10][11][12]. The COVID-19 pandemic placed the management of STEMI patients in a difficult situation due to the need to balance timely reperfusion therapy and maintaining strict infection control practices [13,14]. Telemedicine, which is used to deliver health care services using information or communication technology, provides an opportunity to carry out the evaluation, diagnosis, and even monitor the patients after discharge when social distancing is needed [15]. In this article, we reported our preliminary experience with the usefulness of telemedicine in managing STEMI patients during the COVID-19 pandemic. We also provided a review of this topic.

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“…Condition Management and Treatment (n=15) [12,27,28,30,31,35,36,42,44,45,50,53,54,56,58] CDS Infrastructure (n=7) [15,33,40,41,52,60,63] Lab Result Interpretation --Genomics (n=7) [29,32,46,48,49,58,59] Risk Factor Analysis (n=6) [14,[23][24][25][26]39] Health Metric Monitoring (n=5) [34,37,43,51,61] Lab Result Interpretation --Other (n=3) [38,57,62] HIV Screening (n=1) [55] FHIR n (%) Standards was observational (n=8; 67%), with three studies (25%) reporting CDS needs evaluations. We identified only two studies with randomized components reporting on the use of any of the standards of interest (Curran et al [27] and Kawamoto et al [28]).…”

Section: Topicmentioning

confidence: 99%

New Standards for Clinical Decision Support: A Survey of The State of Implementation

et al. 2021

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Summary Objectives: To review the current state of research on designing and implementing clinical decision support (CDS) using four current interoperability standards: Fast Healthcare Interoperability Resources (FHIR); Substitutable Medical Applications and Reusable Technologies (SMART); Clinical Quality Language (CQL); and CDS Hooks. Methods: We conducted a review of original studies describing development of specific CDS tools or infrastructures using one of the four targeted standards, regardless of implementation stage. Citations published any time before the literature search was executed on October 21, 2020 were retrieved from PubMed. Two reviewers independently screened articles and abstracted data according to a protocol designed by team consensus. Results: Of 290 articles identified via PubMed search, 44 were included in this study. More than three quarters were published since 2018. Forty-three (98%) used FHIR; 22 (50%) used SMART; two (5%) used CQL; and eight (18%) used CDS Hooks. Twenty-four (55%) were in the design stage, 15 (34%) in the piloting stage, and five (11%) were deployed in a real-world setting. Only 12 (27%) of the articles reported an evaluation of the technology under development. Three of the four articles describing a deployed technology reported an evaluation. Only two evaluations with randomized study components were identified. Conclusion: The diversity of topics and approaches identified in the literature highlights the utility of these standards. The infrequency of reported evaluations, as well as the high number of studies in the design or piloting stage, indicate that these technologies are still early in their life cycles. Informaticists will require a stronger evidence base to understand the implications of using these standards in CDS design and implementation.

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An Automated Fast Healthcare Interoperability Resources-Based 12-Lead Electrocardiogram Mobile Alert System for Suspected Acute Coronary Syndrome

Cited by 10 publications

References 17 publications

Using Electronic Data Capture for Cardiovascular Electrophysiology Invasive Procedures: An Important Step Towards Interoperable Clinical Registries

Using Electronic Data Capture for Cardiovascular Electrophysiology Invasive Procedures: An Important Step Towards Interoperable Clinical Registries

The Impact of the COVID-19 Pandemic and the Importance of Telemedicine in Managing Acute ST Segment Elevation Myocardial Infarction Patients: Preliminary Experience and Literature Review

New Standards for Clinical Decision Support: A Survey of The State of Implementation

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