A Case for Manual Entry of Structured, Coded Laboratory Data from Multiple Sources into an Ambulatory Electronic Health Record
Open accessAbstract
Laboratory results provide necessary information for the management of ambulatory patients. To realize the benefits of an electronic health record (EHR) and coded laboratory data (e.g., decision support and improved data access and display), results from laboratories that are external to the health care enterprise need to be integrated with internal results. We describe the development and clinical impact of integrating external results into the EHR at Intermountain Health Care (IHC). During 2004, over 14,000 external laboratory results for 128 liver transplant patients were added to the EHR. The results were used to generate computerized alerts that assisted clinicians with managing laboratory tests in the ambulatory setting. The external results were sent from 85 different facilities and can now be viewed in the EHR integrated with IHC results. We encountered regulatory, logistic, economic, and data quality issues that should be of interest to others developing similar applications.
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- Authors
- Staes, C. J., Bennett, S. T., Evans, R. S., Narus, S. P., Huff, S. M., & Sorensen, J. B.
- Affiliations
- Intermountain Healthcare (US)
- Corresponding author
- Staes, C. J.
- Venue
- Journal of the American Medical Informatics Association
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-01-01
- Volume
- 13
- Issue
- 1
- Pages
- 12-15
- ISSN
- 1067-5027 (ISSN-L)
- 1527-974X
- PMC
- PMC1380191
- OpenAlex
- W2165930195
- Cited by
- 24
- References
- 6
- Citations by year
- 2024: 3 · 2019: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 3
- FWCI
- 4.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Medical Informatics Association (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Keywords
- electronic health records, laboratory data integration, manual data entry, automated alerts, liver transplant recipients, outpatient care, data quality, health information exchange, Intermountain Healthcare
- MeSH terms
- Ambulatory Care Information Systems, Clinical Laboratory Information Systems, Forms and Records Control, Humans, User-Computer Interface, Medical Records Systems, Computerized
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