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Biomedical subjects

R P Brazile

Publications and source records attributed to R P Brazile.

3 recordsLinked to original sources

A database design for community health data.

The ability to collect, store, and retrieve community health data is critical to providing health services in a timely and efficient manner. With the widespread availability of computer hardware and software that can assist in this process, the task is becoming easier. One important tool is the database management system (DBMS). A DBMS provides a conceptual framework to assist in organizing data and software that can physically store, maintain and retrieve data. The most popular DBMSs available today support the Relational Data Model, which has a conceptual framework that provides for the organization of data in tables. The authors present a database design, using the Relational Data Model, for a database of community health data.

Community Health Nursing↗

A clinical information system for ambulatory care.

This article describes a clinical information system developed for ambulatory care nurse practitioners. An overview of the clinical information system is presented, followed by a detailed description. The clinical information system uses the relational database structure proposed by Hettinger and Brazile (1992), and creates a longitudinal electronic health care record. The database design includes the Nursing Minimum Data Set and provides links to external aggregate data sets such as the U. S. Census data. Special features are discussed such as the ability to select from several problem classification schemes, including North American Nursing Diagnosis Association, Omaha, and International Classification of Diseases, 9th Revision; insert new menu selections whenever needed; create and track groups; and store detailed outcome data. A brief summary of implementation considerations is included.

Ambulatory Care Information Systems↗

Health Level Seven (HL7): standard for healthcare electronic data transmissions.

The nursing profession needs computer-formatted data that can be exchanged within and between agencies. The exchange of electronic data, both in the United States and in the international community, requires agreement on the format of the data elements to be exchanged. The Health Level Seven (HL7) standard is a proposed voluntary standard for healthcare applications that addresses the way information is exchanged electronically. This brief article will provide background information regarding the development and status of HL7 and its implications for nursing. From the clinical perspective, nurses follow standards of care developed by professional organizations. These standards facilitate clear communication among nurses, consumers, and members of other disciplines. Similarly, the electronic transmission and exchange of clinical information must have a standard to ensure that messages arrive and are decoded correctly. Many standards for electronic data already exist; financial transactions such as banking are familiar examples. The theme of the 1990 Symposium on Computer Applications in Medical Care (SCAMC), was Standards in Medical Informatics. Many pertinent papers and workshops were presented. However, references to electronic data standards are found primarily in conference proceedings and technical manuals. Thus, although activity is widespread, and events are rapidly moving in the healthcare industry, most of the information is not yet widely available. It seems timely, therefore, to provide background material to nurses in order for them to participate in the process.

Computer Communication Networks↗