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At least 199 records · Page 11Linked to original sources

Records, recall loss, and recall bias in pregnancy: a comparison of interview and medical records data of pregnant and postnatal women.

To determine the agreement between interview-based and medical records data concerning illnesses and medications early in pregnancy, we compared the interviews of 202 women with the ongoing records collected during their pregnancies. Substantial underrecording of most transient illnesses was found. Fewer short-term illnesses were reported by postpartum women than sill-pregnant women, suggesting the potential for recall bias or loss.

Female↗

Infant formula record and record retention requirements--FDA. Final rule.

The Food and Drug Administration (FDA) is amending its infant formula regulations with respect to records, and retention of records, that relate to various subjects, including, but not limited to, microbiological and nutrient testing, manufacturers' audits, and consumer complaints. This action is in response to the 1986 infant formula amendments to the Federal Food, Drug, and Cosmetic Act (the act). The amended regulations will help ensure a safe, wholesale, and sanitary sole source of nutrition for infants.

Food Labeling↗

From electronic medical record to personal health record.

In this paper we attempt to provide a definition and purpose for the electronic patient record, point out the benefits of its use and outline the major challenges in wider implementation that are encountered world-wide. Finally, some trends are highlighted that are believed to play an important role in the future development and use of the electronic patient record.

Computer Communication Networks↗

Department of Health and Human Services Public Health Services. Notification of a new system of records: Three Mile Island mental health survey, respondent records.

In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing notice of a proposal to establish a new system of records entitled "Three Mile Island Mental Health Survey, Respondent Records, HHS/ADAMHA/NIMH." The Disaster Assistance and Emergency Mental Health Section, Division of Special Mental Health Programs, National Institute of Mental Health, is responsible for the system. The purpose of the system is to enable the Government to arrange followup study to the currently-funded research project entitled "The Mental Health of Residents Near the Three Mile Island Reactor: A Comparative Study of Selected Groups." PHS invites interested persons to submit comments on the proposed routine uses on or before November 3, 1980.

Confidentiality↗

Privacy Act of 1974; new system of records--Public Health Service. Notification of establishment of a new Privacy Act system of records, 09-25-0151.

In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing notice of a proposal to establish a new Privacy Act system of records, 09-25-0151, "Administration: Alert Records Concerning Investigations or Determinations of Misconduct by Current or Potential Recipients of Funds for Biomedical Research," HHS/NIH/OD. We are also proposing routine uses for this system. The National Institutes of Health (NIH) will use this system to make informed decisions on appropriate actions regarding awards of research funds to individuals who are or have been subjects of investigations or determinations of misconduct. PHS invites interested persons to submit comments on the proposed routine uses on or before June 11, 1982.

Civil Rights↗

Privacy Act of 1974; revision to existing system of records--HCFA. Notice of revision of Privacy Act system of records.

Notice is hereby given that HCFA is revising one of its systems of records, the Medicare Physician Identification and Eligibility Systems (MPIES), HHS/HCFA/BPO No. 09-70-0525, most recently published at 53 FR 21920; June 10, 1988. The Notice is being revised to reflect a change in the Records Source Categories section of the system. The revision contains no new routine uses.

Centers for Medicare and Medicaid Services, U.S.↗

Privacy Act of 1974; system of records--HCFA. Notice of new system of records.

In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new system of records, "Drug Bill Processor Records on Medicare Prescription Drug Beneficiaries," HHS/HCFA/BPO No. 09-70-0528. We have provided background information about the proposed system in the "Supplementary Information" section below. Although the Privacy Act requires that only the "routine uses" portion of the system be published for comment, HCFA invites comments on all portions of this notice.

Centers for Medicare and Medicaid Services, U.S.↗

Privacy ACt 1974; report of a new system of records 09-90-0089. Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services. Notification of new system of records--National Long-Term Care Survey.

In accordance with 5 U.S.C. 552a(e)(4), wer are issuing public notice of our intent to establish a new system of records: National Long-Term Care Survey, HHS/OS/ASPE, 09-90-0089. We also are proposing to include routine uses of the system in accordance with 5 U.S.C. 552(a)(11). A sample of approximately 50,000 persons, drawn from Medicare administrative records, will be administered a short interview to determine if they have limitations in the personal care and instrumental (shopping, housework, etc.) skills which are necessary for independent living. Those who are limited--approximately 6,000--will be administered a second interview in which data will be obtained on their demographic, health, and economic characteristics, functional status, and utilization and costs of services. As part of this interview, respondents will be asked the names of family and friends who give them care. A sample of 2,000 of these caregivers will be administered an interview to determine the kinds and amount of care they give and their attitudes toward caregiving. The Caregivers Survey will be conducted by the National Opinion Research Center (NORC); all the other interviewing will be conducted by the Bureau of the Census, which will transmit to NORC the names and addresses of caregivers. All data will be used by the Department of Health and Human Services and/or their agents for statistical analysis. The same size has been determined by standard sample design techniques to be the minimum that will allow the required analysis.

Activities of Daily Living↗

Privacy Act of 1974; altered system of records--PHS. Notification of altered system of records: 09-30-0036, "Alcohol, Drug Abuse, and Mental Health Epidemiologic and Biometric Research Data, HHS/ADAMHA/OA".

In accordance with the requirements of the Privacy Act, the Public Health Service (OHS) is publishing a notice of proposal to alter the system of records in the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), National Institute of Mental Health (NIMH), entitled, "Mental Health Epidemiologic and Biometric Research Data, HHS/ADAMHA/NIMH," to create an umbrella system of records to include epidemiologic and biometric research data in the areas of alcohol and drug abuse in addition to data already collected and maintained for mental health research. The system is to be retitled, "Alcohol, Drug Abuse, and Mental Health Epidemiologic and Biometric Research Data, HHS/ADAMHA/OA." PHS invites interested persons to submit comments on the proposed alteration on or before November 23, 1984.

Civil Rights↗

Privacy Act; notification of a new system of records. Public Health Service. Notification of a new system of records: 09-30-0039, "Drug Abuse Treatment Outcome Prospective Study (TOPS)".

In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice of a new system of records entitled "Drug Abuse Treatment Outcome Prospective Study (TOPS," HHS/ADAMHA/NIDA, in the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), National Institute on Drug Abuse (NIDA). We are also proposing routine uses for this system of records. The purpose of the system is to compile information (data base) for a long-term, large-scale followup study of clients entering drug abuse treatment programs. NIDA will analyze aggregate data to assess the effectiveness of drug abuse treatment programs and to obtain data on drug abusers' behavior and characteristics subsequent to their contacts with the programs.

Confidentiality↗

Privacy Act of 1974; proposed major alteration to existing system of records--PHS. Notification of proposed major alteration to an existing system of records: 09-30-0041.

In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice of a proposed altered system of records, to be renamed "Participants in Drug Abuse Research Studies Supporting New Drug Applications," HHS/ADAMHA/NIDA, in the Alcohol, Drug Abuse and Mental Health Administration (ADAMHA), national Institute on Drug Abuse (NIDA). The system is currently entitled "Subject-Participants in a Drug Abuse Research Study on Naltrexone." We propose to alter the existing system to incorporate a second study with a narcotic agonist, LAAM (levo-alpha-acetylmethadol), thus creating an umbrella system. PHS invites interested parties to submit comments on the proposed alteration on or before July 11, 1983. We are not proposing changes to the nature of the routine use for this system of records but are rewording it to accommodate the LAAM study. This technical revision, in and of itself, does not require a public comment period. Additional technical changes to accommodate the LAAM study also appear elsewhere in the system notice.

Civil Rights↗

To be or not to be: recording Aboriginal identity on hospital records.

Accurate health information is a key component in the development of health improvement strategies. This paper provides a discussion of the challenges in improving hospital information systems in relation to indigenous patients. Based on interviews with both staff and patients of a major city hospital complex, a picture emerges of the need for bottom-up approaches to understanding perceptions of identity. Indigenous patients were found to be generally comfortable about identifying themselves on hospital records (if asked), but were often not clear why such questions were asked. On the other hand hospital staff were often uncomfortable about asking and were equally not always clear why such information was needed. Issues of accurate hospital record administration are discussed in relation to the attitudes and perceptions of both staff and patients.

Attitude of Health Personnel↗

Toward secure distribution of electronic health records: quantitative feasibility study on secure E-mail systems for sharing patient records.

If the quality and efficiency of medical services are to be ensured, electronic health records (EHR) and EHR-supporting infrastructure must be prevalent. Many hospitals, however, have EHR systems for their internal use only, and the standardization process for the exchange of medical information is still in process. This standardization process addresses information security and is considering public key infrastructure (PKI) as one security measure, but PKI is rarely used by medical practioners because of its poor user-friendliness. Here we propose an effective use of the identity-based encryption (IBE) system as a security measure. This system enables us to send encrypted and signed messages without requiring the receiver to get a public key, and it enables us to deliver secured messages to ambiguous receivers like those to whom letters of reference are sent. We evaluated the feasibility of this technology by using the analytic hierarchy process, which is an effective analysis tool when selection and judgment depend on nonquantitative psychological factors, to analyze the results of an experiment in which medical workers used E-mail agents with and without PKI and IBE. We found that medical practioners and researchers avoid using PKI because of its poor user-friendliness and instead use IBE even though it is harder to install. We therefore think IBE would encourage medical institutions to share patient records.

Algorithms↗

Interocclusal records--a review of three common recording materials.

In restorative and prosthetic dental treatment, casts which duplicate the patient's dentition are frequently mounted in an articulator which simulates jaw movements. In order to relate the mandibular cast to the maxillary cast, records are made in the mouth utilising suitable materials. Three common recording materials will be discussed.

Acrylic Resins↗

An integrated medical record and data system for primary care. Part 8: the individual patient's medical record.

This is the last in a series of eight articles describing an integrated system of recording medical data as developed and used by the Family Medicine Program at the University of Rochester-Highland Hospital. Compatability of manual and automated systems has been described. The total system allows the practicing family physician to assess morbidity patterns within his/her practice more effectively, to record and monitor patient care, to perform audit, and to conduct research in primary care.

Humans↗

An inexpensive event recorder for continuous behavioral recording.

An event recorder for use in ethological studies which is of simple and inexpensive construction is described. The apparatus consists essentially of a constant speed paper transport device and an ethogram sheet holder. Up to 20 different behavioral items may be recorded continuously in an accurate time sequence. The items are coded as hand-drawn pencil lines of different length perpendicular to the direction of the paper movement. Since the ethogram code sheets are exchangeable, an unlimited number of different ethograms may be used.

Animals↗

An integrated medical record and data system for primary care. Part 6: a decade of problem-oriented medical records: a reassessment.

The Problem-Oriented Record (POR) has had a profound effect upon the medical community. Since its introduction not quite ten years ago, POR has gained remarkable acceptance. A short review of the relatively brief history of POR is given and various facets of its use are outlined as guidelines for more critical reappraisal of its merits. The fact, however, that POR is currently taught in a majority of medical schools and used in ever increasing numbers of hospitals is highly indicative of eventual conversion of all medical recoreds to POR format.

Diagnosis↗

Computerized blood pressure and heart rate recording system interfaces standard chart recorder with any micro-computer.

The designed inexpensive blood pressure recording system (BPRS) gives any microcomputer direct on-line blood pressure and heart rate recording capability that will save research time and increase the accuracy of collected data. The data is automatically stored in a file compatible with most graphic and statistical processing software. In vitro testing, over a range of 0-200 mmHg and 0-360 beats per minute showed a 0.999 intraclass correlation. In vivo testing of the BPRS used anaesthetized rats whereby their systolic and diastolic pressures were measured simultaneously with heart rate. The blood pressures and heart rate data, measured by the BPRS demonstrated excellent stability, sensitivity and accuracy when compared to those measured by standard pressure transducers in conjunction with a Grass polygraph and a sphygmomanometer.

Animals↗