Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 252

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Boutin, Matthew; Fling, Rick; McClung, Christina

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record Number 691

National Research Council Canada - National Science Library

Overbay, Jr., Larry; Watts, Kimberly; Fling, Rick; McClung, Christina; Banta, Matthew

2006-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site blind grid. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 832

National Research Council Canada - National Science Library

Teefy, Dennis

2007-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. This Scoring Record was coordinated by Dennis Teefy and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Blind Grid Scoring Record No. 237

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Robitaille, George; Boutin, Matthew; Fling, Rick; McClung, Christina

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 764

National Research Council Canada - National Science Library

Overbay, Larry; Watts, Kimberly

2006-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 831

National Research Council Canada - National Science Library

Teefy, Dennis

2007-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. This Scoring Record was coordinated by Dennis Teefy and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 690

National Research Council Canada - National Science Library

Overbay, Larry

2005-01-01

...) utilizing the YPC Standardized UXO Technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Scoring Committee...

Standardized UXO Technology Demonstration Site, Open Field Scoring Record Number 426

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Boutin, Matthew; Archiable, Robert; Fling, Rick; McClung, Christina; Robitaille, George

2005-01-01

...) utilizing the YPG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Open Field Scoring Record Number 657

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Open Field Scoring Record No. 897

National Research Council Canada - National Science Library

Burch, William; Fling, Rick; McClung, Christina

2008-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. This Scoring Record was coordinated by William Burch and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record No. 442

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Boutin, Matthew; Archiable, Robert; Fling, Rick; McClung, Christina; Robitaille, George

2005-01-01

...) unitizing the YPG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Open Field Scoring Record Number 638

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Robitaille, George; Boutin, Matthew; Archiable, Robert; McClung, Christina

2005-01-01

...) utilizing the YPG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record No. 857

National Research Council Canada - National Science Library

Fling, Rick; McClung, Christina; Banta, Matthew; Burch, William; McDonnell, Patrick

2007-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. This Scoring Record was coordinated by Dennis Teefy and the Standardized UXO Technology Demonstration Site Scoring Committee...

Electronic health record standards, coding systems, frameworks, and infrastructures

CERN Document Server

Sinha, Pradeep K; Bendale, Prashant; Mantri, Manisha; Dande, Atreya

2013-01-01

Discover How Electronic Health Records Are Built to Drive the Next Generation of Healthcare Delivery The increased role of IT in the healthcare sector has led to the coining of a new phrase ""health informatics,"" which deals with the use of IT for better healthcare services. Health informatics applications often involve maintaining the health records of individuals, in digital form, which is referred to as an Electronic Health Record (EHR). Building and implementing an EHR infrastructure requires an understanding of healthcare standards, coding systems, and frameworks. This book provides an

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 396

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Boutin, Matthew; Fling, Rick; McClung, Christina; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 268

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Fling, Rick; McClung, Christina; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Blind Grid Scoring Record No. 898

National Research Council Canada - National Science Library

Burch, William; Fling, Rick; McClung, Christina; Lombardo, Leonardo; McDonnell, Patrick

2008-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid Field. This Scoring Record was coordinated by William Burch and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Blind Grid Scoring Record No. 896

National Research Council Canada - National Science Library

Burch, William; Fling, Rick; McClung, Christina

2008-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid Field. This Scoring Record was coordinated by William Burch and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Blind Grid Scoring Record Number 431

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing the YPG Standardized UXO Technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Blind Grid Scoring Record No. 397

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Robitaille, George; Boutin, Matthew; Fling, Rick; McClung, Christina

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site. Open Field Scoring Record Number 154

National Research Council Canada - National Science Library

Overbay, Larry

2004-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Open Field Scoring Record Number 379

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

... (UXO) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 354

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Archiable, Robert; McClung, Christina

2005-01-01

...) utilizing the YPG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record No. 311

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Boutin, Matthew; Fling, Rick; McClung, Christina; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 129

National Research Council Canada - National Science Library

Overbay, Larry

2004-01-01

...) utilizing the APO Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Open Field Scoring Record Number 229

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Boutin, Matthew; Fling, Rick; McClung, Christina; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Open Field Scoring Record Number 411

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 169

National Research Council Canada - National Science Library

Overbay, Larry; Archiable, Robert; McClung, Christina; Robitaille, George

2005-01-01

...) utilizing the YPG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 201

National Research Council Canada - National Science Library

Overbay, Larry, Jr; Fling, Rick; Robitaille, George

2004-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 165

National Research Council Canada - National Science Library

Overbay, Larry

2004-01-01

...) utilizing the APO Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

The First International Records Management Standard: A Point of View

Directory of Open Access Journals (Sweden)

Fahrettin Özdemirci

2003-09-01

Full Text Available In this work, The First Internatonal Records Management Standart ISO 15489 for the use of records management is examined in regard to its preparatory stu­dies, its content, and its relation and contribution to archive management. In adi- tion to these, the provisions of the standard that can contribute to handling of Turkish records are mentioned and recommendations are offered for steps to be taken.

Standardized UXO Technology Demonstration Site, Blind Grid Scoring Record No. 671

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

... (UXO) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Deomostration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 245

National Research Council Canada - National Science Library

Overbay, Larry

2005-01-01

... (UXO) utilizing the YPG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 675

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

... (UXO) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Scoring Committee...

36 CFR 1235.42 - What specifications and standards for transfer apply to audiovisual records, cartographic, and...

Science.gov (United States)

2010-07-01

... standards for transfer apply to audiovisual records, cartographic, and related records? 1235.42 Section 1235... Standards § 1235.42 What specifications and standards for transfer apply to audiovisual records... elements that are needed for future preservation, duplication, and reference for audiovisual records...

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 213

National Research Council Canada - National Science Library

Overbay, Larry; Archiable, Robert; McClung, Christina; Robitaille, George

2005-01-01

... (UXO) utilizing the YPG Standardized UXO Technology Demonstration Site Blind Grid. The scoring record was coordinated by Larry Overbay and by the Standardized UXO Technology Demonstration Site Site Scoring Committee...

Analysis and evaluation of the Electronic Health Record standard in China: a comparison with the American national standard ASTM E 1384.

Science.gov (United States)

Xu, Wei; Guan, Zhiyu; Cao, Hongxin; Zhang, Haiyan; Lu, Min; Li, Tiejun

2011-08-01

To analyze and evaluate the newly issued Electronic Health Record (EHR) Architecture and Data Standard of China (Chinese EHR Standard) and identify areas of improvement for future revisions. We compared the Chinese EHR Standard with the standard of the American Society for Testing and Materials Standard Practice for Content and Structure of Electronic Health Records in the United States (ASTM E 1384 Standard). The comparison comprised two steps: (1) comparing the conformance of the two standards to the international standard: Health Informatics-Requirements for an Electronic Health Record Architecture (ISO/TS 18308), and showing how the architectures of the two standards satisfy or deviate from the ISO requirements and (2) comparing the detailed data structures between the two standards. Of the 124 requirement items in ISO/TS 18308, the Chinese EHR Standard and the ASTM E 1384 Standard conformed to 77 (62.1%) and 111 (89.5%), respectively. The Chinese EHR Standard conformed to 34 of 50 Structure requirements (68.0%), 22 of 24 Process requirements (91.7%), and 21 of 50 Other requirements (42.0%). The ASTM E 1384 Standard conformed to 49 of 50 Structure requirements (98.0%), 23 of 24 Process requirements (95.8%), and 39 of 40 Other requirements (78.0%). Further development of the Chinese EHR Standard should focus on supporting privacy and security mechanism, diverse data types, more generic and extensible lower level data structures, and relational attributes for data elements. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Should consultation recording use be a practice standard? A systematic review of the effectiveness and implementation of consultation recordings.

Science.gov (United States)

Rieger, Kendra L; Hack, Thomas F; Beaver, Kinta; Schofield, Penelope

2018-04-01

To conduct a systematic review of the effectiveness of consultation recordings and identify factors contributing to their successful implementation in health-care settings. A systematic review was conducted for quantitative studies examining the effectiveness of consultation recordings in health care. Two independent reviewers assessed the relevance and quality of retrieved quantitative studies by using standardized criteria. Study findings were examined to determine consultation recording effectiveness and to identify barriers and facilitators to implementation. A supplementary review of qualitative evidence was performed to further explicate implementation factors. Of the 3373 articles retrieved in the quantitative search, 26 satisfied the standardized inclusion criteria (12 randomized controlled trials, 1 quasi-experiment, and 13 cross-sectional studies). Most patients found consultation recordings beneficial. Statistically significant evidentiary support was found for the beneficial impact of consultation recordings on the following patient reported outcomes: knowledge, perception of being informed, information recall, decision-making factors, anxiety, and depression. Implementation barriers included strength of evidence concerns, patient distress, impact of the recording on consultation quality, clinic procedures, medico-legal issues, and resource costs. Facilitators included comfort with being recorded, clinical champions, legal strategies, efficient recording procedures, and a positive consultation recording experience. Consultation recordings are valuable to patients and positively associated with patient-reported outcomes. Successful integration of consultation recording use into clinical practice requires an administratively supported, systematic approach to addressing implementation factors. Copyright © 2017 John Wiley & Sons, Ltd.

Elevated Ratio of Maternal Plasma ApoCIII to ApoCII in Preeclampsia

Science.gov (United States)

2011-05-01

disease. Given the similarities in pathology, etiology , and clinical presentation between cardiovascular disease and preeclampsia , we hypothesized that...directed fetal/placental signals? In: Lyall F, Belfort M, eds. Preeclampsia : Etiology and Clinical Practice. Cambridge, UK: Cambridge University Press...2007:183-194. 3. Hubel C. Dyslipidemia and preeclampsia . In: Lyall F, Belfort M, eds. Preeclampsia : Etiology and Clinical Practice. Cambridge, UK

Using ISO 25040 standard for evaluating electronic health record systems.

Science.gov (United States)

Oliveira, Marília; Novaes, Magdala; Vasconcelos, Alexandre

2013-01-01

Quality of electronic health record systems (EHR-S) is one of the key points in the discussion about the safe use of this kind of system. It stimulates creation of technical standards and certifications in order to establish the minimum requirements expected for these systems. [1] In other side, EHR-S suppliers need to invest in evaluation of their products to provide systems according to these requirements. This work presents a proposal of use ISO 25040 standard, which focuses on the evaluation of software products, for define a model of evaluation of EHR-S in relation to Brazilian Certification for Electronic Health Record Systems - SBIS-CFM Certification. Proposal instantiates the process described in ISO 25040 standard using the set of requirements that is scope of the Brazilian certification. As first results, this research has produced an evaluation model and a scale for classify an EHR-S about its compliance level in relation to certification. This work in progress is part for the acquisition of the degree of master in Computer Science at the Federal University of Pernambuco.

Accounting and Co-constructing: The Development of a Standard for Electronic Health Records

DEFF Research Database (Denmark)

Bossen, Claus

2011-01-01

care services, cooperation between staff and make patient records immediately and accessible to distributed actors. Investments also have the aims of making health care services more accountable, integrated and increase quality and efficiency. This paper analyses a Danish national standard...... for electronic health records on the basis of an application prototype test build on that standard. The analysis shows that inscribed in the standard is an ambition to make staff and health care services more accountable at the cost of more work, loss of overview and fragmentation of patient cases. Significantly......, despite the standard having been conceived and developed in a process of co-construction with clinicians, clinicians did not find it adequate for their work. The analysis argues this was the result of the model of work embedded in the standard coming from a stance from without practice. Subsequently...

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 906 (Sky Research, Inc.)

National Research Council Canada - National Science Library

McClung, J. S; Burch, William; Fling, Rick; McClung, Christina; Lombardo, Leonardo; McDonnell, Patrick

2008-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. This Scoring Record was coordinated by William Burch and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 673 (Naval Research Laboratories)

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing the APG standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinate by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 492 (Shaw Environmental, Inc.)

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 668 (NAEVA Geophysics, Inc.)

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing they PG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinate by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site Open Field Scoring Record No. 901 (Sky Research, Inc.)

National Research Council Canada - National Science Library

McClung, J. S; Fling, Rick; McClung, Christina; Burch, William; Lombardo, Leonardo; McDonnell, Patrick

2008-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. This Scoring Record was coordinated by Stephen McClung and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized facility record and report model system (FARMS) for material accounting and control

International Nuclear Information System (INIS)

Nishimura, Hideo; Ihara, Hitoshi; Hisamatsu, Yoshinori.

1990-07-01

A facility in which nuclear materials are handled maintains a facility system of accounting for and control of nuclear material. Such a system contains, as one of key elements, a record and report system. This record and report information system is a rather complex one because it needs to conform to various requirements from the national or international safeguards authorities and from the plant operator who has to achieve a safe and economical operation of the plant. Therefore it is mandatory to computerize such information system. The authors have reviewed these requirements and standardized the book-keeping and reporting procedures in line with their computerization. On the basis of this result the authors have developed a computer system, FARMS, named as an acronym of standardized facility record and report model system, mainly reflecting the requirements from the national and international safeguards authorities. The development of FARMS has also been carried out as a JASPAS - Japan Support Programme for Agency Safeguards - project since 1985 and the FARMS code was demonstrated as an accountancy tool in the regional SSAC training courses held in Japan in 1985 and 1987. This report describes the standardization of a record and report system at the facility level, its computerization as a model system and the demonstration of the developed system, FARMS. (author)

78 FR 2443 - Criminal Justice Interview Room Recording System (IRRS) Standard, Supplier's Declaration of...

Science.gov (United States)

2013-01-11

... DEPARTMENT OF JUSTICE Office of Justice Programs [OJP (NIJ) Docket No. 1612] Criminal Justice Interview Room Recording System (IRRS) Standard, Supplier's Declaration of Conformity Requirements, and... three draft documents related to Interview Room Recording Systems (IRRS) used by criminal justice...

Standardized UXO Technology Demonstration Site Open Field Scoring Recording Number 231 (Human Factors Applications, Inc.)

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. The scoring record was coordinated by Larry Overbuy and by the Standardized UXO Technology Demonstration Site Scoring Committee...

  Representations at Work: A national Standard for Electronic Health Records

DEFF Research Database (Denmark)

Bossen, Claus

2006-01-01

  Representations are at work in IT technology. As plans of and for work, they enable cooperation, coordination, accountability and control, which have to be balanced off against each other. The article describes a standard developed for electronic health records (EHR) and the results of a test...

78 FR 69543 - Record Requirements in the Mechanical Power Presses Standard

Science.gov (United States)

2013-11-20

... program). In such cases, OSHA would treat the weekly inspection as part of the periodic inspection.... OSHA-2013-0010] RIN 1218-AC80 Record Requirements in the Mechanical Power Presses Standard AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Direct final rule; request for comments...

78 FR 69606 - Record Requirements in the Mechanical Power Presses Standard

Science.gov (United States)

2013-11-20

... the inspection program). In such cases, OSHA would treat the weekly inspection as part of the periodic.... OSHA-2013-0010] RIN 1218-AC80 Record Requirements in the Mechanical Power Presses Standard AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Proposed rule; request for comments...

Pan-Canadian Respiratory Standards Initiative for Electronic Health Records (PRESTINE: 2011 National Forum Proceedings

Directory of Open Access Journals (Sweden)

M Diane Lougheed

2012-01-01

Full Text Available In a novel knowledge translation initiative, the Government of Ontario’s Asthma Plan of Action funded the development of an Asthma Care Map to enable adherence with the Canadian Asthma Consensus Guidelines developed under the auspices of the Canadian Thoracic Society (CTS. Following its successful evaluation within the Primary Care Asthma Pilot Project, respiratory clinicians from the Asthma Research Unit, Queen’s University (Kingston, Ontario are leading an initiative to incorporate standardized Asthma Care Map data elements into electronic health records in primary care in Ontario. Acknowledging that the issue of data standards affects all respiratory conditions, and all provinces and territories, the Government of Ontario approached the CTS Respiratory Guidelines Committee. At its meeting in September 2010, the CTS Respiratory Guidelines Committee agreed that developing and standardizing respiratory data elements for electronic health records are strategically important. In follow-up to that commitment, representatives from the CTS, the Lung Association, the Government of Ontario, the National Lung Health Framework and Canada Health Infoway came together to form a planning committee. The planning committee proposed a phased approach to inform stakeholders about the issue, and engage them in the development, implementation and evaluation of a standardized dataset. An environmental scan was completed in July 2011, which identified data definitions and standards currently available for clinical variables that are likely to be included in electronic medical records in primary care for diagnosis, management and patient education related to asthma and COPD. The scan, sponsored by the Government of Ontario, includes compliance with clinical nomenclatures such as SNOMED-CT® and LOINC®. To help launch and create momentum for this initiative, a national forum was convened on October 2 and 3, 2011, in Toronto, Ontario. The forum was designed to

Standards for collection of identifying information for health record keeping

International Nuclear Information System (INIS)

Carpenter, M.; Fair, M.E.; Lalonde, P.; Scott, T.

1988-09-01

A new recommended guideline for the standard data collection of individual identifying information has been developed and tested by Statistics Canada. The purpose of developing a standard method is to improve health record keeping in Canada: in particular for long term medical follow-up studies of individuals exposed to potentially hazardous agents for detection of possible health risks or delayed harm, e.g. individuals exposed to radiation through occupations, the environment, emergencies, or therapeutic practice. A data collection standard is also useful for epidemiological follow-up studies for other occupation groups such as chemical workers and miners, or for lifestyle, genetic and other studies. Statistics Canada, Health Division, Occupational and Environmental Health Research Unit (OEHRU), from their experience with long term health studies using the Canadian Mortality Data Base, has prepared a 'Data Collection Package' to include the developed and tested data collection guideline. It is anticipated this will help produce more thorough and comparable on-going record keeping while saving costs and time for many organizations e.g. Atomic Energy Control Board licensees who report radiation doses to the National Dose Registry, as well as for other companies and organizations across the country where long term medical follow-up studies are anticipated now or in the future. It may also allow for broader industrial, national and international comparisons. The guideline consists of a two page Individual Identity Summary (IIS): the first page for completion by the individual/employee to give unique identifying information; the second page for the study organizer/employer to include essential additional information (work history etc.). A third optional page can be used by organizations wishing to collect data on children. The Data Collection Package also includes brief explanatory notes, a suggested file record layout and detailed computer coding advice for entering

Development of a standardized Intranet database of formulation records for nonsterile compounding, Part 2.

Science.gov (United States)

Haile, Michael; Anderson, Kim; Evans, Alex; Crawford, Angela

2012-01-01

In part 1 of this series, we outlined the rationale behind the development of a centralized electronic database used to maintain nonsterile compounding formulation records in the Mission Health System, which is a union of several independent hospitals and satellite and regional pharmacies that form the cornerstone of advanced medical care in several areas of western North Carolina. Hospital providers in many healthcare systems require compounded formulations to meet the needs of their patients (in particular, pediatric patients). Before a centralized electronic compounding database was implemented in the Mission Health System, each satellite or regional pharmacy affiliated with that system had a specific set of formulation records, but no standardized format for those records existed. In this article, we describe the quality control, database platform selection, description, implementation, and execution of our intranet database system, which is designed to maintain, manage, and disseminate nonsterile compounding formulation records in the hospitals and affiliated pharmacies of the Mission Health System. The objectives of that project were to standardize nonsterile compounding formulation records, create a centralized computerized database that would increase healthcare staff members' access to formulation records, establish beyond-use dates based on published stability studies, improve quality control, reduce the potential for medication errors related to compounding medications, and (ultimately) improve patient safety.

Standardized UXO Technology Demonstration Site Blind Grid Scoring Record No. 810 (FEREX Fluxgate Gradient Magnetometer/Sling)

National Research Council Canada - National Science Library

Fling, Rick; McClung, Christina; Banta, Matthew; Burch, William; Karwatka, Michael; McDonnell, Patrick

2007-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. This Scoring Record was coordinated by Michael Karwatka and the Standardized UXO Technology Demonstration Site Scoring Committee...

Standardized UXO Technology Demonstration Site, Open Field Scoring Record No. 770. Magnetometer FEREX DLG GPS/Sling

National Research Council Canada - National Science Library

Karwatka, Mike; Packer, Bonnie

2006-01-01

...) utilizing the YPG Standardized UXO Technology Demonstration Site open field. Scoring Records have been coordinated by Mike Karwatka and the Standardized UXO Technology Demonstration Site Scoring Committee...

Enhancing the power of genetic association studies through the use of silver standard cases derived from electronic medical records.

Directory of Open Access Journals (Sweden)

Andrew McDavid

Full Text Available The feasibility of using imperfectly phenotyped "silver standard" samples identified from electronic medical record diagnoses is considered in genetic association studies when these samples might be combined with an existing set of samples phenotyped with a gold standard technique. An analytic expression is derived for the power of a chi-square test of independence using either research-quality case/control samples alone, or augmented with silver standard data. The subset of the parameter space where inclusion of silver standard samples increases statistical power is identified. A case study of dementia subjects identified from electronic medical records from the Electronic Medical Records and Genomics (eMERGE network, combined with subjects from two studies specifically targeting dementia, verifies these results.

Participation, Power, Critique: Constructing a Standard for Electronic Patient Records

DEFF Research Database (Denmark)

Bossen, Claus

2006-01-01

  The scope of participatory design is discussed through the case of a national standard for electronic patient records (EPR) in Denmark. Currently within participatory design, the relationship between participatory methods and techniques on the one hand and critical and emancipatory aims...... on the other hand is discussed. Some argue that participation in itself entails a strive towards democracy, others argue that the tendency to focus upon tools, techniques and the arena of single projects should be supplemented with emancipatory aims, such as technology assessment and critique of dominance....... These issues are discussed through the controversies around the test in late 2004 of a prototype application based on BEHR, a standard developed from 1999 to 2005 for EPRs. I argue that participation is valuable, but that the scope of participatory design should also include critical conceptualizations...

Formulation of EPICS record naming conventions in J-PARC linac and RCS. Build process of unique and standardized name

International Nuclear Information System (INIS)

Fukuta, Shinpei; Kawase, Masato; Kikuzawa, Nobuhiro; Watanabe, Kazuhiko; Sakaki, Hironao; Takahashi, Hiroki

2011-02-01

J-PARC (Japan Proton Accelerator Research Complex) accelerator devices are controlled by the use of the software called EPICS (Experimental Physics and Industrial Control System). The unique name called an EPICS record is given to a control signal and data acquisition, Accelerator device control is achieved using the EPICS record. The requirement for the EPICS record name is 2 points; (1) no overlap of the EPICS record name, (2) the control contents can be easily imagined from the EPICS record name. To manage the EPICS record using relational database for the information management of the accelerator device in J-PARC, the naming structure is required so that a mechanical process can be performed easily. It was necessary to standardize the EPICS record name and the EPICS record structure to achieve these requirements. Therefore, we have formulated a guideline called 'EPICS record naming conventions' to decide to an EPICS record name uniquely and standardization. The abbreviated key word list of the accelerator devices and the control signal that compose the EPICS record name is appended to the EPICS record naming conventions. (author)

75 FR 78269 - Vehicular Digital Multimedia Evidence Recording System (VDMERS) Standard for Law Enforcement

Science.gov (United States)

2010-12-15

...In an effort to obtain comments from interested parties, the U.S. Department of Justice, Office of Justice Programs, National Institute of Justice (NIJ) will make available to the general public the draft ``Vehicular Digital Multimedia Evidence Recording System Standard for Law Enforcement.'' The opportunity to provide comments on this voluntary standard is open to industry technical representatives, law enforcement agencies and organizations, research, development and scientific communities, and all other stakeholders and interested parties. Those individuals wishing to obtain and provide comments on the draft standard under consideration are directed to the following Web site: http://www.justnet.org.

Recording routine forensic mental health evaluations should be a standard of practice in the 21st century.

Science.gov (United States)

Siegel, David M; Kinscherff, Robert

2018-04-25

The standard of practice for forensic interviews in criminal and delinquency cases, other than those conducted as part of brief preliminary screening evaluations or in emergency situations, should include a digital recording requirement. This standard should be adopted because of the greater availability of, and familiarity with, recording technology on the part of mental health professionals, the greater use and proven effectiveness of recording in other contexts of the criminal justice system, and the improvement in court presentation and accuracy of judicial determinations involving forensic assessments that recording will provide. The experience of practitioners with recording since professional associations last studied the issue should be taken into account, as informal data suggest it has been positive. Unfortunately, the legal system is unlikely to prompt this advance without its reconsideration by the forensic mental health professions, because current constitutional jurisprudence does not require recording and effectively makes it contingent upon request by examiners. Forensic evaluators thus have a valuable opportunity to educate the legal system on the utility and importance of this key reform, and so should adopt it as a best practice. Copyright © 2018 John Wiley & Sons, Ltd.

Stakeholder analysis for adopting a personal health record standard in Korea.

Science.gov (United States)

Kang, Min-Jeoung; Jung, Chai Young; Kim, Soyoun; Boo, Yookyung; Lee, Yuri; Kim, Sundo

Interest in health information exchanges (HIEs) is increasing. Several countries have adopted core health data standards with appropriate strategies. This study was conducted to determine the feasibility of a continuity of care record (CCR) as the standard for an electronic version of the official transfer note and the HIE in Korean healthcare. A technical review of the CCR standard and analysis of stakeholders' views were undertaken. Transfer notes were reviewed and matched with CCR standard categories. The standard for the Korean coding system was selected. Stakeholder analysis included an online survey of members of the Korean Society of Medical Informatics, a public hearing to derive opinions of consumers, doctors, vendors, academic societies and policy makers about the policy process, and a focus group meeting with EMR vendors to determine which HIE objects were technically applicable. Data objects in the official transfer note form matched CCR standards. Korean Classification of Diseases, Korean Standard Terminology of Medicine, Electronic Data Interchange code (EDI code), Logical Observation Identifiers Names and Codes, and Korean drug codes (KD code) were recommended as the Korean coding standard.'Social history', 'payers', and 'encounters' were mostly marked as optional or unnecessary sections, and 'allergies', 'alerts', 'medication list', 'problems/diagnoses', 'results',and 'procedures' as mandatory. Unlike the US, 'social history' was considered optional and 'advance directives' mandatory.At the public hearing there was some objection from the Korean Medical Association to the HIE on legal grounds in termsof intellectual property and patients' personal information. Other groups showed positive or neutral responses. Focus group members divided CCR data objects into three phases based onpredicted adoption time in CCR: (i) immediate adoption; (ii) short-term adoption ('alerts', 'family history'); and (iii) long-term adoption ('results', 'advanced directives

Optimizing the electronic health record to standardize administration and documentation of nutritional supplements.

Science.gov (United States)

Citty, Sandra W; Kamel, Amir; Garvan, Cynthia; Marlowe, Lee; Westhoff, Lynn

2017-01-01

Malnutrition in hospitalized patients is a major cause for hospital re-admission, pressure ulcers and increased hospital costs. Methods to improve the administration and documentation of nutritional supplements for hospitalized patients are needed to improve patient care, outcomes and resource utilization. Staff at a medium-sized academic health science center hospital in the southeastern United States noted that nutritional supplements ordered for patients at high risk for malnutrition were not offered or administered to patients in a standardized manner and/or not documented clearly in the electronic health record as per prescription. This paper reports on a process improvement project that redesigned the ordering, administration and documentation process of oral nutritional supplements in the electronic health record. By adding nutritional products to the medication order sets and adding an electronic nutrition administration record (ENAR) tab, the multidisciplinary team sought to standardize nutritional supplement ordering, documentation and administration at prescribed intervals. This process improvement project used a triangulated approach to evaluating pre- and post-process change including: medical record reviews, patient interviews, and nutrition formula room log reports. Staff education and training was carried out prior to initiation of the system changes. This process change resulted in an average decrease in the return of unused nutritional formula from 76% returned at baseline to 54% post-process change. The process change resulted in 100% of nutritional supplement orders having documentation about nutritional medication administration and/or reason for non-administration. Documentation in the ENAR showed that 41% of ONS orders were given and 59% were not given. Significantly more patients reported being offered the ONS product (p=0.0001) after process redesign and more patients (5% before ENAR and 86% after ENAR reported being offered the correct

106-17 Telemetry Standards. Annex A.4. Asynchronous Recorder Multiplexer Output Re-Constructor (ARMOR)

Science.gov (United States)

2017-07-01

Output Re-Constructor 1. General This standard defines the recommended multiplexer format for single-channel data recording on small-format (1/2 in...which is 1-based, is determined by the position of the channel’s module in the ARMOR system . The first input channel found in the ARMOR system is

Possibilities and Implications of Using the ICF and Other Vocabulary Standards in Electronic Health Records.

Science.gov (United States)

Vreeman, Daniel J; Richoz, Christophe

2015-12-01

There is now widespread recognition of the powerful potential of electronic health record (EHR) systems to improve the health-care delivery system. The benefits of EHRs grow even larger when the health data within their purview are seamlessly shared, aggregated and processed across different providers, settings and institutions. Yet, the plethora of idiosyncratic conventions for identifying the same clinical content in different information systems is a fundamental barrier to fully leveraging the potential of EHRs. Only by adopting vocabulary standards that provide the lingua franca across these local dialects can computers efficiently move, aggregate and use health data for decision support, outcomes management, quality reporting, research and many other purposes. In this regard, the International Classification of Functioning, Disability, and Health (ICF) is an important standard for physiotherapists because it provides a framework and standard language for describing health and health-related states. However, physiotherapists and other health-care professionals capture a wide range of data such as patient histories, clinical findings, tests and measurements, procedures, and so on, for which other vocabulary standards such as Logical Observation Identifiers Names and Codes and Systematized Nomenclature Of Medicine Clinical Terms are crucial for interoperable communication between different electronic systems. In this paper, we describe how the ICF and other internationally accepted vocabulary standards could advance physiotherapy practise and research by enabling data sharing and reuse by EHRs. We highlight how these different vocabulary standards fit together within a comprehensive record system, and how EHRs can make use of them, with a particular focus on enhancing decision-making. By incorporating the ICF and other internationally accepted vocabulary standards into our clinical information systems, physiotherapists will be able to leverage the potent

Electronic Health Record in Occupational Medicine: Specific Aspects and Requirements of Data Structuring and Standardization

Directory of Open Access Journals (Sweden)

Dorin TRIFF

2009-07-01

Full Text Available The service of occupational medicine of a specific economic agent, as integrated part of the System of Labor Health and Safety, requires efficient, well-organized information management through standardized and computerized data processing and exploitation. Legal requirements and practical aspects of information management in occupational medicine trigger necessary operational modifications in the Electronic Health File. The goal of the paper is to present basic requirements of structuring the electronic health file and the necessary standards in recording specific data.

29 CFR 1904.9 - Recording criteria for cases involving medical removal under OSHA standards.

Science.gov (United States)

2010-07-01

... surveillance requirements of an OSHA standard, you must record the case on the OSHA 300 Log. (b) Implementation—(1) How do I classify medical removal cases on the OSHA 300 Log? You must enter each medical removal case on the OSHA 300 Log as either a case involving days away from work or a case involving restricted...

Standard Practice for Recording Data from Atmospheric Corrosion Tests of Metallic-Coated Steel Specimens

CERN Document Server

American Society for Testing and Materials. Philadelphia

2010-01-01

1.1 This practice covers a procedure for recording data of atmospheric corrosion tests of metallic-coated steel specimens. Its objective is the assurance of (1) complete identification of materials before testing, (2) objective reporting of material appearance during visual inspections, and (3) adequate photographic, micrographic, and chemical laboratory examinations at specific stages of deterioration, and at the end of the tests. 1.2 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

Evaluation of medical record quality and communication skills among pediatric interns after standardized parent training history-taking in China.

Science.gov (United States)

Yu, Mu Xue; Jiang, Xiao Yun; Li, Yi Juan; Shen, Zhen Yu; Zhuang, Si Qi; Gu, Yu Fen

2018-02-01

The effect of using standardized parent training history-taking on the quality of medical records and communication skills among pediatric interns was determined. Fifth-year interns who were undertaking a pediatric clinical practice rotation were randomized to intervention and control groups. All of the pediatric interns received history-taking training by lecture and bedside teaching. The pediatric interns in the intervention group also received standardized parent history-taking training. The following two outcome measures were used: the scores of medical records, which were written by the pediatric interns after history-taking from real parents of pediatric patients; and the communication assessment tool (CAT) assessed by real parents. The general information, history of present illness (HPI), past medical history, personal history, family history, diagnosis, diagnostic analysis, and differential diagnosis scores in the intervention group were significantly higher than the control group (p history-taking is effective in improving the quality of medical records by pediatric interns. Standardized parent training history-taking is a superior teaching tool for clinical reasoning ability, as well as communication skills in clinical pediatric practice.

[Evaluation of a registration card for logging electrocardiographic records into standard personal computers].

Science.gov (United States)

Pizzuti, A; Baralis, G; Bassignana, A; Antonielli, E; Di Leo, M

1997-01-01

The MS200 Cardioscope, from MRT Micro as., Norway, is a 12 channel ECG card to be directly inserted into a standard personal computer (PC). The standard ISA Bus compatible half length card comes with a set of 10 cables with electrodes and the software for recording, displaying and saving ECG signals. The system is supplied with DOS or Windows software. The goal of the present work was to evaluate the affordability and usability of the MS200 in a clinical setting. We tested the 1.5 DOS version of the software. In 30 patients with various cardiac diseases the ECG signal has been recorded with MS200 and with standard Hellige CardioSmart equipment. The saved ECGs were recalled and printed using an Epson Stylus 800 ink-jet printer. Two cardiologists reviewed the recordings for a looking at output quality, amplitude and speed precision, artifacts, etc. 1) Installation: the card has proven to be totally compatible with the hardware; no changes in default settings had to be made. 2) Usage: the screens are clear; the commands and menus are intuitive and easy to use. Due to the boot-strap and software loading procedures and, most important, off-line printing, the time needed to obtain a complete ECG printout has been longer than that of the reference machine. 3) Archiving and retrieval of ECG: the ECG curves can be saved in original or compressed form: selecting the latter, the noise and non-ECG information is filtered away and the space consumption on disk is reduced: on average, 20 Kb are needed for 10 seconds of signal. The MS200 can be run on a Local Area Network and is prepared for integrating with an existing informative system: we are currently testing the system in this scenery. 4) MS200 includes options for on-line diagnosis, a technology we have not tested in the present work. 5) The only setting allowed for printing full pages is letter size (A4): the quality of printouts is good, with a resolution of 180 DPI. In conclusion, the MS200 system seems reliable and

Leveraging electronic healthcare record standards and semantic web technologies for the identification of patient cohorts

Science.gov (United States)

Fernández-Breis, Jesualdo Tomás; Maldonado, José Alberto; Marcos, Mar; Legaz-García, María del Carmen; Moner, David; Torres-Sospedra, Joaquín; Esteban-Gil, Angel; Martínez-Salvador, Begoña; Robles, Montserrat

2013-01-01

Background The secondary use of electronic healthcare records (EHRs) often requires the identification of patient cohorts. In this context, an important problem is the heterogeneity of clinical data sources, which can be overcome with the combined use of standardized information models, virtual health records, and semantic technologies, since each of them contributes to solving aspects related to the semantic interoperability of EHR data. Objective To develop methods allowing for a direct use of EHR data for the identification of patient cohorts leveraging current EHR standards and semantic web technologies. Materials and methods We propose to take advantage of the best features of working with EHR standards and ontologies. Our proposal is based on our previous results and experience working with both technological infrastructures. Our main principle is to perform each activity at the abstraction level with the most appropriate technology available. This means that part of the processing will be performed using archetypes (ie, data level) and the rest using ontologies (ie, knowledge level). Our approach will start working with EHR data in proprietary format, which will be first normalized and elaborated using EHR standards and then transformed into a semantic representation, which will be exploited by automated reasoning. Results We have applied our approach to protocols for colorectal cancer screening. The results comprise the archetypes, ontologies, and datasets developed for the standardization and semantic analysis of EHR data. Anonymized real data have been used and the patients have been successfully classified by the risk of developing colorectal cancer. Conclusions This work provides new insights in how archetypes and ontologies can be effectively combined for EHR-driven phenotyping. The methodological approach can be applied to other problems provided that suitable archetypes, ontologies, and classification rules can be designed. PMID:23934950

Leveraging electronic healthcare record standards and semantic web technologies for the identification of patient cohorts.

Science.gov (United States)

Fernández-Breis, Jesualdo Tomás; Maldonado, José Alberto; Marcos, Mar; Legaz-García, María del Carmen; Moner, David; Torres-Sospedra, Joaquín; Esteban-Gil, Angel; Martínez-Salvador, Begoña; Robles, Montserrat

2013-12-01

The secondary use of electronic healthcare records (EHRs) often requires the identification of patient cohorts. In this context, an important problem is the heterogeneity of clinical data sources, which can be overcome with the combined use of standardized information models, virtual health records, and semantic technologies, since each of them contributes to solving aspects related to the semantic interoperability of EHR data. To develop methods allowing for a direct use of EHR data for the identification of patient cohorts leveraging current EHR standards and semantic web technologies. We propose to take advantage of the best features of working with EHR standards and ontologies. Our proposal is based on our previous results and experience working with both technological infrastructures. Our main principle is to perform each activity at the abstraction level with the most appropriate technology available. This means that part of the processing will be performed using archetypes (ie, data level) and the rest using ontologies (ie, knowledge level). Our approach will start working with EHR data in proprietary format, which will be first normalized and elaborated using EHR standards and then transformed into a semantic representation, which will be exploited by automated reasoning. We have applied our approach to protocols for colorectal cancer screening. The results comprise the archetypes, ontologies, and datasets developed for the standardization and semantic analysis of EHR data. Anonymized real data have been used and the patients have been successfully classified by the risk of developing colorectal cancer. This work provides new insights in how archetypes and ontologies can be effectively combined for EHR-driven phenotyping. The methodological approach can be applied to other problems provided that suitable archetypes, ontologies, and classification rules can be designed.

Evaluation and comparison of medical records department of Iran university of medical sciences teaching hospitals and medical records department of Kermanshah university of medical sciences teaching hospitals according to the international standards ISO 9001-2000 in 2008

Directory of Open Access Journals (Sweden)

maryam ahmadi

2010-04-01

Conclusion: The rate of final conformity of medical records system by the criteria of the ISO 9001-2000 standards in hospitals related to Iran university of medical sciences was greater than in hospitals related to Kermanshah university of medical sciences. And total conformity rate of medical records system in Kermanshah hospitals was low. So the regulation of medical records department with ISO quality management standards can help to elevate its quality.

CCR+: Metadata Based Extended Personal Health Record Data Model Interoperable with the ASTM CCR Standard.

Science.gov (United States)

Park, Yu Rang; Yoon, Young Jo; Jang, Tae Hun; Seo, Hwa Jeong; Kim, Ju Han

2014-01-01

Extension of the standard model while retaining compliance with it is a challenging issue because there is currently no method for semantically or syntactically verifying an extended data model. A metadata-based extended model, named CCR+, was designed and implemented to achieve interoperability between standard and extended models. Furthermore, a multilayered validation method was devised to validate the standard and extended models. The American Society for Testing and Materials (ASTM) Community Care Record (CCR) standard was selected to evaluate the CCR+ model; two CCR and one CCR+ XML files were evaluated. In total, 188 metadata were extracted from the ASTM CCR standard; these metadata are semantically interconnected and registered in the metadata registry. An extended-data-model-specific validation file was generated from these metadata. This file can be used in a smartphone application (Health Avatar CCR+) as a part of a multilayered validation. The new CCR+ model was successfully evaluated via a patient-centric exchange scenario involving multiple hospitals, with the results supporting both syntactic and semantic interoperability between the standard CCR and extended, CCR+, model. A feasible method for delivering an extended model that complies with the standard model is presented herein. There is a great need to extend static standard models such as the ASTM CCR in various domains: the methods presented here represent an important reference for achieving interoperability between standard and extended models.

Telemetry Standards, IRIG Standard 106-17. Chapter 10. Digital Recording Standard

Science.gov (United States)

2017-07-01

IAW Subsection 10.4.2, or iSCSI (Ethernet) IAW Subsection 10.4.3. Recorder login and Chapter 6 CCM shall be transmitted and received using the SCSI...b. Login Security. The ground system shall invoke the iSCSI login phase with the LoginOperationalNegotiation stage. The SecurityNegotiation...the login phase not otherwise specified, the RMM and the ground station shall support the default values per RFC 3720. 10.9.3.4 FTP Data Access Method

Standard Specification for Nuclear Facility Transient Worker Records

CERN Document Server

American Society for Testing and Materials. Philadelphia

1995-01-01

1.1 This specification covers the required content and provides retention requirements for records needed for in-processing of nuclear facility transient workers. 1.2 This specification applies to records to be used for in-processing only. 1.3 This specification is not intended to cover specific skills records (such as equipment operating licenses, ASME inspection qualifications, or welding certifications). 1.4 This specification does not reduce any regulatory requirement for records retention at a licensed nuclear facility. Note 1—Nuclear facilities operated by the U.S. Department of Energy (DOE) are not licensed by the U.S. Nuclear Regulatory Commission (NRC), nor are other nuclear facilities that may come under the control of the U.S. Department of Defense (DOD) or individual agreement states. The references in this specification to licensee, the U.S. NRC Regulatory Guides, and Title 10 of the U.S. Code of Federal Regulations are to imply appropriate alternative nomenclature with respect to DOE, DOD...

Towards Standardized Patient Data Exchange: Integrating a FHIR Based API for the Open Medical Record System.

Science.gov (United States)

Kasthurirathne, Suranga N; Mamlin, Burke; Grieve, Grahame; Biondich, Paul

2015-01-01

Interoperability is essential to address limitations caused by the ad hoc implementation of clinical information systems and the distributed nature of modern medical care. The HL7 V2 and V3 standards have played a significant role in ensuring interoperability for healthcare. FHIR is a next generation standard created to address fundamental limitations in HL7 V2 and V3. FHIR is particularly relevant to OpenMRS, an Open Source Medical Record System widely used across emerging economies. FHIR has the potential to allow OpenMRS to move away from a bespoke, application specific API to a standards based API. We describe efforts to design and implement a FHIR based API for the OpenMRS platform. Lessons learned from this effort were used to define long term plans to transition from the legacy OpenMRS API to a FHIR based API that greatly reduces the learning curve for developers and helps enhance adhernce to standards.

Variability in recording and scoring of respiratory events during sleep in Europe: a need for uniform standards.

Science.gov (United States)

Arnardottir, Erna S; Verbraecken, Johan; Gonçalves, Marta; Gjerstad, Michaela D; Grote, Ludger; Puertas, Francisco Javier; Mihaicuta, Stefan; McNicholas, Walter T; Parrino, Liborio

2016-04-01

Uniform standards for the recording and scoring of respiratory events during sleep are lacking in Europe, although many centres follow the published recommendations of the American Academy of Sleep Medicine. The aim of this study was to assess the practice for the diagnosis of sleep-disordered breathing throughout Europe. A specially developed questionnaire was sent to representatives of the 31 national sleep societies in the Assembly of National Sleep Societies of the European Sleep Research Society, and a total of 29 countries completed the questionnaire. Polysomnography was considered the primary diagnostic method for sleep apnea diagnosis in 10 (34.5%), whereas polygraphy was used primarily in six (20.7%) European countries. In the remaining 13 countries (44.8%), no preferred methodology was used. Fifteen countries (51.7%) had developed some type of national uniform standards, but these standards varied significantly in terms of scoring criteria, device specifications and quality assurance procedures between countries. Only five countries (17.2%) had published these standards. Most respondents supported the development of uniform recording and scoring criteria for Europe, which might be based partly on the existing American Academy of Sleep Medicine rules, but also take into account differences in European practice when compared to North America. This survey highlights the current varying approaches to the assessment of patients with sleep-disordered breathing throughout Europe and supports the need for the development of practice parameters in the assessment of such patients that would be suited to European clinical practice. © 2015 European Sleep Research Society.

The First International Records Management Standard: A Point of View İlk Uluslararası Belge Yönetim Standardı: Ülkemiz Açısından Bir Değerlendirme

Directory of Open Access Journals (Sweden)

Fahrettin Özdemirci

2003-09-01

Full Text Available In this work, The First Internatonal Records Management Standart ISO 15489 for the use of records management is examined in regard to its preparatory studies, its content, and its relation and contribution to archive management. In adition to these, the provisions of the standard that can contribute to handling of Turkish records are mentioned and recommendations are offered for steps to be taken. Bu çalışmada, belge yönetimi için ilk uluslararası standart olan ISO 15489'un hazırlık çalışmaları, içeriği ve belge yönetimine kazandırdığı yeni boyut irdelenerek, arşiv yönetimi ile ilişkisi açıklanmıştır. Standardın ülkemiz belge ve arşiv yönetimi uygulamalarına sağlayacağı katkılar üzerinde durulmuş ve yapılması gerekenler konusunda önerilere yer verilmiştir.

How long shall we record electroencephalography?

DEFF Research Database (Denmark)

Craciun, L; Gardella, E; Alving, J

2014-01-01

abnormalities in a tertiary referral centre for epilepsy. METHODS: We have reviewed 1005 EEG recordings and determined the shortest recording duration necessary to identify interictal EEG abnormalities. RESULTS: Standard, awake recordings shorter than 20 min yielded a significantly lower incidence of abnormal...... provide evidence for recommending at least 20 min recording duration for standard awake EEGs and 30 min for sleep EEG recordings. As data were derived from patients referred to our epilepsy centre, the results are only valid for epilepsy-related indications....

Deficiencies in radiation protection record systems

International Nuclear Information System (INIS)

Martin, J.B.; Lyon, M.

1991-01-01

Radiation protection records are a fundamental part of any program for protecting radiation workers. Records are essential to epidemiological studies of radiation workers and are becoming increasingly important as the number of radiation exposure litigation cases increases. Ready retrievability of comprehensive records is also essential to the adequate defense of a radiation protection program. Appraisals of numerous radiation protection programs have revealed that few record-keeping systems comply with American National Standards Institute, Standard Practice N13.6-1972. Record-keeping requirements and types of deficiencies in radiation protection records systems are presented in this paper, followed by general recommendations for implementing a comprehensive radiation protection records system

Deficiencies in radiation protection record systems

International Nuclear Information System (INIS)

Martin, J.B.; Lyon, M.

1991-01-01

Radiation protection records are a fundamental part of any program for protecting radiation workers. Records are essential to epidemiological studies of radiation workers and are becoming increasingly important as the number of radiation exposure litigation cases increases. Ready retrievability of comprehensive records is also essential to the adequate defense of a radiation protection program. Appraisals of numerous radiation protection programs have revealed that few record-keeping systems comply with American National Standards Institute, Standard Practice N13.6-1972. Record-keeping requirements and types of deficiencies in radiation protection records systems are presented in this paper, followed by general recommendations for implementing a comprehensive radiation protection records system. 8 refs

Telemetry Standards, RCC Standard 106-17. Chapter 8. Digital Data Bus Acquisition Formatting Standard

Science.gov (United States)

2017-07-01

incorrect word count/message and illegal mode codes are not considered bus errors. 8.6.2 Source Signal The source of data is a signal conforming to...Telemetry Standards, RCC Standard 106-17 Chapter 8, July 2017 CHAPTER 8 Digital Data Bus Acquisition Formatting Standard Acronyms...check FCS frame check sequence HDDR high-density digital recording MIL-STD Military Standard msb most significant bit PCM pulse code modulation

DOE technical standards list. Department of Energy standards index

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-08-01

This document was prepared for use by personnel involved in the selection and use of DOE technical standards and other Government and non-Government standards. This TSL provides listing of current DOE technical standards, non-Government standards that have been adopted by DOE, other Government documents in which DOE has a recorded interest, and canceled DOE technical standards. Information on new DOE technical standards projects, technical standards released for coordination, recently published DOE technical standards, and activities of non-Government standards bodies that may be of interest to DOE is published monthly in Standards Actions.

Safety standards and safety record of nuclear power plants

International Nuclear Information System (INIS)

Davis, A.B.

1984-01-01

This paper focuses on the use of standards and the measurement and enforcement of these standards to achieve safe operation of nuclear power plants. Since a discussion of the safety standards that the Nuclear Regulatory Commission (NRC) uses to regulate the nuclear power industry can be a rather tedious subject, this discussion will provide you with not only a description of what safety standards are, but some examples of their application, and various indicators that provide an overall perspective on safety. These remarks are confined to the safety standards adopted by the NRC. There are other agencies such as the Environmental Protection Agency, the Occupational Safety and Health Administration, and the state regulatory agencies which impact on a nuclear power plant. The NRC has regulatory authority for the commercial use of the nuclear materials and facilities which are defined in the Atomic Energy Act of 1954 to assure that the public health and safety and national security are protected

DOE technical standards list: Department of Energy standards index

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-06-01

This technical standards list (TSL) was prepared for use by personnel involved in the selection and use of US DOE technical standards and other government and non-government standards. This TSL provides listings of current DOE technical standards, non-government standards that have been adopted by DOE, other government documents in which DOE has a recorded interest, and cancelled DOE technical standards. Standards are indexed by type in the appendices to this document. Definitions of and general guidance for the use of standards are also provided.

Construction contract revenue recording comparison

Directory of Open Access Journals (Sweden)

Hana Bohušová

2008-01-01

Full Text Available Publicly traded companies prepare their consolidated accounts in conformity with the international accounting standards (IAS/IFRS in accordance with the Regulation No. 1606/2002. This is obliged for all publicly traded joint-stock companies in the Czech Republic. Other companies prepare financial statements in accordance with national accounting standards. There are Accounting Act No. 563/1991 of Coll. and Regulation No. 500/2002 of Coll., Czech Accounting Standards in the Czech Republic. Both systems are based on different principles so there are many differences. The Czech Accounting System (CAS is based on the rules while IAS/IFRS are based on principles (Kovanicová, 2005. These differences are mainly caused by the different philosophy. CAS prefers the fiscal policy to the economic substance while IAS/IFRS prefere the economic substance. One of the most significant dif­fe­ren­ces is in the field of revenue recording. There are two standards concerning the revenues recording (IAS 18 − Revenue, IAS 11 – Construction Contracts in IAS/IFRS. CAS 019 – Expenses and Revenue are dealing with the revenue recording in the Czech Republic. The paper is aimed at the comparison of the methodical approaches for revenue recording used by IAS/IFRS and by CAS. The most important differences are caused by the different approach to the long term contracts (construction contracts, software development contracts revenues recording.

76 FR 76215 - Privacy Act; System of Records: State-78, Risk Analysis and Management Records

Science.gov (United States)

2011-12-06

... a system of records, Risk Analysis and Management Records, State-78, pursuant to the provisions of... INFORMATION: The Department of State proposes that the new system will be ``Risk Analysis and Management.... These standard routine uses apply to State-78, Risk Analysis and Management Records. POLICIES AND...

Alstom Belfort, an expert at the forefront of technology

International Nuclear Information System (INIS)

Anon.

2012-01-01

In a world where the technological changes become faster and where the environmental considerations are a priority, Alstom is at the first rank with a leader position on the infrastructure markets of electric power production and transmission. (O.M.)

106-17 Telemetry Standards Recorder Data Packet Format Standard Chapter 11

Science.gov (United States)

2017-07-01

communication data. This packet standard will allow use of a common set of data interpretation libraries to reduce the cost of producing data analysis...controller CAN controller area network CBR constant bit rate CIU communication interface unit CSDW channel-specific data word CTS Combat Training Systems...field shall be used to indicate bus identification as follows. 111 Communication interface unit (CIU) Left Bus A 110 CIU Left Bus B 101 CIU Right Bus

Time Spent on Dedicated Patient Care and Documentation Tasks Before and After the Introduction of a Structured and Standardized Electronic Health Record

NARCIS (Netherlands)

Joukes, Erik; Abu-Hanna, Ameen; Cornet, Ronald; de Keizer, Nicolette F.

2018-01-01

Physicians spend around 35% of their time documenting patient data. They are concerned that adopting a structured and standardized electronic health record (EHR) will lead to more time documenting and less time for patient care, especially during consultations.  This study measures the effect of the

7 CFR 37.9 - Access to establishments or records; record retention.

Science.gov (United States)

2010-01-01

... STANDARD CONTAINER REGULATIONS PROGRAM TO ASSESS ORGANIC CERTIFYING AGENCIES § 37.9 Access to... processes associated with an approved certification program. Records and documents shall be retained for at...

12 CFR 609.945 - Records retention.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Records retention. 609.945 Section 609.945 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM ELECTRONIC COMMERCE Standards for Boards and Management § 609.945 Records retention. Records stored electronically must be accurate, accessible...

Blind Grid Scoring Record No. 290

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Blind Grid Scoring Record No. 293

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George; Archiable, Robert; Fling, Rick; McClung, Christina

2005-01-01

...) utilizing the YPG Standardized UXO Technology Demonstration Site Blind Grid. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Open Field Scoring Record No. 298

National Research Council Canada - National Science Library

Overbay, Jr., Larry; Robitaille, George; Fling, Rick; McClung, Christina

2005-01-01

...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

Open Field Scoring Record No. 299

National Research Council Canada - National Science Library

Overbay, Larry; Robitaille, George

2005-01-01

...) utilizing the YPG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinated by Larry Overbay and the standardized UXO Technology Demonstration Site Scoring Committee...

Standard-based comprehensive detection of adverse drug reaction signals from nursing statements and laboratory results in electronic health records.

Science.gov (United States)

Lee, Suehyun; Choi, Jiyeob; Kim, Hun-Sung; Kim, Grace Juyun; Lee, Kye Hwa; Park, Chan Hee; Han, Jongsoo; Yoon, Dukyong; Park, Man Young; Park, Rae Woong; Kang, Hye-Ryun; Kim, Ju Han

2017-07-01

We propose 2 Medical Dictionary for Regulatory Activities-enabled pharmacovigilance algorithms, MetaLAB and MetaNurse, powered by a per-year meta-analysis technique and improved subject sampling strategy. This study developed 2 novel algorithms, MetaLAB for laboratory abnormalities and MetaNurse for standard nursing statements, as significantly improved versions of our previous electronic health record (EHR)-based pharmacovigilance method, called CLEAR. Adverse drug reaction (ADR) signals from 117 laboratory abnormalities and 1357 standard nursing statements for all precautionary drugs ( n   = 101) were comprehensively detected and validated against SIDER (Side Effect Resource) by MetaLAB and MetaNurse against 11 817 and 76 457 drug-ADR pairs, respectively. We demonstrate that MetaLAB (area under the curve, AUC = 0.61 ± 0.18) outperformed CLEAR (AUC = 0.55 ± 0.06) when we applied the same 470 drug-event pairs as the gold standard, as in our previous research. Receiver operating characteristic curves for 101 precautionary terms in the Medical Dictionary for Regulatory Activities Preferred Terms were obtained for MetaLAB and MetaNurse (0.69 ± 0.11; 0.62 ± 0.07), which complemented each other in terms of ADR signal coverage. Novel ADR signals discovered by MetaLAB and MetaNurse were successfully validated against spontaneous reports in the US Food and Drug Administration Adverse Event Reporting System database. The present study demonstrates the symbiosis of laboratory test results and nursing statements for ADR signal detection in terms of their system organ class coverage and performance profiles. Systematic discovery and evaluation of the wide spectrum of ADR signals using standard-based observational electronic health record data across many institutions will affect drug development and use, as well as postmarketing surveillance and regulation. © The Author 2017. Published by Oxford University Press on behalf of the American

Semantic validation of standard-based electronic health record documents with W3C XML schema.

Science.gov (United States)

Rinner, C; Janzek-Hawlat, S; Sibinovic, S; Duftschmid, G

2010-01-01

The goal of this article is to examine whether W3C XML Schema provides a practicable solution for the semantic validation of standard-based electronic health record (EHR) documents. With semantic validation we mean that the EHR documents are checked for conformance with the underlying archetypes and reference model. We describe an approach that allows XML Schemas to be derived from archetypes based on a specific naming convention. The archetype constraints are augmented with additional components of the reference model within the XML Schema representation. A copy of the EHR document that is transformed according to the before-mentioned naming convention is used for the actual validation against the XML Schema. We tested our approach by semantically validating EHR documents conformant to three different ISO/EN 13606 archetypes respective to three sections of the CDA implementation guide "Continuity of Care Document (CCD)" and an implementation guide for diabetes therapy data. We further developed a tool to automate the different steps of our semantic validation approach. For two particular kinds of archetype prescriptions, individual transformations are required for the corresponding EHR documents. Otherwise, a fully generic validation is possible. In general, we consider W3C XML Schema as a practicable solution for the semantic validation of standard-based EHR documents.

International Symposium on Applications of Laser Techniques to Fluid Mechanics (7th) Held in Lisbon, Portugal on July 11-14, 1994. Volume 2

Science.gov (United States)

1994-07-14

Gnie Energetique, Umversite de Franche -Comte Parc Technologique, 90000 Belfort, France ABSTRACT condensate film is produced artificially. The high...interest due to bluff-body. The reverse-flow is instrumental to flame widespread commercial applications. Industrial and food stabilization. processors...wake interaction and mutual collisions. combustion and food processing. However, it is a complex Thus by mutually "sheltering" each other, the rope

Department of Energy Standards Index

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-08-01

This TSL, intended for use in selecting and using DOE technical standards and other Government and non-Government standards, provides listing of current and inactive DOE technical standards, non-Government standards adopted by DOE, other Government documents in which DOE has a recorded interest, and cancelled DOE technical standards.

Report on the Southern Ocean Continuous Plankton Recorder (SO-CPR Standards Workshop 2016: SCAR SO-CPR Database Expert Group

Directory of Open Access Journals (Sweden)

Kunio T. Takahashi

2017-07-01

Full Text Available The“Southern Ocean Continuous Plankton Recorder (SO-CPR Survey Standards Workshop”was held at the Australian Antarctic Division on 12−16December 2016. The purposes of the workshop were to confirm that consistent and high standards of species identification, methodology, and data quality were being maintained amongst the main analysts in the SO-CPR Survey, and to discuss future training methods, including a SO-CPR manual that will include a counting rule book, and a future road map for the SO-CPR program. During the workshop we discussed a range of topics including: taxonomic resolution issues (particularly for Foraminifera and euphausiid larval identification and staging; laboratory methods (preservation and storage, with emphasis on maintaining correct pH; shipboard techniques; training methods; data handling (metadata, database, data sharing; gap analysis (spatial, temporal, data, quantitative; and future workshops/conferences, including comprehensive training workshops for emerging SO-CPR survey partners (India. We agreed that there should be a larger workshop every two years to ensure that the high standards of the SO-CPR program are maintained.

DOE technical standards list: Department of Energy standards index

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-05-01

This Department of Energy (DOE) technical standards list (TSL) has been prepared by the Office of Nuclear Safety Policy and Standards (EH-31) on the basis of currently available technical information. Periodic updates of this TSL will be issued as additional information is received on standardization documents being issued, adopted, or canceled by DOE. This document was prepared for use by personnel involved in the selection and use of DOE technical standards and other Government and non-Government standards. This TSL provides listings of current DOE technical standards, non-Government standards that have been adopted by DOE, other standards-related documents in which DOE has a recorded interest, and canceled DOE technical standards. Information on new DOE technical standards projects, technical standards released for coordination, recently published DOE technical standards, and activities of non-Government standards bodies that may be of interest to DOE is published monthly in Standards Actions.

CLAIM (CLinical Accounting InforMation)--an XML-based data exchange standard for connecting electronic medical record systems to patient accounting systems.

Science.gov (United States)

Guo, Jinqiu; Takada, Akira; Tanaka, Koji; Sato, Junzo; Suzuki, Muneou; Takahashi, Kiwamu; Daimon, Hiroyuki; Suzuki, Toshiaki; Nakashima, Yusei; Araki, Kenji; Yoshihara, Hiroyuki

2005-08-01

With the evolving and diverse electronic medical record (EMR) systems, there appears to be an ever greater need to link EMR systems and patient accounting systems with a standardized data exchange format. To this end, the CLinical Accounting InforMation (CLAIM) data exchange standard was developed. CLAIM is subordinate to the Medical Markup Language (MML) standard, which allows the exchange of medical data among different medical institutions. CLAIM uses eXtensible Markup Language (XML) as a meta-language. The current version, 2.1, inherited the basic structure of MML 2.x and contains two modules including information related to registration, appointment, procedure and charging. CLAIM 2.1 was implemented successfully in Japan in 2001. Consequently, it was confirmed that CLAIM could be used as an effective data exchange format between EMR systems and patient accounting systems.

Standard Guide for Recording Mechanical Test Data of Fiber-Reinforced Composite Materials in Databases

CERN Document Server

American Society for Testing and Materials. Philadelphia

2000-01-01

1.1 This guide provides a common format for mechanical test data for composite materials for two purposes: (1) to establish data reporting requirements for test methods and ( 2) to provide information for the design of material property databases. This guide should be used in combination with Guide E 1309 which provides similar information to identify the composite material tested. 1.2 These guidelines are specific to mechanical tests of high-modulus fiber-reinforced composite materials. Types of tests considered in this guide include tension, compression, shear, flexure, open/filled hole, bearing, fracture toughness, and fatigue. The ASTM standards for which this guide was developed are listed in . The guidelines may also be useful for additional tests or materials. 1.3 This guide is the second part of a modular approach for which the first part is Guide E 1309. Guide E 1309 serves to identify the material, and this guide serves to describe mechanical testing procedures and variables and to record results....

15 CFR 280.300 - Recorded insignia required prior to offer for sale.

Science.gov (United States)

2010-01-01

... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Recorded insignia required prior to... consensus standard(s) to bear an insignia identifying its manufacturer, the manufacturer must: (a) Record... the applicable consensus standard(s), or, if the applicable consensus standard(s) do(es) not specify a...

A method to implement fine-grained access control for personal health records through standard relational database queries.

Science.gov (United States)

Sujansky, Walter V; Faus, Sam A; Stone, Ethan; Brennan, Patricia Flatley

2010-10-01

Online personal health records (PHRs) enable patients to access, manage, and share certain of their own health information electronically. This capability creates the need for precise access-controls mechanisms that restrict the sharing of data to that intended by the patient. The authors describe the design and implementation of an access-control mechanism for PHR repositories that is modeled on the eXtensible Access Control Markup Language (XACML) standard, but intended to reduce the cognitive and computational complexity of XACML. The authors implemented the mechanism entirely in a relational database system using ANSI-standard SQL statements. Based on a set of access-control rules encoded as relational table rows, the mechanism determines via a single SQL query whether a user who accesses patient data from a specific application is authorized to perform a requested operation on a specified data object. Testing of this query on a moderately large database has demonstrated execution times consistently below 100ms. The authors include the details of the implementation, including algorithms, examples, and a test database as Supplementary materials. Copyright © 2010 Elsevier Inc. All rights reserved.

Solving the interoperability challenge of a distributed complex patient guidance system: a data integrator based on HL7's Virtual Medical Record standard.

Science.gov (United States)

Marcos, Carlos; González-Ferrer, Arturo; Peleg, Mor; Cavero, Carlos

2015-05-01

We show how the HL7 Virtual Medical Record (vMR) standard can be used to design and implement a data integrator (DI) component that collects patient information from heterogeneous sources and stores it into a personal health record, from which it can then retrieve data. Our working hypothesis is that the HL7 vMR standard in its release 1 version can properly capture the semantics needed to drive evidence-based clinical decision support systems. To achieve seamless communication between the personal health record and heterogeneous data consumers, we used a three-pronged approach. First, the choice of the HL7 vMR as a message model for all components accompanied by the use of medical vocabularies eases their semantic interoperability. Second, the DI follows a service-oriented approach to provide access to system components. Third, an XML database provides the data layer.Results The DI supports requirements of a guideline-based clinical decision support system implemented in two clinical domains and settings, ensuring reliable and secure access, high performance, and simplicity of integration, while complying with standards for the storage and processing of patient information needed for decision support and analytics. This was tested within the framework of a multinational project (www.mobiguide-project.eu) aimed at developing a ubiquitous patient guidance system (PGS). The vMR model with its extension mechanism is demonstrated to be effective for data integration and communication within a distributed PGS implemented for two clinical domains across different healthcare settings in two nations. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Validation of asthma recording in electronic health records: a systematic review

Directory of Open Access Journals (Sweden)

Nissen F

2017-12-01

Full Text Available Francis Nissen,1 Jennifer K Quint,2 Samantha Wilkinson,1 Hana Mullerova,3 Liam Smeeth,1 Ian J Douglas1 1Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK; 2National Heart and Lung Institute, Imperial College, London, UK; 3RWD & Epidemiology, GSK R&D, Uxbridge, UK Objective: To describe the methods used to validate asthma diagnoses in electronic health records and summarize the results of the validation studies. Background: Electronic health records are increasingly being used for research on asthma to inform health services and health policy. Validation of the recording of asthma diagnoses in electronic health records is essential to use these databases for credible epidemiological asthma research.Methods: We searched EMBASE and MEDLINE databases for studies that validated asthma diagnoses detected in electronic health records up to October 2016. Two reviewers independently assessed the full text against the predetermined inclusion criteria. Key data including author, year, data source, case definitions, reference standard, and validation statistics (including sensitivity, specificity, positive predictive value [PPV], and negative predictive value [NPV] were summarized in two tables.Results: Thirteen studies met the inclusion criteria. Most studies demonstrated a high validity using at least one case definition (PPV >80%. Ten studies used a manual validation as the reference standard; each had at least one case definition with a PPV of at least 63%, up to 100%. We also found two studies using a second independent database to validate asthma diagnoses. The PPVs of the best performing case definitions ranged from 46% to 58%. We found one study which used a questionnaire as the reference standard to validate a database case definition; the PPV of the case definition algorithm in this study was 89%. Conclusion: Attaining high PPVs (>80% is possible using each of the discussed validation

The intelligent data recorder

International Nuclear Information System (INIS)

Kojima, Mamoru; Hidekuma, Sigeru.

1985-01-01

The intelligent data recorder has been developed to data acquisition for a microwave interferometer. The 'RS-232C' which is the standard interface is used for data transmission to the host computer. Then, it's easy to connect with any computer which has general purpose serial port. In this report, the charcteristics of the intelligent data recorder and the way of developing the software are described. (author)

42 CFR 416.47 - Condition for coverage-Medical records.

Science.gov (United States)

2010-10-01

... accurate medical records to ensure adequate patient care. (a) Standard: Organization. The ASC must develop and maintain a system for the proper collection, storage, and use of patient records. (b) Standard...) Patient identification. (2) Significant medical history and results of physical examination. (3) Pre...

Audit of Medical Records of Shahid Madani Hospital

Directory of Open Access Journals (Sweden)

Mohammad farough-khosravi

2016-12-01

Full Text Available Background and Objectives: Evaluation of the quality of services and provided cares through comparing them with existing standards in order to identify and prioritize problems and trying to fix them are important steps in the audit of clinical functions. This study aimed to improve the quality of performance of medical records registrations about patients admitted to hospital Shahid Madani and deals with the audit of records listed them. Material and Methods: To perform this study, data were collected using researcher checklist. Target data of 30 medical records were gathered. We used software package of Mini Tab and SPSS to develop process statistical control charts and for statistical analysis of data, respectively. Results: By plotting control charts, we determined three specific reasons in the ADMISSION AND DISCHARGE SUMMARY SHEET, four specific reasons in the SUMMARY SHEET, and three specific reasons in CONSULTATION REQUEST SHEET. The lack of the standard form (on-delivered copies of a summary form “with 90%”, lack of the main form in patient's clinical record “with 83.3%”, lack of the patient's procedure “with 73.3%”are ranked as the most defects in SUMMARY SHEET. In the CONSULTATION REQUEST SHEET, failure to comply with doctor's stamp and signature standard with “20%” has highest percentage of defects. In the ADMISSION AND DISCHARGE SUMMARY SHEET nonconformity of standard records, patient's duration of stay “100%”, coding of diseases based on ICD"100%", recording of patient number based on signs and symptoms "93.3%", usingthe abbreviations to record the recognitions "93.3%" have highest percentage of defects respectively. Conclusion: Based on the results of this study and noting that studied standards of process statistical control charts are in the range of control, the quality of standards and the documentations of  the records

45 CFR 2543.50 - Purpose of reports and records.

Science.gov (United States)

2010-10-01

...'s financial and program performance and the necessary standard reporting forms. They also set forth... 45 Public Welfare 4 2010-10-01 2010-10-01 false Purpose of reports and records. 2543.50 Section...-PROFIT ORGANIZATIONS Post-Award Requirements Property Standards § 2543.50 Purpose of reports and records...

22 CFR 226.46 - Procurement records.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Procurement records. 226.46 Section 226.46 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Procurement Standards § 226.46 Procurement records...

Pilot project of atomic energy technology record

International Nuclear Information System (INIS)

Song, K. C.; Kim, Y. I.; Kim, Y. G.

2011-12-01

Project of the Atomic Energy Technology Record is the project that summarizes and records in each category as a whole summary from the background to the performance at all fields of nuclear science technology which researched and developed at KAERI. This project includes Data and Document Management System(DDMS) that will be the system to collect, organize and preserve various records occurred in each research and development process. To achieve these goals, many problems should be solved to establish technology records process, such as issues about investigation status of technology records in KAERI, understanding and collection records, set-up project system and selection target field, definition standards and range of target records. This is a research report on the arrangement of research contents and results about pilot project which records whole nuclear technology researched and developed at KAERI in each category. Section 2 summarizes the overview of this pilot project and the current status of technology records in domestic and overseas, and from Section 3 to Section 6 summarize contents and results which performed in this project. Section 3 summarizes making TOC(Table of Content) and technology records, Section 4 summarizes sectoral templates, Section 5 summarizes writing detailed plan of technology records, and Section 6 summarizes Standard Document Numbering System(SDNS). Conclusions of this report are described in Section 7

Time Spent on Dedicated Patient Care and Documentation Tasks Before and After the Introduction of a Structured and Standardized Electronic Health Record.

Science.gov (United States)

Joukes, Erik; Abu-Hanna, Ameen; Cornet, Ronald; de Keizer, Nicolette F

2018-01-01

Physicians spend around 35% of their time documenting patient data. They are concerned that adopting a structured and standardized electronic health record (EHR) will lead to more time documenting and less time for patient care, especially during consultations. This study measures the effect of the introduction of a structured and standardized EHR on documentation time and time for dedicated patient care during outpatient consultations. We measured physicians' time spent on four task categories during outpatient consultations: documentation, patient care, peer communication, and other activities. Physicians covered various specialties from two university hospitals that jointly implemented a structured and standardized EHR. Preimplementation, one hospital used a legacy-EHR, and one primarily paper-based records. The same physicians were observed 2 to 6 months before and 6 to 8 months after implementation.We analyzed consultation duration, and percentage of time spent on each task category. Differences in time distribution before and after implementation were tested using multilevel linear regression. We observed 24 physicians (162 hours, 439 consultations). We found no significant difference in consultation duration or number of consultations per hour. In the legacy-EHR center, we found the implementation associated with a significant decrease in time spent on dedicated patient care (-8.5%). In contrast, in the previously paper-based center, we found a significant increase in dedicated time spent on documentation (8.3%) and decrease in time on combined patient care and documentation (-4.6%). The effect on dedicated documentation time significantly differed between centers. Implementation of a structured and standardized EHR was associated with 8.5% decrease in time for dedicated patient care during consultations in one center and 8.3% increase in dedicated documentation time in another center. These results are in line with physicians' concerns that the introduction

Definition of a Storage Accounting Record

CERN Document Server

Jensen, H. T.; Müller-Pfefferkorn, R.; Nilsen, J. K.; Zsolt, M.; Zappi, R.

2011-01-01

In this document a storage accounting record StAR is defined reflecting practical, financial and legal requirements of storage location, usage and space and data flow. The definition might be the base for a standardized schema or an extension of an existing record like the OGF UR.

42 CFR 485.638 - Conditions of participation: Clinical records.

Science.gov (United States)

2010-10-01

... participation: Clinical records. (a) Standard: Records system—(1) The CAH maintains a clinical records system in..., readily accessible, and systematically organized. (4) For each patient receiving health care services, the CAH maintains a record that includes, as applicable— (i) Identification and social data, evidence of...

Accurate blood pressure recording: is it difficult?

Science.gov (United States)

Bhalla, A; Singh, R; D'cruz, S; Lehl, S S; Sachdev, A

2005-11-01

Blood pressure (BP) measurement is a routine procedure but errors are frequently committed during BP recording. AIMS AND SETTINGS: The aim of the study was to look at the prevalent practices in the institute regarding BP recording. The study was conducted in the Medicine Department at Government Medical College, Chandigarh, a teaching institute for MBBS students. A prospective, observational study was performed amongst the 80 doctors in a tertiary care hospital. All of them were observed by a single observer during the act of BP recording. The observer was well versed with the guidelines issued by British Hypertension Society (BHS) and the deviations from the standard set of guidelines issued by BHS were noted. The errors were defined as deviations from these guidelines. The results were recorded as percentage of doctors committing these errors. In our study, 90% used mercury type sphygmomanometer. Zero error of the apparatus, hand dominance was not noted by any one. Every one used the standard BP cuff for recording BP. 70% of them did not let the patient rest before recording BP. 80% did not remove the clothing from the arm. None of them recorded BP in both arms. In out patient setting, 80% recorded blood pressure in sitting position and 14% in supine position. In all the patients where BP was recorded in sitting position BP apparatus was below the level of heart and 20% did not have their arm supported. 60% did not use palpatory method for noticing systolic BP and 70% did not raise pressure 30-40 mm Hg above the systolic level before checking the BP by auscultation. 80% lowered the BP at a rate of more than 2 mm/s and 60% rounded off the BP to nearest 5-10 mm Hg. 70% recorded BP only once and 90% of the rest re inflated the cuff without completely deflating and allowing rest before a second reading was obtained. The practice of recording BP in our hospital varies from the standard guidelines issued by the BHS.

Examining database persistence of ISO/EN 13606 standardized electronic health record extracts: relational vs. NoSQL approaches.

Science.gov (United States)

Sánchez-de-Madariaga, Ricardo; Muñoz, Adolfo; Lozano-Rubí, Raimundo; Serrano-Balazote, Pablo; Castro, Antonio L; Moreno, Oscar; Pascual, Mario

2017-08-18

The objective of this research is to compare the relational and non-relational (NoSQL) database systems approaches in order to store, recover, query and persist standardized medical information in the form of ISO/EN 13606 normalized Electronic Health Record XML extracts, both in isolation and concurrently. NoSQL database systems have recently attracted much attention, but few studies in the literature address their direct comparison with relational databases when applied to build the persistence layer of a standardized medical information system. One relational and two NoSQL databases (one document-based and one native XML database) of three different sizes have been created in order to evaluate and compare the response times (algorithmic complexity) of six different complexity growing queries, which have been performed on them. Similar appropriate results available in the literature have also been considered. Relational and non-relational NoSQL database systems show almost linear algorithmic complexity query execution. However, they show very different linear slopes, the former being much steeper than the two latter. Document-based NoSQL databases perform better in concurrency than in isolation, and also better than relational databases in concurrency. Non-relational NoSQL databases seem to be more appropriate than standard relational SQL databases when database size is extremely high (secondary use, research applications). Document-based NoSQL databases perform in general better than native XML NoSQL databases. EHR extracts visualization and edition are also document-based tasks more appropriate to NoSQL database systems. However, the appropriate database solution much depends on each particular situation and specific problem.

DOE technical standards list: Directory of DOE and contractor personnel involved in non-government standards activities

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-05-01

The body of this document contains a listing of DOE employees and DOE contractors who have submitted form DOE F 1300.2, Record of Non-Government Standards Activity, which is attached to the end of this document. Additional names were added from rosters supplied by non-Government standards bodies. The committees or governing bodies in which the person participates is listed after each name. An asterisk preceding the committee notation indicates that the person has identified himself or herself as the DOE representative on that committee. Appendices to this document are also provided to sort the information by the parent employment organization, by non-Government standards activity, and by the proper names of the non-Government standards organizations and committees. DOE employees and contractors listed in this technical standards list are those recorded as of May 1, 1999.

A Peer-Reviewed Instructional Video is as Effective as a Standard Recorded Didactic Lecture in Medical Trainees Performing Chest Tube Insertion: A Randomized Control Trial.

Science.gov (United States)

Saun, Tomas J; Odorizzi, Scott; Yeung, Celine; Johnson, Marjorie; Bandiera, Glen; Dev, Shelly P

Online medical education resources are becoming an increasingly used modality and many studies have demonstrated their efficacy in procedural instruction. This study sought to determine whether a standardized online procedural video is as effective as a standard recorded didactic teaching session for chest tube insertion. A randomized control trial was conducted. Participants were taught how to insert a chest tube with either a recorded didactic teaching session, or a New England Journal of Medicine (NEJM) video. Participants filled out a questionnaire before and after performing the procedure on a cadaver, which was filmed and assessed by 2 blinded evaluators using a standardized tool. Western University, London, Ontario. Level of clinical care: institutional. A total of 30 fourth-year medical students from 2 graduating classes at the Schulich School of Medicine & Dentistry were screened for eligibility. Two students did not complete the study and were excluded. There were 13 students in the NEJM group, and 15 students in the didactic group. The NEJM group׳s average score was 45.2% (±9.56) on the prequestionnaire, 67.7% (±12.9) for the procedure, and 60.1% (±7.65) on the postquestionnaire. The didactic group׳s average score was 42.8% (±10.9) on the prequestionnaire, 73.7% (±9.90) for the procedure, and 46.5% (±7.46) on the postquestionnaire. There was no difference between the groups on the prequestionnaire (Δ + 2.4%; 95% CI: -5.16 to 9.99), or the procedure (Δ -6.0%; 95% CI: -14.6 to 2.65). The NEJM group had better scores on the postquestionnaire (Δ + 11.15%; 95% CI: 3.74-18.6). The NEJM video was as effective as video-recorded didactic training for teaching the knowledge and technical skills essential for chest tube insertion. Participants expressed high satisfaction with this modality. It may prove to be a helpful adjunct to standard instruction on the topic. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc

15 CFR 14.50 - Purpose of reports and records.

Science.gov (United States)

2010-01-01

... financial and program performance and the necessary standard reporting forms. They also set forth record... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Purpose of reports and records. 14.50... COMMERCIAL ORGANIZATIONS Post-Award Requirements Reports and Records § 14.50 Purpose of reports and records...

Human-centered design of a personal health record system for metabolic syndrome management based on the ISO 9241-210:2010 standard

Directory of Open Access Journals (Sweden)

Farinango CD

2018-01-01

Full Text Available Charic D Farinango,1 Juan S Benavides,1 Jesús D Cerón,1 Diego M López,1 Rosa E Álvarez2 1Telematics Engineering Research Group, Faculty of Electronics and Telecommunications Engineering, Universidad del Cauca, Popayán, Colombia; 2Human Genetics Research Group, Faculty of Health Sciences, Universidad del Cauca, Popayán, Colombia Background: Previous studies have demonstrated the effectiveness of information and communication technologies to support healthy lifestyle interventions. In particular, personal health record systems (PHR-Ss empower self-care, essential to support lifestyle changes. Approaches such as the user-centered design (UCD, which is already a standard within the software industry (ISO 9241-210:2010, provide specifications and guidelines to guarantee user acceptance and quality of eHealth systems. However, no single PHR-S for metabolic syndrome (MS developed following the recommendations of the ISO 9241-210:2010 specification has been found in the literature.Objective: The aim of this study was to describe the development of a PHR-S for the management of MS according to the principles and recommendations of the ISO 9241-210 standard.Methods: The proposed PHR-S was developed using a formal software development process which, in addition to the traditional activities of any software process, included the principles and recommendations of the ISO 9241-210 standard. To gather user information, a survey sample of 1,187 individuals, eight interviews, and a focus group with seven people were performed. Throughout five iterations, three prototypes were built. Potential users of each system evaluated each prototype. The quality attributes of efficiency, effectiveness, and user satisfaction were assessed using metrics defined in the ISO/IEC 25022 standard.Results: The following results were obtained: 1 a technology profile from 1,187 ­individuals at risk for MS from the city of Popayan, Colombia, identifying that 75.2% of the people

Incorporating personalized gene sequence variants, molecular genetics knowledge, and health knowledge into an EHR prototype based on the Continuity of Care Record standard

Science.gov (United States)

Jing, Xia; Kay, Stephen; Marley, Tom; Hardiker, Nicholas R.; Cimino, James J.

2011-01-01

Summary Objectives The current volume and complexity of genetic tests, and the molecular genetics knowledge and health knowledge related to interpretation of the results of those tests, are rapidly outstripping the ability of individual clinicians to recall, understand and convey to their patients information relevant to their care. The tailoring of molecular genetics knowledge and health knowledge in clinical settings is important both for the provision of personalized medicine and to reduce clinician information overload. In this paper we describe the incorporation, customization and demonstration of molecular genetic data (mainly sequence variants), molecular genetics knowledge and health knowledge into a standards-based electronic health record (EHR) prototype developed specifically for this study. Methods We extended the CCR (Continuity of Care Record), an existing EHR standard for representing clinical data, to include molecular genetic data. An EHR prototype was built based on the extended CCR and designed to display relevant molecular genetics knowledge and health knowledge from an existing knowledge base for cystic fibrosis (OntoKBCF). We reconstructed test records from published case reports and represented them in the CCR schema. We then used the EHR to dynamically filter molecular genetics knowledge and health knowledge from OntoKBCF using molecular genetic data and clinical data from the test cases. Results The molecular genetic data were successfully incorporated in the CCR by creating a category of laboratory results called “Molecular Genetics ” and specifying a particular class of test (“Gene Mutation Test”) in this category. Unlike other laboratory tests reported in the CCR, results of tests in this class required additional attributes (“Molecular Structure” and “Molecular Position”) to support interpretation by clinicians. These results, along with clinical data (age, sex, ethnicity, diagnostic procedures, and therapies) were used

49 CFR 237.155 - Documents and records.

Science.gov (United States)

2010-10-01

..., DEPARTMENT OF TRANSPORTATION BRIDGE SAFETY STANDARDS Documentation, Records, and Audits of Bridge Management Programs § 237.155 Documents and records. Each track owner required to implement a bridge management... protected by a security system that incorporates a user identity and password, or a comparable method, to...

JPRS Report, Science & Technology, China: Energy

Science.gov (United States)

1988-03-18

character of the biosensor market has not yet been defined in great detail because of the hybrid nature of the products, associating as they do...JPRS-ELS-88-009 18 March 1988 21 WEST EUROPE gas discharge to excite phosphor through photoluminesc - ence. According to Thomson-CSF, this first...the example of Alsthom at its Belfort plant. These superconducting ceramics of the perovskites family, with a base of lanthanum, yttrium, barium, and

Beyond the standard model

International Nuclear Information System (INIS)

Wilczek, F.

1993-01-01

The standard model of particle physics is highly successful, although it is obviously not a complete or final theory. In this presentation the author argues that the structure of the standard model gives some quite concrete, compelling hints regarding what lies beyond. Essentially, this presentation is a record of the author's own judgement of what the central clues for physics beyond the standard model are, and also it is an attempt at some pedagogy. 14 refs., 6 figs

DOE technical standards list: Directory of DOE and contractor personnel involved in non-government standards activities

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-08-01

The body of this document contains a listing of DOE employees and DOE contractors who have submitted form DOE F 1300.2, Record of Non-Government Standards Activity, which is attached to the end of this document and to DOE Order 1300.2A. Additional names were added from rosters supplied by non-Government standards bodies. The committees or governing bodies in which the person participates is listed after each name. An asterisk preceding the committee notation indicates that the person has identified himself or herself as the DOE representative on that committee. Appendices to this document are also provided to sort the information by the parent employment organization, by non-Government standards activity, and by the proper names of the non-Government standards organizations and committees. DOE employees and contractors listed in this TSL are those recorded as of July 1, 1996.

Development of the common standard for revenue recording as a part of the US GAAP and IAS/IFRS systems convergence

Directory of Open Access Journals (Sweden)

Hana Bohušová

2009-01-01

Full Text Available The most significant difference between US GAAP and IFRSs is in the area of general approach. IFRSs are based on basic accounting principles1 with limited application guidance, US GAAPs are based especially on rules with specific application guidance. FASB and IASB initiated their joint project on revenue recording to converge IFRS and US GAAP in this area. The main objective of this paper is comparative analysis of revenue recognition under both systems, evaluation of the most significant differences in revenue recognition and measurements as a starting point for the preparation of the new general standard for revenue recognition and the new approach to the revenue recognition development.In this paper, the current approaches to revenue recognition under both systems are compared. The most significant difference is the general approach to revenue recognition. There is the Conceptual Framework where revenue is defined, two standards on revenue recognition and interpretations concerning revenue recognition and measurement in the IAS/IFRS. On the other hand, there are many standards and guidance concerning revenue in the US GAAP. Revenue is defined in the Statements of Financial Accounting concepts (CON 5, CON 6. There is not any general standard for revenue recognition under the US GAAP. The most significant differences in revenue recognition concern the long-term contracts and deferred payments. Despite this difference, there are many similarities between both systems.Based on the results of the comparative analysis which was done in the paper, a new approach for re­ve­nue recognition based on principles for the new general standard for revenue recognition common for both systems is being developed.

DCC DIFFUSE Standards Frameworks: A Standards Path through the Curation Lifecycle

Directory of Open Access Journals (Sweden)

Sarah Higgins

2009-10-01

Full Text Available Normal 0 false false false MicrosoftInternetExplorer4 DCC DIFFUSE Standards Frameworks aims to offer domain specific advice on standards relevant to digital preservation and curation, to help curators identify which standards they should be using and where they can be appropriately implemented, to ensure authoritative digital material. The Project uses the DCC Curation Lifecycle Model and Web 2.0 technology, to visually present standards frameworks for a number of disciplines. The Digital Curation Centre (DCC is actively working with a different relevant organisations to present searchable frameworks of standards, for a number of domains. These include digital repositories, records management, the geo-information sector, archives and the museum sector. Other domains, such as e-science, will shortly be investigated.

Documentation: Records and Reports.

Science.gov (United States)

Akers, Michael J

2017-01-01

This article deals with documentation to include the beginning of documentation, the requirements of Good Manufacturing Practice reports and records, and the steps that can be taken to minimize Good Manufacturing Practice documentation problems. It is important to remember that documentation for 503a compounding involves the Formulation Record, Compounding Record, Standard Operating Procedures, Safety Data Sheets, etc. For 503b outsourcing facilities, compliance with Current Good Manufacturing Practices is required, so this article is applicable to them. For 503a pharmacies, one can see the development and modification of Good Manufacturing Practice and even observe changes as they are occurring in 503a documentation requirements and anticipate that changes will probably continue to occur. Copyright© by International Journal of Pharmaceutical Compounding, Inc.

Standardization of the cumulative absolute velocity

International Nuclear Information System (INIS)

O'Hara, T.F.; Jacobson, J.P.

1991-12-01

EPRI NP-5930, ''A Criterion for Determining Exceedance of the Operating Basis Earthquake,'' was published in July 1988. As defined in that report, the Operating Basis Earthquake (OBE) is exceeded when both a response spectrum parameter and a second damage parameter, referred to as the Cumulative Absolute Velocity (CAV), are exceeded. In the review process of the above report, it was noted that the calculation of CAV could be confounded by time history records of long duration containing low (nondamaging) acceleration. Therefore, it is necessary to standardize the method of calculating CAV to account for record length. This standardized methodology allows consistent comparisons between future CAV calculations and the adjusted CAV threshold value based upon applying the standardized methodology to the data set presented in EPRI NP-5930. The recommended method to standardize the CAV calculation is to window its calculation on a second-by-second basis for a given time history. If the absolute acceleration exceeds 0.025g at any time during each one second interval, the earthquake records used in EPRI NP-5930 have been reanalyzed and the adjusted threshold of damage for CAV was found to be 0.16g-set

The Trends and Prospects of Health Information Standards : Standardization Analysis and Suggestions

International Nuclear Information System (INIS)

Kim, Chang Soo

2008-01-01

Ubiquitous health care system, which is one of the developing solution technologies of IT, BT and NT, could give us new medical environments in future. Implementing health information systems can be complex, expensive and frustrating. Healthcare professionals seeking to acquire or upgrade systems do not have a convenient, reliable way of specifying a level of adherence to communication standards sufficient to achieve truly efficient interoperability. Great progress has been made in establishing such standards-DICOM, IHE and HL7, notably, are now highly advanced. IHE has defined a common framework to deliver the basic interoperability needed for local and regional health information networks. It has developed a foundational set of standards-based integration profiles for information exchange with three interrelated efforts. HL7 is one of several ANSI-accredited Standards Developing Organizations operating in the healthcare arena. Most SDOs produce standards (protocols) for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance transactions. HL7's domain is clinical and administrative data. HL7 is an international community of healthcare subject matter experts and information scientists collaborating to create standards for the exchange, management and integration of electronic healthcare information. The ASTM specification for Continuity of Care Record was developed by subcommittee E31.28 on electronic health records, which includes clinicians, provider institutions, administrators, patient advocates, vendors, and health industry. In this paper, there are suggestions that provide a test bed, demonstration and specification of how standards such a IHE, HL7, ASTM can be used to provide an integrated environment.

The Trends and Prospects of Health Information Standards : Standardization Analysis and Suggestions

Energy Technology Data Exchange (ETDEWEB)

Kim, Chang Soo [Dept. of Radiological Science, College of Health Science, Catholic University of Pusan, Pusan (Korea, Republic of)

2008-03-15

Ubiquitous health care system, which is one of the developing solution technologies of IT, BT and NT, could give us new medical environments in future. Implementing health information systems can be complex, expensive and frustrating. Healthcare professionals seeking to acquire or upgrade systems do not have a convenient, reliable way of specifying a level of adherence to communication standards sufficient to achieve truly efficient interoperability. Great progress has been made in establishing such standards-DICOM, IHE and HL7, notably, are now highly advanced. IHE has defined a common framework to deliver the basic interoperability needed for local and regional health information networks. It has developed a foundational set of standards-based integration profiles for information exchange with three interrelated efforts. HL7 is one of several ANSI-accredited Standards Developing Organizations operating in the healthcare arena. Most SDOs produce standards (protocols) for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance transactions. HL7's domain is clinical and administrative data. HL7 is an international community of healthcare subject matter experts and information scientists collaborating to create standards for the exchange, management and integration of electronic healthcare information. The ASTM specification for Continuity of Care Record was developed by subcommittee E31.28 on electronic health records, which includes clinicians, provider institutions, administrators, patient advocates, vendors, and health industry. In this paper, there are suggestions that provide a test bed, demonstration and specification of how standards such a IHE, HL7, ASTM can be used to provide an integrated environment.

Corridor consultations and the medical microbiological record: is patient safety at risk?

Science.gov (United States)

Heard, S R; Roberts, C; Furrows, S J; Kelsey, M; Southgate, L

2003-01-01

The performance procedures of the General Medical Council are aimed at identifying seriously deficient performance in a doctor. The performance procedures require the medical record to be of a standard that enables the next doctor seeing the patient to give adequate care based on the available information. Setting standards for microbiological record keeping has proved difficult. Over one fifth of practising medical microbiologists (including virologists) in the UK (139 of 676) responded to a survey undertaken by the working group developing the performance procedures for microbiology, to identify current practice and to develop recommendations for agreement within the profession about the standards of the microbiological record. The cumulative frequency for the surveyed recording methods used indicated that at various times 65% (90 of 139) of respondents used a daybook, 62% (86 of 139) used the back of the clinical request card, 57% (79 of 139) used a computer record, and 22% (30 of 139) used an index card system to record microbiological advice, suggesting wide variability in relation to how medical microbiologists maintain clinical records. PMID:12499432

A Standards-Based Architecture Proposal for Integrating Patient mHealth Apps to Electronic Health Record Systems.

Science.gov (United States)

Marceglia, S; Fontelo, P; Rossi, E; Ackerman, M J

2015-01-01

Mobile health Applications (mHealth Apps) are opening the way to patients' responsible and active involvement with their own healthcare management. However, apart from Apps allowing patient's access to their electronic health records (EHRs), mHealth Apps are currently developed as dedicated "island systems". Although much work has been done on patient's access to EHRs, transfer of information from mHealth Apps to EHR systems is still low. This study proposes a standards-based architecture that can be adopted by mHealth Apps to exchange information with EHRs to support better quality of care. Following the definition of requirements for the EHR/mHealth App information exchange recently proposed, and after reviewing current standards, we designed the architecture for EHR/mHealth App integration. Then, as a case study, we modeled a system based on the proposed architecture aimed to support home monitoring for congestive heart failure patients. We simulated such process using, on the EHR side, OpenMRS, an open source longitudinal EHR and, on the mHealth App side, the iOS platform. The integration architecture was based on the bi-directional exchange of standard documents (clinical document architecture rel2 - CDA2). In the process, the clinician "prescribes" the home monitoring procedures by creating a CDA2 prescription in the EHR that is sent, encrypted and de-identified, to the mHealth App to create the monitoring calendar. At the scheduled time, the App alerts the patient to start the monitoring. After the measurements are done, the App generates a structured CDA2-compliant monitoring report and sends it to the EHR, thus avoiding local storage. The proposed architecture, even if validated only in a simulation environment, represents a step forward in the integration of personal mHealth Apps into the larger health-IT ecosystem, allowing the bi-directional data exchange between patients and healthcare professionals, supporting the patient's engagement in self

Creating Standardized Video Recordings of Multimodal Interactions across Cultures

DEFF Research Database (Denmark)

Rehm, Matthias; André, Elisabeth; Bee, Nikolaus

2009-01-01

the literature is often too anecdotal to serve as the basis for modeling a system’s behavior, making it necessary to collect multimodal corpora in a standardized fashion in different cultures. In this chapter, the challenges of such an endeavor are introduced and solutions are presented by examples from a German......-Japanese project that aims at modeling culture-specific behaviors for Embodied Conversational Agents....

24 CFR 84.50 - Purpose of reports and records.

Science.gov (United States)

2010-04-01

... Records § 84.50 Purpose of reports and records. Sections 84.51 through 84.53 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary standard... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Purpose of reports and records. 84...

UMTRA Project Administrative Files Collection Records Management Program

International Nuclear Information System (INIS)

1994-09-01

The UPAFC Records Management Plan is based on the life cycle of a record - the evolution of a record from creation until final disposition. There are three major phases in the life cycle of a record: (1) creation and receipt, (2) maintenance and use, and (3) disposition. Accordingly, the Records Management Plan is structured to follow each of those phases. During each of the three phases, some kind of control is mandatory. The Records Management Plan establishes appropriate standards, policies, and procedures to ensure adequate control is always maintained. It includes a plan for records management, a plan for records management training activities, and a plan for auditing and appraising the program

Assessing use of a standardized dental diagnostic terminology in an electronic health record

NARCIS (Netherlands)

Tokede, O.; White, J.; Stark, P.C.; Vaderhobli, R.; Walji, M.F.; Ramoni, R.; Schoonheim-Klein, M.; Kimmes, N.; Tavares, A.; Kalenderian, E.

2013-01-01

Although standardized terminologies such as the International Classification of Diseases have been in use in medicine for over a century, efforts in the dental profession to standardize dental diagnostic terms have not achieved widespread acceptance. To address this gap, a standardized dental

Optimization and standardization of pavement management processes.

Science.gov (United States)

2004-08-01

This report addresses issues related to optimization and standardization of current pavement management processes in Kentucky. Historical pavement management records were analyzed, which indicates that standardization is necessary in future pavement ...

Human-centered design of a personal health record system for metabolic syndrome management based on the ISO 9241-210:2010 standard.

Science.gov (United States)

Farinango, Charic D; Benavides, Juan S; Cerón, Jesús D; López, Diego M; Álvarez, Rosa E

2018-01-01

Previous studies have demonstrated the effectiveness of information and communication technologies to support healthy lifestyle interventions. In particular, personal health record systems (PHR-Ss) empower self-care, essential to support lifestyle changes. Approaches such as the user-centered design (UCD), which is already a standard within the software industry (ISO 9241-210:2010), provide specifications and guidelines to guarantee user acceptance and quality of eHealth systems. However, no single PHR-S for metabolic syndrome (MS) developed following the recommendations of the ISO 9241-210:2010 specification has been found in the literature. The aim of this study was to describe the development of a PHR-S for the management of MS according to the principles and recommendations of the ISO 9241-210 standard. The proposed PHR-S was developed using a formal software development process which, in addition to the traditional activities of any software process, included the principles and recommendations of the ISO 9241-210 standard. To gather user information, a survey sample of 1,187 individuals, eight interviews, and a focus group with seven people were performed. Throughout five iterations, three prototypes were built. Potential users of each system evaluated each prototype. The quality attributes of efficiency, effectiveness, and user satisfaction were assessed using metrics defined in the ISO/IEC 25022 standard. The following results were obtained: 1) a technology profile from 1,187 individuals at risk for MS from the city of Popayan, Colombia, identifying that 75.2% of the people use the Internet and 51% had a smartphone; 2) a PHR-S to manage MS developed (the PHR-S has the following five main functionalities: record the five MS risk factors, share these measures with health care professionals, and three educational modules on nutrition, stress management, and a physical activity); and 3) usability tests on each prototype obtaining the following results: 100

Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice.

Science.gov (United States)

Ferber, R; Millman, R; Coppola, M; Fleetham, J; Murray, C F; Iber, C; McCall, V; Nino-Murcia, G; Pressman, M; Sanders, M

1994-06-01

The objective assessment of patients with a presumptive diagnosis of obstructive sleep apnea (OSA) has primarily used attended polysomnographic study. Recent technologic advances and issues of availability, convenience and cost have led to a rapid increase in the use of portable recording devices. However, limited scientific information has been published regarding the evaluation of the efficacy, accuracy, validity, utility, cost effectiveness and limitations of this portable equipment. Attaining a clear assessment of the role of portable devices is complicated by the multiplicity of recording systems and the variability of clinical settings in which they have been analyzed. This paper reviews the current knowledge base regarding portable recording in the assessment of OSA, including technical considerations, validation studies, potential advantages and disadvantages, issues of safety, current clinical usage and areas most in need of further study.

An experimental digital consumer recorder for MPEG-coded video signals

NARCIS (Netherlands)

Saeijs, R.W.J.J.; With, de P.H.N.; Rijckaert, A.M.A.; Wong, C.

1995-01-01

The concept and real-time implementation of an experimental home-use digital recorder is presented, capable of recording MPEG-compressed video signals. The system has small recording mechanics based on the DVC standard and it uses MPEG compression for trick-mode signals as well

DER NEUE STANDARD IFRS 15 - IASB UND FASB VERABSCHIEDEN EINEN WEITGEHEND EINHEITLICHEN STANDARD ZUR UMSATZREALISIERUNG

OpenAIRE

Bodo Runzheimer

2015-01-01

The international accounting regulations regarding sales revenues have been changed. In May 2014, the International Accounting Standards Board (IASB) and the US regulator, the Financial Accounting Standards Board (FASB), published together new revenue recording regulations, which will be applied in IFRS (International Financial Reporting Standards) as well as in US-GAAP (United States Generally Accepted Accounting Principles). The core principle of the new IFRS 15 is that an entity will recog...

Managing electronic records methods, best practices, and technologies

CERN Document Server

Smallwood, Robert F

2013-01-01

The ultimate guide to electronic records management, featuring a collaboration of expert practitioners including over 400 cited references documenting today's global trends, standards, and best practices Nearly all business records created today are electronic, and are increasing in number at breathtaking rates, yet most organizations do not have the policies and technologies in place to effectively organize, search, protect, preserve, and produce these records. Authored by an internationally recognized expert on e-records in collaboration with leading subject matter experts worldwide

A global travelers' electronic health record template standard for personal health records.

Science.gov (United States)

Li, Yu-Chuan; Detmer, Don E; Shabbir, Syed-Abdul; Nguyen, Phung Anh; Jian, Wen-Shan; Mihalas, George I; Shortliffe, Edward H; Tang, Paul; Haux, Reinhold; Kimura, Michio

2012-01-01

Tourism as well as international business travel creates health risks for individuals and populations both in host societies and home countries. One strategy to reduce health-related risks to travelers is to provide travelers and relevant caregivers timely, ongoing access to their own health information. Many websites offer health advice for travelers. For example, the WHO and US Department of State offer up-to-date health information about countries relevant to travel. However, little has been done to assure travelers that their medical information is available at the right place and time when the need might arise. Applications of Information and Communication Technology (ICT) utilizing mobile phones for health management are promising tools both for the delivery of healthcare services and the promotion of personal health. This paper describes the project developed by international informaticians under the umbrella of the International Medical Informatics Association. A template capable of becoming an international standard is proposed. This application is available free to anyone who is interested. Furthermore, its source code is made open.

Definition of the Compute Accounting Record (CAR)

CERN Document Server

Guarise, A.

2011-01-01

In this document we define a Compute Accounting Usage Record on the basis of the already existing OGF UR V1.0 standard. The existing standard has been slightly modified both in syntactical and semantic aspects to allow for greater interoperability for the existing middleware layers and taking into consideration existing grid use cases.

Developing an electronic health record (EHR) for methadone treatment recording and decision support.

LENUS (Irish Health Repository)

Xiao, Liang

2011-02-01

In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR.

The standardized EEG electrode array of the IFCN.

Science.gov (United States)

Seeck, Margitta; Koessler, Laurent; Bast, Thomas; Leijten, Frans; Michel, Christoph; Baumgartner, Christoph; He, Bin; Beniczky, Sándor

2017-10-01

Standardized EEG electrode positions are essential for both clinical applications and research. The aim of this guideline is to update and expand the unifying nomenclature and standardized positioning for EEG scalp electrodes. Electrode positions were based on 20% and 10% of standardized measurements from anatomical landmarks on the skull. However, standard recordings do not cover the anterior and basal temporal lobes, which is the most frequent source of epileptogenic activity. Here, we propose a basic array of 25 electrodes including the inferior temporal chain, which should be used for all standard clinical recordings. The nomenclature in the basic array is consistent with the 10-10-system. High-density scalp EEG arrays (64-256 electrodes) allow source imaging with even sub-lobar precision. This supplementary exam should be requested whenever necessary, e.g. search for epileptogenic activity in negative standard EEG or for presurgical evaluation. In the near future, nomenclature for high density electrodes arrays beyond the 10-10 system needs to be defined, to allow comparison and standardized recordings across centers. Contrary to the established belief that smaller heads needs less electrodes, in young children at least as many electrodes as in adults should be applied due to smaller skull thickness and the risk of spatial aliasing. Copyright © 2017 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.

Admission medical records made at night time have the same quality as day and evening time records.

Science.gov (United States)

Amirian, Ilda; Mortensen, Jacob F; Rosenberg, Jacob; Gögenur, Ismail

2014-07-01

A thorough and accurate admission medical record is an important tool in ensuring patient safety during the hospital stay. Surgeons' performance might be affected during night shifts due to sleep deprivation. The aim of the study was to assess the quality of admission medical records during day, evening and night time. A total of 1,000 admission medical records were collected from 2009 to 2013 based equally on four diagnoses: mechanical bowel obstruction, appendicitis, gallstone disease and gastrointestinal bleeding. The records were reviewed for errors by a pre-defined checklist based on Danish standards for admission medical records. The time of dictation for the medical record was registered. A total of 1,183 errors were found in 778 admission medical records made during day- and evening time, and 322 errors in 222 admission medical records from night time shifts. No significant overall difference in error was found in the admission medical records when day and evening values were compared to night values. Subgroup analyses made for all four diagnoses showed no difference in day and evening values compared with night time values. Night time deterioration was not seen in the quality of the medical records.

Professional Training for TRADOC Environmental and Natural Resource Professionals. Volume 2. Source Listings

Science.gov (United States)

1991-05-01

0- -0- -O -0 -0 -0 -0- -0- -0 -0 -0 -0 -0- School Name: Slippery Rock University of Pennsylvania School Address: . Slippery Rock PA 16057-9989...Present Enrollment -0- -0- 9--0- -0- 60 Total # of Seimster Hours Offered In HWt Education -0- -0- -0- -0- -0- -0- School Name: Slippery Rock University of...Asbestos ig, Inc. 920 Twin Elms Ct. 4190 Belfort Road, Suite 200 Nashville, TN 37210 Jacksonville, FL 32216 (615) 255-8331 (904) 739-2727 Mr. Michael D

NASA software documentation standard software engineering program

Science.gov (United States)

1991-01-01

The NASA Software Documentation Standard (hereinafter referred to as Standard) can be applied to the documentation of all NASA software. This Standard is limited to documentation format and content requirements. It does not mandate specific management, engineering, or assurance standards or techniques. This Standard defines the format and content of documentation for software acquisition, development, and sustaining engineering. Format requirements address where information shall be recorded and content requirements address what information shall be recorded. This Standard provides a framework to allow consistency of documentation across NASA and visibility into the completeness of project documentation. This basic framework consists of four major sections (or volumes). The Management Plan contains all planning and business aspects of a software project, including engineering and assurance planning. The Product Specification contains all technical engineering information, including software requirements and design. The Assurance and Test Procedures contains all technical assurance information, including Test, Quality Assurance (QA), and Verification and Validation (V&V). The Management, Engineering, and Assurance Reports is the library and/or listing of all project reports.

Waveform shape analysis: extraction of physiologically relevant information from Doppler recordings.

Science.gov (United States)

Ramsay, M M; Broughton Pipkin, F; Rubin, P C; Skidmore, R

1994-05-01

1. Doppler recordings were made from the brachial artery of healthy female subjects during a series of manoeuvres which altered the pressure-flow characteristics of the vessel. 2. Changes were induced in the peripheral circulation of the forearm by the application of heat or ice-packs. A sphygmomanometer cuff was used to create graded occlusion of the vessel above and below the point of measurement. Recordings were also made whilst the subjects performed a standardized Valsalva manoeuvre. 3. The Doppler recordings were analysed both with the standard waveform indices (systolic/diastolic ratio, pulsatility index and resistance index) and by the method of Laplace transform analysis. 4. The waveform parameters obtained by Laplace transform analysis distinguished the different changes in flow conditions; they thus had direct physiological relevance, unlike the standard waveform indices.

Framework for establishing records control in hospitals as an ISO 9001 requirement.

Science.gov (United States)

Al-Qatawneh, Lina

2017-02-13

Purpose The purpose of this paper is to present the process followed to control records in a Jordanian private community hospital as an ISO 9001:2008 standard requirement. Design/methodology/approach Under the hospital quality council's supervision, the quality management and development office staff were responsible for designing, planning and implementing the quality management system (QMS) using the ISO 9001:2008 standard. A policy for records control was established. An action plan for establishing the records control was developed and implemented. On completion, a coding system for records was specified to be used by hospital staff. Finally, an internal audit was performed to verify conformity to the ISO 9001:2008 standard requirements. Findings Successful certification by a neutral body ascertained that the hospital's QMS conformed to the ISO 9001:2008 requirements. A framework was developed that describes the records controlling process, which can be used by staff in any healthcare organization wanting to achieve ISO 9001:2008 accreditation. Originality/value Given the increased interest among healthcare organizations to achieve the ISO 9001 certification, the proposed framework for establishing records control is developed and is expected to be a valuable management tool to improve and sustain healthcare quality.

Quality of nursing documentation: Paper-based health records versus electronic-based health records.

Science.gov (United States)

Akhu-Zaheya, Laila; Al-Maaitah, Rowaida; Bany Hani, Salam

2018-02-01

To assess and compare the quality of paper-based and electronic-based health records. The comparison examined three criteria: content, documentation process and structure. Nursing documentation is a significant indicator of the quality of patient care delivery. It can be either paper-based or organised within the system known as the electronic health records. Nursing documentation must be completed at the highest standards, to ensure the safety and quality of healthcare services. However, the evidence is not clear on which one of the two forms of documentation (paper-based versus electronic health records is more qualified. A retrospective, descriptive, comparative design was used to address the study's purposes. A convenient number of patients' records, from two public hospitals, were audited using the Cat-ch-Ing audit instrument. The sample size consisted of 434 records for both paper-based health records and electronic health records from medical and surgical wards. Electronic health records were better than paper-based health records in terms of process and structure. In terms of quantity and quality content, paper-based records were better than electronic health records. The study affirmed the poor quality of nursing documentation and lack of nurses' knowledge and skills in the nursing process and its application in both paper-based and electronic-based systems. Both forms of documentation revealed drawbacks in terms of content, process and structure. This study provided important information, which can guide policymakers and administrators in identifying effective strategies aimed at enhancing the quality of nursing documentation. Policies and actions to ensure quality nursing documentation at the national level should focus on improving nursing knowledge, competencies, practice in nursing process, enhancing the work environment and nursing workload, as well as strengthening the capacity building of nursing practice to improve the quality of nursing care and

DOE Technical Standards List. Directory of DOE and contractor personnel involved in non-government standards activities

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-06-01

This is a periodic report on the level of agency participation in non-Government standards activities. This technical standards list is intended to assist US Department of Energy (DOE) management and other personnel involved in the DOE technical Standards Program by identifying those participating individuals. The body of this document contains a listing of DOE employees and DOE contractors who have submitted a Record of Non-Government Standards Activity. Additional names were added from rosters supplied by non-Government standards bodies. Appendices to this document are provided to list the information by parent employment organization, by non-Government standards activity, and by the proper names of the non-Government standards organizations and committees.

36 CFR 1220.3 - What standards are used as guidelines for subchapter B?

Science.gov (United States)

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What standards are used as guidelines for subchapter B? 1220.3 Section 1220.3 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT FEDERAL RECORDS; GENERAL § 1220.3 What standards are used as...

75 FR 78688 - Privacy Act of 1974; System of Records

Science.gov (United States)

2010-12-16

... automated records maintained by Space and Warfare Systems Center Atlantic.'' * * * * * Retention and... Education and Training Records.'' * * * * * N07220-1 System name: Navy Standard Integrated Personnel System...), date of birth, education, training and qualifications, professional history, assignments, performance...

20 CFR 435.50 - Purpose of reports and records.

Science.gov (United States)

2010-04-01

... the recipient's financial and program performance and the necessary standard reporting forms. They... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Purpose of reports and records. 435.50..., AND COMMERCIAL ORGANIZATIONS Post-Award Requirements Reports and Records § 435.50 Purpose of reports...

28 CFR 70.50 - Purpose of reports and records.

Science.gov (United States)

2010-07-01

... the recipient's financial and program performance and the necessary standard reporting forms. They... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Purpose of reports and records. 70.50... AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Reports and Records § 70.50 Purpose of...

Interference suppression for EEG recording during open heart surgery

NARCIS (Netherlands)

Weide, H. van der; Pronk, R.A.F.

A device for recording the EEG during open heart surgery is described. It differs from most standard equipment in two ways. First, the input circuit is completely floating from earth and will withstand 500 V DC. Second, radiofrequency (RF)_shielding and filtering permits continuous recording of the

Are electronic health records ready for genomic medicine?

Science.gov (United States)

Scheuner, Maren T; de Vries, Han; Kim, Benjamin; Meili, Robin C; Olmstead, Sarah H; Teleki, Stephanie

2009-07-01

The goal of this project was to assess genetic/genomic content in electronic health records. Semistructured interviews were conducted with key informants. Questions addressed documentation, organization, display, decision support and security of family history and genetic test information, and challenges and opportunities relating to integrating genetic/genomics content in electronic health records. There were 56 participants: 10 electronic health record specialists, 18 primary care clinicians, 16 medical geneticists, and 12 genetic counselors. Few clinicians felt their electronic record met their current genetic/genomic medicine needs. Barriers to integration were mostly related to problems with family history data collection, documentation, and organization. Lack of demand for genetics content and privacy concerns were also mentioned as challenges. Data elements and functionality requirements that clinicians see include: pedigree drawing; clinical decision support for familial risk assessment and genetic testing indications; a patient portal for patient-entered data; and standards for data elements, terminology, structure, interoperability, and clinical decision support rules. Although most said that there is little impact of genetics/genomics on electronic records today, many stated genetics/genomics would be a driver of content in the next 5-10 years. Electronic health records have the potential to enable clinical integration of genetic/genomic medicine and improve delivery of personalized health care; however, structured and standardized data elements and functionality requirements are needed.

Standardized UXO Technology Demonstration Site Open Field Scoring Record Number 740

National Research Council Canada - National Science Library

Overbay, Jr., Larry; Fling, Rick; McClug, Christina; Watts, Kimberly; Banta, Matthew

2006-01-01

The objective in the Standardized UXO Technology Demonstration Site Program is to evaluate the detection and discrimination capabilities of a given technology under various field and soil conditions...

[Method of recording impulses from an implanted cardiostimulator].

Science.gov (United States)

Vetkin, A N; Osipov, V P

1976-01-01

An analysis of pulses from an implanted cardiostimulator recorded from the surface of the patient's body is one of the methods permitting it to pass judgment as to its functioning. Because of the possibility of the recording electrodes location coinciding with the equipotential line an erroneous interpretation of the cardiostimulator's condition is not to be ruled out. It is recommended that the pulses should be recorded with their subsequent analysis in no less than 2 standard ECG leads from the limbs.

14 CFR 1260.150 - Purpose of reports and records.

Science.gov (United States)

2010-01-01

... Purpose of reports and records. Sections 1260.151 through 1260.153 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary standard... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Purpose of reports and records. 1260.150...

Radiological Control Technician: Standardized technician Qualification Standard

International Nuclear Information System (INIS)

1992-10-01

The Qualification Standard states and defines the knowledge and skill requirements necessary for successful completion of the Radiological Control Technician Training Program. The standard is divided into three phases: Phase I concerns RCT Academic training. There are 13 lessons associated with the core academics program and 19 lessons associated with the site academics program. The staff member should sign the appropriate blocks upon successful completion of the examination for that lesson or group of lessons. In addition, facility specific lesson plans may be added to meet the knowledge requirements in the Job Performance Measures (JPM) of the practical program. Phase II concerns RCT core/site practical (JPMs) training. There are thirteen generic tasks associated with the core practical program. Both the trainer/evaluator and student should sign the appropriate block upon successful completion of the JPM. In addition, facility specific tasks may be added or generic tasks deleted based on the results of the facility job evaluation. Phase III concerns the oral examination board successful completion of the oral examination board is documented by the signature of the chairperson of the board. Upon completion of all of the standardized technician qualification requirements, final qualification is verified by the student and the manager of the Radiological Control Department and acknowledged by signatures on the qualification standard. The completed Qualification Standard shall be maintained as an official training record

The design and application of comprehensive interventional surgery record:evaluation of its usefulness

International Nuclear Information System (INIS)

Li Xue; Chen Jinhua; Li Jun

2010-01-01

Objective: To design a comprehensive interventional surgery record form in order to standardize and simplify interventional work process and to increase the operative safety. Methods: A comprehensive interventional surgery record form was designed by the authors, which was suitable for making necessary record of different kinds of interventional procedures, for counting operation time, X-ray exposure time and for recording the dose, velocity and injection pressure of the contrast agent used in interventional procedure. The record form made a close combination of the nursing notes with the technological information and focused on compiling the clinical key points. The record form included independent parts for taking the preoperative, in-operative and postoperative facts and evaluations. The corresponding items after employing this record form were compared with that before using this form. The usefulness of the form was evaluated. Results: The use of comprehensive interventional surgery record form overcame the limitations of previously used interventional record chart. The previous record chart paid attention only to the vital signs and operative process, while the newly designed form emphasized the scientific management, which would make the therapeutic procedure to be more standard and the control of X-ray dose and contrast media dosage to be more strict, providing powerful data for scientific administration. After using the comprehensive interventional surgery record form both the nurses' and technicians' comprehensive abilities were improved markedly. Conclusion: The specific and comprehensive interventional record form designed by the authors fully meets the requirements of various interventional procedures, reflecting the particular needs for medical record. The use of this record form can standardize the administration of clinical interventional work. (authors)

32 CFR 22.415 - Standards.

Science.gov (United States)

2010-07-01

... recipient of an award). (c) Have a satisfactory record of integrity and business ethics. (d) Be otherwise... Procedures § 22.415 Standards. To be qualified, a potential recipient must: (a) Have the management...

Building clinical data groups for electronic medical record in China.

Science.gov (United States)

Tu, Haibo; Yu, Yingtao; Yang, Peng; Tang, Xuejun; Hu, Jianping; Rao, Keqin; Pan, Feng; Xu, Yongyong; Liu, Danhong

2012-04-01

This article aims at building clinical data groups for Electronic Medical Records (EMR) in China. These data groups can be reused as basic information units in building the medical sheets of Electronic Medical Record Systems (EMRS) and serve as part of its implementation guideline. The results were based on medical sheets, the forms that are used in hospitals, which were collected from hospitals. To categorize the information in these sheets into data groups, we adopted the Health Level 7 Clinical Document Architecture Release 2 Model (HL7 CDA R2 Model). The regulations and legal documents concerning health informatics and related standards in China were implemented. A set of 75 data groups with 452 data elements was created. These data elements were atomic items that comprised the data groups. Medical sheet items contained clinical records information and could be described by standard data elements that exist in current health document protocols. These data groups match different units of the CDA model. Twelve data groups with 87 standardized data elements described EMR headers, and 63 data groups with 405 standardized data elements constituted the body. The later 63 data groups in fact formed the sections of the model. The data groups had two levels. Those at the first level contained both the second level data groups and the standardized data elements. The data groups were basically reusable information units that served as guidelines for building EMRS and that were used to rebuild a medical sheet and serve as templates for the clinical records. As a pilot study of health information standards in China, the development of EMR data groups combined international standards with Chinese national regulations and standards, and this was the most critical part of the research. The original medical sheets from hospitals contain first hand medical information, and some of their items reveal the data types characteristic of the Chinese socialist national health system

40 CFR 30.50 - Purpose of reports and records.

Science.gov (United States)

2010-07-01

... Purpose of reports and records. Sections 30.51 through 30.53 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary standard reporting forms... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Purpose of reports and records. 30.50...

32 CFR 32.50 - Purpose of reports and records.

Science.gov (United States)

2010-07-01

... the recipient's financial and program performance and the necessary standard reporting forms. They... 32 National Defense 1 2010-07-01 2010-07-01 false Purpose of reports and records. 32.50 Section 32..., HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Reports and Records § 32.50 Purpose of...

77 FR 72781 - Standards Improvement Project-Phase IV

Science.gov (United States)

2012-12-06

... Emissions, Inorganic Arsenic, and Vinyl Chloride standards, and removal of unnecessary provisions from the... prepare and maintain written training-certification records for personal protective equipment, revised... duty of employers to transfer employee exposure and medical records to the National Institute for...

Standardized computer-based organized reporting of EEG

DEFF Research Database (Denmark)

Beniczky, Sándor; Aurlien, Harald; Brøgger, Jan C.

2017-01-01

Standardized terminology for computer-based assessment and reporting of EEG has been previously developed in Europe. The International Federation of Clinical Neurophysiology established a taskforce in 2013 to develop this further, and to reach international consensus. This work resulted in the se......Standardized terminology for computer-based assessment and reporting of EEG has been previously developed in Europe. The International Federation of Clinical Neurophysiology established a taskforce in 2013 to develop this further, and to reach international consensus. This work resulted...... in the second, revised version of SCORE (Standardized Computer-based Organized Reporting of EEG), which is presented in this paper. The revised terminology was implemented in a software package (SCORE EEG), which was tested in clinical practice on 12,160 EEG recordings. Standardized terms implemented in SCORE....... In the end, the diagnostic significance is scored, using a standardized list of terms. SCORE has specific modules for scoring seizures (including seizure semiology and ictal EEG patterns), neonatal recordings (including features specific for this age group), and for Critical Care EEG Terminology. SCORE...

Validity of (Ultra-)Short Recordings for Heart Rate Variability Measurements

NARCIS (Netherlands)

Muñoz Venegas, Loretto; van Roon, Arie; Riese, Harriette; Thio, Chris; Oostenbroek, Emma; Westrik, Iris; de Geus, Eco J. C.; Gansevoort, Ron; Lefrandt, Joop; Nolte, Ilja M.; Snieder, Harold

2015-01-01

Objectives In order to investigate the applicability of routine 10s electrocardiogram (ECG) recordings for time-domain heart rate variability (HRV) calculation we explored to what extent these (ultra-)short recordings capture the "actual" HRV. Methods The standard deviation of normal-to-normal

Self-reported and employer-recorded sickness absence in doctors.

Science.gov (United States)

Murphy, I J

2014-09-01

Doctors' sickness absence reduces the quality and continuity of patient care and is financially costly. Doctors have lower rates of sickness absence than other healthcare workers. To compare self-reported with recorded sickness absence in doctors in a UK National Health Service hospital trust. A retrospective questionnaire study. The main outcome measures were self-reported and trust-recorded sickness absence episodes of 4 days or more in two consecutive 6-month periods. The response rate was 82% (607/736). Self-reported sickness absence rates were 1.2% compared with a rate of 0.6% from trust-recorded data. There were 38 matched pairs of self-reported (mean duration: 18 days, standard deviation: 22 days) and trust-recorded (mean duration: 10 days, standard deviation: 17 days) sickness absence episodes of 4 days or more in the 12 months studied. A matched pairs t-test determined that the difference between the two means was significant (t = 2.57, P sickness absence was significantly under-recorded in this study population. © The Author 2014. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

25 CFR 900.53 - What kind of records shall the property management system maintain?

Science.gov (United States)

2010-04-01

... 25 Indians 2 2010-04-01 2010-04-01 false What kind of records shall the property management system... EDUCATION ASSISTANCE ACT Standards for Tribal or Tribal Organization Management Systems Property Management System Standards § 900.53 What kind of records shall the property management system maintain? The...

Fusion multi-capteurs pour la représentation et le suivi des objets dynamiques

OpenAIRE

Kmiotek , Pawel

2009-01-01

The subject of the thesis lies within the scope of the project "Intelligent Vehicle and its integration in the city of the future", led by the Systems and Transportation laboratory of the University of Technology of Belfort-Montbéliard. The objective of this project is to ensure a vehicle autonomous navigation in an urban environment. The autonomous navigation of a vehicle consists of a data processing sequence made up by three stages. The first one relates to the perception of the vehicle en...

Fondements du projet urbain ; enjeux et processus

OpenAIRE

Tabouret , René

1989-01-01

Ce rapport retrace l’émergence et la formalisation progressive du concept de projet urbain dans le cadre de l’Ecole d’Architecture de Strasbourg sur une décennie (1978-1988), à l’épreuve de projets contrastés (villes de Mulhouse, St Denis, Strasbourg) et de la participation au Seminario Internazionale de Arquitectura Contemporanea (sessions de Barcelone, Naples et Belfort). La projet urbain y est identifié comme ‘intervention dans le processus complexe de (trans)formation de la ville’ ; ceci ...

Design challenges and gaps in standards in developing an interoperable zero footprint DI thin client for use in image-enabled electronic health record solutions

Science.gov (United States)

Agrawal, Arun; Koff, David; Bak, Peter; Bender, Duane; Castelli, Jane

2015-03-01

The deployment of regional and national Electronic Health Record solutions has been a focus of many countries throughout the past decade. A major challenge for these deployments has been support for ubiquitous image viewing. More specifically, these deployments require an imaging solution that can work over the Internet, leverage any point of service device: desktop, tablet, phone; and access imaging data from any source seamlessly. Whereas standards exist to enable ubiquitous image viewing, few if any solutions exist that leverage these standards and meet the challenge. Rather, most of the currently available web based DI viewing solutions are either proprietary solutions or require special plugins. We developed a true zero foot print browser based DI viewing solution based on the Web Access DICOM Objects (WADO) and Cross-enterprise Document Sharing for Imaging (XDS-I.b) standards to a) demonstrate that a truly ubiquitous image viewer can be deployed; b) identify the gaps in the current standards and the design challenges for developing such a solution. The objective was to develop a viewer, which works on all modern browsers on both desktop and mobile devices. The implementation allows basic viewing functionalities of scroll, zoom, pan and window leveling (limited). The major gaps identified in the current DICOM WADO standards are a lack of ability to allow any kind of 3D reconstruction or MPR views. Other design challenges explored include considerations related to optimization of the solution for response time and low memory foot print.

Electronic records management in the public health sector of the ...

African Journals Online (AJOL)

Ngulup

Document and Records Management System, medical records, service delivery, public ... standard operating procedures and formal methodologies for managing .... cords is the “information which is generated electronically and stored by means of a computer ..... This is because the disadvantages of one instrument are the.

106 17 Telemetry Standards Annex A.2 Magnetic Tape Recorder and Reproducer Information and Use Criteria

Science.gov (United States)

2017-07-31

from the average line defining the azimuth. Since both components affect data simultaneity from record to reproduce, the gap scatter measurement is...pulse at the reproduce amplifier output, still leaves two interdependent parameters unspecified. These parameters are (1) polarity inversion or non... inversion in record and playback amplifiers and (2) record or playback head winding sense. For the purpose of head replacement, it is necessary that

Do physiotherapy staff record treatment time accurately? An observational study.

Science.gov (United States)

Bagley, Pam; Hudson, Mary; Green, John; Forster, Anne; Young, John

2009-09-01

To assess the reliability of duration of treatment time measured by physiotherapy staff in early-stage stroke patients. Comparison of physiotherapy staff's recording of treatment sessions and video recording. Rehabilitation stroke unit in a general hospital. Thirty-nine stroke patients without trunk control or who were unable to stand with an erect trunk without the support of two therapists recruited to a randomized trial evaluating the Oswestry Standing Frame. Twenty-six physiotherapy staff who were involved in patient treatment. Contemporaneous recording by physiotherapy staff of treatment time (in minutes) compared with video recording. Intraclass correlation with 95% confidence interval and the Bland and Altman method for assessing agreement by calculating the mean difference (standard deviation; 95% confidence interval), reliability coefficient and 95% limits of agreement for the differences between the measurements. The mean duration (standard deviation, SD) of treatment time recorded by physiotherapy staff was 32 (11) minutes compared with 25 (9) minutes as evidenced in the video recording. The mean difference (SD) was -6 (9) minutes (95% confidence interval (CI) -9 to -3). The reliability coefficient was 18 minutes and the 95% limits of agreement were -24 to 12 minutes. Intraclass correlation coefficient for agreement between the two methods was 0.50 (95% CI 0.12 to 0.73). Physiotherapy staff's recording of duration of treatment time was not reliable and was systematically greater than the video recording.

Developing an integrated electronic nursing record based on standards.

Science.gov (United States)

van Grunsven, Arno; Bindels, Rianne; Coenen, Chel; de Bel, Ernst

2006-01-01

The Radboud University Nijmegen Medical Centre in the Netherlands develops a multidisciplinar (Electronic Health Record) based on the latest HL7 v3 (Health Level 7 version 3) D-MIM : Care provision. As part of this process we are trying to establish which nursing diagnoses and activities are minimally required. These NMDS (Nursing Minimal Data Set) are mapped or translated to ICF (for diagnoses) and CEN1828 Structures for (for activities). The mappings will be the foundation for the development of user interfaces for the registration of nursing activities. A homegrown custom-made web based configuration tool is used to exploit the possibilities of HL7 v3. This enables a sparkling launch of user interfaces that can contain the diversity of health care work processes. The first screens will be developed to support history taking for the nursing chart of the Neurology ward. The screens will contain both Dutch NMDS items and ward specific information. This will be configured dynamically per (group of) ward(s).

Validity of (Ultra-Short Recordings for Heart Rate Variability Measurements.

Directory of Open Access Journals (Sweden)

M Loretto Munoz

Full Text Available In order to investigate the applicability of routine 10s electrocardiogram (ECG recordings for time-domain heart rate variability (HRV calculation we explored to what extent these (ultra-short recordings capture the "actual" HRV.The standard deviation of normal-to-normal intervals (SDNN and the root mean square of successive differences (RMSSD were measured in 3,387 adults. SDNN and RMSSD were assessed from (ultrashort recordings of 10s(3x, 30s, and 120s and compared to 240s-300s (gold standard measurements. Pearson's correlation coefficients (r, Bland-Altman 95% limits of agreement and Cohen's d statistics were used as agreement analysis techniques.Agreement between the separate 10s recordings and the 240s-300s recording was already substantial (r = 0.758-0.764/Bias = 0.398-0.416/d = 0.855-0.894 for SDNN; r = 0.853-0.862/Bias = 0.079-0.096/d = 0.150-0.171 for RMSSD, and improved further when three 10s periods were averaged (r = 0.863/Bias = 0.406/d = 0.874 for SDNN; r = 0.941/Bias = 0.088/d = 0.167 for RMSSD. Agreement increased with recording length and reached near perfect agreement at 120s (r = 0.956/Bias = 0.064/d = 0.137 for SDNN; r = 0.986/Bias = 0.014/d = 0.027 for RMSSD. For all recording lengths and agreement measures, RMSSD outperformed SDNN.Our results confirm that it is unnecessary to use recordings longer than 120s to obtain accurate measures of RMSSD and SDNN in the time domain. Even a single 10s (standard ECG recording yields a valid RMSSD measurement, although an average over multiple 10s ECGs is preferable. For SDNN we would recommend either 30s or multiple 10s ECGs. Future research projects using time-domain HRV parameters, e.g. genetic epidemiological studies, could calculate HRV from (ultra-short ECGs enabling such projects to be performed at a large scale.

An Electronic Healthcare Record Server Implemented in PostgreSQL

Directory of Open Access Journals (Sweden)

Tony Austin

2015-01-01

Full Text Available This paper describes the implementation of an Electronic Healthcare Record server inside a PostgreSQL relational database without dependency on any further middleware infrastructure. The five-part international standard for communicating healthcare records (ISO EN 13606 is used as the information basis for the design of the server. We describe some of the features that this standard demands that are provided by the server, and other areas where assumptions about the durability of communications or the presence of middleware lead to a poor fit. Finally, we discuss the use of the server in two real-world scenarios including a commercial application.

Setting the records straight - a prospective audit of the quality of ...

African Journals Online (AJOL)

Background. A high standard of medical record keeping is important for safe patient care and provides information for research, audit and medicolegal purposes. Standards exist on what entries should contain, but as far as we are aware these standards are not regularly used in South Africa. We compared surgical case ...

Detection of High Frequency Oscillations by Hybrid Depth Electrodes in Standard Clinical Intracranial EEG Recordings

Directory of Open Access Journals (Sweden)

Efstathios D Kondylis

2014-08-01

Full Text Available High frequency oscillations (HFOs have been proposed as a novel marker for epileptogenic tissue, spurring tremendous research interest into the characterization of these transient events. A wealth of continuously recorded intracranial electroencephalographic (iEEG data is currently available from patients undergoing invasive monitoring for the surgical treatment of epilepsy. In contrast to data recorded on research-customized recording systems, data from clinical acquisition systems remain an underutilized resource for HFO detection in most centers. The effective and reliable use of this clinically obtained data would be an important advance in the ongoing study of HFOs and their relationship to ictogenesis. The diagnostic utility of HFOs ultimately will be limited by the ability of clinicians to detect these brief, sporadic, and low amplitude events in an electrically noisy clinical environment. Indeed, one of the most significant factors limiting the use of such clinical recordings for research purposes is their low signal to noise ratio, especially in the higher frequency bands. In order to investigate the presence of HFOs in clinical data, we first obtained continuous intracranial recordings in a typical clinical environment using a commercially available, commonly utilized data acquisition system and off the shelf hybrid macro/micro depth electrodes. This data was then inspected for the presence of HFOs using semi-automated methods and expert manual review. With targeted removal of noise frequency content, HFOs were detected on both macro- and micro-contacts, and preferentially localized to seizure onset zones. HFOs detected by the offline, semi-automated method were also validated in the clinical viewer, demonstrating that 1 this clinical system allows for the visualization of HFOs, and 2 with effective signal processing, clinical recordings can yield valuable information for offline analysis.

APPLICATION OF A SURFACE-RENEWAL MODEL TO PERMEATE-FLUX DATA FOR CONSTANTPRESSURE CROSS-FLOW MICROFILTRATION WITH DEAN VORTICES

Directory of Open Access Journals (Sweden)

G. Idan

2015-06-01

Full Text Available AbstractThe introduction of flow instabilities into a microfiltration process can dramatically change several elements such as the surface-renewal rate, permeate flux, specific cake resistance, and cake buildup on the membrane in a positive way. A recently developed surface-renewal model for constant-pressure, cross-flow microfiltration (Hasan et al., 2013 is applied to the permeate-flux data reported by Mallubhotla and Belfort (1997, one set of which included flow instabilities (Dean vortices while the other set did not. The surface-renewal model has two forms - the complete model and an approximate model. For the complete model, the introduction of vortices leads to a 53% increase in the surface-renewal rate, which increases the limiting (i.e., steady-state permeate flux by 30%, decreases the specific cake resistance by 14.5% and decreases the limiting cake mass by 15.5% compared to operation without vortices. For the approximate model, a 50% increase in the value of surface renewal rate is shown due to vortices, which increases the limiting permeate flux by 30%, decreases the specific cake resistance by 10.5% and decreases the limiting cake mass by 13.7%. The cake-filtration version of the critical-flux model of microfiltration (Field et al., 1995 is also compared against the experimental permeate-flux data of Mallubhotla and Belfort (1997. Although this model can represent the data, the quality of its fit is inferior compared to that of the surface-renewal model.

7 CFR 46.16 - Method of preservation or storage of records.

Science.gov (United States)

2010-01-01

... Section 46.16 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE MARKETING OF PERISHABLE AGRICULTURAL... records. Records in dead storage should be arranged in an orderly fashion, be packaged or wrapped to...

Student/Pupil Accounting: Standard Terminology and Guide for Managing Student Data in Elementary and Secondary Schools, Community/Junior Colleges, and Adult Education. State Educational Records and Reports Series: Handbook V. Revised.

Science.gov (United States)

Putnam, John F.

This handbook's fundamental purpose is to provide terms and definitions for the data and information educators use in student services. It identifies concepts used in decisionmaking, provides standardized terms and definitions, classifies the terms, provides guidelines for developing and managing student records, and recommends the development of…

A comprehensive audit of nursing record keeping practice.

Science.gov (United States)

Griffiths, Paul; Debbage, Samantha; Smith, Alison

Good quality record keeping is essential to safe and effective patient care. To ensure that high standards of record keeping are maintained, regular clinical audit should be undertaken. This article describes an audit and re-audit of nursing record keeping at Sheffield Teaching Hospital NHS Foundation Trust. The article demonstrates improving audit data in 2005 and 2006 and describes how audit and the resulting recommendations and action plans can result in real improvements in the quality of record keeping. The keys to success in this ongoing audit programme are identified as stakeholder involvement, support from the senior nurses in the organization and the use of the data for both local and trust-wide purposes.

[Automated anesthesia record systems].

Science.gov (United States)

Heinrichs, W; Mönk, S; Eberle, B

1997-07-01

The introduction of electronic anaesthesia documentation systems was attempted as early as in 1979, although their efficient application has become reality only in the past few years. The advantages of the electronic protocol are apparent: Continuous high quality documentation, comparability of data due to the availability of a data bank, reduction in the workload of the anaesthetist and availability of additional data. Disadvantages of the electronic protocol have also been discussed in the literature. By going through the process of entering data on the course of the anaesthetic procedure on the protocol sheet, the information is mentally absorbed and evaluated by the anaesthetist. This information may, however, be lost when the data are recorded fully automatically-without active involvement on the part of the anaesthetist. Recent publications state that by using intelligent alarms and/or integrated displays manual record keeping is no longer necessary for anaesthesia vigilance. The technical design of automated anaesthesia records depends on an integration of network technology into the hospital. It will be appropriate to connect the systems to the internet, but safety requirements have to be followed strictly. Concerning the database, client server architecture as well as language standards like SQL should be used. Object oriented databases will be available in the near future. Another future goal of automated anaesthesia record systems will be using knowledge based technologies within these systems. Drug interactions, disease related anaesthetic techniques and other information sources can be integrated. At this time, almost none of the commercially available systems has matured to a point where their purchase can be recommended without reservation. There is still a lack of standards for the subsequent exchange of data and a solution to a number of ergonomic problems still remains to be found. Nevertheless, electronic anaesthesia protocols will be required in

Seismic Record Processing Program (SRP), Version 1.03

International Nuclear Information System (INIS)

Karabalis, D.L.; Cokkinides, G.J.; Rizos, D.C.

1992-04-01

The Seismic Record Processing Program (SRP) is an interactive computer code developed for the calculation of artificial earthquake records that comply with the US Nuclear Regulatory Commission Standard Review Plan. The basic objective of SRP is the calculation of artificial seismic time histories that correspond to Design Response Spectra specified in the US Atomic Energy Commission Regulatory Guide 1.60 and/or the Power Spectral Density (PSD) requirements of the NRC Standard Review Plan. However, SRP is a general computer code and can accommodate any arbitrarily specified Target Response Spectra (TRS) or PSD requirements. In addition, among its other futures, SRP performs quadratic baseline correction and calculates correlations factors for a set of up to three earthquake records. This manual is prepared in two parts. The first part describes the methodologies and criteria used while the second is a user's manual. In section 1 of the first part, the techniques used for the adjustment of a given earthquake record to a required TRS family of curves for a set of specified damping ratios are presented. Similarly, in section 2 of the first part, the PSD of an earthquake record is compared to a target PSD and adjusted accordingly. Sections 3 and 4 of the first part deal with the subjects of baseline correction and correlation of earthquake records, respectively. The second part is the user's manual. The user's manual contains a list of the computer hardware requirements, instructions for the program installation, a description of the user generated input files, and a description of all the program menus and commands

Management of Labor Standards for Airframes at Aeronautical Depots

National Research Council Canada - National Science Library

1991-01-01

.... There are two types of labor standards, engineered and nonengineered. Engineered standards are a series of observations and analyses of the performance of work, which result in a specific time for a recorded method of work...

Validation of asthma recording in electronic health records: protocol for a systematic review.

Science.gov (United States)

Nissen, Francis; Quint, Jennifer K; Wilkinson, Samantha; Mullerova, Hana; Smeeth, Liam; Douglas, Ian J

2017-05-29

Asthma is a common, heterogeneous disease with significant morbidity and mortality worldwide. It can be difficult to define in epidemiological studies using electronic health records as the diagnosis is based on non-specific respiratory symptoms and spirometry, neither of which are routinely registered. Electronic health records can nonetheless be valuable to study the epidemiology, management, healthcare use and control of asthma. For health databases to be useful sources of information, asthma diagnoses should ideally be validated. The primary objectives are to provide an overview of the methods used to validate asthma diagnoses in electronic health records and summarise the results of the validation studies. EMBASE and MEDLINE will be systematically searched for appropriate search terms. The searches will cover all studies in these databases up to October 2016 with no start date and will yield studies that have validated algorithms or codes for the diagnosis of asthma in electronic health records. At least one test validation measure (sensitivity, specificity, positive predictive value, negative predictive value or other) is necessary for inclusion. In addition, we require the validated algorithms to be compared with an external golden standard, such as a manual review, a questionnaire or an independent second database. We will summarise key data including author, year of publication, country, time period, date, data source, population, case characteristics, clinical events, algorithms, gold standard and validation statistics in a uniform table. This study is a synthesis of previously published studies and, therefore, no ethical approval is required. The results will be submitted to a peer-reviewed journal for publication. Results from this systematic review can be used to study outcome research on asthma and can be used to identify case definitions for asthma. CRD42016041798. © Article author(s) (or their employer(s) unless otherwise stated in the text of the

Digital audio recordings improve the outcomes of patient consultations

DEFF Research Database (Denmark)

Wolderslund, Maiken; Kofoed, Poul-Erik; Holst, René

2017-01-01

OBJECTIVES: To investigate the effects on patients' outcome of the consultations when provided with: a Digital Audio Recording (DAR) of the consultation and a Question Prompt List (QPL). METHODS: This is a three-armed randomised controlled cluster trial. One group of patients received standard care......, while the other two groups received either the QPL in combination with a recording of their consultation or only the recording. Patients from four outpatient clinics participated: Paediatric, Orthopaedic, Internal Medicine, and Urology. The effects were evaluated by patient-administered questionnaires...

MANUAL OF STANDARDS FOR REHABILITATION CENTERS AND FACILITIES.

Science.gov (United States)

CANIFF, CHARLES E.; AND OTHERS

A 5-YEAR PROJECT TO SPECIFY STANDARDS OF REHABILITATION CENTERS AND FACILITIES RESULTED IN THREE PUBLICATIONS. THIS MANUAL INCLUDES THE CHARACTERISTICS AND GOALS OF REHABILITATION FACILITIES. THE STANDARDS FOR ORGANIZATION, SERVICES THAT SHOULD BE PROVIDED, PERSONNEL INCLUDED, RECORDS AND REPORTS, FISCAL MANAGEMENT, AND THE PHYSICAL PLANT ARE…

30 CFR 75.312 - Main mine fan examinations and records.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Main mine fan examinations and records. 75.312... SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Ventilation § 75.312 Main mine fan examinations and records. (a) To assure electrical and mechanical reliability of main mine fans, each main mine...

The Canadian Association of Radiologists national standards for technology

International Nuclear Information System (INIS)

Hynes, D.M.

1997-01-01

Unlike any other technological development before it, teleradiology is revolutionizing the diagnostic medical imaging field by enabling broad access to radiological images. Images can today be transmitted between departments or between hospitals. Doctors in remote areas can share images with specialists in larger centres for consultation. Physicians can access hospital records from their office or home computer. Teleradiology also offers valuable educational opportunities. Like other technologies, however, the implementation and continuing development of teleradiology requires careful consideration of issues related to image quality, patient care, security of patient records, and other important matters. The following standard was prepared by the CAR Expert Advisory Panel on Teleradiology Standards in collaboration with the Ontario Association of Radiologists Teleradiology Committee to provide a model for teleradiology applications. The standard is based upon U.S. standards prepared by the American College of Radiology. (author). 21 refs

Harbour dredging in the Townsville region: a cross-evaluation between proxy records in coral skeletons and environmental monitoring records (GBRMPA)

International Nuclear Information System (INIS)

Esslemont, G.

2000-01-01

Full text: The hypothesis tested is whether coral skeletons provide a proxy-record of copper and zinc bio-availability in inner-neritic environments, which corresponds with conventionally obtained records of harbour dredging. Trace metal concentrations in a colony of the massive-branching coral Pocillopora damicornis were measured along two calice walls that grew at a relatively uniform rate of ∼1 mm/year. Each calice wall represented tracking surfaces for the SIMS micro-sampling beam, along which a complete series of measurements were made over two annual cycles, at approximately monthly increments. Measurements were located temporally using annual couplets of high and low density growth-bands, representing 1991-92. Sub-annual resolution was achieved using proxy temperature (Sr/Ca) and salinity records (Ba/Ca) in the coral skeleton, which were related to conventionally obtained GBRMPA records taken nearby. Proxy records of copper and zinc in coral skeletons were related to the 1991 dredging of Townsville Harbour, recorded in detail by GBRMPA. Records include six temporal measurements of labile copper and zinc in fine sediment resuspended by two dredging episodes, resulting in metal-rich sediment plumes (2-3 x background) settling onto reefs fringing Magnetic Island. The P. damicornis colony was obtained from an exposed reef. Both dredging episodes were clearly recorded by the coral skeleton, using copper and zinc tracers measured by the SIMS micro-beam, and sediment-biota accumulation coefficients were derived for these metals. Calibration of the SIMS instrument was achieved from a standard in a pseudo 'coral skeleton' matrix. We attempted to co-precipitate a four point series of multi-metal standards in an aragonite matrix, to provide an external calibration series verified by cross-instrument measurement (AAS). However, metal concentrations were heterogenous at the micron scale, and precise calibration could not be achieved using the SIMS instrument. This

EMI StAR – Definition of a Storage Accounting Record

CERN Document Server

Nilsen, J.K.; Müller-Pfefferkorn, R.; Molnar, Z.; Zappi, R.

2011-01-01

In this document the EU-project European Middleware Initiative (EMI) describes a storage accounting record (StAR), defined to reflect practical, financial and legal requirements of storage location, usage and space and data flow. The defined record might be the base for a standardized schema or an extension of an existing record like the OGF UR and this document is intended as information to be taken as input for incorporating storage resources into the OGF UR.

40 CFR 59.510 - What records am I required to maintain?

Science.gov (United States)

2010-07-01

... PROGRAMS (CONTINUED) NATIONAL VOLATILE ORGANIC COMPOUND EMISSION STANDARDS FOR CONSUMER AND COMMERCIAL PRODUCTS National Volatile Organic Compound Emission Standards for Aerosol Coatings § 59.510 What records... providing the written certification to the Administrator in accordance with § 59.511(g), the certifying...

Toward a Standards-Compliant Genomic and Metagenomic Publication Record

DEFF Research Database (Denmark)

Garrity, GM; Field, D; Kyrpides, N

2008-01-01

Increasingly, we are aware as a community of the growing need to manage the avalanche of genomic and metagenomic data, in addition to related data types like ribosomal RNA and barcode sequences, in a way that tightly integrates contextual data with traditional literature in a machine-readable way...... is in the midst of a publishing revolution. This revolution is marked by a growing shift away from a traditional dichotomy between "journal articles" and "database entries" and an increasing adoption of hybrid models of collecting and disseminating scientific information. With respect to genomes and metagenomes...... or communities) such as the call by the GSC for a central repository of Standard Operating Procedures describing the genomic annotation pipelines of the major sequencing centers. We argue that such an "eJournal," published under the Open Access paradigm by the GSC, could be an attractive publishing forum...

38 CFR 1.526 - Copies of records and papers.

Science.gov (United States)

2010-07-01

... papers. 1.526 Section 1.526 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... Copies of records and papers. (a) Any person desiring a copy of any record or document in the custody of... plain one-sided paper copies of a standard size (81/2″ × 11″; 81/2″ × 14″; 11″ × 14″) $0.15 per page...

A Kinect-based system for automatic recording of some pigeon behaviors.

Science.gov (United States)

Lyons, Damian M; MacDonall, James S; Cunningham, Kelly M

2015-12-01

Contact switches and touch screens are the state of the art for recording pigeons' pecking behavior. Recording other behavior, however, requires a different sensor for each behavior, and some behaviors cannot easily be recorded. We present a flexible and inexpensive image-based approach to detecting and counting pigeon behaviors that is based on the Kinect sensor from Microsoft. Although the system is as easy to set up and use as the standard approaches, it is more flexible because it can record behaviors in addition to key pecking. In this article, we show how both the fast, fine motion of key pecking and the gross body activity of feeding can be measured. Five pigeons were trained to peck at a lighted contact switch, a pigeon key, to obtain food reward. The timing of the pecks and the food reward signals were recorded in a log file using standard equipment. The Kinect-based system, called BehaviorWatch, also measured the pecking and feeding behavior and generated a different log file. For key pecking, BehaviorWatch had an average sensitivity of 95% and a precision of 91%, which were very similar to the pecking measurements from the standard equipment. For detecting feeding activity, BehaviorWatch had a sensitivity of 95% and a precision of 97%. These results allow us to demonstrate that an advantage of the Kinect-based approach is that it can also be reliably used to measure activity other than key pecking.

Reliability of the standard goniometry and diagrammatic recording of finger joint angles: a comparative study with healthy subjects and non-professional raters.

Science.gov (United States)

Macionis, Valdas

2013-01-09

Diagrammatic recording of finger joint angles by using two criss-crossed paper strips can be a quick substitute to the standard goniometry. As a preliminary step toward clinical validation of the diagrammatic technique, the current study employed healthy subjects and non-professional raters to explore whether reliability estimates of the diagrammatic goniometry are comparable with those of the standard procedure. The study included two procedurally different parts, which were replicated by assigning 24 medical students to act interchangeably as 12 subjects and 12 raters. A larger component of the study was designed to compare goniometers side-by-side in measurement of finger joint angles varying from subject to subject. In the rest of the study, the instruments were compared by parallel evaluations of joint angles similar for all subjects in a situation of simulated change of joint range of motion over time. The subjects used special guides to position the joints of their left ring finger at varying angles of flexion and extension. The obtained diagrams of joint angles were converted to numerical values by computerized measurements. The statistical approaches included calculation of appropriate intraclass correlation coefficients, standard errors of measurements, proportions of measurement differences of 5 or less degrees, and significant differences between paired observations. Reliability estimates were similar for both goniometers. Intra-rater and inter-rater intraclass correlation coefficients ranged from 0.69 to 0.93. The corresponding standard errors of measurements ranged from 2.4 to 4.9 degrees. Repeated measurements of a considerable number of raters fell within clinically non-meaningful 5 degrees of each other in proportions comparable with a criterion value of 0.95. Data collected with both instruments could be similarly interpreted in a simulated situation of change of joint range of motion over time. The paper goniometer and the standard goniometer can

36 CFR 1232.3 - What standards are used as guidance for this part?

Science.gov (United States)

2010-07-01

... RECORDS ADMINISTRATION RECORDS MANAGEMENT TRANSFER OF RECORDS TO RECORDS STORAGE FACILITIES § 1232.3 What standards are used as guidance for this part? These regulations conform with guidance provided in ISO 15489-1:2001 Paragraphs 7.1 (Principles of records management programmes), 8.3.3 (Physical storage medium...

Validity of electronic diet recording nutrient estimates compared to dietitian analysis of diet records: A randomized controlled trial

Science.gov (United States)

Background: Dietary intake assessment with diet records (DR) is a standard research and practice tool in nutrition. Manual entry and analysis of DR is time-consuming and expensive. New electronic tools for diet entry by clients and research participants may reduce the cost and effort of nutrient int...

Electronic Health Record Meets Digital Library

Science.gov (United States)

Humphreys, Betsy L.

2000-01-01

Linking the electronic health record to the digital library is a Web-era reformulation of the long-standing informatics goal of seamless integration of automated clinical data and relevant knowledge-based information to support informed decisions. The spread of the Internet, the development of the World Wide Web, and converging format standards for electronic health data and digital publications make effective linking increasingly feasible. Some existing systems link electronic health data and knowledge-based information in limited settings or limited ways. Yet many challenging informatics research problems remain to be solved before flexible and seamless linking becomes a reality and before systems become capable of delivering the specific piece of information needed at the time and place a decision must be made. Connecting the electronic health record to the digital library also requires positive resolution of important policy issues, including health data privacy, government envouragement of high-speed communications, electronic intellectual property rights, and standards for health data and for digital libraries. Both the research problems and the policy issues should be important priorities for the field of medical informatics. PMID:10984463

16 CFR 1611.38 - Maintenance of records by those furnishing guaranties.

Science.gov (United States)

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Maintenance of records by those furnishing... ACT REGULATIONS STANDARD FOR THE FLAMMABILITY OF VINYL PLASTIC FILM Rules and Regulations § 1611.38 Maintenance of records by those furnishing guaranties. (a) In order to properly administer and enforce section...

29 CFR 500.80 - Payroll records required.

Science.gov (United States)

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Payroll records required. 500.80 Section 500.80 Labor... SEASONAL AGRICULTURAL WORKER PROTECTION Worker Protections Wages and Payroll Standards § 500.80 Payroll... agricultural association which employs any migrant or seasonal agricultural worker shall preserve all payroll...

Reporting, Recording, and Transferring Contingency Demand Data

National Research Council Canada - National Science Library

Smith, Bernard

2000-01-01

.... In this report, we develop a standard set of procedures for reporting and recording demand data at the contingency location and transferring contingency demand data to the home base - ensuring proper level allocation and valid worldwide peacetime operating stock (POS) and readiness spares package (RSP) requirements.

Development of Hospital-based Data Sets as a Vehicle for Implementation of a National Electronic Health Record.

Science.gov (United States)

Keikha, Leila; Farajollah, Seyede Sedigheh Seied; Safdari, Reza; Ghazisaeedi, Marjan; Mohammadzadeh, Niloofar

2018-01-01

In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records. This comparative study was carried out in 2017 by studying the contents of the paper-based records approved by the health ministry in Iran and the international ASTM and HL7 standards in order to extract a minimum hospital data set for a national EHR. As a result of studying the standards and paper-based records, a total of 526 data elements in 174 classes were extracted. An examination of the data indicated that the highest number of extracted data came from the free text elements, both in the paper-based records and in the standards related to the administrative data. The major sources of data extracted from ASTM and HL7 were the E1384 and Hl7V.x standards, respectively. In the paper-based records, data were extracted from 19 forms sporadically. By declaring the confidentiality of information, the ASTM standards acknowledge the issue of confidentiality of information as one of the main challenges of EHR development, and propose new types of admission, such as teleconference, tele-video, and home visit, which are inevitable with the advent of new technology for providing healthcare and treating diseases. Data related to finance and insurance, which were scattered in different categories by three organizations, emerged as the financial category. Documenting the role and responsibility of the provider by adding the authenticator/signature data element was deemed essential. Not only using well-defined and standardized data, but also adapting EHR systems to the local facilities and

Evaluation of an easy, standardized and clinically practical method (SurePrep) for the preparation of electrode–skin contact in neurophysiological recordings

International Nuclear Information System (INIS)

Stjerna, Susanna; Mäki, Jarmo; Vanhatalo, Sampsa; Alatalo, Päivi

2010-01-01

The aim of this study was to assess the practicality, reliability and safety of a recently introduced method of skin preparation for EEG recordings. We compared the traditional skin abrasion (SA) method to a method called SurePrep (SP), which creates tiny incisions through the upper epithelial layers. The study comprised three parts. In part 1, forearm recordings (n = 400; ten healthy volunteers) were conducted to examine acute and late (24 h) impedances, skin reactions, as well as the effects on electrode movement artefacts. In part 2, the effect of repeated (up to nine) SP sticks on impedances was examined on the forearm skin in two subjects (n = 99). In part 3, preparation speed and skin impedances were measured from preparation of a standard EEG cap in four subjects (n = 74). Immediately after preparation, skin impedances were a little lower (n.s.) after SA, but the variability in impedances was significantly less after SP (p < 0.01). After one day, there was no mean impedance difference but a greater proportion of SP sites were >10 kΩ. The frequency of immediate skin irritations (93.5%) was much higher after SA compared to 42.5% after SP, but there was no clinically significant difference observed after one day. The SP method exposed interstitial fluid in 5% of cases, while SA caused a wound-like lesion in 4.5% of the sites. No macroscopic blood was observed in any case (n = 400). Three sticks with the SP device produced clinically sufficient (<10 kΩ) impedances in 85% of the cases, and a total of five to six sticks secured a sufficient skin contact in all skin sites examined (n = 99). Preparation of skin contacts in the EEG cap was faster by SP compared to SA in all four study subjects. Our results demonstrate that skin contacts of sufficient quality can be reliably, easily and quickly prepared by the SP method. SP is a useful alternative for EEG recordings in general, although SA may provide the slightly better preserved skin contacts needed for long

An architecture for a virtual electronic health record

NARCIS (Netherlands)

van der Linden, H.; Talmon, J.; Tange, H.; Boers, G.; Hasman, A.

2002-01-01

The Healthcare Domain Taskforce of the Object Management Group has specified standards for secure access and retrieval of demographic and medical data. This paper discusses the strengths and weaknesses of an electronic healthcare record that implements these specifications

Standard Electronic Format Specification for Tank Characterization Data Loader Version 3.0

International Nuclear Information System (INIS)

ADAMS, M.R.

1999-01-01

The purpose of this document is to describe the standard electronic format for data files that will be sent for entry into the Tank Characterization Database (TCD). There are 2 different file types needed for each data load: Analytical Results; Sample Descriptions. The first record of each file must be a header record. The content of the first 5 fields is ignored. They were used previously to satisfy historic requirements that are no longer applicable. The sixth field of the header record must contain the Standard Electronic Format (SEF) version ID (SEF3.0). The remaining records will be formatted as specified below. Fields within a record will be separated using the ''|'' symbol. The ''|'' symbol must not appear anywhere in the file except when used as a delimiter

Nurses' Perceptions of Nursing Care Documentation in the Electronic Health Record

Science.gov (United States)

Jensen, Tracey A.

2013-01-01

Electronic health records (EHRs) will soon become the standard for documenting nursing care. The EHR holds the promise of rapid access to complete records of a patient's encounter with the healthcare system. It is the expectation that healthcare providers input essential data that communicates important patient information to support quality…

7 CFR 57.200 - Records and related requirements.

Science.gov (United States)

2010-01-01

... 7 Agriculture 3 2010-01-01 2010-01-01 false Records and related requirements. 57.200 Section 57.200 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS...

Platform links clinical data with electronic health records

Science.gov (United States)

To make data gathered from patients in clinical trials available for use in standard care, NCI has created a new computer tool to support interoperability between clinical research and electronic health record systems. This new software represents an inno

13 CFR 102.36 - Privacy Act standards of conduct.

Science.gov (United States)

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Privacy Act standards of conduct. 102.36 Section 102.36 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION RECORD DISCLOSURE... existence or development of any system of records that is not the subject of a current or planned public...

Electronic medical records in dermatology: Practical implications

Directory of Open Access Journals (Sweden)

Kaliyadan Feroze

2009-01-01

Full Text Available Background: Electronic medical records (EMRs can be of great use in dermatological data recording. Unfortunately, not many studies have been carried out in this specific area. Aims: We attempt to evaluate the use of an EMR system in dermatology, comparing it with a conventional paper-based system. Methods: Two hundred patient records of patients attending the dermatology outpatient department were studied over a 3-month period. Half the reports were entered in the conventional paper-based format while the other half was entered in an EMR system. The time taken for each consultation was recorded and the same was carried out for the first subsequent follow-up visit. Results: The average time taken for the completion of the EMR-based consultation for new cases was 19.15 min (range, 10-30 min; standard deviation, 6.47. The paper-based consultation had an average time of 15.70 min (range, 5-25 min; standard deviation, 6.78. The P-value (T-test was used was 0.002, which was significant. The average time taken for consultations and entering progress notes in the follow-up cases was slightly less than 10 min (9.7 for EMR while it was slightly more than 10 min (10.3 for the paper format. The difference was not statistically significant. The doctors involved also mentioned what they felt were the advantages and disadvantages of the system along with suggestions for improvement. Conclusion: The use of an EMR system in dermatology (or for that matter in any specialty may overawe most users at the beginning, but once a comfort level is established, EMR is likely to outscore conventional paper recording systems. More time-motion-case studies are required to ascertain the optimal usage of EMR systems.

Towards lifetime electronic health record implementation.

Science.gov (United States)

Gand, Kai; Richter, Peggy; Esswein, Werner

2015-01-01

Integrated care concepts can help to diminish demographic challenges. Hereof, the use of eHealth, esp. overarching electronic health records, is recognized as an efficient approach. The article aims at rigorously defining the concept of lifetime electronic health records (LEHRs) and the identification of core factors that need to be fulfilled in order to implement such. A literature review was conducted. Existing definitions were identified and relevant factors were categorized. The derived assessment categories are demonstrated by a case study on Germany. Seven dimensions to differentiate types of electronic health records were found. The analysis revealed, that culture, regulation, informational self-determination, incentives, compliance, ICT infrastructure and standards are important preconditions to successfully implement LEHRs. The article paves the way for LEHR implementation and therewith for integrated care. Besides the expected benefits of LEHRs, there are a number of ethical, legal and social concerns, which need to be balanced.

Integration of clinical research documentation in electronic health records.

Science.gov (United States)

Broach, Debra

2015-04-01

Clinical trials of investigational drugs and devices are often conducted within healthcare facilities concurrently with clinical care. With implementation of electronic health records, new communication methods are required to notify nonresearch clinicians of research participation. This article reviews clinical research source documentation, the electronic health record and the medical record, areas in which the research record and electronic health record overlap, and implications for the research nurse coordinator in documentation of the care of the patient/subject. Incorporation of clinical research documentation in the electronic health record will lead to a more complete patient/subject medical record in compliance with both research and medical records regulations. A literature search provided little information about the inclusion of clinical research documentation within the electronic health record. Although regulations and guidelines define both source documentation and the medical record, integration of research documentation in the electronic health record is not clearly defined. At minimum, the signed informed consent(s), investigational drug or device usage, and research team contact information should be documented within the electronic health record. Institutional policies should define a standardized process for this integration in the absence federal guidance. Nurses coordinating clinical trials are in an ideal position to define this integration.

Do Electronic Health Records Help or Hinder Medical Education?

OpenAIRE

Peled, Jonathan U.; Sagher, Oren; Morrow, Jay B.; Dobbie, Alison E.

2009-01-01

Background to the Debate Background to the debate: Many countries worldwide are digitizing patients' medical records. In the United States, the recent economic stimulus package (?the American Recovery and Reinvestment Act of 2009?), signed into law by President Obama, includes $US17 billion in incentives for health providers to switch to electronic health records (EHRs). The package also includes $US2 billion for the development of EHR standards and best-practice guidelines. What impact will ...

Consensus on Recording Deep Endometriosis Surgery: the CORDES statement.

Science.gov (United States)

Vanhie, A; Meuleman, C; Tomassetti, C; Timmerman, D; D'Hoore, A; Wolthuis, A; Van Cleynenbreugel, B; Dancet, E; Van den Broeck, U; Tsaltas, J; Renner, S P; Ebert, A D; Carmona, F; Abbott, J; Stepniewska, A; Taylor, H; Saridogan, E; Mueller, M; Keckstein, J; Pluchino, N; Janik, G; Zupi, E; Minelli, L; Cooper, M; Dunselman, G; Koh, C; Abrao, M S; Chapron, C; D'Hooghe, T

2016-06-01

Which essential items should be recorded before, during and after endometriosis surgery and in clinical outcome based surgical trials in patients with deep endometriosis (DE)? A DE surgical sheet (DESS) was developed for standardized reporting of the surgical treatment of DE and an international expert consensus proposal on relevant items that should be recorded in surgical outcome trials in women with DE. Surgery is an important treatment for symptomatic DE. So far, data have been reported in such a way that comparison of different surgical techniques is impossible. Therefore, we present an international expert proposal for standardized reporting of surgical treatment and surgical outcome trials in women with DE. International expert consensus based on a systematic review of literature. Taking into account recommendations from Consolidated Standards of Reporting Trials (CONSORT), the Innovation Development Exploration Assessment and Long-term Study (IDEAL), the Initiative on Methods, Measurement and Pain Assessment in Clinical trials (IMMPACT) and the World Endometriosis Research Foundation Phenome and Biobanking Harmonisation Project (WERF EPHect), a systematic literature review on surgical treatment of DE was performed and resulted in a proposal for standardized reporting, adapted by contributions from eight members of the multidisciplinary Leuven University Hospitals Endometriosis Care Program, from 18 international experts and from audience feedback during three international meetings. We have developed the DESS to record in detail the surgical procedures for DE, and an international consensus on pre-, intra- and post-operative data that should be recorded in surgical outcome trials on DE. The recommendations in this paper represent a consensus among international experts based on a systematic review of the literature. For several items and recommendations, high-quality RCTs were not available. Further research is needed to validate and evaluate the

Teaching Electronic Health Record Communication Skills.

Science.gov (United States)

Palumbo, Mary Val; Sandoval, Marie; Hart, Vicki; Drill, Clarissa

2016-06-01

This pilot study investigated nurse practitioner students' communication skills when utilizing the electronic health record during history taking. The nurse practitioner students (n = 16) were videotaped utilizing the electronic health record while taking health histories with standardized patients. The students were videotaped during two separate sessions during one semester. Two observers recorded the time spent (1) typing and talking, (2) typing only, and (3) looking at the computer without talking. Total history taking time, computer placement, and communication skills were also recorded. During the formative session, mean history taking time was 11.4 minutes, with 3.5 minutes engaged with the computer (30.6% of visit). During the evaluative session, mean history taking time was 12.4 minutes, with 2.95 minutes engaged with the computer (24% of visit). The percentage of time individuals spent changed over the two visits: typing and talking, -3.1% (P = .3); typing only, +12.8% (P = .038); and looking at the computer, -9.6% (P = .039). This study demonstrated that time spent engaged with the computer during a patient encounter does decrease with student practice and education. Therefore, students benefit from instruction on electronic health record-specific communication skills, and use of a simple mnemonic to reinforce this is suggested.

Evaluation of Data Recording at Teaching Hospitals

Directory of Open Access Journals (Sweden)

Hasan Karbasi

2009-02-01

Full Text Available Background and purpose: Medical records of patients have an undeniable role on education, research and evaluation of health care delivery, and also could be used as reliable documents of past in casesof patients’ legal complains. This study was done to evaluate medical data recording at teaching hospital of Birjand University of Medical Sciences in 2004.Methods: In this descriptive-analytic study, 527 patients’ records of patients who had been discharged from general wards of the hospitals after 24 hours of hospitalization were randomly selected. 18 standard titles of records include in each patient’s record were evaluated using checklists. Data were analyzed using frequency distribution tables, independent t-test and Chi-square test.Results: Items on records’ titles were completed in a range of 0-100%. Titles of neonates and nursing care with 96% completeness were the most completed ones~ Titles of recovery, pre-delivery care, medical history, summary, and progress notes with 50% to 74% completeness were categorized as moderately completed titles; and titles of vital signs, pre-operation care and operation report were weak. Records of the infectious diseases ward were the most completed records (68% and the least completed were from ophthmology ward (35.8%. There were significant differences between the hospitals and between different wards.Conclusion: Results of this study show the need for further education on record writing, taking medical history, and order writing and more importantly the need for a system of continuous monitoringof the records.Keywords: MEDICAL RECORD, TEACHING HOSPITAL, EVALUATION

Quality of record linkage in a highly automated cancer registry that relies on encrypted identity data

Directory of Open Access Journals (Sweden)

Schmidtmann, Irene

2016-06-01

Full Text Available Objectives: In the absence of unique ID numbers, cancer and other registries in Germany and elsewhere rely on identity data to link records pertaining to the same patient. These data are often encrypted to ensure privacy. Some record linkage errors unavoidably occur. These errors were quantified for the cancer registry of North Rhine Westphalia which uses encrypted identity data. Methods: A sample of records was drawn from the registry, record linkage information was included. In parallel, plain text data for these records were retrieved to generate a gold standard. Record linkage error frequencies in the cancer registry were determined by comparison of the results of the routine linkage with the gold standard. Error rates were projected to larger registries.Results: In the sample studied, the homonym error rate was 0.015%; the synonym error rate was 0.2%. The F-measure was 0.9921. Projection to larger databases indicated that for a realistic development the homonym error rate will be around 1%, the synonym error rate around 2%.Conclusion: Observed error rates are low. This shows that effective methods to standardize and improve the quality of the input data have been implemented. This is crucial to keep error rates low when the registry’s database grows. The planned inclusion of unique health insurance numbers is likely to further improve record linkage quality. Cancer registration entirely based on electronic notification of records can process large amounts of data with high quality of record linkage.

Quality Assessment of Family Planning Sterilization Services at Health Care Facilities: Case Record Audit.

Science.gov (United States)

Mathur, Medha; Goyal, Ram Chandra; Mathur, Navgeet

2017-05-01

Quality of sterilization services is a matter of concern in India because population control is a necessity. Family Planning Sterilization (FPS) services provided at public health care facilities need to be as per Standard Operating Procedures. To assess the quality of FPS services by audit of case records at selected health care facilities. This cross-sectional study was conducted for two and a half year duration at selected public health care facilities of central India by simple random sampling where FPS services were provided. As per the standards of Government of India, case records were audited and compliance was calculated to assess the quality of services. Results of record audit were satisfactory but important criteria like previous contraceptive history and postoperative counselling were found to be deviated from standards. At Primary Health Centres (PHCs) only 89.5% and at Community Health Centres (CHCs) 58.7% of records were having details of previous contraceptive history. Other criteria like mental illness (only 70% at CHCs) assessment were also inadequate. Although informed consent was found to be having 100% compliance in all records. Quality of care in FPS services is the matter of concern in present scenario for better quality of services. This study may enlighten the policy makers regarding improvements needed for providing quality care.

239Pu standards for quantitative neutron-induced autoradiography

International Nuclear Information System (INIS)

Smith, J.M.; Atherton, D.R.; Wronski, T.J.; Jee, W.S.S.

1977-01-01

The present study deals with the preparation of 239 Pu standards for neutron bone tissue autoradiography and the calibration of these standards with respect to uranium reference standards. Known concentrations of 239 Pu were prepared in methyl methacrylate and Bioplastic casting resin bars. Wafers sawed from these bars served as standards. Solid state nuclear tract detectors (Lexan polycarbonate) were used to record fission fragment tracks after the standards were exposed to a thermal neutron flux. The original bars were found to contain a uniform distribution of 239 Pu. To confirm the concentration of 239 Pu in the wafers, the induced track density from the 239 Pu standards was compared with that from uranium reference standards. The average fission fragment detection efficiency for all of the standards was 0.51

43 CFR 2.51 - Assuring integrity of records.

Science.gov (United States)

2010-10-01

... on those recommended in the National Bureau of Standard's booklet “Computer Security Guidelines for..., technical and physical safeguards to insure the security and confidentiality of records and to protect against any anticipated threats or hazards to their security or integrity which could result in...

Medical Practitioners Act 2007: the increased medical record burden.

LENUS (Irish Health Repository)

Byrne, D

2010-03-01

New medical record keeping obligations are implemented by the Medical Practitioners Act (2007), effective July 2009. This audit, comprising review of 347 medical entries in 257 charts on one day, investigated compliance with the Act together with the general standard of medical record keeping. The Medical Council requirement was absent all but 3 (0.9%) of entries; there was no unique identifier or signature in 28 (8%) and 135 (39%) of entries respectively. The case for change is discussed.

Indivo: a personally controlled health record for health information exchange and communication

Directory of Open Access Journals (Sweden)

Crawford William CR

2007-09-01

Full Text Available Abstract Background Personally controlled health records (PCHRs, a subset of personal health records (PHRs, enable a patient to assemble, maintain and manage a secure copy of his or her medical data. Indivo (formerly PING is an open source, open standards PCHR with an open application programming interface (API. Results We describe how the PCHR platform can provide standard building blocks for networked PHR applications. Indivo allows the ready integration of diverse sources of medical data under a patient's control through the use of standards-based communication protocols and APIs for connecting PCHRs to existing and future health information systems. Conclusion The strict and transparent personal control model is designed to encourage widespread participation by patients, healthcare providers and institutions, thus creating the ecosystem for development of innovative, consumer-focused healthcare applications.

Problems with the electronic health record.

Science.gov (United States)

de Ruiter, Hans-Peter; Liaschenko, Joan; Angus, Jan

2016-01-01

One of the most significant changes in modern healthcare delivery has been the evolution of the paper record to the electronic health record (EHR). In this paper we argue that the primary change has been a shift in the focus of documentation from monitoring individual patient progress to recording data pertinent to Institutional Priorities (IPs). The specific IPs to which we refer include: finance/reimbursement; risk management/legal considerations; quality improvement/safety initiatives; meeting regulatory and accreditation standards; and patient care delivery/evidence based practice. Following a brief history of the transition from the paper record to the EHR, the authors discuss unintended or contested consequences resulting from this change. These changes primarily reflect changes in the organization and amount of clinician work and clinician-patient relationships. The paper is not a research report but was informed by an institutional ethnography the aim of which was to understand how the EHR impacted clinicians and administrators in a large, urban hospital in the United States. The paper was also informed by other sources, including the philosophies of Jacques Ellul, Don Idhe, and Langdon Winner. © 2015 John Wiley & Sons Ltd.

Standardized computer-based organized reporting of EEG SCORE - Second version

DEFF Research Database (Denmark)

Beniczky, Sándor; Aurlien, Harald; Brøgger, Jan C

2017-01-01

Standardized terminology for computer-based assessment and reporting of EEG has been previously developed in Europe. The International Federation of Clinical Neurophysiology established a taskforce in 2013 to develop this further, and to reach international consensus. This work resulted in the se......Standardized terminology for computer-based assessment and reporting of EEG has been previously developed in Europe. The International Federation of Clinical Neurophysiology established a taskforce in 2013 to develop this further, and to reach international consensus. This work resulted...... in the second, revised version of SCORE (Standardized Computer-based Organized Reporting of EEG), which is presented in this paper. The revised terminology was implemented in a software package (SCORE EEG), which was tested in clinical practice on 12,160 EEG recordings. Standardized terms implemented in SCORE....... In the end, the diagnostic significance is scored, using a standardized list of terms. SCORE has specific modules for scoring seizures (including seizure semiology and ictal EEG patterns), neonatal recordings (including features specific for this age group), and for Critical Care EEG Terminology. SCORE...

Health Care Personnel Perception of the Privacy of Electronic Health Records.

Science.gov (United States)

Saito, Kenji; Shofer, Frances S; Saberi, Poune; Green-McKenzie, Judith

2017-06-01

: Health care facilities are increasingly converting paper medical records to electronic health records. This study investigates the perception of privacy health care personnel have of electronic health records. A pilot tested, anonymous survey was administered to a convenience sample of health care personnel. Standard summary statistics and Chi-square analysis were used to assess differences in perception. Of the 93% (96/103) who responded, 65% were female and 43% white. The mean age was 44.3 years. Most (94%) felt that Medical Record privacy was important and one-third reported they would not seek care at their workplace if Electronic Health Records were used. Efforts to assure and communicate the integrity of electronic health records are essential toward reducing deterrents for health care personnel to access geographically convenient and timely health care.

Inferring climate variability from skewed proxy records

Science.gov (United States)

Emile-Geay, J.; Tingley, M.

2013-12-01

Many paleoclimate analyses assume a linear relationship between the proxy and the target climate variable, and that both the climate quantity and the errors follow normal distributions. An ever-increasing number of proxy records, however, are better modeled using distributions that are heavy-tailed, skewed, or otherwise non-normal, on account of the proxies reflecting non-normally distributed climate variables, or having non-linear relationships with a normally distributed climate variable. The analysis of such proxies requires a different set of tools, and this work serves as a cautionary tale on the danger of making conclusions about the underlying climate from applications of classic statistical procedures to heavily skewed proxy records. Inspired by runoff proxies, we consider an idealized proxy characterized by a nonlinear, thresholded relationship with climate, and describe three approaches to using such a record to infer past climate: (i) applying standard methods commonly used in the paleoclimate literature, without considering the non-linearities inherent to the proxy record; (ii) applying a power transform prior to using these standard methods; (iii) constructing a Bayesian model to invert the mechanistic relationship between the climate and the proxy. We find that neglecting the skewness in the proxy leads to erroneous conclusions and often exaggerates changes in climate variability between different time intervals. In contrast, an explicit treatment of the skewness, using either power transforms or a Bayesian inversion of the mechanistic model for the proxy, yields significantly better estimates of past climate variations. We apply these insights in two paleoclimate settings: (1) a classical sedimentary record from Laguna Pallcacocha, Ecuador (Moy et al., 2002). Our results agree with the qualitative aspects of previous analyses of this record, but quantitative departures are evident and hold implications for how such records are interpreted, and

Improved overall delivery documentation following implementation of a standardized shoulder dystocia delivery form

Science.gov (United States)

Moragianni, Vasiliki A.; Hacker, Michele R.; Craparo, Frank J.

2013-01-01

Objective Our objective was to evaluate whether using a standardized shoulder dystocia delivery form improved documentation. A standardized delivery form was added to our institution’s obstetrical record in August 2003. Methods A retrospective cohort study was conducted comparing 100 vaginal deliveries complicated by shoulder dystocia before, and 81 after implementation of the standardized delivery form. The two groups were compared in terms of obstetric characteristics, neonatal outcomes and documentation components. Results Charts that included the standardized delivery form were more likely to contain documentation of estimated fetal weight (82.7% vs. 39.0% without the form, Pdystocia, and second stage duration. Conclusions Inclusion of a standardized form in the delivery record improves the rate of documentation of both shoulder dystocia-specific and general delivery components. PMID:22017330

MyPHRMachines : lifelong personal health records in the cloud

NARCIS (Netherlands)

Van Gorp, P.M.E.; Comuzzi, M.; Soda, P.; Tortorella, F.

2012-01-01

Personal Health Records (PHRs) should remain the lifelong property of patients and should be showable conveniently and securely to selected caregivers. Regarding interoperability, current solutions for PHRs focus on standard data exchange formats and transformations to move data across health

Standard Model Higgs boson searches with the ATLAS detector

Indian Academy of Sciences (India)

The experimental results on the search of the Standard Model Higgs boson with 1 to 2 fb-1 of proton–proton collision data at s = 7 TeV recorded by the ATLAS detector are presented and discussed. No significant excess of events is found with respect to the expectations from Standard Model processes, and the production ...

Medical record search engines, using pseudonymised patient identity: an alternative to centralised medical records.

Science.gov (United States)

Quantin, Catherine; Jaquet-Chiffelle, David-Olivier; Coatrieux, Gouenou; Benzenine, Eric; Allaert, François-André

2011-02-01

The purpose of our multidisciplinary study was to define a pragmatic and secure alternative to the creation of a national centralised medical record which could gather together the different parts of the medical record of a patient scattered in the different hospitals where he was hospitalised without any risk of breaching confidentiality. We first analyse the reasons for the failure and the dangers of centralisation (i.e. difficulty to define a European patients' identifier, to reach a common standard for the contents of the medical record, for data protection) and then propose an alternative that uses the existing available data on the basis that setting up a safe though imperfect system could be better than continuing a quest for a mythical perfect information system that we have still not found after a search that has lasted two decades. We describe the functioning of Medical Record Search Engines (MRSEs), using pseudonymisation of patients' identity. The MRSE will be able to retrieve and to provide upon an MD's request all the available information concerning a patient who has been hospitalised in different hospitals without ever having access to the patient's identity. The drawback of this system is that the medical practitioner then has to read all of the information and to create his own synthesis and eventually to reject extra data. Faced with the difficulties and the risks of setting up a centralised medical record system, a system that gathers all of the available information concerning a patient could be of great interest. This low-cost pragmatic alternative which could be developed quickly should be taken into consideration by health authorities. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Developing a standardized healthcare cost data warehouse.

Science.gov (United States)

Visscher, Sue L; Naessens, James M; Yawn, Barbara P; Reinalda, Megan S; Anderson, Stephanie S; Borah, Bijan J

2017-06-12

Research addressing value in healthcare requires a measure of cost. While there are many sources and types of cost data, each has strengths and weaknesses. Many researchers appear to create study-specific cost datasets, but the explanations of their costing methodologies are not always clear, causing their results to be difficult to interpret. Our solution, described in this paper, was to use widely accepted costing methodologies to create a service-level, standardized healthcare cost data warehouse from an institutional perspective that includes all professional and hospital-billed services for our patients. The warehouse is based on a National Institutes of Research-funded research infrastructure containing the linked health records and medical care administrative data of two healthcare providers and their affiliated hospitals. Since all patients are identified in the data warehouse, their costs can be linked to other systems and databases, such as electronic health records, tumor registries, and disease or treatment registries. We describe the two institutions' administrative source data; the reference files, which include Medicare fee schedules and cost reports; the process of creating standardized costs; and the warehouse structure. The costing algorithm can create inflation-adjusted standardized costs at the service line level for defined study cohorts on request. The resulting standardized costs contained in the data warehouse can be used to create detailed, bottom-up analyses of professional and facility costs of procedures, medical conditions, and patient care cycles without revealing business-sensitive information. After its creation, a standardized cost data warehouse is relatively easy to maintain and can be expanded to include data from other providers. Individual investigators who may not have sufficient knowledge about administrative data do not have to try to create their own standardized costs on a project-by-project basis because our data

Quality assurance records and records' system

International Nuclear Information System (INIS)

Link, M.; Martinek, J.

1980-01-01

For nuclear power plants extensive proof of quality is required which has to be documented reliably by quality records. With respect to the paper volume it is the most comprehensive 'curriculum vitae' of the technique. Traditional methods of information and recording are unsatisfactory for meeting regulatory requirements for maintaining the QA-aspects of status reporting, completeness, traceability and retrieval. Therefore KWU has established a record (documentation) subsystem within the overall component qualification system. Examples of the general documentation requirements, the procedure and handling in accordance with this subsystem for mechanical equipment are to be described examplarily. Topics are: - National and international requirements - Definition of QA records - Modular and product orientated KWU-record subsystem - Criteria for developing records - Record control, distribution, collection, storage - New documentation techniques (microfilm, data processing) - Education and training of personnel. (orig./RW)

Effect of electronic report writing on the quality of nursing report recording

Science.gov (United States)

Heidarizadeh, Khadijeh; Rassouli, Maryam; Manoochehri, Houman; Tafreshi, Mansoureh Zagheri; Ghorbanpour, Reza Kashef

2017-01-01

Background and Aim Recording performed nursery actions is one of the main chores of nurses. The findings have shown that recorded reports are not qualitatively valid. Since electronic reports can be regarded as a base to write reports, this study aims at determining the effect of utilizing electronic nursing reports on the quality of the records. Methods This quasi-experimental study was conducted with the aim of applying an electronic system of nursing recording in the heart department of Shahid Rahimi Medical Center, Lorestan University of Medical Science. The samples were nursing reports on the hospitalized patients in the heart department, the basis of complete enumeration (census) during the fall of 2014. The subjects were sixteen employed nurses. To do the study, the software of nursing records was set based on the Clinical Care Classification system (CCC). The research’s tool was the checklist of the Standards of Nursing Documentation. Results The findings indicated that before and after the intervention, the amount of reports’ adaption with the written standards, respectively, was (21.8%) and (71.3%), and the most complete recording was medicine status (58%) and (100%). The worst complete recording before the intervention, acute changes was (99.1%) and nursing processes was (78%) and after, the medicine status, intake and output status and patient’s education (100%); while the nursing report structure was regarded in all cases (100%). The results showed that there is a significant difference in the quality of reporting before and after using CCC (pnurses are reminded to record the necessary parts and from the other point, the system does not allow the user to shut it down unless the necessary parameters are recorded. For this reason, the quality of recorded reports with electronic reporting improves. PMID:29238481

Standardization efforts of digital pathology in Europe.

Science.gov (United States)

Rojo, Marcial García; Daniel, Christel; Schrader, Thomas

2012-01-01

EURO-TELEPATH is a European COST Action IC0604. It started in 2007 and will end in November 2011. Its main objectives are evaluating and validating the common technological framework and communication standards required to access, transmit, and manage digital medical records by pathologists and other medical specialties in a networked environment. Working Group 1, "Business Modelling in Pathology," has designed main pathology processes - Frozen Study, Formalin Fixed Specimen Study, Telepathology, Cytology, and Autopsy - using Business Process Modelling Notation (BPMN). Working Group 2 has been dedicated to promoting the application of informatics standards in pathology, collaborating with Integrating Healthcare Enterprise (IHE), Digital Imaging and Communications in Medicine (DICOM), Health Level Seven (HL7), and other standardization bodies. Health terminology standardization research has become a topic of great interest. Future research work should focus on standardizing automatic image analysis and tissue microarrays imaging.

Directory of DOE and contractor personnel involved in non-government standards activities

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-08-01

This document contains a listing of DOE employees and DOE contractors who have submitted form DOE F 1300.2, Record of Non-Government Standards Activity. Additional names were added from rosters supplied by non-Government standards bodies.

Interoperable and standard e-Health solution over Bluetooth.

Science.gov (United States)

Martinez, I; Del Valle, P; Munoz, P; Trigo, J D; Escayola, J; Martínez-Espronceda, M; Muñoz, A; Serrano, L; Garcia, J

2010-01-01

The new paradigm of e-Health demands open sensors and middleware components that permit transparent integration and end-to-end interoperability of new personal health devices. The use of standards seems to be the internationally adopted way to solve these problems. This paper presents the implementation of an end-to-end standards-based e-Health solution. This includes ISO/IEEE11073 standard for the interoperability of the medical devices in the patient environment and EN13606 standard for the interoperable exchange of the Electronic Healthcare Record. The design strictly fulfills all the technical features of the most recent versions of both standards. The implemented prototype has been tested in a laboratory environment to demonstrate its feasibility for its further transfer to the healthcare system.

32 CFR 1700.6 - Fees for records services.

Science.gov (United States)

2010-07-01

... INTELLIGENCE PROCEDURES FOR DISCLOSURE OF RECORDS PURSUANT TO THE FREEDOM OF INFORMATION ACT § 1700.6 Fees for... for fee waivers or reductions may be appealed to the Director of the Intelligence Staff, or his... Photocopy (standard or legal) Per page .10 Microfiche Per frame .20 Pre-printed (if available) Per 100 pages...

Design of an Electronic Healthcare Record Server Based on Part 1 of ISO EN 13606

Directory of Open Access Journals (Sweden)

Tony Austin

2011-01-01

Full Text Available ISO EN 13606 is a newly approved standard at European and ISO levels for the meaningful exchange of clinical information between systems. Although conceived as an inter-operability standard to which existing electronic health record (EHR systems will transform legacy data, the requirements met and architectural approach reflected in this standard also make it a good candidate for the internal architecture of an EHR server. The authors have built such a server for the storage of healthcare records and demonstrated that it is possible to use ISO EN 13606 part 1 as the basis of an internal system architecture. The development of the system and some of the applications of the server are described in this paper. It is the first known operational implementation of the standard as an EHR system.

10 CFR 600.150 - Purpose of reports and records.

Science.gov (United States)

2010-01-01

... recipient's financial and program performance and the necessary standard reporting forms. They also set... 10 Energy 4 2010-01-01 2010-01-01 false Purpose of reports and records. 600.150 Section 600.150 Energy DEPARTMENT OF ENERGY (CONTINUED) ASSISTANCE REGULATIONS FINANCIAL ASSISTANCE RULES Uniform...

77 FR 58707 - Minimum Internal Control Standards

Science.gov (United States)

2012-09-21

..., if any), counted, inventoried, and secured by an authorized agent. (ii) Bingo card inventory records... comprehensive standards for the entire Class II gaming environment. The new sections include, for example: Card games; drop and count; surveillance; and gaming promotions and player tracking. The amendments also...

EEG Signal Quality of a Subcutaneous Recording System Compared to Standard Surface Electrodes

Directory of Open Access Journals (Sweden)

Jonas Duun-Henriksen

2015-01-01

Full Text Available Purpose. We provide a comprehensive verification of a new subcutaneous EEG recording device which promises robust and unobtrusive measurements over ultra-long time periods. The approach is evaluated against a state-of-the-art surface EEG electrode technology. Materials and Methods. An electrode powered by an inductive link was subcutaneously implanted on five subjects. Surface electrodes were placed at sites corresponding to the subcutaneous electrodes, and the EEG signals were evaluated with both quantitative (power spectral density and coherence analysis and qualitative (blinded subjective scoring by neurophysiologists analysis. Results. The power spectral density and coherence analysis were very similar during measurements of resting EEG. The scoring by neurophysiologists showed a higher EEG quality for the implanted system for different subject states (eyes open and eyes closed. This was most likely due to higher amplitude of the subcutaneous signals. During periods with artifacts, such as chewing, blinking, and eye movement, the two systems performed equally well. Conclusions. Subcutaneous measurements of EEG with the test device showed high quality as measured by both quantitative and more subjective qualitative methods. The signal might be superior to surface EEG in some aspects and provides a method of ultra-long term EEG recording in situations where this is required and where a small number of EEG electrodes are sufficient.

[Analysis of varieties and standards of Scrophulariaceae plants used in Tibetan medicine].

Science.gov (United States)

Cao, Lan; Mu, Ze-jing; Zhong, Wei-hong; Zhong, Wei-jin; He, Jun-wei; Du, Xiao-lang; Zhong, Guo-yue

2015-12-01

In this paper, the popular domestic varieties and quality standard of Scrophulariaceae plants used in Tibetan medicine were analyzed. The results showed that there were 11 genera and 99 species (including varieties), as well as 28 medicinal materials varieties of Scrophulariaceae plants were recorded in the relevant literatures. In relevant Tibetan standards arid literatures, there are great differences in varieties, sources, parts, and efficacies of medicinal plant. Among them, about 41.4% (including 41 species) of endemic plants, about 15.2% (including 15 species) of the original plants have medicinal standard legal records, except the medicinal materials of Scrophalaria ningpoensis, Lagotis brevituba, Picrorhiza scrophulariiflora, Veronica eriogyne general, most varieties have not completed quality standard. Consequently it is necessary to reinforce the herbal textual, resources and the use present situation investigation, the effects of the species resources material foundation and biological activity, quality standard, specification the medical terms of the plants, and promote Tibetan medicinal vareties-terminologies-sources such as the criterion and quality standard system for enriching the varieties of Tibetan medicinal materials and Chinese medicinal resources.

45 CFR 74.50 - Purpose of reports and records.

Science.gov (United States)

2010-10-01

... reporting on the recipient's financial and program performance and the necessary standard reporting forms... 45 Public Welfare 1 2010-10-01 2010-10-01 false Purpose of reports and records. 74.50 Section 74.50 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION UNIFORM...

Optical Reading and Playing of Sound Signals from Vinyl Records

OpenAIRE

Hensman, Arnold; Casey, Kevin

2007-01-01

While advanced digital music systems such as compact disk players and MP3 have become the standard in sound reproduction technology, critics claim that conversion to digital often results in a loss of sound quality and richness. For this reason, vinyl records remain the medium of choice for many audiophiles involved in specialist areas. The waveform cut into a vinyl record is an exact replica of the analogue version from the original source. However, while some perceive this media as reproduc...

Data Representation, Coding, and Communication Standards.

Science.gov (United States)

Amin, Milon; Dhir, Rajiv

2015-06-01

The immense volume of cases signed out by surgical pathologists on a daily basis gives little time to think about exactly how data are stored. An understanding of the basics of data representation has implications that affect a pathologist's daily practice. This article covers the basics of data representation and its importance in the design of electronic medical record systems. Coding in surgical pathology is also discussed. Finally, a summary of communication standards in surgical pathology is presented, including suggested resources that establish standards for select aspects of pathology reporting. Copyright © 2015 Elsevier Inc. All rights reserved.

New standards for devices used for the measurement of human body temperature.

Science.gov (United States)

Ring, E F J; McEvoy, H; Jung, A; Zuber, J; Machin, G

2010-05-01

Significant changes in recording of human body temperature have been taking place worldwide in recent years. The clinical thermometer introduced in the mid-19th century by Wunderlich has been replaced by digital thermometers or radiometer devices for recording tympanic membrane temperature. More recently the use of infrared thermal imaging for fever screening has become more widespread following the SARS infection, and particularly during the pandemic H1N1 outbreak. Important new standards that have now reached international acceptance will affect clinical and fever screening applications. This paper draws attention to these new standard documents. They are designed to improve the standardization of both performance and practical use of these key techniques in clinical medicine, especially necessary in a pandemic influenza situation.

Impact of errors in recorded compressed breast thickness measurements on volumetric density classification using volpara v1.5.0 software.

Science.gov (United States)

Waade, Gunvor Gipling; Highnam, Ralph; Hauge, Ingrid H R; McEntee, Mark F; Hofvind, Solveig; Denton, Erika; Kelly, Judith; Sarwar, Jasmine J; Hogg, Peter

2016-06-01

Mammographic density has been demonstrated to predict breast cancer risk. It has been proposed that it could be used for stratifying screening pathways and recommending additional imaging. Volumetric density tools use the recorded compressed breast thickness (CBT) of the breast measured at the x-ray unit in their calculation; however, the accuracy of the recorded thickness can vary. The aim of this study was to investigate whether inaccuracies in recorded CBT impact upon volumetric density classification and to examine whether the current quality control (QC) standard is sufficient for assessing mammographic density. Raw data from 52 digital screening mammograms were included in the study. For each image, the clinically recorded CBT was artificially increased and decreased in increments of 1 mm to simulate measurement error, until ±15% from the recorded CBT was reached. New images were created for each 1 mm step in thickness resulting in a total of 974 images which then had volpara density grade (VDG) and volumetric density percentage assigned. A change in VDG was observed in 38.5% (n = 20) of mammograms when applying ±15% error to the recorded CBT and 11.5% (n = 6) was within the QC standard prescribed error of ±5 mm. The current QC standard of ±5 mm error in recorded CBT creates the potential for error in mammographic density measurement. This may lead to inaccurate classification of mammographic density. The current QC standard for assessing mammographic density should be reconsidered.

The effect of signal acquisition and processing choices on ApEn values: towards a "gold standard" for distinguishing effort levels from isometric force records.

Science.gov (United States)

Forrest, Sarah M; Challis, John H; Winter, Samantha L

2014-06-01

Approximate entropy (ApEn) is frequently used to identify changes in the complexity of isometric force records with ageing and disease. Different signal acquisition and processing parameters have been used, making comparison or confirmation of results difficult. This study determined the effect of sampling and parameter choices by examining changes in ApEn values across a range of submaximal isometric contractions of the first dorsal interosseus. Reducing the sample rate by decimation changed both the value and pattern of ApEn values dramatically. The pattern of ApEn values across the range of effort levels was not sensitive to the filter cut-off frequency, or the criterion used to extract the section of data for analysis. The complexity increased with increasing effort levels using a fixed 'r' value (which accounts for measurement noise) but decreased with increasing effort level when 'r' was set to 0.1 of the standard deviation of force. It is recommended isometric force records are sampled at frequencies >200Hz, template length ('m') is set to 2, and 'r' set to measurement system noise or 0.1SD depending on physiological process to be distinguished. It is demonstrated that changes in ApEn across effort levels are related to changes in force gradation strategy. Copyright © 2014 IPEM. Published by Elsevier Ltd. All rights reserved.

Improving the quality of endodontic record keeping through clinical audit.

Science.gov (United States)

King, E; Shekaran, L; Muthukrishnan, A

2017-03-10

Introduction Record keeping is an essential part of day-to-day practice and plays an important role in treatment, audit and dento-legal procedures. Creating effective endodontic records is challenging due to the scope of information required for comprehensive notes. Two audits were performed to assess the standards of endodontic record keeping by dentists in a restorative dentistry department and students on an endodontic MSc course.Methods Fifty sets of departmental records and 10 sets of student records were retrospectively evaluated against the European Society of Endodontology 2006 guidelines. Results of the first cycle of both audits were presented to departmental staff and MSc students, alongside an educational session. Additionally, departmental guidelines, consent leaflets and endodontic record keeping forms were developed. Both audits were repeated using the same number of records, thus completing both audit cycles.Results The most commonly absent records included consent, anaesthetic details, rubber dam method, working length reference point, irrigation details and obturation technique. Almost all areas of record keeping improved following the second audit cycle, with some areas reaching 100% compliance when record keeping forms were used. Statistically significant improvements were seen in 24 of the 29 areas in the departmental audit and 14 of the 29 areas in the MSc audit (P = 0.05).Conclusions Significant improvements in endodontic record keeping can be achieved through the provision of education, departmental guidelines, consent leaflets and endodontic record keeping forms.

Automated de-identification of free-text medical records

Directory of Open Access Journals (Sweden)

Long William J

2008-07-01

Full Text Available Abstract Background Text-based patient medical records are a vital resource in medical research. In order to preserve patient confidentiality, however, the U.S. Health Insurance Portability and Accountability Act (HIPAA requires that protected health information (PHI be removed from medical records before they can be disseminated. Manual de-identification of large medical record databases is prohibitively expensive, time-consuming and prone to error, necessitating automatic methods for large-scale, automated de-identification. Methods We describe an automated Perl-based de-identification software package that is generally usable on most free-text medical records, e.g., nursing notes, discharge summaries, X-ray reports, etc. The software uses lexical look-up tables, regular expressions, and simple heuristics to locate both HIPAA PHI, and an extended PHI set that includes doctors' names and years of dates. To develop the de-identification approach, we assembled a gold standard corpus of re-identified nursing notes with real PHI replaced by realistic surrogate information. This corpus consists of 2,434 nursing notes containing 334,000 words and a total of 1,779 instances of PHI taken from 163 randomly selected patient records. This gold standard corpus was used to refine the algorithm and measure its sensitivity. To test the algorithm on data not used in its development, we constructed a second test corpus of 1,836 nursing notes containing 296,400 words. The algorithm's false negative rate was evaluated using this test corpus. Results Performance evaluation of the de-identification software on the development corpus yielded an overall recall of 0.967, precision value of 0.749, and fallout value of approximately 0.002. On the test corpus, a total of 90 instances of false negatives were found, or 27 per 100,000 word count, with an estimated recall of 0.943. Only one full date and one age over 89 were missed. No patient names were missed in either

Standard Model Higgs Searches at the Tevatron

Energy Technology Data Exchange (ETDEWEB)

Knoepfel, Kyle J.

2012-06-01

We present results from the search for a standard model Higgs boson using data corresponding up to 10 fb{sup -1} of proton-antiproton collision data produced by the Fermilab Tevatron at a center-of-mass energy of 1.96 TeV. The data were recorded by the CDF and D0 detectors between March 2001 and September of 2011. A broad excess is observed between 105 < m{sub H} < 145 GeV/c{sup 2} with a global significance of 2.2 standard deviations relative to the background-only hypothesis.

Tephrostratigraphy the DEEP site record, Lake Ohrid

Science.gov (United States)

Leicher, N.; Zanchetta, G.; Sulpizio, R.; Giaccio, B.; Wagner, B.; Francke, A.

2016-12-01

In the central Mediterranean region, tephrostratigraphy has been proofed to be a suitable and powerful tool for dating and correlating marine and terrestrial records. However, for the period older 200 ka, tephrostratigraphy is incomplete and restricted to some Italian continental basins (e.g. Sulmona, Acerno, Mercure), and continuous records downwind of the Italian volcanoes are rare. Lake Ohrid (Macedonia/Albania) in the eastern Mediterranean region fits this requisite and is assumed to be the oldest continuously existing lake of Europe. A continous record (DEEP) was recovered within the scope of the ICDP deep-drilling campaign SCOPSCO (Scientific Collaboration on Past Speciation Conditions in Lake Ohrid). In the uppermost 450 meters of the record, covering more than 1.2 Myrs of Italian volcanism, 54 tephra layers were identified during core-opening and description. A first tephrostratigraphic record was established for the uppermost 248 m ( 637 ka). Major element analyses (EDS/WDS) were carried out on juvenile glass fragments and 15 out of 35 tephra layers have been identified and correlated with known and dated eruptions of Italian volcanoes. Existing 40Ar/39Ar ages were re-calculated by using the same flux standard and used as first order tie points to develop a robust chronology for the DEEP site succession. Between 248 and 450 m of the DEEP site record, another 19 tephra horizons were identified and are subject of ongoing work. These deposits, once correlated with known and dated tephra, will hopefully enable dating this part of the succession, likely supported by major paleomagnetic events, such as the Brunhes-Matuyama boundary, or the Cobb-Mountain or the Jaramillo excursions. This makes the Lake Ohrid record a unique continuous, distal record of Italian volcanic activity, which is candidate to become the template for the central Mediterranean tephrostratigraphy, especially for the hitherto poorly known and explored lower Middle Pleistocene period.

38 CFR 49.50 - Purpose of reports and records.

Science.gov (United States)

2010-07-01

... Purpose of reports and records. Sections 49.51 through 49.53 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary standard reporting forms... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Purpose of reports and...

Standard of care of erectile dysfunction in U.S. Air Force aircrew and active duty not on flying status.

Science.gov (United States)

Nast, Justin B

2014-11-01

In 2011, over 3,000 active duty U.S. Air Force (USAF) members were prescribed a phosphodiesterase inhibitor (PDEI). PDEIs are first-line therapy for treating erectile dysfunction and can have significant side effects that could impact aircrew performance. In total, 200 eligible subject records were randomly sampled from the active duty USAF population of those males filling a prescription for a PDEI in June 2011; 100 of those records were from aviators. The electronic records were reviewed and scored to determine if USAF aeromedical standards for prescribing PDEIs were followed, with a minimum score of 0 for no standards met and a maximum of 3 for all standards met. The average score for both groups was 1, with no significant difference between the group scores. A proper aeromedical disposition was documented in 67% of the aviator records. Although there was no significant difference in standard of care for aviators and nonaviators, the overall documented standard of care was poor. Lack of documentation was the primary reason for the low scores and the low percentage of properly rendered aeromedical dispositions. Proper medical record documentation is important for evaluating quality of care and ensuring compliance with regulations in an Air Force aviator population. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

The Quest for Quality Electrocardiographic Recording

Directory of Open Access Journals (Sweden)

Javier García-Niebla

2015-10-01

Full Text Available For correct electrocardiography ECG diagnosis and interpretation, it is important not only to distinguish normal from pathological electrocardiograms, but also to ensure they have been properly recorded. Heden et al, reported that 2% of 11,000 EEGs analyzed showed interchanged electrode placement. Thus, if 300 million ECGs are performed annually in the world, 6 million are erroneously recorded. This figure could even triple if one includes other frequent mistakes, such as vertical displacement of precordial electrodes and the proximal placement of these on the limbs instead of the trunk. Few manuals on electrocardiography have devoted space to warn about the effects of ECG recordings that do not conform to standards, but it seems that this is changing. This issue of the journal contains two interesting articles by Rosen et al., who form part of the research group led by Dr. Adrian Baranchuk, which address the most common mistakes made in daily practice in relation to improper placement of limb and precordial electrodes, as well as tell-tale signs for their detection. In this editorial we will elaborate on certain issues directly related to possible errors on performing an ECG.

75 FR 66316 - National Historical Publications and Records Commission Grants

Science.gov (United States)

2010-10-28

... Office of Management and Budget (OMB) requirement to use Standard Form (SF) 425, Federal Financial Report... changes from the Office of Management and Budget; others proposed changes to eligible applicants and the... policy or to provide procedural details. Historical records means documentary material having permanent...

Building a national electronic medical record exchange system - experiences in Taiwan.

Science.gov (United States)

Li, Yu-Chuan Jack; Yen, Ju-Chuan; Chiu, Wen-Ta; Jian, Wen-Shan; Syed-Abdul, Shabbir; Hsu, Min-Huei

2015-08-01

There are currently 501 hospitals and about 20,000 clinics in Taiwan. The National Health Insurance (NHI) system, which is operated by the NHI Administration, uses a single-payer system and covers 99.9% of the nation's total population of 23,000,000. Taiwan's NHI provides people with a high degree of freedom in choosing their medical care options. However, there is the potential concern that the available medical resources will be overused. The number of doctor consultations per person per year is about 15. Duplication of laboratory tests and prescriptions are not rare either. Building an electronic medical record exchange system is a good method of solving these problems and of improving continuity in health care. In November 2009, Taiwan's Executive Yuan passed the 'Plan for accelerating the implementation of electronic medical record systems in medical institutions' (2010-2012; a 3-year plan). According to this plan, a patient can, at any hospital in Taiwan, by using his/her health insurance IC card and physician's medical professional IC card, upon signing a written agreement, retrieve all important medical records for the past 6 months from other participating hospitals. The focus of this plan is to establish the National Electronic Medical Record Exchange Centre (EEC). A hospital's information system will be connected to the EEC through an electronic medical record (EMR) gateway. The hospital will convert the medical records for the past 6 months in its EMR system into standardized files and save them on the EMR gateway. The most important functions of the EEC are to generate an index of all the XML files on the EMR gateways of all hospitals, and to provide search and retrieval services for hospitals and clinics. The EEC provides four standard inter-institution EMR retrieval services covering medical imaging reports, laboratory test reports, discharge summaries, and outpatient records. In this system, we adopted the Health Level 7 (HL7) Clinical Document

Electronic medical records for otolaryngology office-based practice.

Science.gov (United States)

Chernobilsky, Boris; Boruk, Marina

2008-02-01

Pressure is mounting on physicians to adopt electronic medical records. The field of health information technology is evolving rapidly with innovations and policies often outpacing science. We sought to review research and discussions about electronic medical records from the past year to keep abreast of these changes. Original scientific research, especially from otolaryngologists, is lacking in this field. Adoption rates are slowly increasing, but more of the burden is shouldered by physicians despite policy efforts and the clear benefits to third-party payers. Scientific research from the past year suggests lack of improvements and even decreasing quality of healthcare with electronic medical record adoption in the ambulatory care setting. The increasing prevalence and standardization of electronic medical record systems results in a new set of problems including rising costs, audits, difficulties in transition and public concerns about security of information. As major players in healthcare continue to push for adoption, increased effort must be made to demonstrate actual improvements in patient care in the ambulatory care setting. More scientific studies are needed to demonstrate what features of electronic medical records actually improve patient care. Otolaryngologists should help each other by disseminating research about improvement in patient outcomes with their systems since current adoption and outcomes policies do not apply to specialists.

75 FR 79030 - Proposed Extension of Existing Information Collection; Training Plans and Records of Training

Science.gov (United States)

2010-12-17

... Extension of Existing Information Collection; Training Plans and Records of Training AGENCY: Mine Safety and... extension of the information collection for Training Plans and Records of Training, 30 CFR 48.3, 48.9, 48.23... require training plans for underground and surface mines, respectively. The standards are intended to...

Universal scaling behaviors of meteorological variables’ volatility and relations with original records

Science.gov (United States)

Lu, Feiyu; Yuan, Naiming; Fu, Zuntao; Mao, Jiangyu

2012-10-01

Volatility series (defined as the magnitude of the increments between successive elements) of five different meteorological variables over China are analyzed by means of detrended fluctuation analysis (DFA for short). Universal scaling behaviors are found in all volatility records, whose scaling exponents take similar distributions with similar mean values and standard deviations. To reconfirm the relation between long-range correlations in volatility and nonlinearity in original series, DFA is also applied to the magnitude records (defined as the absolute values of the original records). The results clearly indicate that the nonlinearity of the original series is more pronounced in the magnitude series.

Validation of diabetes mellitus and hypertension diagnosis in computerized medical records in primary health care

Directory of Open Access Journals (Sweden)

Abánades-Herranz Juan C

2011-10-01

Full Text Available Abstract Background Computerized Clinical Records, which are incorporated in primary health care practice, have great potential for research. In order to use this information, data quality and reliability must be assessed to prevent compromising the validity of the results. The aim of this study is to validate the diagnosis of hypertension and diabetes mellitus in the computerized clinical records of primary health care, taking the diagnosis criteria established in the most prominently used clinical guidelines as the gold standard against which what measure the sensitivity, specificity, and determine the predictive values. The gold standard for diabetes mellitus was the diagnostic criteria established in 2003 American Diabetes Association Consensus Statement for diabetic subjects. The gold standard for hypertension was the diagnostic criteria established in the Joint National Committee published in 2003. Methods A cross-sectional multicentre validation study of diabetes mellitus and hypertension diagnoses in computerized clinical records of primary health care was carried out. Diagnostic criteria from the most prominently clinical practice guidelines were considered for standard reference. Sensitivity, specificity, positive and negative predictive values, and global agreement (with kappa index, were calculated. Results were shown overall and stratified by sex and age groups. Results The agreement for diabetes mellitus with the reference standard as determined by the guideline was almost perfect (κ = 0.990, with a sensitivity of 99.53%, a specificity of 99.49%, a positive predictive value of 91.23% and a negative predictive value of 99.98%. Hypertension diagnosis showed substantial agreement with the reference standard as determined by the guideline (κ = 0.778, the sensitivity was 85.22%, the specificity 96.95%, the positive predictive value 85.24%, and the negative predictive value was 96.95%. Sensitivity results were worse in patients who

History and development of ABCDEFG: a data standard for geosciences

OpenAIRE

Petersen, Mareike; Glöckler, Falko; Kiessling, Wolfgang; Döring, Markus; Fichtmüller, David; Laphakorn, Lertsutham; Baltruschat, Brian; Hoffmann, Jana

2018-01-01

Museums and their collections have specially customized databases in order to optimally gather and record their contents and associated metadata associated with their specimens. To share, exchange, and publish data, an appropriate data standard is essential. ABCD (Access to Biological Collection Data) is a standard for biological collection units, including living and preserved specimen, together with field observation data. Its extension, EFG (Extension for Geoscience), ena...

42 CFR 495.370 - Appeals process for a Medicaid provider receiving electronic health record incentive payments.

Science.gov (United States)

2010-10-01

... & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM Requirements Specific to the... provide that the provider (whether individual or entity) is also given any additional appeals rights that...

Assuring Academic Achievement Standards: From Moderation to Calibration

Science.gov (United States)

Sadler, D. Royce

2013-01-01

The course (module) grades entered on higher education academic records (transcripts) purportedly represent substantive levels of student achievement. They are often taken at face value and accepted as comparable across courses. Research undertaken over several decades has shown that the underlying standards against which student works are…

Test Methods for Telemetry Systems and Subsystems. Volume 5: Test Methods for Digital Recorder/Reproducer Systems and Recorder Memory Modules

Science.gov (United States)

2016-09-26

Commanders Council. “Digital Data Bus Acquisition Formatting Standard” in Telemetry Standards. RCC 106-13. June 2013. Superseded by Telemetry...second after startup and within one second of stopping should be evaluated. The METS validation software must be configured to mirror the... startup of the recorder. A log file from a test with no errors should look something similar to Table 6-3. Configurations M_01-01 through M_02-02

77 FR 40864 - Privacy Act of 1974; System of Records

Science.gov (United States)

2012-07-11

... standard reporting, ad-hoc reporting and tracking capability of procurement, funding, contractor and user..., guards, and is accessible only to authorized personnel. Access to records is limited to person(s... cleared for need-to-know. Access to computerized data is restricted by Common Access Card (CAC) and/or...

47 CFR 0.557 - Administrative review of an initial decision not to amend a record.

Science.gov (United States)

2010-10-01

... COMMISSION ORGANIZATION Privacy Act Regulations § 0.557 Administrative review of an initial decision not to... conduct an independent review of the record in controversy using the standards of review set out in § 0... expected to be completed. (c) If upon review of the record in controversy the Commission agrees with the...

FASB (Financial Accounting Standards Board) proposal changes retiree healthcare benefit accounting.

Science.gov (United States)

Grimaldi, P L; Bertko, J M

1989-07-01

The Financial Accounting Standards Board (FASB) recently issued an exposure draft (ED) of a standard that would change the way organizations account for their employees' post-retirement healthcare benefits. According to the ED, organizations would have to switch from cash accounting to accrual accounting for post-retirement benefits as well as record their retiree healthcare liabilities on their balance sheets by 1992.

76 FR 72909 - Privacy Act of 1974; System of Records

Science.gov (United States)

2011-11-28

... pursuant to 47 U.S.C. 901 et seq., National Telecommunications; E.O. 12731, Principles of ethical conduct for Government officers and employees; 5 CFR part 2635, Standards of Ethical Conduct for Employees of... J. Kingman Road, Suite 1644, Fort Belvoir, VA 22060-6221. Record source categories: Data is supplied...

Electronic Health Records Data and Metadata: Challenges for Big Data in the United States.

Science.gov (United States)

Sweet, Lauren E; Moulaison, Heather Lea

2013-12-01

This article, written by researchers studying metadata and standards, represents a fresh perspective on the challenges of electronic health records (EHRs) and serves as a primer for big data researchers new to health-related issues. Primarily, we argue for the importance of the systematic adoption of standards in EHR data and metadata as a way of promoting big data research and benefiting patients. EHRs have the potential to include a vast amount of longitudinal health data, and metadata provides the formal structures to govern that data. In the United States, electronic medical records (EMRs) are part of the larger EHR. EHR data is submitted by a variety of clinical data providers and potentially by the patients themselves. Because data input practices are not necessarily standardized, and because of the multiplicity of current standards, basic interoperability in EHRs is hindered. Some of the issues with EHR interoperability stem from the complexities of the data they include, which can be both structured and unstructured. A number of controlled vocabularies are available to data providers. The continuity of care document standard will provide interoperability in the United States between the EMR and the larger EHR, potentially making data input by providers directly available to other providers. The data involved is nonetheless messy. In particular, the use of competing vocabularies such as the Systematized Nomenclature of Medicine-Clinical Terms, MEDCIN, and locally created vocabularies inhibits large-scale interoperability for structured portions of the records, and unstructured portions, although potentially not machine readable, remain essential. Once EMRs for patients are brought together as EHRs, the EHRs must be managed and stored. Adequate documentation should be created and maintained to assure the secure and accurate use of EHR data. There are currently a few notable international standards initiatives for EHRs. Organizations such as Health Level Seven

Shear-wave velocity compilation for Northridge strong-motion recording sites

Science.gov (United States)

Borcherdt, Roger D.; Fumal, Thomas E.

2002-01-01

Borehole and other geotechnical information collected at the strong-motion recording sites of the Northridge earthquake of January 17, 1994 provide an important new basis for the characterization of local site conditions. These geotechnical data, when combined with analysis of strong-motion recordings, provide an empirical basis to evaluate site coefficients used in current versions of US building codes. Shear-wave-velocity estimates to a depth of 30 meters are derived for 176 strong-motion recording sites. The estimates are based on borehole shear-velocity logs, physical property logs, correlations with physical properties and digital geologic maps. Surface-wave velocity measurements and standard penetration data are compiled as additional constraints. These data as compiled from a variety of databases are presented via GIS maps and corresponding tables to facilitate use by other investigators.

A review of medical terminology standards and structured reporting.

Science.gov (United States)

Awaysheh, Abdullah; Wilcke, Jeffrey; Elvinger, François; Rees, Loren; Fan, Weiguo; Zimmerman, Kurt

2018-01-01

Much effort has been invested in standardizing medical terminology for representation of medical knowledge, storage in electronic medical records, retrieval, reuse for evidence-based decision making, and for efficient messaging between users. We only focus on those efforts related to the representation of clinical medical knowledge required for capturing diagnoses and findings from a wide range of general to specialty clinical perspectives (e.g., internists to pathologists). Standardized medical terminology and the usage of structured reporting have been shown to improve the usage of medical information in secondary activities, such as research, public health, and case studies. The impact of standardization and structured reporting is not limited to secondary activities; standardization has been shown to have a direct impact on patient healthcare.

JPEG2000 vs. full frame wavelet packet compression for smart card medical records.

Science.gov (United States)

Leehan, Joaquín Azpirox; Lerallut, Jean-Francois

2006-01-01

This paper describes a comparison among different compression methods to be used in the context of electronic health records in the newer version of "smart cards". The JPEG2000 standard is compared to a full-frame wavelet packet compression method at high (33:1 and 50:1) compression rates. Results show that the full-frame method outperforms the JPEG2K standard qualitatively and quantitatively.

Protocol Standards for Reporting Video Data in Academic Journals.

Science.gov (United States)

Rowland, Pamela A; Ignacio, Romeo C; de Moya, Marc A

2016-04-01

Editors of biomedical journals have estimated that a majority (40%-90%) of studies published in scientific journals cannot be replicated, even though an inherent principle of publication is that others should be able to replicate and build on published claims. Each journal sets its own protocols for establishing "quality" in articles, yet over the past 50 years, few journals in any field--especially medical education--have specified protocols for reporting the use of video data in research. The authors found that technical and industry-driven aspects of video recording, as well as a lack of standardization and reporting requirements by research journals, have led to major limitations in the ability to assess or reproduce video data used in research. Specific variables in the videotaping process (e.g., camera angle), which can be changed or be modified, affect the quality of recorded data, leading to major reporting errors and, in turn, unreliable conclusions. As more data are now in the form of digital videos, the historical lack of reporting standards makes it increasingly difficult to accurately replicate medical educational studies. Reproducibility is especially important as the medical education community considers setting national high-stakes standards in medicine and surgery based on video data. The authors of this Perspective provide basic protocol standards for investigators and journals using video data in research publications so as to allow for reproducibility.

Adaptations of Personal Health Record Platform for Medical Research on Chronic Diseases

Directory of Open Access Journals (Sweden)

A. Krukowski

2015-05-01

Full Text Available The article reports on experiences in e-Health platforms and services for supporting medical research into the causes and relationships among physiological parameters and health problems concerning different chronic diseases. The Personal Health Record (PHR is a way of standardizing electronic management of medical information between patients and their physicians, including medical bodies collaborating in providing integrated medical care services. We describe roles and aims behind electronic health records, follow with applicable legal and standardizations frameworks and relevant European activities, leading to the presentation of common commercial and open-source implementations of such systems, concluding with the indication of specific adaptations enabling a use of stored personal health data for scientific research into causes and evaluation of chronic illnesses. We describe ethical and privacy concerns that are relevant to using and exchanging electronic health information.

36 CFR 1281.4 - What are the architectural and design standards for Presidential libraries?

Science.gov (United States)

2010-07-01

... and design standards for Presidential libraries? 1281.4 Section 1281.4 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION NARA FACILITIES PRESIDENTIAL LIBRARY FACILITIES § 1281.4 What are the architectural and design standards for Presidential libraries? The Archivist is...

14'' x 17'' film recorder for computer-enhanced scans

International Nuclear Information System (INIS)

Morris, A.C. Jr.; Barclay, T.R.; Akin, T.E.; Hansard, M.C.; Gibbs, W.D.; Modzelewski, C.U.

1976-01-01

Physician acceptance of computer-enhanced radionuclide scan results, presented in the form of small Polaroid pictures, has been very limited for a number of subjective reasons. A new recorder was designed and constructed that presents the results of computer augmented scans through a medium that is quite familiar to doctors, the standard 14 in. x 17 in. x-ray film

Keys to a successful project: Associated data and planning: Data standards. Chapter 5 in Measuring and monitoring biological diversity: Standard methods for amphibians

Science.gov (United States)

McDiarmid, Roy W.; Heyer, W. Ronald; Donnelly, Maureen A.; McDiarmid, Roy W.; Hayek, Lee-Ann C.; Foster, Mercedes S.

1994-01-01

The many individual salamanders, frogs, caecilians, and their larvae encountered during the course of an inventory or monitoring project will have to be identified to species. Depending on the goals and sampling method(s) used, some individuals will be identified from a distance by their calls, others will be handled. At the same time, some will be marked for recapture, and others will be sampled as vouchers. For each, certain minimum data should be recorded. In this section, data pertaining to locality and sampling methodology are considered, information on microhabitats and specimen vouchers is covered in sections that follow. I feel strongly that the data outlined here should be the minimum for any project. Investigators with specific goals may require additional types of data as well.Standardized, printed sheets containing the required data categories provide a convenient, inexpensive, and effective way to ensure that all the desired information is recorded in a consistent format, Data sheets should be well organized, printed on good-quality paper (75%-100% cotton content) and include extra space (e.g., other side of sheet) for notes that do not fit preestablished categoriesData should be recorded in the field with permanent (waterproof) ink as simply and directly as possible. I strongly recommend against the use of data codes in the field; it is too easy to forget codes or to enter the wrong code. Original data sheets can be photocopied for security, but they should not be copied by hand. If data are to be coded for computer analysis, the original or photocopied sheets should be used for data entry to minimize transcription errors. Some workers prefer recording information on small tape recorders; this also works well if a list of the standard data categories is checked during taping to ensure that all required information is recorded. Information recorded on tapes should be transcribed to data sheets or into a computer within 24 hours of the sample.

Design and implementation of a privacy preserving electronic health record linkage tool in Chicago.

Science.gov (United States)

Kho, Abel N; Cashy, John P; Jackson, Kathryn L; Pah, Adam R; Goel, Satyender; Boehnke, Jörn; Humphries, John Eric; Kominers, Scott Duke; Hota, Bala N; Sims, Shannon A; Malin, Bradley A; French, Dustin D; Walunas, Theresa L; Meltzer, David O; Kaleba, Erin O; Jones, Roderick C; Galanter, William L

2015-09-01

To design and implement a tool that creates a secure, privacy preserving linkage of electronic health record (EHR) data across multiple sites in a large metropolitan area in the United States (Chicago, IL), for use in clinical research. The authors developed and distributed a software application that performs standardized data cleaning, preprocessing, and hashing of patient identifiers to remove all protected health information. The application creates seeded hash code combinations of patient identifiers using a Health Insurance Portability and Accountability Act compliant SHA-512 algorithm that minimizes re-identification risk. The authors subsequently linked individual records using a central honest broker with an algorithm that assigns weights to hash combinations in order to generate high specificity matches. The software application successfully linked and de-duplicated 7 million records across 6 institutions, resulting in a cohort of 5 million unique records. Using a manually reconciled set of 11 292 patients as a gold standard, the software achieved a sensitivity of 96% and a specificity of 100%, with a majority of the missed matches accounted for by patients with both a missing social security number and last name change. Using 3 disease examples, it is demonstrated that the software can reduce duplication of patient records across sites by as much as 28%. Software that standardizes the assignment of a unique seeded hash identifier merged through an agreed upon third-party honest broker can enable large-scale secure linkage of EHR data for epidemiologic and public health research. The software algorithm can improve future epidemiologic research by providing more comprehensive data given that patients may make use of multiple healthcare systems. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

The adolescence of electronic health records: Status and perspectives for large scale implementation

Directory of Open Access Journals (Sweden)

Andreas Drauschke

2013-06-01

Full Text Available Health informatics started to evolve decades ago with the intention to support healthcare using computers. Since then Electronic health records (EHRs and personal health records (PHRs have become available but widespread adoption was limited by lack of interoperability and security issues. This paper discusses the feasibility of interoperable standards based EHRs and PHRs drawing on experience from implementation projects. It outlines challenges and goals in education and implementation for the next years.

Examining the Relationship between Electronic Health Record Interoperability and Quality Management

Science.gov (United States)

Purcell, Bernice M.

2013-01-01

A lack of interoperability impairs data quality among health care providers' electronic health record (EHR) systems. The problem is whether the International Organization for Standardization (ISO) 9000 principles relate to the problem of interoperability in implementation of EHR systems. The purpose of the nonexperimental quantitative research…

Records keeping and control of transient workers' access to vital areas

International Nuclear Information System (INIS)

Anon.

1985-01-01

The author addresses the following questions: In what ways can the fully developed NEDI best serve the nuclear industry and of what real value is such a system?; What standardizations of the procedures, methods, etc. internal to the individual nuclear plants are desirable or necessary for the NEDI to be most effective? and What standardization of records handling could impose some of the burden and effort on the transient worker himself without undue hardship on him? The author discusses a method used in Europe

RECORDS REACHING RECORDING DATA TECHNOLOGIES

Directory of Open Access Journals (Sweden)

G. W. L. Gresik

2013-07-01

Full Text Available The goal of RECORDS (Reaching Recording Data Technologies is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

Records Reaching Recording Data Technologies

Science.gov (United States)

Gresik, G. W. L.; Siebe, S.; Drewello, R.

2013-07-01

The goal of RECORDS (Reaching Recording Data Technologies) is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

Urban Noise Recorded by Stationary Monitoring Stations

Science.gov (United States)

Bąkowski, Andrzej; Radziszewski, Leszek; Dekýš, Vladimir

2017-10-01

The paper presents the analysis results of equivalent sound level recorded by two road traffic noise monitoring stations. The stations were located in Kielce (an example of a medium-size town in Poland) at the roads in the town in the direction of Łódź and Lublin. The measurements were carried out through stationary stations monitoring the noise and traffic of motor vehicles. The RMS values based on A-weighted sound level were recorded every 1 s in the buffer and the results were registered every 1 min over the period of investigations. The registered data were the basis for calculating the equivalent sound level for three time intervals: from 6:00 to 18:00, from 18:00 to 22:00 and from 22:00 to 6:00. Analysis included the values of the equivalent sound level recorded for different days of the week split into 24h periods, nights, days and evenings. The data analysed included recordings from 2013. The agreement of the distribution of the variable under analysis with normal distribution was evaluated. It was demonstrated that in most cases (for both roads) there was sufficient evidence to reject the null hypothesis at the significance level of 0.05. It was noted that compared with Łódź Road, in the case of Lublin Road data, more cases were recorded for which the null hypothesis could not be rejected. Uncertainties of the equivalent sound level measurements were compared within the periods under analysis. The standard deviation, coefficient of variation, the positional coefficient of variation, the quartile deviation was proposed for performing a comparative analysis of the obtained data scattering. The investigations indicated that the recorded data varied depending on the traffic routes and time intervals. The differences concerned the values of uncertainties and coefficients of variation of the equivalent sound levels.

A comparison of computer- and hand-generated clinical dental notes with statutory regulations in record keeping.

Science.gov (United States)

McAndrew, R; Ban, J; Playle, R

2012-02-01

Dental patient records should be of high quality, contain information to allow for good continuity of care and clinical defence (should the need ever arise) and, ideally, facilitate clinical audit. Handwritten dental records have been assessed for their compliance to statutory regulations, but the same cannot be levelled at computer-generated notes. This study aimed to compare and analyse the compliance of both methods of data recording with statutory regulations. Fifty consecutive sets of handwritten notes and 50 sets of computer-generated notes were audited for compliance with a number of legal requirements and desirable characteristics for dental records and the results compared. The standard set for compliance with all characteristics was 100%. The computer-generated notes satisfied the set standard for 8 of the 11 legal requirements and three of six desirable characteristics. The handwritten notes satisfied the set standard for 1 of 11 legal requirements and none of the desirable characteristics. A statistical difference (using a 95% confidence interval) between the two methods was observed in 5 of 11 legal characteristics and three of six desirable characteristics, all of which were in favour of computer-generated notes. Within the limitations of this study, computer-generated notes achieved a much higher compliance rate with the set parameters, making defence in cases of litigation, continuity of care and clinical audit easier and more efficient. © 2011 John Wiley & Sons A/S.

Spectral features of nasals in Standard Latvian

Directory of Open Access Journals (Sweden)

Jana Taperte

2015-12-01

Full Text Available In the article, the acoustic features of nasals in Standard Latvian are investigated. The aim of the study is to examine whether some of the spectral properties of nasal murmur (namely anti-formant frequency, as well as frequency and bandwidth of the first nasal formant can be considered as efficient cues for distinguishing between nasal places of articulation.Speech recordings from 10 native speakers of Standard Latvian, five male and five female, aged 19–39, without any disorders or dialectal traces in their pronunciation, were used for the analysis. Prevocalic nasals [m; n; ɲ] were analyzed in isolated CVC syllables, where C is one of the nasals and V is one of the vowels [i(ː; e(ː; æ(ː; ɑ(ː; ɔ(ː; u(ː]. The velar [ŋ] — the allophone of the phoneme /n/ — was recorded in postvocalic position in [k]V[ŋks] structure units. 1260 items were analyzed in total.According to the results, the nasals of Standard Latvian can be distinguished by anti-formant frequencies rather efficiently, and the results generally agree with those obtained in previous research of Latvian as well as data reported for other languages. The frequencies and the bandwidths of the first nasal formant are less informative regarding nasal place of articulation and can be used only for distinguishing between [ŋ] and [m; n; ɲ]. Conducting perception tests to assess the auditory relevance of these acoustic features is necessary.

Comparing the performance of a new disposable pneumatic tocodynamometer with a standard tocodynamometer.

Science.gov (United States)

Eswaran, Hari; Wilson, James D; Murphy, Pam; Siegel, Eric R; Lowery, Curtis L

2016-03-01

The goal was to test a newly developed pneumatic tocodynamometer (pTOCO) that is disposable and lightweight, and evaluate its equivalence to the standard strain gauge-based tocodynamometer (TOCO). The equivalence between the devices was determined by both mechanical testing and recording of contractile events on women. The data were recorded simultaneously from a pTOCO prototype and standard TOCO that were in place on women who were undergoing routine contraction monitoring in the Labor and Delivery unit at the University of Arkansas for Medical Sciences. In this prospective equivalence study, the output from 31 recordings on 28 pregnant women that had 171 measureable contractions simultaneously in both types of TOCO were analyzed. The traces were scored for contraction start, peak and end times, and the duration of the event was computed from these times. The response curve to loaded weights and applied pressure were similar for both devices, indicating their mechanical equivalence. The paired differences in times and duration between devices were subjected to mixed-models analysis to test the pTOCO for equivalence with standard TOCOs using the two-one-sided tests procedure. The event times and duration analyzed simultaneously from both TOCO types were all found to be significantly equivalent to within ±10 s (all p-values ≤0.0001). pTOCO is equivalent to the standard TOCO in the detection of the timing and duration of uterine contractions. pTOCO would provide a lightweight, disposable alternative to commercially available standard TOCOs. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

21 CFR 225.102 - Master record file and production records.

Science.gov (United States)

2010-04-01

... or production run of medicated feed to which it pertains. The Master Record File or card shall... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Master record file and production records. 225.102....102 Master record file and production records. (a) The Master Record File provides the complete...

Editorial: Journal article reporting standards.

Science.gov (United States)

Kazak, Anne E

2018-01-01

In this editorial, the author notes that this issue of American Psychologist features a pair of important articles related to newly updated standards for reporting research in psychology in scientific journals, covering both quantitative (Appelbaum et al., 2018) and qualitative (Levitt et al., 2018) research. The increasing breadth and complexity of research, and the importance of communicating it effectively, requires user-friendly resources that can be applied widely to scientific studies. These two articles are intended to serve that purpose, and to encourage thoroughness and accuracy in research reporting, for psychologists and other scientists in broader academic communities. The articles, known as the Journal Article Reporting Standards (JARS) reports, are based on the work of a task force appointed by the American Psychological Association (APA) Publications and Communications Board in 2015. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

28 CFR 66.20 - Standards for financial management systems.

Science.gov (United States)

2010-07-01

... financial reporting requirements of the grant or subgrant. (2) Accounting records. Grantees and subgrantees... advances to the grantees. (c) An awarding agency may review the adequacy of the financial management system... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Standards for financial management...

Localizing the HL7 Personal Health Monitoring Record for Danish Telemedicine

DEFF Research Database (Denmark)

Christensen, Henrik Bærbak

2014-01-01

Telemedicine holds a promise of lowering cost in health care and improving the life quality of chronic ill patients by allowing monitoring in the home. The Personal Health Monitoring Record (PHMR) is an international HL7 standard data format for encoding measurements made by devices in the home...

Darwin Core: An Evolving Community-Developed Biodiversity Data Standard

Science.gov (United States)

Wieczorek, John; Bloom, David; Guralnick, Robert; Blum, Stan; Döring, Markus; Giovanni, Renato; Robertson, Tim; Vieglais, David

2012-01-01

Biodiversity data derive from myriad sources stored in various formats on many distinct hardware and software platforms. An essential step towards understanding global patterns of biodiversity is to provide a standardized view of these heterogeneous data sources to improve interoperability. Fundamental to this advance are definitions of common terms. This paper describes the evolution and development of Darwin Core, a data standard for publishing and integrating biodiversity information. We focus on the categories of terms that define the standard, differences between simple and relational Darwin Core, how the standard has been implemented, and the community processes that are essential for maintenance and growth of the standard. We present case-study extensions of the Darwin Core into new research communities, including metagenomics and genetic resources. We close by showing how Darwin Core records are integrated to create new knowledge products documenting species distributions and changes due to environmental perturbations. PMID:22238640

Finding Trapped Miners by Using a Prototype Seismic Recording System Made from Music-Recording Hardware

Science.gov (United States)

Pratt, Thomas L.

2009-01-01

The goal of this project was to use off-the-shelf music recording equipment to build and test a prototype seismic system to listen for people trapped in underground chambers (mines, caves, collapsed buildings). Previous workers found that an array of geophones is effective in locating trapped miners; displaying the data graphically, as well as playing it back into an audio device (headphones) at high speeds, was found to be effective for locating underground tapping. The desired system should record the data digitally to allow for further analysis, be capable of displaying the data graphically, allow for rudimentary analysis (bandpass filter, deconvolution), and allow the user to listen to the data at varying speeds. Although existing seismic reflection systems are adequate to record, display and analyze the data, they are relatively expensive and difficult to use and do not have an audio playback option. This makes it difficult for individual mines to have a system waiting on the shelf for an emergency. In contrast, music recording systems, like the one I used to construct the prototype system, can be purchased for about 20 percent of the cost of a seismic reflection system and are designed to be much easier to use. The prototype system makes use of an ~$3,000, 16-channel music recording system made by Presonus, Inc., of Baton Rouge, Louisiana. Other manufacturers make competitive systems that would serve equally well. Connecting the geophones to the recording system required the only custom part of this system - a connector that takes the output from the geophone cable and breaks it into 16 microphone inputs to be connected to the music recording system. The connector took about 1 day of technician time to build, using about $300 in off-the-shelf parts. Comparisons of the music recording system and a standard seismic reflection system (A 24-channel 'Geode' system manufactured by Geometrics, Inc., of San Jose, California) were carried out at two locations. Initial

Terminological Shadows: a Framework to Integrate Electronic Health Records with Clinical Terminologies

OpenAIRE

Yu, Sheng

2014-01-01

Healthcare processes across the world have migrated from an approach where healthcare is provided in generalist centres of care to one where the patient is referred between specialists who engage in shared care. The developers of recent Electronic Health Record (EHR) standards such as CEN EN13606 and HL7 version 3 aim to enable healthcare professionals in a shared care setting to deliver high quality health data and share patient health information. A key innovation of these standards is a p...

45 CFR 92.20 - Standards for financial management systems.

Science.gov (United States)

2010-10-01

... with the financial reporting requirements of the grant or subgrant. (2) Accounting records. Grantees... advances to the grantees. (c) An awarding agency may review the adequacy of the financial management system... 45 Public Welfare 1 2010-10-01 2010-10-01 false Standards for financial management systems. 92.20...

15 CFR 24.20 - Standards for financial management systems.

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2010-01-01

... financial reporting requirements of the grant or subgrant. (2) Accounting records. Grantees and subgrantees... advances to the grantees. (c) An awarding agency may review the adequacy of the financial management system... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Standards for financial management...

45 CFR 602.20 - Standards for financial management systems.

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2010-10-01

... financial reporting requirements of the grant or subgrant. (2) Accounting records. Grantees and subgrantees... advances to the grantees. (c) An awarding agency may review the adequacy of the financial management system... 45 Public Welfare 3 2010-10-01 2010-10-01 false Standards for financial management systems. 602.20...

13 CFR 143.20 - Standards for financial management systems.

Science.gov (United States)

2010-01-01

... financial reporting requirements of the grant or subgrant. (2) Accounting records. Grantees and subgrantees... advances to the grantees. (c) An awarding agency may review the adequacy of the financial management system... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Standards for financial management...

14 CFR 1273.20 - Standards for financial management systems.

Science.gov (United States)

2010-01-01

... financial reporting requirements of the grant or subgrant. (2) Accounting records. Grantees and subgrantees... advances to the grantees. (c) An awarding agency may review the adequacy of the financial management system... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Standards for financial management systems...

10 CFR 600.220 - Standards for financial management systems.

Science.gov (United States)

2010-01-01

... financial reporting requirements of the grant or subgrant. (2) Accounting records. Grantees and subgrantees... advances to the grantees. (c) An awarding agency may review the adequacy of the financial management system... 10 Energy 4 2010-01-01 2010-01-01 false Standards for financial management systems. 600.220...

Implementation of the ISO 14001: 2004 standard at the Florida Bebidas facilities in Coyol of Alajuela

International Nuclear Information System (INIS)

Picado Jimenez, Susana Melissa

2014-01-01

The partial implementation of the ISO 14001: 2004 standard is carried out at the company Florida Bebidas located in Coyol of Alajuela. A bibliographical study is initiated of the documentation that the Company has in others of its facilities on the subject, to comply with the stipulated in the environmental policy of the company. The implementation of the standard is planned by defining the priority environmental aspects according to the objectives, goals and environmental programs to fulfill the new period of the company. The responsibilities of those involved were defined. The documentation is elaborated, including the procedures, instructions for monitoring and measurement, records required by the standard, operational control, preparation and response to environmental emergencies. The verification of the management system is reviewed together with the legal evaluation. Environmental indicators are improved and significant environmental risks are identified to establish the pertinent measures and to reduce the risk index. The importance of implementing ISO 14001: 2004 to the control of procedures is determined, and the records created to follow up on each outstanding environmental aspect. The strict use of each of the established records is recommended to continue the process of standard implementing. (author) [es

Archetype-based data warehouse environment to enable the reuse of electronic health record data.

Science.gov (United States)

Marco-Ruiz, Luis; Moner, David; Maldonado, José A; Kolstrup, Nils; Bellika, Johan G

2015-09-01

The reuse of data captured during health care delivery is essential to satisfy the demands of clinical research and clinical decision support systems. A main barrier for the reuse is the existence of legacy formats of data and the high granularity of it when stored in an electronic health record (EHR) system. Thus, we need mechanisms to standardize, aggregate, and query data concealed in the EHRs, to allow their reuse whenever they are needed. To create a data warehouse infrastructure using archetype-based technologies, standards and query languages to enable the interoperability needed for data reuse. The work presented makes use of best of breed archetype-based data transformation and storage technologies to create a workflow for the modeling, extraction, transformation and load of EHR proprietary data into standardized data repositories. We converted legacy data and performed patient-centered aggregations via archetype-based transformations. Later, specific purpose aggregations were performed at a query level for particular use cases. Laboratory test results of a population of 230,000 patients belonging to Troms and Finnmark counties in Norway requested between January 2013 and November 2014 have been standardized. Test records normalization has been performed by defining transformation and aggregation functions between the laboratory records and an archetype. These mappings were used to automatically generate open EHR compliant data. These data were loaded into an archetype-based data warehouse. Once loaded, we defined indicators linked to the data in the warehouse to monitor test activity of Salmonella and Pertussis using the archetype query language. Archetype-based standards and technologies can be used to create a data warehouse environment that enables data from EHR systems to be reused in clinical research and decision support systems. With this approach, existing EHR data becomes available in a standardized and interoperable format, thus opening a world

Evidence for the Existing American Nurses Association-Recognized Standardized Nursing Terminologies: A Systematic Review

Science.gov (United States)

Tastan, Sevinc; Linch, Graciele C. F.; Keenan, Gail M.; Stifter, Janet; McKinney, Dawn; Fahey, Linda; Dunn Lopez, Karen; Yao, Yingwei; Wilkie, Diana J.

2014-01-01

Objective To determine the state of the science for the five standardized nursing terminology sets in terms of level of evidence and study focus. Design Systematic Review. Data sources Keyword search of PubMed, CINAHL, and EMBASE databases from 1960s to March 19, 2012 revealed 1,257 publications. Review Methods From abstract review we removed duplicate articles, those not in English or with no identifiable standardized nursing terminology, and those with a low-level of evidence. From full text review of the remaining 312 articles, eight trained raters used a coding system to record standardized nursing terminology names, publication year, country, and study focus. Inter-rater reliability confirmed the level of evidence. We analyzed coded results. Results On average there were 4 studies per year between 1985 and 1995. The yearly number increased to 14 for the decade between 1996–2005, 21 between 2006–2010, and 25 in 2011. Investigators conducted the research in 27 countries. By evidence level for the 312 studies 72.4% were descriptive, 18.9% were observational, and 8.7% were intervention studies. Of the 312 reports, 72.1% focused on North American Nursing Diagnosis-International, Nursing Interventions Classification, Nursing Outcome Classification, or some combination of those three standardized nursing terminologies; 9.6% on Omaha System; 7.1% on International Classification for Nursing Practice; 1.6% on Clinical Care Classification/Home Health Care Classification; 1.6% on Perioperative Nursing Data Set; and 8.0% on two or more standardized nursing terminology sets. There were studies in all 10 foci categories including those focused on concept analysis/classification infrastructure (n = 43), the identification of the standardized nursing terminology concepts applicable to a health setting from registered nurses’ documentation (n = 54), mapping one terminology to another (n = 58), implementation of standardized nursing terminologies into electronic health

How will practices cope with information for the new GMS contract? Coronary heart disease data recording in five Scottish practices

Directory of Open Access Journals (Sweden)

Libby Morris

2003-11-01

Conclusions We have shown that in Scotland there is a high level of testing and recording of all the important information regarding patients with recorded CHD, irrespective of whether practices have fully electronic records, paper-based records, or a mixture of the two. If practices have fully electronic patient records, the information can be extracted easily, but unless there is a standard template, the information can only be viewed in isolation and is of little value for comparative purposes.

Validation of a Consensus Method for Identifying Delirium from Hospital Records

Science.gov (United States)

Kuhn, Elvira; Du, Xinyi; McGrath, Keith; Coveney, Sarah; O'Regan, Niamh; Richardson, Sarah; Teodorczuk, Andrew; Allan, Louise; Wilson, Dan; Inouye, Sharon K.; MacLullich, Alasdair M. J.; Meagher, David; Brayne, Carol; Timmons, Suzanne; Davis, Daniel

2014-01-01

Background Delirium is increasingly considered to be an important determinant of trajectories of cognitive decline. Therefore, analyses of existing cohort studies measuring cognitive outcomes could benefit from methods to ascertain a retrospective delirium diagnosis. This study aimed to develop and validate such a method for delirium detection using routine medical records in UK and Ireland. Methods A point prevalence study of delirium provided the reference-standard ratings for delirium diagnosis. Blinded to study results, clinical vignettes were compiled from participants' medical records in a standardised manner, describing any relevant delirium symptoms recorded in the whole case record for the period leading up to case-ascertainment. An expert panel rated each vignette as unlikely, possible, or probable delirium and disagreements were resolved by consensus. Results From 95 case records, 424 vignettes were abstracted by 5 trained clinicians. There were 29 delirium cases according to the reference standard. Median age of subjects was 76.6 years (interquartile range 54.6 to 82.5). Against the original study DSM-IV diagnosis, the chart abstraction method gave a positive likelihood ratio (LR) of 7.8 (95% CI 5.7–12.0) and the negative LR of 0.45 (95% CI 0.40–0.47) for probable delirium (sensitivity 0.58 (95% CI 0.53–0.62); specificity 0.93 (95% CI 0.90–0.95); AUC 0.86 (95% CI 0.82–0.89)). The method diagnosed possible delirium with positive LR 3.5 (95% CI 2.9–4.3) and negative LR 0.15 (95% CI 0.11–0.21) (sensitivity 0.89 (95% CI 0.85–0.91); specificity 0.75 (95% CI 0.71–0.79); AUC 0.86 (95% CI 0.80–0.89)). Conclusions This chart abstraction method can retrospectively diagnose delirium in hospitalised patients with good accuracy. This has potential for retrospectively identifying delirium in cohort studies where routine medical records are available. This example of record linkage between hospitalisations and epidemiological data may lead to

Validation of a consensus method for identifying delirium from hospital records.

Directory of Open Access Journals (Sweden)

Elvira Kuhn

Full Text Available Delirium is increasingly considered to be an important determinant of trajectories of cognitive decline. Therefore, analyses of existing cohort studies measuring cognitive outcomes could benefit from methods to ascertain a retrospective delirium diagnosis. This study aimed to develop and validate such a method for delirium detection using routine medical records in UK and Ireland.A point prevalence study of delirium provided the reference-standard ratings for delirium diagnosis. Blinded to study results, clinical vignettes were compiled from participants' medical records in a standardised manner, describing any relevant delirium symptoms recorded in the whole case record for the period leading up to case-ascertainment. An expert panel rated each vignette as unlikely, possible, or probable delirium and disagreements were resolved by consensus.From 95 case records, 424 vignettes were abstracted by 5 trained clinicians. There were 29 delirium cases according to the reference standard. Median age of subjects was 76.6 years (interquartile range 54.6 to 82.5. Against the original study DSM-IV diagnosis, the chart abstraction method gave a positive likelihood ratio (LR of 7.8 (95% CI 5.7-12.0 and the negative LR of 0.45 (95% CI 0.40-0.47 for probable delirium (sensitivity 0.58 (95% CI 0.53-0.62; specificity 0.93 (95% CI 0.90-0.95; AUC 0.86 (95% CI 0.82-0.89. The method diagnosed possible delirium with positive LR 3.5 (95% CI 2.9-4.3 and negative LR 0.15 (95% CI 0.11-0.21 (sensitivity 0.89 (95% CI 0.85-0.91; specificity 0.75 (95% CI 0.71-0.79; AUC 0.86 (95% CI 0.80-0.89.This chart abstraction method can retrospectively diagnose delirium in hospitalised patients with good accuracy. This has potential for retrospectively identifying delirium in cohort studies where routine medical records are available. This example of record linkage between hospitalisations and epidemiological data may lead to further insights into the inter-relationship between acute

Health and safety record of the nuclear industry

International Nuclear Information System (INIS)

Carter, M.W.; Carruthers, E.; Button, J.C.E.

1975-09-01

This paper examines the claim of the nuclear industry to have an excellent safety record, in terms of health and accident records of workers in the industry. It does not consider accidents which have not resulted in harm to the workers' health. The nuclear industry is considered to include all work with ionising radiations and radioactive materials, in education, research, medicine and industry. Since 'safety' is not an absolute concept, comparisons are made with the published records of other industries, and a study is made of the performance of the nuclear industry in relation to its own safety criteria. Data are presented on the radiation exposure of nuclear workers in Europe, America, India and Australia, in relation to the internationally recommended limits, and there is some discussion of the risks involved in these limits. The death rate in parts of the nuclear industry in America, the United Kingdom, and Australia is presented and compared with the death rate for other industries in those countries, and a listing is made of deaths caused by radiation in the period 1945 to 1968. Injury rates for the US and Australian nuclear industries are also compared with the injury rates for other industries in these countries. Consideration is given to the safety record of individual components of the nuclear industry (using the wide definition of this industry given above), special attention being given to health records of uranium miners, plutonium workers and radiologists. Although there are difficulties in obtaining sufficiently detailed information of this kind it is considered that the data presented, relative to any reasonable standard, demonstrate that the nuclear industry has a safety record to be proud of. (author)

Standardized computer-based organized reporting of EEG

DEFF Research Database (Denmark)

Beniczky, Sándor; Aurlien, Harald; Brøgger, Jan C.

2017-01-01

Standardized terminology for computer-based assessment and reporting of EEG has been previously developed in Europe. The International Federation of Clinical Neurophysiology established a taskforce in 2013 to develop this further, and to reach international consensus. This work resulted in the se......Standardized terminology for computer-based assessment and reporting of EEG has been previously developed in Europe. The International Federation of Clinical Neurophysiology established a taskforce in 2013 to develop this further, and to reach international consensus. This work resulted...... in the second, revised version of SCORE (Standardized Computer-based Organized Reporting of EEG), which is presented in this paper. The revised terminology was implemented in a software package (SCORE EEG), which was tested in clinical practice on 12,160 EEG recordings. Standardized terms implemented in SCORE...... are used to report the features of clinical relevance, extracted while assessing the EEGs. Selection of the terms is context sensitive: initial choices determine the subsequently presented sets of additional choices. This process automatically generates a report and feeds these features into a database...

Developing an electronic health record (EHR) for methadone treatment recording and decision support

Science.gov (United States)

2011-01-01

Background In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR. Methods A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function. Results The use of archetypes was found to capture the ever changing requirements in the healthcare domain and externalises them in constrained data structures. The solution is extensible enabling the EHR to cover medicine management in general as per the programme of the HRB Centre for Primary Care Research. Conclusions The data collected via this Irish system can be aggregated into a larger dataset, if necessary, for analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for Primary Care Research in Ireland. PMID:21284849

Developing an electronic health record (EHR) for methadone treatment recording and decision support

LENUS (Irish Health Repository)

Xiao, Liang

2011-02-01

Abstract Background In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR. Methods A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function. Results The use of archetypes was found to capture the ever changing requirements in the healthcare domain and externalises them in constrained data structures. The solution is extensible enabling the EHR to cover medicine management in general as per the programme of the HRB Centre for Primary Care Research. Conclusions The data collected via this Irish system can be aggregated into a larger dataset, if necessary, for analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for Primary Care Research in Ireland.

32 CFR 37.915 - What requirement for access to a for-profit participant's records do I include in a TIA?

Science.gov (United States)

2010-07-01

... participant's records do I include in a TIA? 37.915 Section 37.915 National Defense Department of Defense... What requirement for access to a for-profit participant's records do I include in a TIA? (a) If a for... auditors, your TIA must include for that participant the standard access-to-records requirements at 32 CFR...

First standardized inventory of ants (Hymenoptera: Formicidae in the natural grasslands of Paraná: New records for Southern Brazil

Directory of Open Access Journals (Sweden)

Weslly Franco

2018-03-01

Full Text Available Abstract Despite the large number of studies investigating ant diversity in Brazilian biomes, no ant-related studies have been carried out in Campos Gerais, a grassland physiognomy in Paraná state. The present study is the first inventory of the ant fauna in one of the few conservation units protecting the Campos Gerais landscape, the Guartelá State Park (PEG. Sixty samples were collected from different habitats within PEG using pitfall traps. Qualitative samples of leaf litter were collected from forest fragments and submitted to Winkler extractors. In addition, manual qualitative sampling was carried out in the various physiognomies within the PEG. A total of 163 species was collected and sorted into 43 genera and nine subfamilies. Five genera and 28 species were recorded for the first time in the state of Paraná. Out of these, 17 species were also recorded for the first time in the Southern Region of Brazil and two were recorded for the first time to the country. The significant species richness in the PEG and the high number of new records is a strong sign of this ecosystem’s potential to reveal taxonomic novelties. These results suggest that PEG, and the Campos Gerais as a whole, should be the target of greater conservation efforts to preserve native remnants.

Comparison between uroflowmetry and sonouroflowmetry in recording of urinary flow in healthy men.

Science.gov (United States)

Krhut, Jan; Gärtner, Marcel; Sýkora, Radek; Hurtík, Petr; Burda, Michal; Luňáček, Libor; Zvarová, Katarína; Zvara, Peter

2015-08-01

To evaluate the accuracy of sonouroflowmetry in recording urinary flow parameters and voided volume. A total of 25 healthy male volunteers (age 18-63 years) were included in the study. All participants were asked to carry out uroflowmetry synchronous with recording of the sound generated by the urine stream hitting the water level in the urine collection receptacle, using a dedicated cell phone. From 188 recordings, 34 were excluded, because of voided volume Pearson's correlation coefficient was used to compare parameters recorded by uroflowmetry with those calculated based on sonouroflowmetry recordings. The flow pattern recorded by sonouroflowmetry showed a good correlation with the uroflowmetry trace. A strong correlation (Pearson's correlation coefficient 0.87) was documented between uroflowmetry-recorded flow time and duration of the sound signal recorded with sonouroflowmetry. A moderate correlation was observed in voided volume (Pearson's correlation coefficient 0.68) and average flow rate (Pearson's correlation coefficient 0.57). A weak correlation (Pearson's correlation coefficient 0.38) between maximum flow rate recorded using uroflowmetry and sonouroflowmetry-recorded peak sound intensity was documented. The present study shows that the basic concept utilizing sound analysis for estimation of urinary flow parameters and voided volume is valid. However, further development of this technology and standardization of recording algorithm are required. © 2015 The Japanese Urological Association.

Simulations of magnetic hysteresis loops for dual layer recording media

Science.gov (United States)

Fal, T. J.; Plumer, M. L.; Whitehead, J. P.; Mercer, J. I.; van Ek, J.; Srinivasan, K.

2013-05-01

A Kinetic Monte-Carlo algorithm is applied to examine MH loops of dual-layer magnetic recording media at finite temperature and long time scales associated with typical experimental measurements. In contrast with standard micromagnetic simulations, which are limited to the ns-μs time regime, our approach allows for the direct calculation of magnetic configurations over periods from minutes to years. The model is used to fit anisotropy and coupling parameters to experimental data on exchange-coupled composite media which are shown to deviate significantly from standard micromagnetic results. Sensitivities of the loops to anisotropy, inter-layer exchange coupling, temperature, and sweep rate are examined.

Moving electronic medical records upstream: incorporating social determinants of health.

Science.gov (United States)

Gottlieb, Laura M; Tirozzi, Karen J; Manchanda, Rishi; Burns, Abby R; Sandel, Megan T

2015-02-01

Knowledge of the biological pathways and mechanisms connecting social factors with health has increased exponentially over the past 25 years, yet in most clinical settings, screening and intervention around social determinants of health are not part of standard clinical care. Electronic medical records provide new opportunities for assessing and managing social needs in clinical settings, particularly those serving vulnerable populations. To illustrate the feasibility of capturing information and promoting interventions related to social determinants of health in electronic medical records. Three case studies were examined in which electronic medical records have been used to collect data and address social determinants of health in clinical settings. From these case studies, we identified multiple functions that electronic medical records can perform to facilitate the integration of social determinants of health into clinical systems, including screening, triaging, referring, tracking, and data sharing. If barriers related to incentives, training, and privacy can be overcome, electronic medical record systems can improve the integration of social determinants of health into healthcare delivery systems. More evidence is needed to evaluate the impact of such integration on health care outcomes before widespread adoption can be recommended. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Standardized Handwriting to Assess Bradykinesia, Micrographia and Tremor in Parkinson's Disease

NARCIS (Netherlands)

Smits, Esther J.; Tolonen, Antti J.; Cluitmans, Luc; van Gils, Mark; Conway, Bernard A.; Zietsma, Rutger C.; Leenders, Klaus L.; Maurits, Natasha M.

2014-01-01

Objective: To assess whether standardized handwriting can provide quantitative measures to distinguish patients diagnosed with Parkinson's disease from age- and gender-matched healthy control participants. Design: Exploratory study. Pen tip trajectories were recorded during circle, spiral and line

Do U Txt? Event-Related Potentials to Semantic Anomalies in Standard and Texted English

Science.gov (United States)

Berger, Natalie I.; Coch, Donna

2010-01-01

Texted English is a hybrid, technology-based language derived from standard English modified to facilitate ease of communication via instant and text messaging. We compared semantic processing of texted and standard English sentences by recording event-related potentials in a classic semantic incongruity paradigm designed to elicit an N400 effect.…

Validity of preeclampsia-related diagnoses recorded in a national hospital registry and in a postpartum interview of the women

DEFF Research Database (Denmark)

Klemmensen, Ase K; Olsen, Sjurdur F; Osterdal, Marie Louise

2007-01-01

In a population-based sample, the authors examined the validity of preeclampsia and related diagnoses recorded in a mandatory Danish national hospital discharge registry and in a standardized telephone interview of women who gave birth between 1998 and 2002. Using a "gold standard" for preeclamps...... defined in accordance with the guidelines from the American College of Obstetricians and Gynecologists, the authors reviewed hospital charts of 3,039 women and found that 61 of 88 preeclampsia cases (69.3%) and 24 of 55 cases of serious subtypes of preeclampsia (43.6%) were recorded...

Impact of OSHA Final Rule—Recording Hearing Loss: An Analysis of an Industrial Audiometric Dataset

Science.gov (United States)

Rabinowitz, Peter M.; Slade, Martin; Dixon-Ernst, Christine; Sircar, Kanta; Cullen, Mark

2013-01-01

The 2003 Occupational Safety and Health Administration (OSHA) Occupational Injury and Illness Recording and Reporting Final Rule changed the definition of recordable work-related hearing loss. We performed a study of the Alcoa Inc. audiometric database to evaluate the impact of this new rule. The 2003 rule increased the rate of potentially recordable hearing loss events from 0.2% to 1.6% per year. A total of 68.6% of potentially recordable cases had American Academy of Audiology/American Medical Association (AAO/AMA) hearing impairment at the time of recordability. On average, recordable loss occurred after onset of impairment, whereas the non-age-corrected 10-dB standard threshold shift (STS) usually preceded impairment. The OSHA Final Rule will significantly increase recordable cases of occupational hearing loss. The new case definition is usually accompanied by AAO/AMA hearing impairment. Other, more sensitive metrics should therefore be used for early detection and prevention of hearing loss. PMID:14665813

A database system for enhancing fuel records management capabilities

International Nuclear Information System (INIS)

Rieke, Phil; Razvi, Junaid

1994-01-01

The need to modernize the system of managing a large variety of fuel related data at the TRIGA Reactors Facility at General Atomics, as well as the need to improve NRC nuclear material reporting requirements, prompted the development of a database to cover all aspects of fuel records management. The TRIGA Fuel Database replaces (a) an index card system used for recording fuel movements, (b) hand calculations for uranium burnup, and (c) a somewhat aged and cumbersome system of recording fuel inspection results. It was developed using Microsoft Access, a relational database system for Windows. Instead of relying on various sources for element information, users may now review individual element statistics, record inspection results, calculate element burnup and more, all from within a single application. Taking full advantage of the ease-of-use features designed in to Windows and Access, the user can enter and extract information easily through a number of customized on screen forms, with a wide variety of reporting options available. All forms are accessed through a main 'Options' screen, with the options broken down by categories, including 'Elements', 'Special Elements/Devices', 'Control Rods' and 'Areas'. Relational integrity and data validation rules are enforced to assist in ensuring accurate and meaningful data is entered. Among other items, the database lets the user define: element types (such as FLIP or standard) and subtypes (such as fuel follower, instrumented, etc.), various inspection codes for standardizing inspection results, areas within the facility where elements are located, and the power factors associated with element positions within a reactor. Using fuel moves, power history, power factors and element types, the database tracks uranium burnup and plutonium buildup on a quarterly basis. The Fuel Database was designed with end-users in mind and does not force an operations oriented user to learn any programming or relational database theory in

Genetic Programming and Standardization in Water Temperature Modelling

Directory of Open Access Journals (Sweden)

Maritza Arganis

2009-01-01

Full Text Available An application of Genetic Programming (an evolutionary computational tool without and with standardization data is presented with the aim of modeling the behavior of the water temperature in a river in terms of meteorological variables that are easily measured, to explore their explanatory power and to emphasize the utility of the standardization of variables in order to reduce the effect of those with large variance. Recorded data corresponding to the water temperature behavior at the Ebro River, Spain, are used as analysis case, showing a performance improvement on the developed model when data are standardized. This improvement is reflected in a reduction of the mean square error. Finally, the models obtained in this document were applied to estimate the water temperature in 2004, in order to provide evidence about their applicability to forecasting purposes.

Simplified Technique for Incorporating a Metal Mesh into Record Bases for Mandibular Implant Overdentures.

Science.gov (United States)

Godoy, Antonio; Siegel, Sharon C

2015-12-01

Mandibular implant-retained overdentures have become the standard of care for patients with mandibular complete edentulism. As part of the treatment, the mandibular implant-retained overdenture may require a metal mesh framework to be incorporated to strengthen the denture and avoid fracture of the prosthesis. Integrating the metal mesh framework as part of the acrylic record base and wax occlusion rim before the jaw relation procedure will avoid the distortion of the record base and will minimize the chances of processing errors. A simplified method to incorporate the mesh into the record base and occlusion rim is presented in this technique article. © 2015 by the American College of Prosthodontists.

RD-674B/UNH and RD-68lA/UNH Recorder-Reproducer Information Sheets

National Research Council Canada - National Science Library

Durkin, Matthew

2000-01-01

.... The system can be housed in a standard ElA cabinet with a 19-inch rack configuration. A major advantage of the RD-68IA/UNH is that audio recording need not be interrupted to provide simultaneous...

Wave-equation dispersion inversion of surface waves recorded on irregular topography

KAUST Repository

Li, Jing; Schuster, Gerard T.; Lin, Fan-Chi; Alam, Amir

2017-01-01

Significant topographic variations will strongly influence the amplitudes and phases of propagating surface waves. Such effects should be taken into account, otherwise the S-velocity model inverted from the Rayleigh dispersion curves will contain significant inaccuracies. We now show that the recently developed wave-equation dispersion inversion (WD) method naturally takes into account the effects of topography to give accurate S-velocity tomograms. Application of topographic WD to demonstrates that WD can accurately invert dispersion curves from seismic data recorded over variable topography. We also apply this method to field data recorded on the crest of mountainous terrain and find with higher resolution than the standard WD tomogram.

Wave-equation dispersion inversion of surface waves recorded on irregular topography

KAUST Repository

Li, Jing

2017-08-17

Significant topographic variations will strongly influence the amplitudes and phases of propagating surface waves. Such effects should be taken into account, otherwise the S-velocity model inverted from the Rayleigh dispersion curves will contain significant inaccuracies. We now show that the recently developed wave-equation dispersion inversion (WD) method naturally takes into account the effects of topography to give accurate S-velocity tomograms. Application of topographic WD to demonstrates that WD can accurately invert dispersion curves from seismic data recorded over variable topography. We also apply this method to field data recorded on the crest of mountainous terrain and find with higher resolution than the standard WD tomogram.

Personal Health Records: A Systematic Literature Review.

Science.gov (United States)

Roehrs, Alex; da Costa, Cristiano André; Righi, Rodrigo da Rosa; de Oliveira, Kleinner Silva Farias

2017-01-06

Information and communication technology (ICT) has transformed the health care field worldwide. One of the main drivers of this change is the electronic health record (EHR). However, there are still open issues and challenges because the EHR usually reflects the partial view of a health care provider without the ability for patients to control or interact with their data. Furthermore, with the growth of mobile and ubiquitous computing, the number of records regarding personal health is increasing exponentially. This movement has been characterized as the Internet of Things (IoT), including the widespread development of wearable computing technology and assorted types of health-related sensors. This leads to the need for an integrated method of storing health-related data, defined as the personal health record (PHR), which could be used by health care providers and patients. This approach could combine EHRs with data gathered from sensors or other wearable computing devices. This unified view of patients' health could be shared with providers, who may not only use previous health-related records but also expand them with data resulting from their interactions. Another PHR advantage is that patients can interact with their health data, making decisions that may positively affect their health. This work aimed to explore the recent literature related to PHRs by defining the taxonomy and identifying challenges and open questions. In addition, this study specifically sought to identify data types, standards, profiles, goals, methods, functions, and architecture with regard to PHRs. The method to achieve these objectives consists of using the systematic literature review approach, which is guided by research questions using the population, intervention, comparison, outcome, and context (PICOC) criteria. As a result, we reviewed more than 5000 scientific studies published in the last 10 years, selected the most significant approaches, and thoroughly surveyed the health

Barriers to retrieving patient information from electronic health record data: failure analysis from the TREC Medical Records Track.

Science.gov (United States)

Edinger, Tracy; Cohen, Aaron M; Bedrick, Steven; Ambert, Kyle; Hersh, William

2012-01-01

Secondary use of electronic health record (EHR) data relies on the ability to retrieve accurate and complete information about desired patient populations. The Text Retrieval Conference (TREC) 2011 Medical Records Track was a challenge evaluation allowing comparison of systems and algorithms to retrieve patients eligible for clinical studies from a corpus of de-identified medical records, grouped by patient visit. Participants retrieved cohorts of patients relevant to 35 different clinical topics, and visits were judged for relevance to each topic. This study identified the most common barriers to identifying specific clinic populations in the test collection. Using the runs from track participants and judged visits, we analyzed the five non-relevant visits most often retrieved and the five relevant visits most often overlooked. Categories were developed iteratively to group the reasons for incorrect retrieval for each of the 35 topics. Reasons fell into nine categories for non-relevant visits and five categories for relevant visits. Non-relevant visits were most often retrieved because they contained a non-relevant reference to the topic terms. Relevant visits were most often infrequently retrieved because they used a synonym for a topic term. This failure analysis provides insight into areas for future improvement in EHR-based retrieval with techniques such as more widespread and complete use of standardized terminology in retrieval and data entry systems.

Improving Metadata Compliance for Earth Science Data Records

Science.gov (United States)

Armstrong, E. M.; Chang, O.; Foster, D.

2014-12-01

One of the recurring challenges of creating earth science data records is to ensure a consistent level of metadata compliance at the granule level where important details of contents, provenance, producer, and data references are necessary to obtain a sufficient level of understanding. These details are important not just for individual data consumers but also for autonomous software systems. Two of the most popular metadata standards at the granule level are the Climate and Forecast (CF) Metadata Conventions and the Attribute Conventions for Dataset Discovery (ACDD). Many data producers have implemented one or both of these models including the Group for High Resolution Sea Surface Temperature (GHRSST) for their global SST products and the Ocean Biology Processing Group for NASA ocean color and SST products. While both the CF and ACDD models contain various level of metadata richness, the actual "required" attributes are quite small in number. Metadata at the granule level becomes much more useful when recommended or optional attributes are implemented that document spatial and temporal ranges, lineage and provenance, sources, keywords, and references etc. In this presentation we report on a new open source tool to check the compliance of netCDF and HDF5 granules to the CF and ACCD metadata models. The tool, written in Python, was originally implemented to support metadata compliance for netCDF records as part of the NOAA's Integrated Ocean Observing System. It outputs standardized scoring for metadata compliance for both CF and ACDD, produces an objective summary weight, and can be implemented for remote records via OPeNDAP calls. Originally a command-line tool, we have extended it to provide a user-friendly web interface. Reports on metadata testing are grouped in hierarchies that make it easier to track flaws and inconsistencies in the record. We have also extended it to support explicit metadata structures and semantic syntax for the GHRSST project that can be

A hybrid clinical-research depth electrode for acute and chronic in vivo microelectrode recording of human brain neurons. Technical note.

Science.gov (United States)

Howard, M A; Volkov, I O; Granner, M A; Damasio, H M; Ollendieck, M C; Bakken, H E

1996-01-01

For several decades, important scientific information has been gained from in vivo microelectrode recordings of individual human cerebral cortical neurons in patients with epilepsy. The experimental methods used, however, are technically complex and require a highly skilled intraoperative team. There are also significant experimental time limitations, as well as constraints on the type of behavioral tests conducted, and the brain regions that may be safely studied. In this report, a new method is described for obtaining in vivo microelectrode recordings using a hybrid depth electrode (HDE). High-impedance research recording contacts are interspersed between low-impedance clinical electroencephalographic (EEG) contacts along the HDE shaft. The HDE has the same external physical properties as a standard clinical depth electrode (DE). Following preclinical laboratory testing, 15 HDEs were used in the evaluation of six patients with medically refractory epilepsy. High-quality EEG recordings were obtained in all cases (two acute intraoperative, four from the chronic epilepsy monitoring unit). Action potentials from individual neurons were successfully recorded during all experimental sessions; however, the chronic preparations were clearly superior. Chronic HDEs are placed using a standard stereotactic system, and the locations of recording contacts are documented on a postimplantation imaging study. The quality of the chronic research recordings was excellent over study periods ranging from 5 to 14 days. The patients rested comfortably on the ward and were able to cooperate with complex experimental instructions. Basic neuroscientists participated fully in all aspects of the chronic investigations. The use of an HDE in place of a standard clinical DE may now allow detailed physiological investigations of any brain region targeted for clinical DE implantation.

Worldwide telemedicine services based on distributed multimedia electronic patient records by using the second generation Web server hyperwave.

Science.gov (United States)

Quade, G; Novotny, J; Burde, B; May, F; Beck, L E; Goldschmidt, A

1999-01-01

A distributed multimedia electronic patient record (EPR) is a central component of a medicine-telematics application that supports physicians working in rural areas of South America, and offers medical services to scientists in Antarctica. A Hyperwave server is used to maintain the patient record. As opposed to common web servers--and as a second generation web server--Hyperwave provides the capability of holding documents in a distributed web space without the problem of broken links. This enables physicians to browse through a patient's record by using a standard browser even if the patient's record is distributed over several servers. The patient record is basically implemented on the "Good European Health Record" (GEHR) architecture.

Enhanced identification of eligibility for depression research using an electronic medical record search engine.

Science.gov (United States)

Seyfried, Lisa; Hanauer, David A; Nease, Donald; Albeiruti, Rashad; Kavanagh, Janet; Kales, Helen C

2009-12-01

Electronic medical records (EMRs) have become part of daily practice for many physicians. Attempts have been made to apply electronic search engine technology to speed EMR review. This was a prospective, observational study to compare the speed and clinical accuracy of a medical record search engine vs. manual review of the EMR. Three raters reviewed 49 cases in the EMR to screen for eligibility in a depression study using the electronic medical record search engine (EMERSE). One week later raters received a scrambled set of the same patients including 9 distractor cases, and used manual EMR review to determine eligibility. For both methods, accuracy was assessed for the original 49 cases by comparison with a gold standard rater. Use of EMERSE resulted in considerable time savings; chart reviews using EMERSE were significantly faster than traditional manual review (p=0.03). The percent agreement of raters with the gold standard (e.g. concurrent validity) using either EMERSE or manual review was not significantly different. Using a search engine optimized for finding clinical information in the free-text sections of the EMR can provide significant time savings while preserving clinical accuracy. The major power of this search engine is not from a more advanced and sophisticated search algorithm, but rather from a user interface designed explicitly to help users search the entire medical record in a way that protects health information.

25 CFR 15.504 - Who may inspect records and records management practices?

Science.gov (United States)

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Who may inspect records and records management practices... Records § 15.504 Who may inspect records and records management practices? (a) You may inspect the probate... Secretary and the Archivist of the United States may inspect records and records management practices and...

[Brief on the standardization of the practitioner's posture in acupuncture operation].

Science.gov (United States)

Lu, Yonghui

2015-07-01

To discuss the standardization of the practitioner's posture in acupuncture operation. Based on the relevant discussion on 'way to holding needle' recorded in Lingshu (Miraculous Pivot) and in association with the clinical acupuncture practice, it was required to standardize the practitioner's posture in acupuncture operation in reference to Lingshu (Miraculous Pivot). The standard standing posture of the practitioner is the precondition of acupuncture operation; the standard holding needle with the puncture hand is the key to the exercise of acupuncture technique and the regular standing orientation is the need of acupuncture operation. The three aspects are complemented each other, which is the coordinative procedure in acupuncture operation and enable the practitioner's high concentration with the body, qi and mind involved.

75 FR 65964 - Version One Regional Reliability Standard for Resource and Demand Balancing

Science.gov (United States)

2010-10-27

... this record and, thus, does not persuade us.\\35\\ \\33\\ WECC's analysis shows that, over the past 15... notes that the currently approved regional Reliability Standard was established through negotiations in...

40 CFR 86.1862-04 - Maintenance of records and submittal of information relevant to compliance with fleet average NOX...

Science.gov (United States)

2010-07-01

... of information relevant to compliance with fleet average NOX standards. 86.1862-04 Section 86.1862-04...-Cycle Heavy-Duty Vehicles § 86.1862-04 Maintenance of records and submittal of information relevant to..., maintain, and retain the following information in adequately organized and indexed records for each model...

Practices around Customization of Standard Systems

DEFF Research Database (Denmark)

Dittrich, Yvonne; Vaucouleur, Sebastien

2008-01-01

More and more software systems are developed by customizing a standard product that provide the major part of the functionality. The customization of Enterprise Resource Planning systems is such a product based software development practice. Little empirical research on the specificities...... of these software development practices is available. We present an empirical study on customization practices based on video recordings, interviews and a survey. The observed and reported practices challenge some of the principles of software engineering. Based on the analysis, we discuss the specificity...

Use of lecture recordings in dental education: assessment of status quo and recommendations.

Science.gov (United States)

Horvath, Zsuzsa; O'Donnell, Jean A; Johnson, Lynn A; Karimbux, Nadeem Y; Shuler, Charles F; Spallek, Heiko

2013-11-01

This research project was part of a planned initiative at the University of Pittsburgh School of Dental Medicine to incorporate lecture recordings as standard educational support technologies. The goal of an institutional survey was 1) to gather current data about how dental educators across the United States and Canada use lecture recordings; 2) determine dental educators' perceived value and outcomes of using lecture recordings; and 3) develop recommendations based on #1 and #2 for the dental education community. Of the sixty-six North American dental schools at the time of the study, forty-five schools responded to the survey, for a 68 percent response rate. Of the respondents, twenty-eight schools were found to currently conduct lecture recording; these comprised the study sample. This study focused on the dental schools' past experiences with lecture recording; thus, those not currently engaged in lecture recording were excluded from further analysis. The survey questions covered a wide range of topics, such as the scope of the lecture recording, logistics, instructional design considerations, outcomes related to student learning, evaluation and reception, barriers to lecture recording, and issues related to copyright and intellectual property. The literature review and results from the survey showed that no common guidelines for best practice were available regarding lecture recordings in dental education. The article concludes with some preliminary recommendations based on this study.

A graded approach to ISO 9000 implementation for records managers

Energy Technology Data Exchange (ETDEWEB)

Pasterczyk, C.E.

1994-08-01

ISO 9000 is a series of quality system standards developed by Technical Committee 176 of the International Standards Organization. The series includes three standards, ISO 9001 `Quality systems--Model for quality assurance in design/development, production, installation and serving,` ISO 9002 `Quality systems--Model for quality assurance in production and installation,` ISO 9003 `Quality systems--Model for quality assurance in final inspection and test,` and two guidelines, ISO 9000 `Quality management and quality assurance standards` and ISO 9004 `Quality management and quality system elements--Guidelines.` In companies with quality programs already in place, the structure of the ISO series lends itself to augmenting those policies, procedures, and instructions where problems exist or where the risks of failure are greater. The objectives of this paper are to provide a basic familiarity to ISO 9000 and quality assurance concepts; provide a higher level of familiarity to the records management and document control portions of the ISO 9000 series; and to discuss a graded approach to meeting the intent of ISO 9000.

Managing terminology assets in Electronic Health Records.

Science.gov (United States)

Abrams, Kelly; Schneider, Sue; Scichilone, Rita

2009-01-01

Electronic Health Record (EHR)systems rely on standard terminologies and classification systems that require both Information Technology (IT) and Information Management (IM) skills. Convergence of perspectives is necessary for effective terminology asset management including evaluation for use, maintenance and intersection with software applications. Multiple terminologies are necessary for patient care communication and data capture within EHRs and other information management tasks. Terminology asset management encompasses workflow and operational context as well as IT specifications and software application run time requirements. This paper identifies the tasks, skills and collaboration of IM and IT approaches for terminology asset management.

The usages of JOIN2 authority records

CERN Multimedia

CERN. Geneva; Thiele, Robert

2017-01-01

An important base of the common JOIN2 repository infrastructure of DESY, DKFZ, FZJ, GSI, MLZ and RWTH Aachen are about 134 000 authority records for grants, projects, large-scale infrastructures, cooperations, journals, and different kinds of keys. All instances are using the authorities together. We will present how these authority data are used for different purposes e.g. the recent and upcoming obligations to report to regard to our funding and the data export to openAire. Furthermore, we discuss this in dependence to the German “Kerndatensatz Forschung”, which will be the new standard for future.

Development of standardized component\\0x2010based equipment specifications and transition plan into a predictive maintenance strategy.

Science.gov (United States)

2015-12-01

This project investigated INDOT equipment records and equipment industry standards to produce standard equipment specifications : and a predictive maintenance schedule for the more than 1100 single and tandem axle trucks in use at INDOT. The research...

Applying open source data visualization tools to standard based medical data.

Science.gov (United States)

Kopanitsa, Georgy; Taranik, Maxim

2014-01-01

Presentation of medical data in personal health records (PHRs) requires flexible platform independent tools to ensure easy access to the information. Different backgrounds of the patients, especially elder people require simple graphical presentation of the data. Data in PHRs can be collected from heterogeneous sources. Application of standard based medical data allows development of generic visualization methods. Focusing on the deployment of Open Source Tools, in this paper we applied Java Script libraries to create data presentations for standard based medical data.

Philippine Plecopteran with four new records in Compostela Valley Province

Directory of Open Access Journals (Sweden)

Milton Norman Dejadena Medina

2016-01-01

Full Text Available The present paper is the updated list of Philippine Plecoptera starting from the 1940’s Philippine Zoological Expedition up to the recent discoveries of Sivec and Stark on 2011. A poorly known group, there is scanty literature and several part of the Philippine archipelago is poorly explored. In order to address this information gap particularly in Compostela Valley Province, a provincial survey was conducted from January to November 2012. Opportunistic sampling using hand netting and standard light trapping methods were used to collect species from nine municipalities. There were 181 individuals collected representing two genera and four species comprising about 11.76% of the recorded species to occur in the archipelago. This paper reports the first record of Plecoptera in the province.

The SGML Standardization Framework and the Introduction of XML

Science.gov (United States)

Grütter, Rolf

2000-01-01

Extensible Markup Language (XML) is on its way to becoming a global standard for the representation, exchange, and presentation of information on the World Wide Web (WWW). More than that, XML is creating a standardization framework, in terms of an open network of meta-standards and mediators that allows for the definition of further conventions and agreements in specific business domains. Such an approach is particularly needed in the healthcare domain; XML promises to especially suit the particularities of patient records and their lifelong storage, retrieval, and exchange. At a time when change rather than steadiness is becoming the faithful feature of our society, standardization frameworks which support a diversified growth of specifications that are appropriate to the actual needs of the users are becoming more and more important; and efforts should be made to encourage this new attempt at standardization to grow in a fruitful direction. Thus, the introduction of XML reflects a standardization process which is neither exclusively based on an acknowledged standardization authority, nor a pure market standard. Instead, a consortium of companies, academic institutions, and public bodies has agreed on a common recommendation based on an existing standardization framework. The consortium's process of agreeing to a standardization framework will doubtlessly be successful in the case of XML, and it is suggested that it should be considered as a generic model for standardization processes in the future. PMID:11720931

Search for Physics Beyond the Standard Model in Multi-jet Events Recorded with the ATLAS Detector in p-p collisions at center of Mass Energy = 8 TeV using the Large Hadron Collider

CERN Document Server

Wang, Kuhan

A search for physics beyond the Standard Model with multi-jet signatures is presented using 20.3 inverse fb of proton-proton collision data recorded using the ATLAS detector at the Large Hadron Collider at a center-of-mass energy of 8 TeV. An original fit and extrapolation technique is used to estimate the QCD multi-jet background. No statistically significant deviations from Standard Model predic- tions are observed. The results are interpreted in terms of model-independent lim- its on the fiducial production cross section of multi-jet events and model-dependent limits in the context of TeV-scale gravity. The fiducial limits at 95% confidence level on multi-jet production are as low as 0.16 fb and the exclusion power in threshold mass for black hole and string ball production varies from 4.6 to 6.2 TeV for par- ticular models. These results are amongst the most stringent limits on TeV-scale gravity to date.

History and development of ABCDEFG: a data standard for geosciences

Directory of Open Access Journals (Sweden)

M. Petersen

2018-01-01

Full Text Available Museums and their collections have specially customized databases in order to optimally gather and record their contents and associated metadata associated with their specimens. To share, exchange, and publish data, an appropriate data standard is essential. ABCD (Access to Biological Collection Data is a standard for biological collection units, including living and preserved specimen, together with field observation data. Its extension, EFG (Extension for Geoscience, enables sharing and publishing data related to paleontological, mineralogical, and petrological objects. The standard is very granular and allows detailed descriptions, including information about the collection event itself, the holding institution, stratigraphy, chemical analysis, and host rock. The standard extension was developed in 2006 and has been used since then by different initiatives and applied for the publication of collection-related data in domain-specific and interdisciplinary portals.

Early rehabilitation in Resurfacing, standard and large head THA patients

DEFF Research Database (Denmark)

Penny, Jeannette Østergaard; Varmarken, Jens-Erik; Ovesen, Ole

2009-01-01

in the resurfacing patient may impair the early rehabilitation. We aimed to investigate early differences in rehabilitation parameters amongst the different groups. Materials and methods We randomized to resurfacing (n=20), standard 28 mm THA (n=19) and large head MoM THA (n=12). We recorded operation time, blood...

75 FR 17638 - National Historical Publications and Records Commission; Proposal To Amend Regulations

Science.gov (United States)

2010-04-07

... application deadline, and reflecting the new Office of Management and Budget (OMB) requirement to use Standard... Office of Management and Budget, and is intended to make reporting easier for all Federal grantees. The... policy or to provide procedural details. Historical records means documentary material having permanent...

Records of indoor radiation management, no. 15

International Nuclear Information System (INIS)

Katsurayama, Kosuke; Tsujimoto, Tadashi; Saito, Masahiro

1980-01-01

This is the technical report on the indoor radiation management in Kyoto University Research Reactor Institute in the fiscal year of 1978. The radiation management equipments in the Kyoto University Reactor are so super-annuated that special works and abnormal radiation records had increased year by year, and 53 special works and abnormalities were recorded in the fiscal year of 1978. They were 28 special works (the management works other than the regular management works) and 25 abnormal records detected in the case of exceeding the radiation management standard. Of these 25 cases, 15 cases were fixed monitor alarms clearly recognized as electrical noises or too low alarm-setting levels. This report describes first the regular management which is divided into the following paragraphs, spatial dose rate, cumulative dose, surface contamination density, radioactivity in water, radioactive dust concentration, radioactive gas concentration, external exposure dose around the site, and the management for critical assembly building. The second half of the report describes the repair of gas monitors in the reactor room, the performance of radiation monitors in the critical assembly building, the management of γ-ray building and inspection before using the accelerator in the critical assembly building. The report is closed by finally reporting the results by voluntary regular inspection and regular inspection, and the health physics committee. (Wakatsuki, Y.)

Lack of recording of systemic lupus erythematosus in the death certificates of lupus patients.

Science.gov (United States)

Calvo-Alén, J; Alarcón, G S; Campbell, R; Fernández, M; Reveille, J D; Cooper, G S

2005-09-01

To determine to what extent the diagnosis of systemic lupus erythematosus (SLE) in deceased lupus patients is under-reported in death certificates, and the patient characteristics associated with such an occurrence. The death certificates of 76 of the 81 deceased SLE patients from two US lupus cohorts (LUMINA for Lupus in Minorities: Nature vs Nurture and CLU for Carolina Lupus Study), including 570 and 265 patients, respectively, were obtained from the Offices of Vital Statistics of the states where the patients died (Alabama, Georgia, North Carolina, South Carolina, Tennessee and Texas). Both cohorts included patients with SLE as per the American College of Rheumatology criteria, aged > or =16 yr, and disease duration at enrolment of < or =5 yr. The median duration of follow-up in each cohort at the time of these analyses ranged from 38.1 to 53.0 months. Standard univariable analyses were performed comparing patients with SLE recorded anywhere in the death certificate and those without it. A multivariable logistic regression model was performed to identify the variables independently associated with not recording SLE in death certificates. In 30 (40%) death certificates, SLE was not recorded anywhere in the death certificate. In univariable analyses, older age was associated with lack of recording of SLE in death certificates [mean age (standard deviation) 50.9 (15.6) years and 39.1 (18.6) yr among those for whom SLE was omitted and included on the death certificates, respectively, P = 0.005]. Patients without health insurance, those dying of a cardiovascular event and those of Caucasian ethnicity were also more likely to be in the non-recorded group. In the multivariable analysis, variables independently associated with not recording SLE as cause of death were older age [odds ratio = (95% confidence interval) 1.043 (1.005-1.083 per yr increase); P = 0.023] and lack of health insurance [4.649 (1.152-18.768); P = 0.031]. A high proportion of SLE diagnoses are not

The new international standard ISO 14001: 2004 environmental management system

International Nuclear Information System (INIS)

Oheba, Jamal Basher

2006-01-01

ISO 14001 is one standard in the ISO 14000 series of standards developed by International Organization of Standardization (ISO). Since it was published in 19096, it has rapidly become the most important environmental standard in the world. ISO 14001 is an environmental management system (EMS) that can be classified into environmental technologies provides a systematic procedure to all kind of organizations to prevent pollutions, protect environment and to improve their overall environmental performance. This new standard ISO 14001 2004 was published on November 15, 2004. It cancels and replaced the old ISO 14001-1996. Because the important of the previous standard for our local industries, firms, ...etc, this paper presents ISO 14001 concepts, issues, benefits and focuses on the stages of implementation to achieve ISO 14001-2004 certification which includes general requirements environmental policy, planning (objectives, targets ..), implementation and operations, checking and management review ...etc and presents how to apply isotop time saver software to design records, and to save time to implement ISO 14001 2004 and finally a conclusion is provided.(Author)

Assessment of modal-pushover-based scaling procedure for nonlinear response history analysis of ordinary standard bridges

Science.gov (United States)

Kalkan, E.; Kwong, N.

2012-01-01

The earthquake engineering profession is increasingly utilizing nonlinear response history analyses (RHA) to evaluate seismic performance of existing structures and proposed designs of new structures. One of the main ingredients of nonlinear RHA is a set of ground motion records representing the expected hazard environment for the structure. When recorded motions do not exist (as is the case in the central United States) or when high-intensity records are needed (as is the case in San Francisco and Los Angeles), ground motions from other tectonically similar regions need to be selected and scaled. The modal-pushover-based scaling (MPS) procedure was recently developed to determine scale factors for a small number of records such that the scaled records provide accurate and efficient estimates of “true” median structural responses. The adjective “accurate” refers to the discrepancy between the benchmark responses and those computed from the MPS procedure. The adjective “efficient” refers to the record-to-record variability of responses. In this paper, the accuracy and efficiency of the MPS procedure are evaluated by applying it to four types of existing Ordinary Standard bridges typical of reinforced concrete bridge construction in California. These bridges are the single-bent overpass, multi-span bridge, curved bridge, and skew bridge. As compared with benchmark analyses of unscaled records using a larger catalog of ground motions, it is demonstrated that the MPS procedure provided an accurate estimate of the engineering demand parameters (EDPs) accompanied by significantly reduced record-to-record variability of the EDPs. Thus, it is a useful tool for scaling ground motions as input to nonlinear RHAs of Ordinary Standard bridges.

Search for the standard model Higgs boson produced in association with a standard W or a Z boson and decaying to bottom quarks

Energy Technology Data Exchange (ETDEWEB)

Chatrchyan, Serguei; et al.,

2014-01-21

A search for the standard model Higgs boson (H) decaying to b b-bar when produced in association with a weak vector boson (V) is reported for the following channels: W(mu nu)H, W(e nu)H, W(tau nu)H, Z(mu mu)H, Z(e e)H, and Z(nu nu)H. The search is performed in data samples corresponding to integrated luminosities of up to 5.1 inverse femtobarns at sqrt(s) = 7 TeV and up to 18.9 inverse femtobarns at sqrt(s) = 8 TeV, recorded by the CMS experiment at the LHC. An excess of events is observed above the expected background with a local significance of 2.1 standard deviations for a Higgs boson mass of 125 GeV, consistent with the expectation from the production of the standard model Higgs boson. The signal strength corresponding to this excess, relative to that of the standard model Higgs boson, is 1.0 +/- 0.5.

Surgical medical record

DEFF Research Database (Denmark)

Bulow, S.

2008-01-01

A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

Spinstand demonstration of areal density enhancement using two-dimensional magnetic recording (invited)

Science.gov (United States)

Lippman, Thomas; Brockie, Richard; Coker, Jon; Contreras, John; Galbraith, Rick; Garzon, Samir; Hanson, Weldon; Leong, Tom; Marley, Arley; Wood, Roger; Zakai, Rehan; Zolla, Howard; Duquette, Paul; Petrizzi, Joe

2015-05-01

Exponential growth of the areal density has driven the magnetic recording industry for almost sixty years. But now areal density growth is slowing down, suggesting that current technologies are reaching their fundamental limit. The next generation of recording technologies, namely, energy-assisted writing and bit-patterned media, remains just over the horizon. Two-Dimensional Magnetic Recording (TDMR) is a promising new approach, enabling continued areal density growth with only modest changes to the heads and recording electronics. We demonstrate a first generation implementation of TDMR by using a dual-element read sensor to improve the recovery of data encoded by a conventional low-density parity-check (LDPC) channel. The signals are combined with a 2D equalizer into a single modified waveform that is decoded by a standard LDPC channel. Our detection hardware can perform simultaneous measurement of the pre- and post-combined error rate information, allowing one set of measurements to assess the absolute areal density capability of the TDMR system as well as the gain over a conventional shingled magnetic recording system with identical components. We discuss areal density measurements using this hardware and demonstrate gains exceeding five percent based on experimental dual reader components.

Spinstand demonstration of areal density enhancement using two-dimensional magnetic recording (invited)

International Nuclear Information System (INIS)

Lippman, Thomas; Brockie, Richard; Contreras, John; Garzon, Samir; Leong, Tom; Marley, Arley; Wood, Roger; Zakai, Rehan; Zolla, Howard; Coker, Jon; Galbraith, Rick; Hanson, Weldon; Duquette, Paul; Petrizzi, Joe

2015-01-01

Exponential growth of the areal density has driven the magnetic recording industry for almost sixty years. But now areal density growth is slowing down, suggesting that current technologies are reaching their fundamental limit. The next generation of recording technologies, namely, energy-assisted writing and bit-patterned media, remains just over the horizon. Two-Dimensional Magnetic Recording (TDMR) is a promising new approach, enabling continued areal density growth with only modest changes to the heads and recording electronics. We demonstrate a first generation implementation of TDMR by using a dual-element read sensor to improve the recovery of data encoded by a conventional low-density parity-check (LDPC) channel. The signals are combined with a 2D equalizer into a single modified waveform that is decoded by a standard LDPC channel. Our detection hardware can perform simultaneous measurement of the pre- and post-combined error rate information, allowing one set of measurements to assess the absolute areal density capability of the TDMR system as well as the gain over a conventional shingled magnetic recording system with identical components. We discuss areal density measurements using this hardware and demonstrate gains exceeding five percent based on experimental dual reader components

Spinstand demonstration of areal density enhancement using two-dimensional magnetic recording (invited)

Energy Technology Data Exchange (ETDEWEB)

Lippman, Thomas, E-mail: Thomas.Lippman@hgst.com; Brockie, Richard; Contreras, John; Garzon, Samir; Leong, Tom; Marley, Arley; Wood, Roger; Zakai, Rehan; Zolla, Howard [HGST, a Western Digital Company, San Jose, California 95119 (United States); Coker, Jon; Galbraith, Rick; Hanson, Weldon [HGST, a Western Digital Company, Rochester, Minnesota 55901 (United States); Duquette, Paul; Petrizzi, Joe [Avago Technologies, San Jose, California 95131 (United States)

2015-05-07

Exponential growth of the areal density has driven the magnetic recording industry for almost sixty years. But now areal density growth is slowing down, suggesting that current technologies are reaching their fundamental limit. The next generation of recording technologies, namely, energy-assisted writing and bit-patterned media, remains just over the horizon. Two-Dimensional Magnetic Recording (TDMR) is a promising new approach, enabling continued areal density growth with only modest changes to the heads and recording electronics. We demonstrate a first generation implementation of TDMR by using a dual-element read sensor to improve the recovery of data encoded by a conventional low-density parity-check (LDPC) channel. The signals are combined with a 2D equalizer into a single modified waveform that is decoded by a standard LDPC channel. Our detection hardware can perform simultaneous measurement of the pre- and post-combined error rate information, allowing one set of measurements to assess the absolute areal density capability of the TDMR system as well as the gain over a conventional shingled magnetic recording system with identical components. We discuss areal density measurements using this hardware and demonstrate gains exceeding five percent based on experimental dual reader components.

Determination of Minimum Data Set (MSD) in Echocardiography Reporting System to Exchange with Iran's Electronic Health Record (EHR) System.

Science.gov (United States)

Mahmoudvand, Zahra; Kamkar, Mehran; Shahmoradi, Leila; Nejad, Ahmadreza Farzaneh

2016-04-01

Determination of minimum data set (MDS) in echocardiography reports is necessary for documentation and putting information in a standard way, and leads to the enhancement of electrocardiographic studies through having access to precise and perfect reports and also to the development of a standard database for electrocardiographic reports. to determine the minimum data set of echocardiography reporting system to exchange with Iran's electronic health record (EHR) system. First, a list of minimum data set was prepared after reviewing texts and studying cardiac patients' records. Then, to determine the content validity of the prepared MDS, the expert views of 10 cardiologists and 10 health information management (HIM) specialists were obtained; to estimate the reliability of the set, test-retest method was employed. Finally, the data were analyzed using SPSS software. The highest degree of consensus was found for the following MDSs: patient's name and family name (5), accepting doctor's name and family name, familial death records due to cardiac disorders, the image identification code, mitral valve, aortic valve, tricuspid valve, pulmonary valve, left ventricle, hole, atrium valve, Doppler examination of ventricular and atrial movement models and diagnoses with an average of. To prepare a model of echocardiography reporting system to exchange with EHR system, creation a standard data set is the vital point. Therefore, based on the research findings, the minimum reporting system data to exchange with Iran's electronic health record system include information on entity, management, medical record, carried-out acts, and the main content of the echocardiography report, which the planners of reporting system should consider.

Improving nurse documentation and record keeping in stoma care.

Science.gov (United States)

Law, Lesley; Akroyd, Karen; Burke, Linda

Evidence suggests that nurse documentation is often inconsistent and lacks a coherent and standardized approach. This article reports on research into the use of nurse documentation on a stoma care ward in a large London hospital, and explores the factors that may affect the process of record keeping by nursing staff. This study uses stoma care as a case study to explore the role of documentation on the ward, focusing on how this can be improved. It is based on quantitative and qualitative methods. The medical notes of 56 patients were analysed and in addition, focus groups with a number of nurses were undertaken. Quantitative findings indicate that although 80% of patients had a chart filed in their medical notes, only a small portion of the form was completed by nursing staff. Focus group findings indicate that this is because forms lacked standardization and because the language used was often ambiguous. Staff also felt that such documentation was not viewed by other nurses and so, was not effective in improving patient care. As a result of this study, significant improvements have been made to documentation used on the stoma care ward. This is an important exploration of record keeping within nursing in the context of the Nursing and Midwifery Council's emphasis on the importance of documentation in achieving effective patient outcomes.

New recording package for VACM provides sensor flexibility

Science.gov (United States)

Strahle, William J.; Worrilow, S. E.; Fucile, S. E.; Martini, Marinna A.

1994-01-01

For the past three decades, the VACM has been a standard for ocean current measurements. A VACM is a true vector-averaging instrument that computes north and east current vectors and averages temperature continuously over a specified interval. It keeps a running total of rotor counts, and records one-shot samples of compass, vane position and time. Adding peripheral sensors to the data stream was easy. In today's economy, it seems imperative that operational centers concentrate on upgrading present inventory rather than purchasing newer instruments that often fall short of the flexible measurement platforms with high data capacities required by most researchers today. PCMCIA cards are rapidly becoming an industry standard with a wide range of storage capacities. By upgrading the VACM to a PCMCIA storage system with a flexible microprocessor, the VACM should continue to be a viable instrument into the next century

A comparison of four streamflow record extension techniques

Science.gov (United States)

Hirsch, Robert M.

1982-01-01

One approach to developing time series of streamflow, which may be used for simulation and optimization studies of water resources development activities, is to extend an existing gage record in time by exploiting the interstation correlation between the station of interest and some nearby (long-term) base station. Four methods of extension are described, and their properties are explored. The methods are regression (REG), regression plus noise (RPN), and two new methods, maintenance of variance extension types 1 and 2 (MOVE.l, MOVE.2). MOVE.l is equivalent to a method which is widely used in psychology, biometrics, and geomorphology and which has been called by various names, e.g., ‘line of organic correlation,’ ‘reduced major axis,’ ‘unique solution,’ and ‘equivalence line.’ The methods are examined for bias and standard error of estimate of moments and order statistics, and an empirical examination is made of the preservation of historic low-flow characteristics using 50-year-long monthly records from seven streams. The REG and RPN methods are shown to have serious deficiencies as record extension techniques. MOVE.2 is shown to be marginally better than MOVE.l, according to the various comparisons of bias and accuracy.

Evaluation of the quality of nursing records in the emergency department of a teaching hospital

Directory of Open Access Journals (Sweden)

Beatriz Araújo Seignemartin

2014-01-01

Full Text Available Nursing records are all systematized registers made by the nursing team, with legal and ethical implications on research, patient´s safety and communication among health professionals. This quantitative and retrospective cross-sectional study was conducted in a school hospital dedicated to the woman’s care, aiming at evaluating by auditing the quality of the nursing records. The 168 medical records were evaluated according to the standard established by the literature and the legislation of the Professional Council from January to June 2011. The importance of early contact with the patient, incomplete records or lack of information on the assistance rendered, besides nonconformities related to what is expected, were identified. The conclusion is that there is the need of periodic evaluations of the quality of the records and discussions on the results with the nursing team, on its importance regarding legislation, literature and the safety of patients.

Diagnostic Role of ECG Recording Simultaneously With EEG Testing.

Science.gov (United States)

Kendirli, Mustafa Tansel; Aparci, Mustafa; Kendirli, Nurten; Tekeli, Hakan; Karaoglan, Mustafa; Senol, Mehmet Guney; Togrol, Erdem

2015-07-01

Arrhythmia is not uncommon in the etiology of syncope which mimics epilepsy. Data about the epilepsy induced vagal tonus abnormalities have being increasingly reported. So we aimed to evaluate what a neurologist may gain by a simultaneous electrocardiogram (ECG) and electroencephalogram (EEG) recording in the patients who underwent EEG testing due to prediagnosis of epilepsy. We retrospectively evaluated and detected ECG abnormalities in 68 (18%) of 376 patients who underwent EEG testing. A minimum of 20 of minutes artifact-free recording were required for each patient. Standard 1-channel ECG was simultaneously recorded in conjunction with the EEG. In all, 28% of females and 14% of males had ECG abnormalities. Females (mean age 49 years, range 18-88 years) were older compared with the male group (mean age 28 years, range 16-83 years). Atrial fibrillation was more frequent in female group whereas bradycardia and respiratory sinus arrhythmia was higher in male group. One case had been detected a critical asystole indicating sick sinus syndrome in the female group and treated with a pacemaker implantation in the following period. Simultaneous ECG recording in conjunction with EEG testing is a clinical prerequisite to detect and to clarify the coexisting ECG and EEG abnormalities and their clinical relevance. Potentially rare lethal causes of syncope that mimic seizure or those that could cause resistance to antiepileptic therapy could effectively be distinguished by detecting ECG abnormalities coinciding with the signs and abnormalities during EEG recording. © EEG and Clinical Neuroscience Society (ECNS) 2014.

Guidelines for the content of records to support nuclear power plant operation, maintenance, and modification (NCIG-08): Volume 1, Guidelines: Final report

International Nuclear Information System (INIS)

Reedy, R.F.; Hegglin, D.P.

1988-11-01

The record systems at many nuclear power plant sites are becoming overloaded with unnecessary and superfluous records. The reason for this overload is that although the Codes and Standards list the record types to be retained, there is no definition for the contents of the records. This encourages varied interpretations which often lead to the approach of ''save everything''. This document provides guidelines for the content of records to support nuclear power plant operation, maintenance and modification. These Guidelines are based on an engineering approach to identify which data in the records are of ''significant value'' in (1) demonstrating capability for safe operation; (2) maintaining, reworking, repairing, replacing, or modifying an item; (3) determining the cause of an accident or malfunction of an item; and (4) providing required baseline data for in-service inspection. Particular topical issues affecting record retention needs, such as plant life extension activities, may require additional evaluation of data or records. By identifying the data to be retained in the records, it is possible to modify the record management system to substantially reduce the amount of unnecessary information being retained in the records. These Guidelines will provide for more uniform interpretation of requirements. The Guidelines are meant as an interpretation of current Codes, Standards and Regulatory Guides, and not as new requirements. Should any conflict exist between these Guidelines and the specified requirements of the NRC Regulations, the regulations govern. 4 tabs

Parental access to minors' health records in the South African health care context: concerns and recommendations

Directory of Open Access Journals (Sweden)

MN Slabbert

2004-10-01

Full Text Available Privacy and confidentiality have long been recognized as essential elements of the doctor-patient relationship. Patients should feel free to disclose the most intimate and private medical facts about themselves to their physicians in order to facilitate optimal patient care. Medical records, whether hand-written or electronic, also play an important role in other contexts, such as medical research, health care management and financial audit. In South Africa there is little consistency in approaches to patient confidentiality. There are also no national standards or policies on patient confidentiality, apart from specific ethical rules, some ad hoc statutory provisions and general constitutional provisions not directly related to the intricacies of the doctor-patient relationship. A closer look at the relevant statutory provisions reveal the existence of conflicting standards, most notably in respect of parental access to a minors' health records. The purpose of this paper is to examine the discrepancies and contradictory provisions relating to the access to and disclosure of health information, in particular parental access to health records of minors. In the final instance, some recommendations will be suggested.

Records Management Directive

Data.gov (United States)

Office of Personnel Management — The Office of Personnel Management (OPM) Records Management Directive provides guidelines for the management of OPM records, and identifies the records management...

OmniPHR: A distributed architecture model to integrate personal health records.

Science.gov (United States)

Roehrs, Alex; da Costa, Cristiano André; da Rosa Righi, Rodrigo

2017-07-01

The advances in the Information and Communications Technology (ICT) brought many benefits to the healthcare area, specially to digital storage of patients' health records. However, it is still a challenge to have a unified viewpoint of patients' health history, because typically health data is scattered among different health organizations. Furthermore, there are several standards for these records, some of them open and others proprietary. Usually health records are stored in databases within health organizations and rarely have external access. This situation applies mainly to cases where patients' data are maintained by healthcare providers, known as EHRs (Electronic Health Records). In case of PHRs (Personal Health Records), in which patients by definition can manage their health records, they usually have no control over their data stored in healthcare providers' databases. Thereby, we envision two main challenges regarding PHR context: first, how patients could have a unified view of their scattered health records, and second, how healthcare providers can access up-to-date data regarding their patients, even though changes occurred elsewhere. For addressing these issues, this work proposes a model named OmniPHR, a distributed model to integrate PHRs, for patients and healthcare providers use. The scientific contribution is to propose an architecture model to support a distributed PHR, where patients can maintain their health history in an unified viewpoint, from any device anywhere. Likewise, for healthcare providers, the possibility of having their patients data interconnected among health organizations. The evaluation demonstrates the feasibility of the model in maintaining health records distributed in an architecture model that promotes a unified view of PHR with elasticity and scalability of the solution. Copyright © 2017 Elsevier Inc. All rights reserved.

Facilitating Stewardship of scientific data through standards based workflows

Science.gov (United States)

Bastrakova, I.; Kemp, C.; Potter, A. K.

2013-12-01

There are main suites of standards that can be used to define the fundamental scientific methodology of data, methods and results. These are firstly Metadata standards to enable discovery of the data (ISO 19115), secondly the Sensor Web Enablement (SWE) suite of standards that include the O&M and SensorML standards and thirdly Ontology that provide vocabularies to define the scientific concepts and relationships between these concepts. All three types of standards have to be utilised by the practicing scientist to ensure that those who ultimately have to steward the data stewards to ensure that the data can be preserved curated and reused and repurposed. Additional benefits of this approach include transparency of scientific processes from the data acquisition to creation of scientific concepts and models, and provision of context to inform data use. Collecting and recording metadata is the first step in scientific data flow. The primary role of metadata is to provide details of geographic extent, availability and high-level description of data suitable for its initial discovery through common search engines. The SWE suite provides standardised patterns to describe observations and measurements taken for these data, capture detailed information about observation or analytical methods, used instruments and define quality determinations. This information standardises browsing capability over discrete data types. The standardised patterns of the SWE standards simplify aggregation of observation and measurement data enabling scientists to transfer disintegrated data to scientific concepts. The first two steps provide a necessary basis for the reasoning about concepts of ';pure' science, building relationship between concepts of different domains (linked-data), and identifying domain classification and vocabularies. Geoscience Australia is re-examining its marine data flows, including metadata requirements and business processes, to achieve a clearer link between

Simultaneous recording of the field-EPSP as well as the population spike in the CA1 region in freely moving rats by using a fixed "double"-recording electrode.

Science.gov (United States)

Scherf, Thomas; Frey, Julietta U; Frey, Sabine

2010-04-30

The recording of field potentials in freely moving rats is a very appropriate and commonly used method to describe changes in cellular mechanisms underlying synaptic plasticity. Recently, we introduced a method for the simultaneous recording of both the field-EPSP as well as the population spike in the dentate gyrus of freely moving rats. We used self-made "double"-recording electrodes, consisting of two wires straighten together with a constant distance between both tips. This method was now further developed to obtain stable long-term recordings of CA1 field potentials. Rats were chronically implanted with a bipolar recording electrode; one tip of which reached the stratum radiatum to record the field-EPSP, the other tip was lowered into the stratum pyramidale of the same neuron population to record the population spike by stimulation of the contralateral CA3 (cCA3). In such prepared rats, simultaneously recorded field-EPSP as well as the population spike where thus obtained from their places of generation in a very reliable manner. This kind of preparation allowed a better standardization of stimulation intensities between different animals and stable electrophysiological recordings of both CA1-potentials over a time period of at least 24h in freely behaving animals. Furthermore, primed burst stimulation of the cCA3 (a single biphasic priming pulse was followed by a burst of 10 pulses (frequency of 100 Hz) 190 ms later; pulse duration per half-wave: 0.1 ms) resulted in an early-LTP of both measured parameters, the field-EPSP and the population spike in the CA1 region of freely moving rats. Copyright 2010 Elsevier B.V. All rights reserved.

A personal radio-frequency dosimeter with cumulative-dose recording capabilities

International Nuclear Information System (INIS)

Rochelle, R.W.; Moore, M.R.; Thomas, R.S.; Ewing, P.D.; Hess, R.A.; Hoffheins, B.S.

1990-01-01

The radio-frequency (rf) dosimeter developed by the Oak Ridge National Laboratory is a portable, pocket-sized cumulative-dose recording device designed to detect and record the strengths and durations of electric fields present in the work areas of naval vessels. The device measures an integrated dose and records the electric fields that exceed the permissible levels set by the American National Standards Institute. Features of the rf dosimeter include a frequency range of 30 MHz to 10 GHz and a three-dimensional sensor. Data obtained with the rf dosimeter will be used to determine the ambient field-strength profile for shipboard personnel over an extended time. Readings are acquired and averaged over a 6-min period corresponding to the rise time of the core body temperature. These values are stored for up to 6 months, after which the data are transferred to a computer via the dosimeter's serial port. The rf dosimeter should increase knowledge of the levels of electric fields to which individuals are exposed. 13 refs., 16 figs., 2 tabs

3D-Audio Matting, Postediting, and Rerendering from Field Recordings

Directory of Open Access Journals (Sweden)

Guillaume Lemaitre

2007-01-01

Full Text Available We present a novel approach to real-time spatial rendering of realistic auditory environments and sound sources recorded live, in the field. Using a set of standard microphones distributed throughout a real-world environment, we record the sound field simultaneously from several locations. After spatial calibration, we segment from this set of recordings a number of auditory components, together with their location. We compare existing time delay of arrival estimation techniques between pairs of widely spaced microphones and introduce a novel efficient hierarchical localization algorithm. Using the high-level representation thus obtained, we can edit and rerender the acquired auditory scene over a variety of listening setups. In particular, we can move or alter the different sound sources and arbitrarily choose the listening position. We can also composite elements of different scenes together in a spatially consistent way. Our approach provides efficient rendering of complex soundscapes which would be challenging to model using discrete point sources and traditional virtual acoustics techniques. We demonstrate a wide range of possible applications for games, virtual and augmented reality, and audio visual post production.

Standard Model Higgs Boson with the L3 Experiment at LEP

CERN Document Server

Achard, P.; Aguilar-Benitez, M.; Alcaraz, J.; Alemanni, G.; Allaby, J.; Aloisio, A.; Alviggi, M.G.; Anderhub, H.; Andreev, Valery P.; Anselmo, F.; Arefev, A.; Azemoon, T.; Aziz, T.; Baarmand, M.; Bagnaia, P.; Bajo, A.; Baksay, G.; Baksay, L.; Baldew, S.V.; Banerjee, S.; Banerjee, Sw.; Barczyk, A.; Barillere, R.; Bartalini, P.; Basile, M.; Batalova, N.; Battiston, R.; Bay, A.; Becattini, F.; Becker, U.; Behner, F.; Bellucci, L.; Berbeco, R.; Berdugo, J.; Berges, P.; Bertucci, B.; Betev, B.L.; Biasini, M.; Biglietti, M.; Biland, A.; Blaising, J.J.; Blyth, S.C.; Bobbink, G.J.; Bohm, A.; Boldizsar, L.; Borgia, B.; Bourilkov, D.; Bourquin, M.; Braccini, S.; Branson, J.G.; Brochu, F.; Buijs, A.; Burger, J.D.; Burger, W.J.; Cai, X.D.; Capell, M.; Cara Romeo, G.; Carlino, G.; Cartacci, A.; Casaus, J.; Cavallari, F.; Cavallo, N.; Cecchi, C.; Cerrada, M.; Chamizo, M.; Chang, Y.H.; Chemarin, M.; Chen, A.; Chen, G.; Chen, G.M.; Chen, H.F.; Chen, H.S.; Chiefari, G.; Cifarelli, L.; Cindolo, F.; Clare, I.; Clare, R.; Coignet, G.; Colino, N.; Costantini, S.; De la Cruz, B.; Cucciarelli, S.; Dai, T.S.; Van Dalen, J.A.; De Asmundis, R.; Deglon, P.; Debreczeni, J.; Degre, A.; Deiters, K.; Della Volpe, D.; Delmeire, E.; Denes, P.; DeNotaristefani, F.; De Salvo, A.; Diemoz, M.; Dierckxsens, M.; Van Dierendonck, D.; Dionisi, C.; Dittmar, M.; Doria, A.; Dova, M.T.; Duchesneau, D.; Duinker, P.; Echenard, B.; Eline, A.; El Mamouni, H.; Engler, A.; Eppling, F.J.; Ewers, A.; Extermann, P.; Falagan, M.A.; Falciano, S.; Favara, A.; Fay, J.; Fedin, O.; Felcini, M.; Ferguson, T.; Fesefeldt, H.; Fiandrini, E.; Field, J.H.; Filthaut, F.; Fisher, P.H.; Fisher, W.; Fisk, I.; Forconi, G.; Freudenreich, K.; Furetta, C.; Galaktionov, Iouri; Ganguli, S.N.; Garcia-Abia, Pablo; Gataullin, M.; Gentile, S.; Giagu, S.; Gong, Z.F.; Grenier, Gerald Jean; Grimm, O.; Gruenewald, M.W.; Guida, M.; Van Gulik, R.; Gupta, V.K.; Gurtu, A.; Gutay, L.J.; Haas, D.; Hatzifotiadou, D.; Hebbeker, T.; Herve, Alain; Hirschfelder, J.; Hofer, H.; Holzner, G.; Hou, S.R.; Hu, Y.; Jin, B.N.; Jones, Lawrence W.; de Jong, P.; Josa-Mutuberria, I.; Kafer, D.; Kaur, M.; Kienzle-Focacci, M.N.; Kim, J.K.; Kirkby, Jasper; Kittel, W.; Klimentov, A.; Konig, A.C.; Kopal, M.; Koutsenko, V.; Kraber, M.; Kraemer, R.W.; Krenz, W.; Kruger, A.; Kunin, A.; Ladron De Guevara, P.; Laktineh, I.; Landi, G.; Lebeau, M.; Lebedev, A.; Lebrun, P.; Lecomte, P.; Lecoq, P.; Le Coultre, P.; Lee, H.J.; Le Goff, J.M.; Leiste, R.; Levtchenko, P.; Li, C.; Likhoded, S.; Lin, C.H.; Lin, W.T.; Linde, F.L.; Lista, L.; Liu, Z.A.; Lohmann, W.; Longo, E.; Lu, Y.S.; Lubelsmeyer, K.; Luci, C.; Luckey, David; Luminari, L.; Lustermann, W.; Ma, W.G.; Malgeri, L.; Malinin, A.; Mana, C.; Mangeol, D.; Mans, J.; Martin, J.P.; Marzano, F.; Mazumdar, K.; McNeil, R.R.; Mele, S.; Merola, L.; Meschini, M.; Metzger, W.J.; Mihul, A.; Milcent, H.; Mirabelli, G.; Mnich, J.; Mohanty, G.B.; Muanza, G.S.; Muijs, A.J.M.; Musicar, B.; Musy, M.; Nagy, S.; Napolitano, M.; Nessi-Tedaldi, F.; Newman, H.; Niessen, T.; Nisati, A.; Kluge, Hannelies; Ofierzynski, R.; Organtini, G.; Palomares, C.; Pandoulas, D.; Paolucci, P.; Paramatti, R.; Passaleva, G.; Patricelli, S.; Paul, Thomas Cantzon; Pauluzzi, M.; Paus, C.; Pauss, F.; Pedace, M.; Pensotti, S.; Perret-Gallix, D.; Petersen, B.; Piccolo, D.; Pierella, F.; Piroue, P.A.; Pistolesi, E.; Plyaskin, V.; Pohl, M.; Pojidaev, V.; Postema, H.; Pothier, J.; Prokofev, D.O.; Prokofiev, D.; Quartieri, J.; Rahal-Callot, G.; Rahaman, M.A.; Raics, P.; Raja, N.; Ramelli, R.; Rancoita, P.G.; Ranieri, R.; Raspereza, A.; Razis, P.; Ren, D.; Rescigno, M.; Reucroft, S.; Riemann, S.; Riles, Keith; Roe, B.P.; Romero, L.; Rosca, A.; Rosier-Lees, S.; Roth, Stefan; Rosenbleck, C.; Roux, B.; Rubio, J.A.; Ruggiero, G.; Rykaczewski, H.; Sakharov, A.; Saremi, S.; Sarkar, S.; Salicio, J.; Sanchez, E.; Sanders, M.P.; Schafer, C.; Schegelsky, V.; Schmidt-Kaerst, S.; Schmitz, D.; Schopper, H.; Schotanus, D.J.; Schwering, G.; Sciacca, C.; Servoli, L.; Shevchenko, S.; Shivarov, N.; Shoutko, V.; Shumilov, E.; Shvorob, A.; Siedenburg, T.; Son, D.; Spillantini, P.; Steuer, M.; Stickland, D.P.; Stoyanov, B.; Straessner, A.; Sudhakar, K.; Sultanov, G.; Sun, L.Z.; Sushkov, S.; Suter, H.; Swain, J.D.; Szillasi, Z.; Tang, X.W.; Tarjan, P.; Tauscher, L.; Taylor, L.; Tellili, B.; Teyssier, D.; Timmermans, Charles; Ting, Samuel C.C.; Ting, S.M.; Tonwar, S.C.; Toth, J.; Tully, C.; Tung, K.L.; Uchida, Y.; Ulbricht, J.; Valente, E.; Van de Walle, R.T.; Veszpremi, V.; Vesztergombi, G.; Vetlitsky, I.; Vicinanza, D.; Viertel, G.; Villa, S.; Vivargent, M.; Vlachos, S.; Vodopianov, I.; Vogel, H.; Vogt, H.; Vorobev, I.; Vorobyov, A.A.; Wadhwa, M.; Wallraff, W.; Wang, M.; Wang, X.L.; Wang, Z.M.; Weber, M.; Wienemann, P.; Wilkens, H.; Wu, S.X.; Wynhoff, S.; Xia, L.; Xu, Z.Z.; Yamamoto, J.; Yang, B.Z.; Yang, C.G.; Yang, H.J.; Yang, M.; Yeh, S.C.; Zalite, A.; Zalite, Yu.; Zhang, Z.P.; Zhao, J.; Zhu, G.Y.; Zhu, R.Y.; Zhuang, H.L.; Zichichi, A.; Zilizi, G.; Zimmermann, B.; Zoller, M.

2001-01-01

Final results of the search for the Standard Model Higgs boson are presented for the data collected by the L3 detector at LEP at centre-of-mass energies up to about 209 GeV. These data are compared with the expectations of Standard Model processes for Higgs boson masses up to 120 GeV. A lower limit on the mass of the Standard Model Higgs boson of 112.0 GeV is set at the 95% confidence level. The most significant high mass candidate is a Hnn bar event. It has a reconstructed Higgs mass of 115 GeV and it was recorded at Square root of s =206.4 GeV.

CMS Records Schedule

Data.gov (United States)

U.S. Department of Health & Human Services — The CMS Records Schedule provides disposition authorizations approved by the National Archives and Records Administration (NARA) for CMS program-related records...

ASTM and ASME-BPE Standards--Complying with the Needs of the Pharmaceutical Industry.

Science.gov (United States)

Huitt, William M

2011-01-01

Designing and building a pharmaceutical facility requires the owner, engineer of record, and constructor to be knowledgeable with regard to the industry codes and standards that apply to this effort. Up until 1997 there were no industry standards directed at the needs and requirements of the pharmaceutical industry. Prior to that time it was a patchwork effort at resourcing and adopting nonpharmaceutical-related codes and standards and then modifying them in order to meet the more stringent requirements of the Food and Drug Administration (FDA). In 1997 the American Society of Mechanical Engineers (ASME) published the first Bioprocessing Equipment (BPE) Standard. Through harmonization efforts this relatively new standard has brought together, scrutinized, and refined industry accepted methodologies together with FDA compliance requirements, and has established an American National Standard that provides a comprehensive set of standards that are integral to the pharmaceutical industry. This article describes various American National Standards, including those developed and published by the American Society for Testing and Materials (ASTM), and how they apply to the pharmaceutical industry. It goes on to discuss the harmonization effort that takes place between the various standards developers in an attempt to prevent conflicts and omissions between the many standards. Also included are examples of tables and figures taken from the ASME-BPE Standard. These examples provide the reader with insight to the relevant content of the ASME-BPE Standard. Designing and building a pharmaceutical facility requires the owner, engineer of record, and constructor to be knowledgeable with regard to the industry codes and standards that apply to this effort. Up until 1997 there were no industry standards directed at the needs and requirements of the pharmaceutical industry. Prior to that time it was a patchwork effort at resourcing and adopting nonpharmaceutical-related codes and

Image-based electronic patient records for secured collaborative medical applications.

Science.gov (United States)

Zhang, Jianguo; Sun, Jianyong; Yang, Yuanyuan; Liang, Chenwen; Yao, Yihong; Cai, Weihua; Jin, Jin; Zhang, Guozhen; Sun, Kun

2005-01-01

We developed a Web-based system to interactively display image-based electronic patient records (EPR) for secured intranet and Internet collaborative medical applications. The system consists of four major components: EPR DICOM gateway (EPR-GW), Image-based EPR repository server (EPR-Server), Web Server and EPR DICOM viewer (EPR-Viewer). In the EPR-GW and EPR-Viewer, the security modules of Digital Signature and Authentication are integrated to perform the security processing on the EPR data with integrity and authenticity. The privacy of EPR in data communication and exchanging is provided by SSL/TLS-based secure communication. This presentation gave a new approach to create and manage image-based EPR from actual patient records, and also presented a way to use Web technology and DICOM standard to build an open architecture for collaborative medical applications.

Architecture of portable electronic medical records system integrated with streaming media.

Science.gov (United States)

Chen, Wei; Shih, Chien-Chou

2012-02-01

Due to increasing occurrence of accidents and illness during business trips, travel, or overseas studies, the requirement for portable EMR (Electronic Medical Records) has increased. This study proposes integrating streaming media technology into the EMR system to facilitate referrals, contracted laboratories, and disease notification among hospitals. The current study encoded static and dynamic medical images of patients into a streaming video format and stored them in a Flash Media Server (FMS). Based on the Taiwan Electronic Medical Record Template (TMT) standard, EMR records can be converted into XML documents and used to integrate description fields with embedded streaming videos. This investigation implemented a web-based portable EMR interchanging system using streaming media techniques to expedite exchanging medical image information among hospitals. The proposed architecture of the portable EMR retrieval system not only provides local hospital users the ability to acquire EMR text files from a previous hospital, but also helps access static and dynamic medical images as reference for clinical diagnosis and treatment. The proposed method protects property rights of medical images through information security mechanisms of the Medical Record Interchange Service Center and Health Certificate Authorization to facilitate proper, efficient, and continuous treatment of patients.

Context indexing of digital cardiac ultrasound records in PACS

Science.gov (United States)

Lobodzinski, S. Suave; Meszaros, Georg N.

1998-07-01

Recent wide adoption of the DICOM 3.0 standard by ultrasound equipment vendors created a need for practical clinical implementations of cardiac imaging study visualization, management and archiving, DICOM 3.0 defines only a logical and physical format for exchanging image data (still images, video, patient and study demographics). All DICOM compliant imaging studies must presently be archived on a 650 Mb recordable compact disk. This is a severe limitation for ultrasound applications where studies of 3 to 10 minutes long are a common practice. In addition, DICOM digital echocardiography objects require physiological signal indexing, content segmentation and characterization. Since DICOM 3.0 is an interchange standard only, it does not define how to database composite video objects. The goal of this research was therefore to address the issues of efficient storage, retrieval and management of DICOM compliant cardiac video studies in a distributed PACS environment. Our Web based implementation has the advantage of accommodating both DICOM defined entity-relation modules (equipment data, patient data, video format, etc.) in standard relational database tables and digital indexed video with its attributes in an object relational database. Object relational data model facilitates content indexing of full motion cardiac imaging studies through bi-directional hyperlink generation that tie searchable video attributes and related objects to individual video frames in the temporal domain. Benefits realized from use of bi-directionally hyperlinked data models in an object relational database include: (1) real time video indexing during image acquisition, (2) random access and frame accurate instant playback of previously recorded full motion imaging data, and (3) time savings from faster and more accurate access to data through multiple navigation mechanisms such as multidimensional queries on an index, queries on a hyperlink attribute, free search and browsing.

Standardization of the time for the execution of HANARO start-up and shutdown procedures

International Nuclear Information System (INIS)

Choi, H. Y.; Lim, I. C.; Hwang, S. R.; Kang, T. J.; Youn, D. B.

2003-01-01

For the standardization of the time to execute HANARO start-up and shutdown procedures, code names were assigned to the individual procedures and the work time were investigated. The data recorded by the operators during start-up and shutdown were statistically analyzed. The analysis results will be used for the standardization of start-up and shutdown procedures and it will be reflected in the procedure document

The standardization of data relational mode in the materials database for nuclear power engineering

International Nuclear Information System (INIS)

Wang Xinxuan

1996-01-01

A relational database needs standard data relation ships. The data relation ships include hierarchical structures and repeat set records. Code database is created and the relational database is created between spare parts and materials and properties of the materials. The data relation ships which are not standard are eliminated and all the relation modes are made to meet the demands of the 3NF (Third Norm Form)

Linking mothers and infants within electronic health records: a comparison of deterministic and probabilistic algorithms.

Science.gov (United States)

Baldwin, Eric; Johnson, Karin; Berthoud, Heidi; Dublin, Sascha

2015-01-01

To compare probabilistic and deterministic algorithms for linking mothers and infants within electronic health records (EHRs) to support pregnancy outcomes research. The study population was women enrolled in Group Health (Washington State, USA) delivering a liveborn infant from 2001 through 2008 (N = 33,093 deliveries) and infant members born in these years. We linked women to infants by surname, address, and dates of birth and delivery using deterministic and probabilistic algorithms. In a subset previously linked using "gold standard" identifiers (N = 14,449), we assessed each approach's sensitivity and positive predictive value (PPV). For deliveries with no "gold standard" linkage (N = 18,644), we compared the algorithms' linkage proportions. We repeated our analyses in an independent test set of deliveries from 2009 through 2013. We reviewed medical records to validate a sample of pairs apparently linked by one algorithm but not the other (N = 51 or 1.4% of discordant pairs). In the 2001-2008 "gold standard" population, the probabilistic algorithm's sensitivity was 84.1% (95% CI, 83.5-84.7) and PPV 99.3% (99.1-99.4), while the deterministic algorithm had sensitivity 74.5% (73.8-75.2) and PPV 95.7% (95.4-96.0). In the test set, the probabilistic algorithm again had higher sensitivity and PPV. For deliveries in 2001-2008 with no "gold standard" linkage, the probabilistic algorithm found matched infants for 58.3% and the deterministic algorithm, 52.8%. On medical record review, 100% of linked pairs appeared valid. A probabilistic algorithm improved linkage proportion and accuracy compared to a deterministic algorithm. Better linkage methods can increase the value of EHRs for pregnancy outcomes research. Copyright © 2014 John Wiley & Sons, Ltd.

Records Management in the Formerly Used Sites Remedial Action Program (FUSRAP)

International Nuclear Information System (INIS)

Morekas, G.N.; Pape, M.B.

2006-01-01

The U.S. Army Corps of Engineers' (USACE's) performance of site investigation and remediation under the Formerly Used Sites Remedial Action Program (FUSRAP) requires the use of a records management system in order to effectively capture and manage data, document the decision making process, and allow communication of project information to regulators, congress, and the public. The USACE faces many challenges in managing the vast amount of data, correspondence, and reports generated under this program, including: management of data and reports in a variety of paper, electronic, and microfilm formats; incorporation of records generated by the Department of Energy (DOE) prior to 1997; ensuring smooth flow of information among numerous internal Project Managers and regulators; and facilitating public access to information through the development of CERCLA Administrative Records and response to Freedom of Information Act (FOIA) requests. In 2004-2005, the USACE Buffalo District contracted with Dynamac Corporation to adapt the records management system developed for the Formerly Used Defense Sites (FUDS) Program to the records for the Luckey and Painesville FUSRAP sites. The system, known as the FUDS Information Improvement Plan (FIIP), was jointly developed by the USACE Hazardous, Toxic, and Radioactive Waste Center of Expertise (HTRW-CX), USACE Rock Island District, and several FUDS contractors (including Dynamac Corporation) in 2003. The primary components of the FIIP which address the challenges faced by the FUSRAP Program include: the development of a standardized document organization system; the standardization of electronic conversion processes; the standardization of file naming conventions; and the development of an automated data capture system to speed the process and reduce errors in indexing. The document organization system allows for the assignment of each individual document to one of approximately 150 categories. The categories are based upon a

75 FR 46945 - Proposed Collection; Comment Request; the Drug Accountability Record (Form NIH 2564) (NCI)

Science.gov (United States)

2010-08-04

... Request; the Drug Accountability Record (Form NIH 2564) (NCI) SUMMARY: In compliance with the requirement... Management and Budget (OMB) for review and approval. Proposed Collection Title: The Drug Accountability... agent accountability. In order to fulfill these requirements, a standard Investigational Drug...

Overburden Stress Normalization and Rod Length Corrections for the Standard Penetration Test (SPT)

OpenAIRE

Deger, Tonguc Tolga

2014-01-01

The Standard Penetration Test (SPT) has been a staple of geotechnical engineering practice for more than 70 years. Empirical correlations based on in situ SPT data provide an important basis for assessment of a broad range of engineering parameters, and for empirically based analysis and design methods spanning a significant number of areas of geotechnical practice. Despite this longstanding record of usage, the test itself is relatively poorly standardized with regard to the allowable variab...

Study of the Standard Model Higgs boson decaying to taus at CMS

CERN Document Server

Botta, Valeria

2017-01-01

The most recent search for the Standard Model Higgs boson decaying to a pair of $\\tau$ leptons is performed using proton-proton collision events at a centre-of-mass energy of 13~TeV, recorded by the CMS experiment at the LHC. The full 2016 dataset, corresponding to an integrated luminosity of 35.9~fb$^{-1}$, has been analysed. The Higgs boson signal in the $\\tau^{+}\\tau^{-}$ decay mode is observed with a significance of 4.9 standard deviations, to be compared to an expected significance of 4.7 standard deviations. This measurement is the first observation of the Higgs boson decay into fermions by a single experiment.

Records Management: Preserving the Past to Make the Future

Science.gov (United States)

Petro, Kathryn

2004-01-01

thoroughly understand the criteria both departments here at NASA Glenn need in order to make the system effective for the entire organization. The interaction that I am experiencing with different organizations within NASA Glenn and the various companies we are looking at has enhanced my communication skills. Without proficient communication skills, it is difficult to seek how each company meets all of NASA's standards. This includes webx conferences, teleconferences, face-to-face meetings, knowing the appropriate time to ask questions, knowing what those appropriate questions are, and most importantly, being a good listener. During the meetings and conferences I attend, I ensure that I understand where each party is coming from and listen carefully to the points people make. In addition to working with the feasibility study, I will later work on a marketing plan to encourage employees to take care in storing their records and learn the importance of the History Office. Also, the department is trying to develop a special presentation for new employees during their orientation. Assisting Deborah Demaline in taking inventory at Plum Brook is another task that must be done to ensure that the records have been properly placed.

The need for data standards in zoomorphology.

Science.gov (United States)

Vogt, Lars; Nickel, Michael; Jenner, Ronald A; Deans, Andrew R

2013-07-01

eScience is a new approach to research that focuses on data mining and exploration rather than data generation or simulation. This new approach is arguably a driving force for scientific progress and requires data to be openly available, easily accessible via the Internet, and compatible with each other. eScience relies on modern standards for the reporting and documentation of data and metadata. Here, we suggest necessary components (i.e., content, concept, nomenclature, format) of such standards in the context of zoomorphology. We document the need for using data repositories to prevent data loss and how publication practice is currently changing, with the emergence of dynamic publications and the publication of digital datasets. Subsequently, we demonstrate that in zoomorphology the scientific record is still limited to published literature and that zoomorphological data are usually not accessible through data repositories. The underlying problem is that zoomorphology lacks the standards for data and metadata. As a consequence, zoomorphology cannot participate in eScience. We argue that the standardization of morphological data requires i) a standardized framework for terminologies for anatomy and ii) a formalized method of description that allows computer-parsable morphological data to be communicable, compatible, and comparable. The role of controlled vocabularies (e.g., ontologies) for developing respective terminologies and methods of description is discussed, especially in the context of data annotation and semantic enhancement of publications. Finally, we introduce the International Consortium for Zoomorphology Standards, a working group that is open to everyone and whose aim is to stimulate and synthesize dialog about standards. It is the Consortium's ultimate goal to assist the zoomorphology community in developing modern data and metadata standards, including anatomy ontologies, thereby facilitating the participation of zoomorphology in e

Metrics for Electronic-Nursing-Record-Based Narratives: Cross-sectional Analysis

Science.gov (United States)

Kim, Kidong; Jeong, Suyeon; Lee, Kyogu; Park, Hyeoun-Ae; Min, Yul Ha; Lee, Joo Yun; Kim, Yekyung; Yoo, Sooyoung; Doh, Gippeum

2016-01-01

Summary Objectives We aimed to determine the characteristics of quantitative metrics for nursing narratives documented in electronic nursing records and their association with hospital admission traits and diagnoses in a large data set not limited to specific patient events or hypotheses. Methods We collected 135,406,873 electronic, structured coded nursing narratives from 231,494 hospital admissions of patients discharged between 2008 and 2012 at a tertiary teaching institution that routinely uses an electronic health records system. The standardized number of nursing narratives (i.e., the total number of nursing narratives divided by the length of the hospital stay) was suggested to integrate the frequency and quantity of nursing documentation. Results The standardized number of nursing narratives was higher for patients aged 70 years (median = 30.2 narratives/day, interquartile range [IQR] = 24.0–39.4 narratives/day), long (8 days) hospital stays (median = 34.6 narratives/day, IQR = 27.2–43.5 narratives/day), and hospital deaths (median = 59.1 narratives/day, IQR = 47.0–74.8 narratives/day). The standardized number of narratives was higher in “pregnancy, childbirth, and puerperium” (median = 46.5, IQR = 39.0–54.7) and “diseases of the circulatory system” admissions (median = 35.7, IQR = 29.0–43.4). Conclusions Diverse hospital admissions can be consistently described with nursing-document-derived metrics for similar hospital admissions and diagnoses. Some areas of hospital admissions may have consistently increasing volumes of nursing documentation across years. Usability of electronic nursing document metrics for evaluating healthcare requires multiple aspects of hospital admissions to be considered. PMID:27901174

Improving nurse documentation and record keeping in stoma care

OpenAIRE

Law, Lesley; Akroyd, Karen; Burke, Linda

2010-01-01

Evidence suggests that nurse documentation is often inconsistent and lacks a coherent and standardized approach. This article reports on research into the use of nurse documentation on a stoma care ward in a large London hospital, and explores the factors that may affect the process of record keeping by nursing staff. This study uses stoma care as a case study to explore the role of documentation on the ward, focusing on how this can be improved. It is based on quantitative and qualitative me...

Disturbance recording system

International Nuclear Information System (INIS)

Chandra, A.K.; Deshpande, S.V.; Mayya, A.; Vaidya, U.W.; Premraj, M.K.; Patil, N.B.

1994-01-01

A computerized system for disturbance monitoring, recording and display has been developed for use in nuclear power plants and is versatile enough to be used where ever a large number of parameters need to be recorded, e.g. conventional power plants, chemical industry etc. The Disturbance Recording System (DRS) has been designed to continuously monitor a process plant and record crucial parameters. The DRS provides a centralized facility to monitor and continuously record 64 process parameters scanned every 1 sec for 5 days. The system also provides facility for storage of 64 parameters scanned every 200 msec during 2 minutes prior to and 3 minutes after a disturbance. In addition the system can initiate, on demand, the recording of 8 parameters at a fast rate of every 5 msec for a period of 5 sec. and thus act as a visicorder. All this data is recorded in non-volatile memory and can be displayed, printed/plotted and used for subsequent analysis. Since data can be stored densely on floppy disks, the volume of space required for archival storage is also low. As a disturbance recorder, the DRS allows the operator to view the state of the plant prior to occurrence of the disturbance and helps in identifying the root cause. (author). 10 refs., 7 figs

Measurement of Standard Model VBS/VBF production with the ATLAS and CMS detectors

CERN Document Server

Li, Shu; The ATLAS collaboration

2017-01-01

Proceeding for the poster presentation at Blois2017, France on the topic of "Measurements of Standard Model VBS/VBF productions with ATLAS+CMS detectors" (ATL-PHYS-SLIDE-2017-333 https://cds.cern.ch/record/2267458) Deadline: 15/10/2017

Development of standardized component\\0x2010based equipment specifications and transition plan into a predictive maintenance strategy : final report.

Science.gov (United States)

2015-12-01

This project investigated INDOT equipment records and equipment industry standards to produce standard equipment specifications : and a predictive maintenance schedule for the more than 1100 single and tandem axle trucks in use at INDOT. The research...

Solar Passive Modification Increase Radiation Safety Standards Inside Accelerator Building

International Nuclear Information System (INIS)

Eid, A. F.; Keshk, A. B.

2010-01-01

Irradiation processing by accelerated electrons is considering one of the most important and useful industrial irradiation treatments. It is depending on two principle attachment elements which are architecture of irradiation building and the accelerator characteristic that was arranged inside irradiation building. Negative environmental measurements were recorded inside the main building and were exceeded the international standards (humidity, air speed, high thermal effects and ozone concentration). The study showed that it is essential to improve the natural environmental standards inside the main irradiation building in order to improve the work environment and to reduce ozone concentration from 220 ppb to international standard. The main goals and advantages were achieved by using environmental architecture (desert architecture) indoor the irradiation building. The work depends on passive solar system which is economic, same architectural elements, comfort / health, and radiation safety, and without mechanical means. The experimental work was accomplished under these modifications. The registered results of various environmental concentrations have proved their normal standards.

Use of implantable and external loop recorders in syncope with unknown causes

Directory of Open Access Journals (Sweden)

Kaoru Tanno

2017-12-01

Full Text Available The gold standard for diagnosing syncope is to elucidate the symptom-electrocardiogram (ECG correlation. The ECG recordings during syncope allow physicians to either confirm or exclude an arrhythmia as the mechanism of syncope. Many studies have investigated the use of internal loop recorder (ILR, while few studies have used external loop recorder (ELR for patients with unexplained syncope. The aim of this review is to clarify the clinical usefulness of ILR and ELR in the diagnosis and management of patients with unexplained syncope. Many observational and four randomized control studies have shown that ILR for patients with unknown syncope is a useful tool for early diagnosis and improving diagnosis rate. ILR also provides important information on the mechanism of syncope and treatment strategy. However, there is no evidence of total mortality or quality of life improvements with ILR. The diagnostic yield of ELR in patients with syncope was similar to that with ILR within the same timeframe. Therefore, ELR could be considered for long-term ECG monitoring before a patient switches to using ILR. A systematic approach and selection of ECG monitoring tools reduces health care costs and improves the selection of patients for optimal treatment possibilities. Keywords: Internal loop recorder, External loop recorder, Unknown Syncope

Connection and record programs, used for the PM-6 peripheral computer

International Nuclear Information System (INIS)

Karabutova, N.E.; Tikhomirova, I.N.

1976-01-01

''Pochta'' monitor program is described which is intended for the organization of an inter-program communication of channel and monitor modules of PM-6 peripheral computer. Protocol programs ''Protocol-Consule'' and ''Protocol'' are considered. Those are used for the printout of protocol texts with typewriters and teleprinters. ''Recording'' standard routine is given, which is meant for code translation. Detailed instructions are presented on utilization of all the above-mentioned programs

RECORD OF THE BINARY DATA ON SD CARD ARDUINO DUE

Directory of Open Access Journals (Sweden)

V. G. Mikhailov

2016-01-01

Full Text Available The short review of microcontrollers of family Arduino, their characteristics and application fields is given. Importance of record of parameters of researched object is marked to produce debugging of control systems on microcontrollers Arduino. Unique possibility of registration of parameters in family Arduino is record on SD a card in an alpha mode with usage of functions print (, write (. The problems connected to record of the binary data on SD a card on microcontroller Arduino Due are considered. The analysis of methods of record of the binary data on SD card Arduino Due, originating problems with neo-cleaning of memory from the previous program leading to possibility of duplication of the data on SD to a card, presence of the erratic point of view about restriction of volumes of data record and necessity of usage become outdated SD cards is carried out. Ways of elimination of the marked lacks are considered. The estimation of high-speed performance of various approaches of a data recording on SD a card is led. On the basis of the led researches the approach of multiplexing of the writeable information at the expense of conversion of the binary data is offered is byte-serial in a character array in code ASCI without magnification of their volume and record by units on 240 byte. It allows to use as much as possible standard function possibilities write ( Arduino and specificity of the organization of memory SD of cards and to increase high-speed performance more than in 1100 times in comparison with record in a character type on one byte.It is marked that usage of decisions of an exception of duplication of the data offered at forums does not provide completeness of their elimination. For Arduino Due for storage cleaning it is necessary usages of the special programmator or setting of the new program of loading.

['Gold standard', not 'golden standard'

NARCIS (Netherlands)

Claassen, J.A.H.R.

2005-01-01

In medical literature, both 'gold standard' and 'golden standard' are employed to describe a reference test used for comparison with a novel method. The term 'gold standard' in its current sense in medical research was coined by Rudd in 1979, in reference to the monetary gold standard. In the same

78 FR 43258 - Privacy Act; System of Records: Human Resources Records, State-31

Science.gov (United States)

2013-07-19

... DEPARTMENT OF STATE [Public Notice 8384] Privacy Act; System of Records: Human Resources Records... system of records, Human Resources Records, State- 31, pursuant to the provisions of the Privacy Act of... State proposes that the current system will retain the name ``Human Resources Records'' (previously...

Interpreting land records

CERN Document Server

Wilson, Donald A

2014-01-01

Base retracement on solid research and historically accurate interpretation Interpreting Land Records is the industry's most complete guide to researching and understanding the historical records germane to land surveying. Coverage includes boundary retracement and the primary considerations during new boundary establishment, as well as an introduction to historical records and guidance on effective research and interpretation. This new edition includes a new chapter titled "Researching Land Records," and advice on overcoming common research problems and insight into alternative resources wh

Managing electronic records

CERN Document Server

McLeod, Julie

2005-01-01

For records management courses, this book covers the theory and practice of managing electronic records as business and information assets. It focuses on the strategies, systems and procedures necessary to ensure that electronic records are appropriately created, captured, organized and retained over time to meet business and legal requirements.

A low-cost single-board solution for real-time, unsupervised waveform classification of multineuron recordings.

Science.gov (United States)

Kreiter, A K; Aertsen, A M; Gerstein, G L

1989-10-01

We describe a low-cost single-board system for unsupervised, real-time spike sorting of recordings from a number of neurons on a single microelectrode. The maximum number of spike classes depends on the quality of the recording; it will typically be between 2 and 5. The spike sorter communicates with a conventional microcomputer through a standard serial port (RS232). For typical firing rates as measured in the mammalian central nervous system, this set-up will accommodate up to some 10 parallel spike sorters for as many separate microelectrodes.

Documentation for assessment of modal pushover-based scaling procedure for nonlinear response history analysis of "ordinary standard" bridges

Science.gov (United States)

Kalkan, Erol; Kwong, Neal S.

2010-01-01

The earthquake engineering profession is increasingly utilizing nonlinear response history analyses (RHA) to evaluate seismic performance of existing structures and proposed designs of new structures. One of the main ingredients of nonlinear RHA is a set of ground-motion records representing the expected hazard environment for the structure. When recorded motions do not exist (as is the case for the central United States), or when high-intensity records are needed (as is the case for San Francisco and Los Angeles), ground motions from other tectonically similar regions need to be selected and scaled. The modal-pushover-based scaling (MPS) procedure recently was developed to determine scale factors for a small number of records, such that the scaled records provide accurate and efficient estimates of 'true' median structural responses. The adjective 'accurate' refers to the discrepancy between the benchmark responses and those computed from the MPS procedure. The adjective 'efficient' refers to the record-to-record variability of responses. Herein, the accuracy and efficiency of the MPS procedure are evaluated by applying it to four types of existing 'ordinary standard' bridges typical of reinforced-concrete bridge construction in California. These bridges are the single-bent overpass, multi span bridge, curved-bridge, and skew-bridge. As compared to benchmark analyses of unscaled records using a larger catalog of ground motions, it is demonstrated that the MPS procedure provided an accurate estimate of the engineering demand parameters (EDPs) accompanied by significantly reduced record-to-record variability of the responses. Thus, the MPS procedure is a useful tool for scaling ground motions as input to nonlinear RHAs of 'ordinary standard' bridges.

Methodology to evaluate the site standard seismic motion to a nuclear facility

International Nuclear Information System (INIS)

Soares, W.A.

1983-01-01

For the seismic design of nuclear facilities, the input motion is normally defined by the predicted maximum ground horizontal acceleration and the free field ground response spectrum. This spectrum is computed on the basis of records of strong motion earthquakes. The pair maximum acceleration-response spectrum is called the site standard seismic motion. An overall view of the subjects involved in the determination of the site standard seismic motion to a nuclear facility is presented. The main topics discussed are: basic principles of seismic instrumentation; dynamic and spectral concepts; design earthquakes definitions; fundamentals of seismology; empirical curves developed from prior seismic data; available methodologies and recommended procedures to evaluate the site standard seismic motion. (Author) [pt

75 FR 61763 - Submission of OMB Review; Comment Request; Drug Accountability Record (Form NIH 2564) (NCI)

Science.gov (United States)

2010-10-06

...; Comment Request; Drug Accountability Record (Form NIH 2564) (NCI) SUMMARY: In compliance with the..., 2011, unless it displays a valid OMB control number. Proposed Collection: Title: Drug Accountability... accountability. In order to fulfill these requirements, a standard Investigational Drug Accountability Report...

Progress along developmental tracks for electronic health records implementation in the United States

Directory of Open Access Journals (Sweden)

Hollar David W

2009-03-01

Full Text Available Abstract The development and implementation of electronic health records (EHR have occurred slowly in the United States. To date, these approaches have, for the most part, followed four developmental tracks: (a Enhancement of immunization registries and linkage with other health records to produce Child Health Profiles (CHP, (b Regional Health Information Organization (RHIO demonstration projects to link together patient medical records, (c Insurance company projects linked to ICD-9 codes and patient records for cost-benefit assessments, and (d Consortia of EHR developers collaborating to model systems requirements and standards for data linkage. Until recently, these separate efforts have been conducted in the very silos that they had intended to eliminate, and there is still considerable debate concerning health professionals access to as well as commitment to using EHR if these systems are provided. This paper will describe these four developmental tracks, patient rights and the legal environment for EHR, international comparisons, and future projections for EHR expansion across health networks in the United States.

Magnitude Estimation for Large Earthquakes from Borehole Recordings

Science.gov (United States)

Eshaghi, A.; Tiampo, K. F.; Ghofrani, H.; Atkinson, G.

2012-12-01

We present a simple and fast method for magnitude determination technique for earthquake and tsunami early warning systems based on strong ground motion prediction equations (GMPEs) in Japan. This method incorporates borehole strong motion records provided by the Kiban Kyoshin network (KiK-net) stations. We analyzed strong ground motion data from large magnitude earthquakes (5.0 ≤ M ≤ 8.1) with focal depths < 50 km and epicentral distances of up to 400 km from 1996 to 2010. Using both peak ground acceleration (PGA) and peak ground velocity (PGV) we derived GMPEs in Japan. These GMPEs are used as the basis for regional magnitude determination. Predicted magnitudes from PGA values (Mpga) and predicted magnitudes from PGV values (Mpgv) were defined. Mpga and Mpgv strongly correlate with the moment magnitude of the event, provided sufficient records for each event are available. The results show that Mpgv has a smaller standard deviation in comparison to Mpga when compared with the estimated magnitudes and provides a more accurate early assessment of earthquake magnitude. We test this new method to estimate the magnitude of the 2011 Tohoku earthquake and we present the results of this estimation. PGA and PGV from borehole recordings allow us to estimate the magnitude of this event 156 s and 105 s after the earthquake onset, respectively. We demonstrate that the incorporation of borehole strong ground-motion records immediately available after the occurrence of large earthquakes significantly increases the accuracy of earthquake magnitude estimation and the associated improvement in earthquake and tsunami early warning systems performance. Moment magnitude versus predicted magnitude (Mpga and Mpgv).

Telelearning standards and their application in medical education.

Science.gov (United States)

Duplaga, Mariusz; Juszkiewicz, Krzysztof; Leszczuk, Mikolaj

2004-01-01

Medial education, both on the graduate and postgraduate levels, has become a real challenge nowadays. The volume of information in medical sciences grows so rapidly that many health professionals experience essential problems in keeping track of the state of the art in this domain. e-learning offers important advantages to medical education continuation due to its universal availability and opportunity for implementation of flexible patterns of training. An important trace of medical education is developing practical skills. Some examples of standardization efforts include: the CEN/ISSS Workshop on Learning Technology (WSLT), the Advanced Learning Infrastructure Consortium (ALIC), Education Network Australia (EdNA) and PROmoting Multimedia access to Education and Training in European Society (PROMETEUS). Sun Microsystems' support (Sun ONE, iPlanetTM ) for many of the above-mentioned standards is described as well. Development of a medical digital video library with recordings of invasive procedures incorporating additional information and commentary may improve the efficiency of the training process in interventional medicine. A digital video library enabling access to videos of interventional procedures performed in the area of thoracic medicine may be a valuable element for developing practical skills. The library has been filled with video resources recorded at the Department of Interventional Pulmonology; it enhances training options for pulmonologists and thoracic surgeons. The main focus was put on demonstration of bronchofiberoscopic and videothoracoscopic procedures. The opportunity to browse video recordings of procedures performed in the specific field also considerably enhances the options for training in other medical specialties. In the era of growing health consumer awareness, patients are also perceived as the target audience for medical digital libraries. As a case study of Computer-Based Training systems, the Medical Digital Video Library is

Leveraging electronic health records for predictive modeling of post-surgical complications.

Science.gov (United States)

Weller, Grant B; Lovely, Jenna; Larson, David W; Earnshaw, Berton A; Huebner, Marianne

2017-01-01

Hospital-specific electronic health record systems are used to inform clinical practice about best practices and quality improvements. Many surgical centers have developed deterministic clinical decision rules to discover adverse events (e.g. postoperative complications) using electronic health record data. However, these data provide opportunities to use probabilistic methods for early prediction of adverse health events, which may be more informative than deterministic algorithms. Electronic health record data from a set of 9598 colorectal surgery cases from 2010 to 2014 were used to predict the occurrence of selected complications including surgical site infection, ileus, and bleeding. Consistent with previous studies, we find a high rate of missing values for both covariates and complication information (4-90%). Several machine learning classification methods are trained on an 80% random sample of cases and tested on a remaining holdout set. Predictive performance varies by complication, although an area under the receiver operating characteristic curve as high as 0.86 on testing data was achieved for bleeding complications, and accuracy for all complications compares favorably to existing clinical decision rules. Our results confirm that electronic health records provide opportunities for improved risk prediction of surgical complications; however, consideration of data quality and consistency standards is an important step in predictive modeling with such data.

77 FR 74182 - Records Governing Off-the-Record Communications; Public Notice

Science.gov (United States)

2012-12-13

.... CP11-515-000 12-6-12 Thomas Salamone 3. CP11-515-000 12-6-12 Michael Mojica \\1\\ Exempt 1. CP13-8-000 11...-000 12-4-12 Kate Valdez \\1\\ Email record. \\2\\ Phone record. \\3\\ Email record. \\4\\ Hons. Rob Kane and...

An Estimation Method of System Voltage Sag Profile using Recorded Sag Data

Science.gov (United States)

Tanaka, Kazuyuki; Sakashita, Tadashi

The influence of voltage sag to electric equipment has become big issues because of wider utilization of voltage sensitive devices. In order to reduce the influence of voltage sag appearing at each customer side, it is necessary to recognize the level of receiving voltage drop due to lightning faults for transmission line. However it is hard to measure directly those sag level at every load node. In this report, a new method of efficiently estimating system voltage sag profile is proposed based on symmetrical coordinate. In the proposed method, limited recorded sag data is used as the estimation condition which is recorded at each substation in power systems. From the point of view that the number of the recorded node is generally far less than those of the transmission route, a fast solution method is developed to calculate only recorder faulted voltage by applying reciprocity theorem for Y matrix. Furthermore, effective screening process is incorporated, in which the limited candidate of faulted transmission line can be chosen. Demonstrative results are presented using the IEEJ East10 standard system and actual 1700 bus system. The results show that estimation accuracy is sufficiently acceptable under less computation labor.

Determination of Minimum Data Set (MSD) in Echocardiography Reporting System to Exchange with Iran’s Electronic Health Record (EHR) System

Science.gov (United States)

Mahmoudvand, Zahra; Kamkar, Mehran; Shahmoradi, Leila; Nejad, Ahmadreza Farzaneh

2016-01-01

Background: Determination of minimum data set (MDS) in echocardiography reports is necessary for documentation and putting information in a standard way, and leads to the enhancement of electrocardiographic studies through having access to precise and perfect reports and also to the development of a standard database for electrocardiographic reports. Aim: to determine the minimum data set of echocardiography reporting system to exchange with Iran’s electronic health record (EHR) system. Methods: First, a list of minimum data set was prepared after reviewing texts and studying cardiac patients’ records. Then, to determine the content validity of the prepared MDS, the expert views of 10 cardiologists and 10 health information management (HIM) specialists were obtained; to estimate the reliability of the set, test-retest method was employed. Finally, the data were analyzed using SPSS software. Results: The highest degree of consensus was found for the following MDSs: patient’s name and family name (5), accepting doctor’s name and family name, familial death records due to cardiac disorders, the image identification code, mitral valve, aortic valve, tricuspid valve, pulmonary valve, left ventricle, hole, atrium valve, Doppler examination of ventricular and atrial movement models and diagnoses with an average of. Conclusions: To prepare a model of echocardiography reporting system to exchange with EHR system, creation a standard data set is the vital point. Therefore, based on the research findings, the minimum reporting system data to exchange with Iran’s electronic health record system include information on entity, management, medical record, carried-out acts, and the main content of the echocardiography report, which the planners of reporting system should consider. PMID:27147803

Observations on the Reliability of Rubidium Frequency Standards on Block 2/2A GPS Satellites

Science.gov (United States)

Dieter, Gary L.

1996-01-01

Currently, the block 2/2A Global Positioning System (GPS) satellites are equipped with two rubidium frequency standards. These frequency standards were originally intended to serve as the back-ups to two cesium frequency standards. As the constellation ages, the master Control Station is forced to initialize and increasing number or rubidium frequency standards. Unfortunately the operational use of these frequency standards has not lived up to initial expectations. Although the performance of these rubidium frequency standards has met and even exceeded GPS requirements, their reliability has not. The number of unscheduled outage times and the short operational lifetimes of the rubidium frequency standards compare poorly to the track record of the cesium frequency standards. Only a small number of rubidium frequency standards have actually been made operational. Of these, a large percentage have exhibited poor reliability. If this trend continues, it is unlikely that the rubidium frequency standards will help contribute to the navigation payload meeting program specification.

The Technique of the Sound Studio: Radio, Record Production, Television, and Film. Revised Edition.

Science.gov (United States)

Nisbett, Alec

Detailed explanations of the studio techniques used in radio, record, television, and film sound production are presented in as non-technical language as possible. An introductory chapter discusses the physics and physiology of sound. Subsequent chapters detail standards for sound control in the studio; explain the planning and routine of a sound…

Diskette-based database covering standards etc. of relevance to the construction of wind turbines

International Nuclear Information System (INIS)

1994-05-01

The project concerns the development of the database ''Diskettebaseret database med vindmoellestandarder'' (diskette-based database containing wind turbine standards), which contains information about standards, recommendations and other technical documents of relevance for the design, construction and approval of wind mills. The information in the database covers data from Denmark, UK, Germany, Holland and USA together with data from internationally recognized standards and recommendations. The database is contained on a single PC-diskette, which also contains the purpose-built userfriendly serchsoftware. About 5500 records are included in the database. The last edition of the database was updated January 1994. (au)

Impact of proposed research reactor standards on reactor operation

Energy Technology Data Exchange (ETDEWEB)

Ringle, J C; Johnson, A G; Anderson, T V [Oregon State University (United States)

1974-07-01

A Standards Committee on Operation of Research Reactors, (ANS-15), sponsored by the American Nuclear Society, was organized in June 1971. Its purpose is to develop, prepare, and maintain standards for the design, construction, operation, maintenance, and decommissioning of nuclear reactors intended for research and training. Of the 15 original members, six were directly associated with operating TRIGA facilities. This committee developed a standard for the Development of Technical Specifications for Research Reactors (ANS-15.1), the revised draft of which was submitted to ANSI for review in May of 1973. The Committee then identified 10 other critical areas for standards development. Nine of these, along with ANS-15.1, are of direct interest to TRIGA owners and operators. The Committee was divided into subcommittees to work on these areas. These nine areas involve proposed standards for research reactors concerning: 1. Records and Reports (ANS-15.3) 2. Selection and Training of Personnel (ANS-15.4) 3. Effluent Monitoring (ANS-15.5) 4. Review of Experiments (ANS-15.6) 5. Siting (ANS-15.7) 6. Quality Assurance Program Guidance and Requirements (ANS-15.8) 7. Restrictions on Radioactive Effluents (ANS-15.9) 8. Decommissioning (ANS-15.10) 9. Radiological Control and Safety (ANS-15.11). The present status of each of these standards will be presented, along with their potential impact on TRIGA reactor operation. (author)

Impact of proposed research reactor standards on reactor operation

International Nuclear Information System (INIS)

Ringle, J.C.; Johnson, A.G.; Anderson, T.V.

1974-01-01

A Standards Committee on Operation of Research Reactors, (ANS-15), sponsored by the American Nuclear Society, was organized in June 1971. Its purpose is to develop, prepare, and maintain standards for the design, construction, operation, maintenance, and decommissioning of nuclear reactors intended for research and training. Of the 15 original members, six were directly associated with operating TRIGA facilities. This committee developed a standard for the Development of Technical Specifications for Research Reactors (ANS-15.1), the revised draft of which was submitted to ANSI for review in May of 1973. The Committee then identified 10 other critical areas for standards development. Nine of these, along with ANS-15.1, are of direct interest to TRIGA owners and operators. The Committee was divided into subcommittees to work on these areas. These nine areas involve proposed standards for research reactors concerning: 1. Records and Reports (ANS-15.3) 2. Selection and Training of Personnel (ANS-15.4) 3. Effluent Monitoring (ANS-15.5) 4. Review of Experiments (ANS-15.6) 5. Siting (ANS-15.7) 6. Quality Assurance Program Guidance and Requirements (ANS-15.8) 7. Restrictions on Radioactive Effluents (ANS-15.9) 8. Decommissioning (ANS-15.10) 9. Radiological Control and Safety (ANS-15.11). The present status of each of these standards will be presented, along with their potential impact on TRIGA reactor operation. (author)

Probabilistic record linkage.

Science.gov (United States)

Sayers, Adrian; Ben-Shlomo, Yoav; Blom, Ashley W; Steele, Fiona

2016-06-01

Studies involving the use of probabilistic record linkage are becoming increasingly common. However, the methods underpinning probabilistic record linkage are not widely taught or understood, and therefore these studies can appear to be a 'black box' research tool. In this article, we aim to describe the process of probabilistic record linkage through a simple exemplar. We first introduce the concept of deterministic linkage and contrast this with probabilistic linkage. We illustrate each step of the process using a simple exemplar and describe the data structure required to perform a probabilistic linkage. We describe the process of calculating and interpreting matched weights and how to convert matched weights into posterior probabilities of a match using Bayes theorem. We conclude this article with a brief discussion of some of the computational demands of record linkage, how you might assess the quality of your linkage algorithm, and how epidemiologists can maximize the value of their record-linked research using robust record linkage methods. © The Author 2015; Published by Oxford University Press on behalf of the International Epidemiological Association.

Design and Evaluation of the Electronic Class Record for LPU-Laguna International School

Directory of Open Access Journals (Sweden)

RHOWEL M. DELLOSA

2014-08-01

Full Text Available - This study aimed to design, develop, deploy and evaluate an electronic class record (e-class record. Microsoft Excel is used to develop the electronic class record and several Microsoft Excel arithmetic operands and functions like VLOOKUP, IF, AVERAGE, COUNTIF are used. A worksheet template was developed to accept name of teacher, course code, course title, section, schedule, room, student number, student name, grade level, gender, date of each classes, base grade, test items attendance, and performance of the students. These serve as the input of the e-class record. The e-class record automatically computes the grades of the students following the standard grading system. Developmental process and prototyping method were utilized to develop the e-class record. Testing, deployment and evaluation have been initiated to observe its acceptability. It is found out that the e-class record can generate the quarterly and final grade of the students, total number of absences and tardiness of the students, grade sheet with corresponding level of evaluation of each student in the class and summary of the total number of students for each of the level of proficiency. It is recommended that further study may be initiated to utilize the output of this study as an input of an online application such as online grade viewer. Security of previous submitted grades from being changed by the teacher accidentally or intentionally must be also taken into consideration. A report card may be also included in the system.

National BTS bronchiectasis audit 2012: is the quality standard being adhered to in adult secondary care?

Science.gov (United States)

Hill, Adam T; Routh, Chris; Welham, Sally

2014-03-01

A significant step towards improving care of patients with non-cystic fibrosis bronchiectasis was the creation of the British Thoracic Society (BTS) national guidelines and the quality standard. A BTS bronchiectasis audit was conducted between 1 October and 30 November 2012, in adult patients with bronchiectasis attending secondary care, against the BTS quality standard. Ninety-eight institutions took part, submitting a total of 3147 patient records. The audit highlighted the variable adoption of the quality standard. It will allow the host institutions to benchmark against UK figures and drive quality improvement programmes to promote the quality standard and improve patient care.

Measurement of the Standard Model W+W- production cross-section using the ATLAS experiment on the LHC

International Nuclear Information System (INIS)

Zeman, Martin

2014-01-01

Measurements of di-boson production cross-sections are an important part of the physics programme at the CERN Large Hadron Collider. These physics analyses provide the opportunity to probe the electroweak sector of the Standard Model at the TeV scale and could also indicate the existence of new particles or probe beyond the Standard Model physics. The excellent performance of the LHC through years 2011 and 2012 allowed for very competitive measurements. This thesis provides a comprehensive overview of the experimental considerations and methods used in the measurement of the W + W - production cross-section in proton-proton collisions at √s = 7 TeV and 8 TeV. The treatise covers the material in great detail, starting with the introduction of the theoretical framework of the Standard Model and follows with an extensive discussion of the methods implemented in recording and reconstructing physics events in an experiment of this magnitude. The associated online and offline software tools are included in the discussion. The relevant experiments are covered, including a very detailed section about the ATLAS detector. The final chapter of this thesis contains a detailed description of the analysis of the W-pair production in the leptonic decay channels using the datasets recorded by the ATLAS experiment during 2011 and 2012 (Run I). The analyses use 4.60 fb -1 recorded at √s = 7 TeV and 20.28 fb -1 recorded at 8 TeV. The experimentally measured cross section for the production of W bosons at the ATLAS experiment is consistently enhanced compared to the predictions of the Standard Model at centre-of-mass energies of 7 TeV and 8 TeV. The thesis concludes with the presentation of differential cross-section measurement results. (author) [fr

Simultaneous transcranial magnetic stimulation and single-neuron recording in alert non-human primates.

Science.gov (United States)

Mueller, Jerel K; Grigsby, Erinn M; Prevosto, Vincent; Petraglia, Frank W; Rao, Hrishikesh; Deng, Zhi-De; Peterchev, Angel V; Sommer, Marc A; Egner, Tobias; Platt, Michael L; Grill, Warren M

2014-08-01

Transcranial magnetic stimulation (TMS) is a widely used, noninvasive method for stimulating nervous tissue, yet its mechanisms of effect are poorly understood. Here we report new methods for studying the influence of TMS on single neurons in the brain of alert non-human primates. We designed a TMS coil that focuses its effect near the tip of a recording electrode and recording electronics that enable direct acquisition of neuronal signals at the site of peak stimulus strength minimally perturbed by stimulation artifact in awake monkeys (Macaca mulatta). We recorded action potentials within ∼1 ms after 0.4-ms TMS pulses and observed changes in activity that differed significantly for active stimulation as compared with sham stimulation. This methodology is compatible with standard equipment in primate laboratories, allowing easy implementation. Application of these tools will facilitate the refinement of next generation TMS devices, experiments and treatment protocols.

Simultaneous transcranial magnetic stimulation and single neuron recording in alert non-human primates

Science.gov (United States)

Mueller, Jerel K.; Grigsby, Erinn M.; Prevosto, Vincent; Petraglia, Frank W.; Rao, Hrishikesh; Deng, Zhi-De; Peterchev, Angel V.; Sommer, Marc A.; Egner, Tobias; Platt, Michael L.; Grill, Warren M.

2014-01-01

Transcranial magnetic stimulation (TMS) is a widely used, noninvasive method for stimulating nervous tissue, yet its mechanisms of effect are poorly understood. Here we report novel methods for studying the influence of TMS on single neurons in the brain of alert non-human primates. We designed a TMS coil that focuses its effect near the tip of a recording electrode and recording electronics that enable direct acquisition of neuronal signals at the site of peak stimulus strength minimally perturbed by stimulation artifact in intact, awake monkeys (Macaca mulatta). We recorded action potentials within ~1 ms after 0.4 ms TMS pulses and observed changes in activity that differed significantly for active stimulation as compared to sham stimulation. The methodology is compatible with standard equipment in primate laboratories, allowing for easy implementation. Application of these new tools will facilitate the refinement of next generation TMS devices, experiments, and treatment protocols. PMID:24974797

Maximum Acceleration Recording Circuit

Science.gov (United States)

Bozeman, Richard J., Jr.

1995-01-01

Coarsely digitized maximum levels recorded in blown fuses. Circuit feeds power to accelerometer and makes nonvolatile record of maximum level to which output of accelerometer rises during measurement interval. In comparison with inertia-type single-preset-trip-point mechanical maximum-acceleration-recording devices, circuit weighs less, occupies less space, and records accelerations within narrower bands of uncertainty. In comparison with prior electronic data-acquisition systems designed for same purpose, circuit simpler, less bulky, consumes less power, costs and analysis of data recorded in magnetic or electronic memory devices. Circuit used, for example, to record accelerations to which commodities subjected during transportation on trucks.

CrowdMapping: A Crowdsourcing-Based Terminology Mapping Method for Medical Data Standardization.

Science.gov (United States)

Mao, Huajian; Chi, Chenyang; Huang, Boyu; Meng, Haibin; Yu, Jinghui; Zhao, Dongsheng

2017-01-01

Standardized terminology is the prerequisite of data exchange in analysis of clinical processes. However, data from different electronic health record systems are based on idiosyncratic terminology systems, especially when the data is from different hospitals and healthcare organizations. Terminology standardization is necessary for the medical data analysis. We propose a crowdsourcing-based terminology mapping method, CrowdMapping, to standardize the terminology in medical data. CrowdMapping uses a confidential model to determine how terminologies are mapped to a standard system, like ICD-10. The model uses mappings from different health care organizations and evaluates the diversity of the mapping to determine a more sophisticated mapping rule. Further, the CrowdMapping model enables users to rate the mapping result and interact with the model evaluation. CrowdMapping is a work-in-progress system, we present initial results mapping terminologies.

Trends and the determination of effective doses for standard X-ray procedures

International Nuclear Information System (INIS)

Johnson, H.M.; Neduzak, C.; Gallet, J.; Sandeman, J.

2001-01-01

Trends in the entrance skin exposures (air kerma) for standard x-ray imaging procedures are reported for the Province of Manitoba, Canada. Average annual data per procedure using standard phantoms and standard ion chambers have been recorded since 1981. For example, chest air kerma (backscatter included) has decreased from 0.14 to 0.09 mGy. Confounding factors may negate the gains unless facility quality control programs are maintained. The data were obtained for a quality assurance and regulatory compliance program. Quoting such data for risk evaluation purposes lacks rigor hence a compartment model for organ apportioning, using organ absorbed doses and weighting factors, has been applied to determine effective dose per procedure. The effective doses for the standard procedures are presented, including the value of 0.027 mSv (1999) calculated for the effective dose in PA chest imaging. (author)

Evaluation of a Framework to Implement Electronic Health Record Systems Based on the openEHR Standard

Science.gov (United States)

Orellana, Diego A.; Salas, Alberto A.; Solarz, Pablo F.; Medina Ruiz, Luis; Rotger, Viviana I.

2016-04-01

The production of clinical information about each patient is constantly increasing, and it is noteworthy that the information is created in different formats and at diverse points of care, resulting in fragmented, incomplete, inaccurate and isolated, health information. The use of health information technology has been promoted as having a decisive impact to improve the efficiency, cost-effectiveness, quality and safety of medical care delivery. However in developing countries the utilization of health information technology is insufficient and lacking of standards among other situations. In the present work we evaluate the framework EHRGen, based on the openEHR standard, as mean to reach generation and availability of patient centered information. The framework has been evaluated through the provided tools for final users, that is, without intervention of computer experts. It makes easier to adopt the openEHR ideas and provides an open source basis with a set of services, although some limitations in its current state conspire against interoperability and usability. However, despite the described limitations respect to usability and semantic interoperability, EHRGen is, at least regionally, a considerable step toward EHR adoption and interoperability, so that it should be supported from academic and administrative institutions.

Modern recording techniques

CERN Document Server

Huber, David Miles

2013-01-01

As the most popular and authoritative guide to recording Modern Recording Techniques provides everything you need to master the tools and day to day practice of music recording and production. From room acoustics and running a session to mic placement and designing a studio Modern Recording Techniques will give you a really good grounding in the theory and industry practice. Expanded to include the latest digital audio technology the 7th edition now includes sections on podcasting, new surround sound formats and HD and audio.If you are just starting out or looking for a step up

WIPP Project Records Management Handbook

International Nuclear Information System (INIS)