The Role of Medical Records in Public Health Surveillance: (Review Artical)
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- Category: Vol. 85, March 2017
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The Role of Medical Records in Public Health Surveillance: (Review Artical)
Abstract
Background: The use of electronic health records (EHRs) is facilitating the expansion of disease monitoring systems. Nevertheless, there are several obstacles in this area. Aim of Study: This research examines the solutions and issues associated with the implementation of electronic health record-based disease surveillance systems (EHR-DS). Methods: We conducted a comprehensive search of rele-vant terms in ProQuest, PubMed, Web of Science, Cochrane Library, Embase, and Scopus. Subsequently, we evaluated and chose articles based on the specified criteria for inclusion and exclusion. Ultimately, we categorized the solutions and diffi-culties that were discovered. Results: The findings suggest that the adoption of EHR-DS is neither inexpensive and straightforward owing to the com-plex nature of the difficulties involved. It necessitates a range of interventions. Some recurring obstacles in this context in-clude the need to allocate substantial time and resources, the subpar quality of data in electronic health records (EHRs), the complexity of analyzing, cleansing, and accessing unstructured data, concerns over data privacy and security, and the absence of standardized interoperability protocols. Alternatively, the prevailing methods involve employing natural language pro-cessing and machine learning algorithms to handle unstruc-tured data, implementing suitable technical solutions for data retrieval, extraction, identification, and visualization, fostering collaboration between health and clinical departments to access data, standardizing electronic health record (EHR) content for public health purposes, and utilizing a distinct health identifier for individuals. Conclusion: Electronic Health Record (EHR) systems play a crucial part in the process of updating disease monitoring systems. Nevertheless, the development and implementation of EHR-DS encounter several issues and obstacles that need proper resolution.