Designing and Development of Electronic Health Records for Patients with Hydatidiform Mole and Evaluation of Completeness of Medical Records

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SAFDARI REZA; Mahdavi Somayeh; SHAHMORADI LEILA; Adabi Khdijeh; TAHMASEBIAN SHAHRAM; NAZARI MAHNAZ

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Journal: Payavard Salamat Year:2019 | Volume:12 | Issue:5 Page(s): 359-366

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Title

Designing and Development of Electronic Health Records for Patients with Hydatidiform Mole and Evaluation of Completeness of Medical Records

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Keywords

Hydatidiform MolesQ1

Electronic Health RecordQ1

Minimum Data SetsQ1

Abstract

Background and Aim: To provide effective care, health care providers need timely and appropriate information. Electronic records provide quick access and easy management of data. The aim of this study was to develop Electronic Health Records for patients with hydatidiform mole and evaluation of completeness of medical records Materials and Methods: This applied study was conducted in 2017. After verifying the minimum data set required for the system, data were extracted from patient records using a checklist and entered into SQL server. SQL server 2012 and Visual Studio 2013 to design electronic records and SPSS 20 for data analysis was used. Extent of data completion in patient records was also assesed. Results: Data on the completion of paper records indicated that in 100% of cases, "address" item was filled in. The less completed data was related to carotene deficiency (%1. 1). Our findings also showed that the eight most important items like age of first menstruation, first gestational age, interval between pregnancies, number of sexual partners, menstruation between pregnancies, contraceptive methods, social habits and radiotherapy, were not completed in all records. Conclusion: Many of the important minimum data set for hydatidiform mole disease were either not completed or completed in limited numbers in paper records. By developing such health records, we can ensure better prevention and treatment, and regular follow-up for the patients and help them to save their time and costs.

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The Analysis of Physicians' Acquittal according to Current Iranian Laws

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APA: Copy

SAFDARI, REZA, Mahdavi, Somayeh, SHAHMORADI, LEILA, Adabi, Khdijeh, TAHMASEBIAN, SHAHRAM, & NAZARI, MAHNAZ. (2019). Designing and Development of Electronic Health Records for Patients with Hydatidiform Mole and Evaluation of Completeness of Medical Records. PAYAVARD-SALAMAT, 12(5 ), 359-366. SID. https://sid.ir/paper/374729/en

Vancouver: Copy

SAFDARI REZA, Mahdavi Somayeh, SHAHMORADI LEILA, Adabi Khdijeh, TAHMASEBIAN SHAHRAM, NAZARI MAHNAZ. Designing and Development of Electronic Health Records for Patients with Hydatidiform Mole and Evaluation of Completeness of Medical Records. PAYAVARD-SALAMAT[Internet]. 2019;12(5 ):359-366. Available from: https://sid.ir/paper/374729/en

IEEE: Copy

REZA SAFDARI, Somayeh Mahdavi, LEILA SHAHMORADI, Khdijeh Adabi, SHAHRAM TAHMASEBIAN, and MAHNAZ NAZARI, “Designing and Development of Electronic Health Records for Patients with Hydatidiform Mole and Evaluation of Completeness of Medical Records,” PAYAVARD-SALAMAT, vol. 12, no. 5 , pp. 359–366, 2019, [Online]. Available: https://sid.ir/paper/374729/en

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