Use of electronic medical records and biomarkers to manage risk and resource efficiencies

Ryan, Dermot, Blakey, John ORCID: 0000-0003-2551-8984, Chisholm, Alison, Price, David, Thomas, Mike, Stallberg, Bjorn, Lisspers, Karin and Kocks, Janwillem WH
(2017) Use of electronic medical records and biomarkers to manage risk and resource efficiencies. EUROPEAN CLINICAL RESPIRATORY JOURNAL, 4 (1). pp. 1-12.

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The migration from paper to electronic medical records (EMRs) was motivated by the administrative need to record, retrieve and process increasing amounts of clinical data in the 1980s. In the intervening period, there has been growing recognition of the potential of such records for achieving care efficiencies, informing clinical decision making and real-life research. EMRs can be used to characterise patient groups, management approaches and differential outcomes. Characterisation can also help with identification of potential biomarkers for future risk determination and likely treatment response. The future heralds even greater opportunities through integration of clinical records and a range of technology-based solutions within a more complete electronic health record (EHR). Through application of algorithms based on identified risk predictors and disease determinants, clinical records could also be used to enable risk stratification of patients to optimise targeted interventions, conserving resources to achieve individual patient and system-wide benefit. In this review, we reflect on the evolution of the EMR and EHR and discuss current and emerging opportunities, particularly with respect to biomarkers and targeting of innovative biologic interventions. We also consider some of the critical issues associated with realising the potential of the EHR as a clinical aid and research tool in an age of emerging technologies.​​​​.

Item Type: Article
Uncontrolled Keywords: Electronic medical record (EMR), electronic health record (EHR), database, asthma, biomarker, primary care, CDSS, big data
Depositing User: Symplectic Admin
Date Deposited: 05 Jun 2019 09:53
Last Modified: 19 Jan 2023 00:41
DOI: 10.1080/20018525.2017.1293386
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