Skip to main content
SpringerLink
Log in

HIT Considerations: Informatics and Technology Needs and Considerations

  • Chapter
  • First Online:
Integration of Medical and Dental Care and Patient Data

Part of the book series: Health Informatics ((HI,volume 3))

  • 1135 Accesses

Abstract

In this chapter, we explore and consider many of the technical, data and knowledge issues that impact electronic health records. These issues include healthcare standards and semantic interoperability, security of applications and data, privacy of information, the ability to identify uniquely a participant across all healthcare domains, usability and context based information retrieval, and clinical decision support. These generally applicable informatics issues are then examined with a specific focus on the overall goal of integrating medical and dental health information. Thus, we also examine standards specific to dentistry, the data needs of dentists, and clinical dental decision support efforts.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    The American Dental Association House of Delegates Resolution 92H-1996 states this vision of “seamless accessibility of health information throughout all aspects of health care, independent of profession, discipline or specialty, or care delivery environment.”

  2. 2.

    Storing data in the long term.

  3. 3.

    ASTM 2145–07 Standard Practice for Information Modeling. Available from www.ASTM.org.

  4. 4.

    Louis H. Sullivan regarded excessively decorative elements as superfluous. Likewise in information modeling, excessive detail and ornamentation contribute little to understanding; rather these serve to complicate design, inhibit comprehension and ultimately defeat the purposes of information modeling. See http://www.famousquotesandauthors.com/authors/louis_h_sullivan_quotes.html and http://en.wikipedia.org/wiki/Louis_Sullivan.

  5. 5.

    IDEF methodology described by the National Institute of Standards and Technology, Federal Information Processing Standards Publications 183 Integrated Definition for Function Modeling (IDEF0) and 184 Integrated Definition for Information Modeling (IDEF1X), 23 December 1993. IDEF0 aims at capturing “decisions,” “actions” and “activities” and IDEF1X has the goal of modeling data for using it as a resource. These use graphical representations as part of the modeling process.

  6. 6.

    Bourke, M.K. Strategy and Architecture of Health care Information Systems. New York: Springer. 1994.

  7. 7.

    United States Department of Defense, Military Health System (MHS) IDEF Process and Data Models used in the MHS Functional Area Model – Activity (FAM-A), and MHS Functional Area Model – Data (FAM-D), various dates.

  8. 8.

    Available from the American Dental Association, Department of Standards Administration, 211 E. Chicago Ave., Chicago, IL 60611.

  9. 9.

    This Diagnostic-Therapeutic Cycle is variously known by a variety of terms and is widely cited in the medicine texts used in first-year professional education; this is also noted in Van Bemmel, J., and M.A. Musen (Eds.). Handbook of Medical Informatics. 1st edition. Springer. 1997.

  10. 10.

    IDEF0 Diagram from page 30 of the ANSI/ADA Specification 1039.

  11. 11.

    Other conceptual models are centered on the provider, the procedure or the encounter.

  12. 12.

    Except for the conditions listed above, antibiotic prophylaxis is no longer recommended for any other form of CHD.

  13. 13.

    Prophylaxis is reasonable because endothelialization of prosthetic material occurs within 6 months after the procedure.

References

  • ADA Foundation Streamlines. Enhances association charitable activities. J Am Dent Assoc. 2003;134(4):424.

    Google Scholar 

  • Centers for Disease Control and Prevention (2010a) HIV in the United States, CDC fact sheet. http://www.cdc.gov/hiv/resources/factsheets/us.htm [Accessed 18 June 2011]

    Google Scholar 

  • Centers for Disease Control and Prevention (2010b) Projecting Possible Future Courses of the HIV Epidemic in the United States http://www.cdc.gov/hiv/resources/factsheets/us-epi-future-courses.htm [Accessed 18 June 2011]

    Google Scholar 

  • Centers for Disease Control and Prevention (2011) Hemophilia, Data and Statistics. http://www.cdc.gov/ncbddd/hemophilia/data.html [Accessed 18 June 2011]

    Google Scholar 

  • Fleisher LA, Beckman JA, Brown K, Calkins H, Chaikof EL, Fleischmann KE, Freeman WK, Froehlich JB (2007) ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery : A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation 116:e418–e500. doi: 10.1161/CIRCULATIONAHA.107.185699

    Google Scholar 

  • Hammond WE, Cimino JJ. Standards in biomedical informatics. In: Shorliffe EH, Cimino JJ, editors. Biomedical informatics: computer applications in healthcare and biomedicine. New York: Springer; 2006.

    Google Scholar 

  • Howerton Jr WB, Mora MA. Advancements in digital imaging: what is new and on the horizon? J Am Dent Assoc. 2008;139(Suppl):20S–4.

    PubMed  Google Scholar 

  • Jernigan DB, Davies J, Sim A. Data standards in public health informatics. In: O’Carroll PW, Yasnoff WA, Ward ME, Ripp LH, Martin EL, editors. Public health informatics and information systems. New York: Springer; 2010. p. 213–38.

    Google Scholar 

  • Jones JA, Miller DR, Wehler CJ, et al (2006) Does periodontal care improve glycemic control? The Department of Veterans Affairs Dental Diabetes Study. J Clin Periodontol 34(1):46–52.

    Google Scholar 

  • National Institute of Dental and Craniofacial Research (2011) Dental Management of the Organ Transplant Patient. NIH Publication No. 11-6270, http://www.nidcr.nih.gov/OralHealth/Topics/OrganTransplantationOralHealth/OrganTransplantProf.htm [Accessed 18 June 2011]

    Google Scholar 

  • National Kidney and Urologic Disease Information Clearinghouse (2010) Kidney and Urologic Diseases Statistics for the United States, http://kidney.niddk.nih.gov/kudiseases/pubs/kustats/ [Accessed 18 June 2011]

    Google Scholar 

  • Newell, A (1982) “The knowledge level.” Artificial Intelligence 18, 1, 87–127

    Google Scholar 

  • Parzuchowski JS, Jordon J, Burgess L,. Witsell M, Sobol L, Rontal M., Balaraman S, Ignatius R, Venuturumilli P, Krauss D, Chen P, Fontanesi J, Akervall J (2011) Lead-time from diagnosis to start of radiation shortened by 44% for head and neck cancer when patients go through a multidisciplinary clinic. Journal of Clinical Oncology, 2011 ASCO Annual Meeting Proceedings (Post-Meeting Edition) 29,15_suppl (May 20), 2011: e16627 [Accessed 18 June 2011]

    Article  Google Scholar 

  • Powell MA. Money in Mesopotamia. J Econ Soc Hist Orient. 1996;39(3):224–42

    Article  Google Scholar 

  • Smith B (1998) The Basic Tools of Formal Ontology. In Formal Ontology in Information Systems from Nicola Guarino (ed.), Amsterdam, Oxford, Tokyo, Washington, DC: IOS Press (Frontiers in Artificial Intelligence and Applications), pp. 19–28

    Article  Google Scholar 

  • Staad S, Studer R (2009). Handbook on Ontologies. Springer; 2nd ed. Berlin, Heidelberg

    Article  Google Scholar 

  • Wilson W, Taubert KA, Gewitz M, et al (2007) Council on Scientific Affairs of the American Dental Association as related to dentistry. Prevention of Infective Endocarditis: Guidelines From the American Heart Association: A Guideline From the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Endorsed by American Academy of Pediatrics, Infectious Diseases Society of America, International Society of Chemotherapy for Infection and Cancer, Pediatric Infectious Diseases Society. Circulation 116,1736–1754. doi: 10.1161/CIRCULATIONAHA.106.183095

    Article  Google Scholar 

Knowledge Representation and Ontologies

  • Ai J, Smith B, Wong DT. Saliva ontology: an ontology-based framework for a Salivaomics Knowledge Base. BMC Bioinformatics. 2010;11:302.

    Article  PubMed  CAS  Google Scholar 

  • American Dental Association. Current dental terminology. Chicago: American Dental Association; 1991.

    Google Scholar 

  • Baader F, Horrocks I, Sattler U. Description logics. In: Handbook on ontologies. Berlin/Heidelberg/New York: Springer; 2004. p. 3–28.

    Google Scholar 

  • Bertaud-Gounot V, Richard F, Le Moing C, Duvauferrier R. Ontology of dental emergencies for diagnostic classification. Cape Town: Medinfo; 2010.

    Google Scholar 

  • Campbell KE, Oliver DE, Spackman KA, Shortliffe EH. Representing thoughts, words, and things in the UMLS. J Am Med Inform Assoc. 1998;5(5):421–31.

    Article  PubMed  CAS  Google Scholar 

  • Canadian Dental Association. Uniform system of codes and list of services. Ottawa: CDA; 2001.

    Google Scholar 

  • Falkman G, Gustafsson M, Jontell M, Torgersson O. SOMWeb: a semantic web-based system for supporting collaboration of distributed medical communities of practice. J Med Internet Res. 2008;10(3):e25.

    Article  PubMed  Google Scholar 

  • Gangemi A, Guarino N, Masolo C, Oltramari A, Schneider L. Sweetening ontologies with DOLCE. In: Gómez-Pérez A, Benjamins VR, editors. Knowledge engineering and knowledge management. Ontologies and the semantic web, 13th international conference. EKAW 2002. Siguenza: Springer; 1–4 Oct 2002. p. 166–81.

    Google Scholar 

  • Gasevic D, Djuric D, Devedzic V. Model driven architecture and ontology development. 1st ed. Berlin/Heidelberg: Springer; 2006.

    Google Scholar 

  • Grenon P, Smith B, Goldberg L. Biodynamic ontology: applying BFO in the biomedical domain. In: Pisanelli DM, editor. Ontologies in medicine. Amsterdam: IOS Press; 2004. p. 20–38.

    Google Scholar 

  • Gruber TR. A translation approach to portable ontology specifications. Knowl Acquis. 1993;5(2):199–220.

    Article  Google Scholar 

  • Guarino N. In: Guarino N, editor. Formal ontology in information systems. Proceedings of the first international conference (FOIS’98). Trento: IOS Press; 1998. p. 3–15.

    Google Scholar 

  • Leake JL. Diagnostic codes in dentistry–definition, utility and developments to date. J Can Dent Assoc. 2002;68(7):403–6.

    PubMed  Google Scholar 

  • Long JJ, Goldberg L. Diagnostic criteria of Sjögren’s syndrome: a study in knowledge transfer. ADEA/AADR/CADR meeting & exhibition, Orlando, Mar 2006. p. 1461.

    Google Scholar 

  • Musen M. Generation of model-based knowledge-acquisition tools for clinical-trial advice systems. Stanford: Stanford University; 1988.

    Google Scholar 

  • Noy N, Tudorache T, Nyulas C, Musen M. The ontology life cycle: integrated tools for editing, publishing, peer review, and evolution of ontologies. AMIA Annu Symp Proc. 2010;2010:552–6.

    PubMed  Google Scholar 

  • Ogden DK, Richards IA. The meaning of meaning: a study of the influence of language upon thought and of the science of symbolism. New York: Harcourt Brace; 1930, 1923.

    Google Scholar 

  • Rubin DL, Shah NH, Noy NF. Biomedical ontologies: a functional perspective. Brief Bioinform. 2008;9(1):75–90.

    Article  PubMed  Google Scholar 

  • Sandholm T. The philosophy of the grid: ontology theory – from aristotle to self-managed it resources. Report No.: Technical Report TRITA-NA-0532. Stockholm: Royal Institute of Technology; 2005.

    Google Scholar 

  • Smith B, Brochhausen M. Establishing and harmonizing ontologies in an interdisciplinary Health Care and Clinical Research Environment. Health Technol Inform. 2008;134:219–34.

    Google Scholar 

  • Torres-Urquidy MH, Schleyer T. Formal conceptualization of dental diagnoses: status report. In: Okada M, Smith B, editors. Proceedings of the second interdisciplinary ontology meeting, Tokyo, Feb–Mar 2009, p. 17–23.

    Google Scholar 

  • Wächter T, Schroeder M. Semi-automated ontology generation within OBO-edit. Bioinformatics. 2010;26(12):i88–96.

    Article  PubMed  CAS  Google Scholar 

  • World Health Organization. Application of the international classification of diseases to dentistry and stomatology ICD-DA, vol. 3. Geneva: World Health Organization; 1994.

    Google Scholar 

  • World Wide Web Consortium (W3C). OWL web ontology language overview. 2011. http://www.w3.org/TR/owl-features/. [Accessed 30 May 2011]

Anticipating Oral Health Inclusion in Mainstream Standards

  • American Dental Association. Council on dental practice: supplemental record 1 – seamless electronic patient record. Supplement to annual reports and resolutions. Chicago: American Dental Association; 1996. p. 282–3.

    Google Scholar 

  • DICOM (2006) DICOM correction item CP-643, add veterinary identification tags. ftp://medical.nema.org/MEDICAL/Dicom/Final/cp643_ft.pdf.

  • Diehl M. What data integration means to the practicing dentist. Dent Clin N Am. 2002;46:606–15.

    Article  Google Scholar 

  • Farman AG. Use and implication of the DICOM standard in dentistry. Dent Clin N Am. 2002;46:565–73.

    Article  PubMed  Google Scholar 

  • Schleyer TKL. Should dentistry be part of the national health information infrastructure? J Am Dent Assoc. 2004;135(12):1687–95.

    PubMed  Google Scholar 

  • Schleyer T, Eisner J. The computer-based oral health record: an essential tool for cross-provider quality management. CDA J. 1994;22:57–64.

    CAS  Google Scholar 

Towards an Integrated Electronic Health (EHR) System: Compliance, Security and Privacy Concerns

  • Austin A, Smith B, Williams L. Towards improved security criteria for certification of electronic health record systems. Proceedings of SEHC’10. Cape Town; 3–4 May 2010.

    Google Scholar 

  • Baumer DL, Earp JB, Payton FC. Privacy of medical records: IT implications of HIPAA. ACM Comput Soc 2000;30(4):40–7.

    Google Scholar 

  • Benaloh J, Chase M, Horvitz E, Lauter K. Patient controlled encryption: ensuring privacy of ­electronic medical records. CCSW’09. Chicago; 13 Nov 2009.

    Google Scholar 

  • Brown B. Improving the privacy and security of personal health records. J Health Care Compliance. 2009.

    Google Scholar 

  • Cannoy S, Salam A. A framework for healthcare information assurance policy and compliance. Comm ACM. 2010;53(3):126–31.

    Article  Google Scholar 

  • Choi Y, Caption K, Krause J, Streeper M. Challenges associated with privacy in health care industry: implementation of HIPAA and the security rules. J Med Syst. 2006;30(1):57–64.

    Article  PubMed  Google Scholar 

  • Dimitropoulos L, Rizk S. A state-based approach to privacy and security for interoperable health information exchange. Health Aff (Millwood). 2009;28(2):428–34.

    Article  Google Scholar 

  • Goldschmidt PG. HIT and MIS: implications of health information technology and medical information systems. Commun ACM 2005;48(10):69–74.

    Article  Google Scholar 

  • Groen P, and Powell VJH. Electronic dental records (EDR): ‘open source’ and commercial-off-the shelf (COTS) solutions. Virtual Medical Worlds. 2010. At http://www.hoise.com/vmw/10/articles/vmw/LV-VM-08-10-5.html. 23 Aug 2010.

  • Hhs.gov. Nationwide privacy and security framework for electronic exchange of individually identified health information. 2008. www.hhs.gov/healthit/documents/NationwidePS_Framework.pdf. Retrieved on 23 Feb 2011.

  • Hhs.gov. 2009. http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html. Retrieved on 23 Feb 2011.

  • Huston T. Security issues for implementation of e-medical records. Comm ACM. 2001;44(9). doi:10.1145/383694.383712.

  • Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG, Shields A, Rosenbaum S, Blumenthal D. Use of electronic health records in U.S. hospitals. N Engl J Med 2009;360:1628–38.

    Google Scholar 

  • Kurtz G. EMR confidentiality and information security. J Health Inf Manag 2003;17(3):41–8.

    Google Scholar 

  • Liu V, May L, Caelli W, Croll P. A sustainable approach to security and privacy in health information systems. Proceedings of 18th Australasian conference on information systems security & privacy in health IS. Toowoomba; 5–7 Dec 2007.

    Google Scholar 

  • Mishra S, Chin AG. Assessing the impact of governmental regulations on the IT industry: a neoinstitutional theory perspective, in Ramesh Subramanian, editor. Computer Security Privacy Politics. 2008:36–53.

    Google Scholar 

References for Physicians’ Dental Data Needs and Oral Healthcare Providers’ Medical Data Needs: The Clinical Rationale, Standardized/Structured Messages Facilitate Efficient Information Sharing and Benefit Patient Care, and Designing and Implementing Efficient Structured Communication Among a Patient’s Medical and Dental Providers

  • ACC/AHA. Performance measures for adults with ST-elevation and Non–ST-elevation myocardial infarction. A report of the American College of Cardiology/American Heart Association task force on performance measures (writing committee to develop performance measures for ST-elevation and non–ST-elevation myocardial infarction). Circulation. 2008;118:2596–648.

    Article  Google Scholar 

  • American Diabetes Association. Standards of medical care in diabetes – 2011. Diabetes Care. 2011;34 Suppl 1:S11–61.

    Article  CAS  Google Scholar 

  • American Diabetes Association. Cost of diabetes, diabetes statistics. 2011b. http://www.diabetes.org/diabetes-basics/diabetes-statistics/.

  • Baddour Larry M, Bettmann Michael A, Bolger Ann F, et al. Nonvalvular cardiovascular device–related infections AHA scientific statement- 2003. Circulation. 2003;108:2015.

    Article  PubMed  CAS  Google Scholar 

  • Baddour Larry M, Epstein Andrew E, Erickson Christopher C, et al. Update on cardiovascular implantable electronic device infections and their management a scientific statement from the American Heart Association 2010, endorsed by the Heart Rhythm Society. Circulation. 2010;121:458–77.

    Article  PubMed  CAS  Google Scholar 

  • Bonow RO, Carabello BA, Kanu C, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to revise the 1998 guidelines for the management of patients with valvular heart disease): developed in collaboration with the society of cardiovascular anesthesiologists: endorsed by the society for cardiovascular angiography and interventions and the society of thoracic surgeons. Circulation. 2006;114(5):e84–231.

    Article  PubMed  Google Scholar 

  • Borges BC, Fulco GM, Souza AJ, de Lima KC. Xerostomia and hyposalivation: a preliminary report of their prevalence and associated factors in Brazilian elderly diabetic patients. Oral Health Prev Dent. 2010;8(2):153–8.

    PubMed  Google Scholar 

  • Calvet HM, Yoshikawa TT. Infections in diabetes. Infect Dis Clin North Am. 2001;15(2):407–21, viii. Review.

    Article  PubMed  CAS  Google Scholar 

  • Chen AH, Yee Jr HF. Improving primary care-specialty care communication: lessons from San Francisco’s safety net: comment on “referral and consultation communication between primary care and specialist physicians”. Arch Intern Med. 2011;171(1):65–7.

    Article  PubMed  Google Scholar 

  • Chen YP, Tsang NM, Tseng CK, Lin SY. Causes of interruption of radiotherapy in nasopharyngeal carcinoma patients in Taiwan. Jpn J Clin Oncol. 2000;30(5):230–4.

    Article  PubMed  CAS  Google Scholar 

  • Choi YH, McKeown RE, Mayer-Davis EJ, Liese AD, Song KB, Merchant AT. Association between periodontitis and impaired fasting glucose and diabetes. Diabetes Care. 2011;34(2):381–6. Epub 2011 Jan 7.

    Article  PubMed  Google Scholar 

  • CDC information. Hemophilia. http://www.cdc.gov/ncbddd/hemophilia/data.html.

  • CDC fact sheet. HIV in the United States. http://www.cdc.gov/hiv/resources/factsheets/us.htm.

  • Coogan MM, Greenspan J, Challacombe SJ. Oral lesions in infection with human immunodeficiency virus. Bull World Health Organ. 2005;83(9):700–6. Epub 2005 Sep 30.

    PubMed  Google Scholar 

  • Dajani AS, Taubert KA, Wilson W, et al. Prevention of bacterial endocarditis. Recommendations by the American Heart Association. Circulation. 1997;96(1):358–66.

    PubMed  CAS  Google Scholar 

  • Dawes C. Physiological factors affecting salivary flow rate, oral sugar clearance, and the sensation of dry mouth in man. J Dent Res. 1987;66 Spec No:648–53.

    Google Scholar 

  • Demmer RT, Jacobs Jr DR, Desvarieux M. Periodontal disease and incident type 2 diabetes: results from the first national health and nutrition examination survey and its epidemiologic follow-up study. Diabetes Care. 2008;31(7):1373–9. Epub 2008 Apr 4.

    Article  PubMed  Google Scholar 

  • Dental management of the organ transplant patient. http://www.nidcr.nih.gov/OralHealth/Topics/OrganTransplantationOralHealth/OrganTransplantProf.htm.

  • Desvarieux M, Demmer RT, Rundek T, et al. Periodontal microbiota and carotid intima-media thickness: the oral infections and vascular disease epidemiology study (INVEST). Circulation. 2005;111(5):576–82.

    Article  PubMed  Google Scholar 

  • Diabetes Care. Association between periodontitis and impaired fasting glucose and diabetes. Diabetes Care. 2011;34(2):381–6. Epub 2011 Jan 7.

    Article  Google Scholar 

  • Douketis JD, Berger PB, Dunn AS, et al. The perioperative management of antithrombotic therapy: American college of chest physicians evidence-based clinical practice guidelines (8th edition). Chest. 2008;133(6 Suppl):299S–339.

    Article  PubMed  CAS  Google Scholar 

  • Eckardt KU, Berns JS, Rocco MV, Kasiske BL. Definition and classification of CKD: the debate should be about patient prognosis–a position statement from KDOQI and KDIGO. Am J Kidney Dis. 2009;53(6):915–20.

    Article  PubMed  Google Scholar 

  • Epstein JB, Raber-Drulacher JE, Wilkins A, Chavarria MG, Myint H. Advances in hematologic stem cell transplant: an update for oral health care providers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(3):301–12.

    Article  PubMed  Google Scholar 

  • Field MJ, Lohr KN, editors. Clinical practice guidelines: directions for a new program, institute of medicine. Washington, D.C.: National Academy Press; 1990. p. 38.

    Google Scholar 

  • Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to revise the 2002 guidelines on perioperative cardiovascular evaluation for noncardiac surgery) developed in collaboration with the American society of echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. J Am Coll Cardiol. 2007;50(17):e159–241.

    Article  PubMed  Google Scholar 

  • Fleisher LA, Beckman JA, Brown KA, et al. 2009 ACCF/AHA focused update on perioperative beta blockade incorporated into the ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. Circulation. 2009;120(21):e169–276.

    Article  PubMed  Google Scholar 

  • Geist JR, Chen FH. Nasopharyngeal carcinoma. Computed tomographic imaging of four cases. Oral Surg Oral Med Oral Pathol. 1993;75(6):759–66.

    Article  PubMed  CAS  Google Scholar 

  • Geist SM, Geist JR. Improvement in medical consultation responses with a structured request form. J Dent Educ. 2008;72(5):553–61.

    PubMed  Google Scholar 

  • Geist RY, Geist JR, Jaw AM. Osteonecrosis related to bisphosphonates: a new concern for dentistry. J Mich Dent Assoc. 2005;87(11):40–2.

    PubMed  Google Scholar 

  • Geist SR, Geist JR, Sordyl CM, LeBow J. Benefits of casual random blood glucose assessment of diabetic dental patients in an urban dental school clinic. J Dent Educ. 2011;75:212–3.

    Google Scholar 

  • Greenspan D, Greenspan JS. Oral mucosal manifestations of AIDS? Dermatol Clin. 1987; 5(4):733–7.

    PubMed  CAS  Google Scholar 

  • Grines CL, Bonow RO, Casey Jr DE, et al. Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for cardiovascular angiography and interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians. Circulation. 2007;115(6):813–8.

    Article  PubMed  Google Scholar 

  • Grossi SG. Treatment of periodontal disease and control of diabetes: an assessment of the evidence and need for future research. Ann Periodontol. 2001;6(1):138–45. Review.

    Article  PubMed  CAS  Google Scholar 

  • Guest editorial: Dr. Poul Erik Petersen, Chief. WHO Oral Health Programme. Strengthening the prevention of HIV/AIDS-related oral disease: a global approach. Community Dent Oral Epidemiol. 2004;32:399–401. http://www.who.int/oral_health/publications/cdoe0432/en/.

  • Hahn LJ. Osteoradionecrosis of the mandible: clinical observation and treatment in 45 cases. Taiwan Yi Xue Hui Za Zhi. 1983;82(3):451–60.

    PubMed  CAS  Google Scholar 

  • Hodgson TA, Greenspan D, Greenspan JS. Oral lesions of HIV disease and HAART in industrialized countries. Adv Dent Res. 2006;19:57–62.

    Article  PubMed  CAS  Google Scholar 

  • Huang TT, Tseng FY, Liu TC, et al. Deep neck infection in diabetic patients: comparison of clinical picture and outcomes with nondiabetic patients. Otolaryngol Head Neck Surg. 2005;132(6):943–7.

    Article  PubMed  Google Scholar 

  • Janket SJ, Wightman A, Baird AE, et al. Does periodontal treatment improve glycemic control in diabetic patients? A meta-analysis of intervention studies. J Dent Res. 2005;84(12):1154–9.

    Article  PubMed  Google Scholar 

  • Janket SJ, Jones JA, Meurman JH. Oral infection, hyperglycemia, and endothelial dysfunction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(2):173. Epub 2007 Oct 1. Review.

    Article  PubMed  Google Scholar 

  • Jones JA, Miller DR, Wehler CJ, et al. Does periodontal care improve glycemic control? The department of veterans affairs dental diabetes study. J Clin Periodontol. 2007;34(1):46–52. Epub 2006 Nov 24.

    Article  PubMed  Google Scholar 

  • Khovidhunkit SO, Suwantuntula T, Thaweboon S, et al. Xerostomia, hyposalivation, and oral microbiota in type 2 diabetic patients: a preliminary study. J Med Assoc Thai. 2009;92(9):1220–8.

    PubMed  Google Scholar 

  • Kidney and Urologic Diseases Statistics for the United States. http://kidney.niddk.nih.gov/kudiseases/pubs/kustats/.

  • Kidney Disease Outcome Quality Initiative. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39:S1–246.

    Article  Google Scholar 

  • Leikauf J, Federman AD. Comparisons of self-reported and chart-identified chronic diseases in inner-city seniors. J Am Geriatr Soc. 2009;57(7):1219–25. Epub 2009 May 21.

    Article  PubMed  Google Scholar 

  • Lenfant C, Chobanian AV, Jones DW, et al. Seventh report of the joint national committee on the prevention, detection, evaluation, and treatment of high blood pressure (JNC 7): resetting the hypertension sails. Hypertension. 2003;41(6):1178–9.

    Article  PubMed  CAS  Google Scholar 

  • Lessard E, Glick M, Ahmed S, Saric M. The patient with a heart murmur: evaluation, assessment and dental considerations. J Am Dent Assoc. 2005;136:347–56.

    PubMed  Google Scholar 

  • Levey Andrew S, de Jong Paul E, Coresh Josef, et al. The definition, classification and prognosis of chronic kidney disease: a KDIGO controversies conference report. Kidney Int. 2011;80(1):17–28. http://www.kidney-international.org.

    Article  PubMed  CAS  Google Scholar 

  • Levey AS, Eckardt KU, Tsukamoto Y, et al. Definition and classification of chronic kidney disease: a position statement from kidney disease: improving global outcomes (KDIGO). Kidney Int. 2005;67:2089–100.

    Article  PubMed  Google Scholar 

  • Migliorati CA, Epstein JB, Abt E, Berenson JR. Osteonecrosis of the jaw and bisphosphonates in cancer: a narrative review. Nat Rev Endocrinol. 2011;7(1):34–42. Epub 2010.

    Article  PubMed  CAS  Google Scholar 

  • Moser M. Historical perspectives on the management of hypertension. J Clin Hypertens. 2006;8(8 suppl 2):15–20.

    Article  Google Scholar 

  • National Cancer Institute. PDQ (physician data query). Bethesda: National Institutes of Health; 1990. Available at: http://www.cancer.gov/cancertopics/pdq/cancerdatabase.

    Google Scholar 

  • National Cancer Institute. Oral complications of chemotherapy and head/neck radiation PDQ. Bethesda: National Institutes of Health; 2010. Available at: http://www.cancer.gov/cancertopics/pdq/supportivecare/oralcomplications/HealthProfessional.

    Google Scholar 

  • National Cancer Institute. PDQ® oral complications of chemotherapy and head/neck radiation. Bethesda: National Cancer Institute. Available at: http://cancer.gov/cancertopics/pdq/supportivecare/oralcomplications/HealthProfessional. Date last modified 24 Mar 2011. [Accessed 8 May 2011]

  • National Kidney Foundation. KDOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification part 3. Chronic kidney disease as a public health problem. Am J Kidney Dis. 2002;39(2 Suppl 1):S1–266. http://www.kidney.org/professionals/kdoqi/guidelines_ckd/p3_pubhealth.htm.

    Google Scholar 

  • National Kidney Foundation. Insurance Choice for medicare ESRD Patients. 2009. www.kidney.org/.../INSURANCE_CHOICE_MEDICARE_ESRD-MSP_new.pdf.

  • NIH National Institute of Allergy and Infectious Diseases. The autoimmune diseases coordination. Committee Rep Congr: Prog Autoimmune Dis Res. 2005. http://www.niaid.nih.gov/topics/autoimmune/Documents/adccfinal.pdf.

  • O’Malley AS, Reschovsky JD. Referral and consultation communication between primary care and specialist physicians. Arch Intern Med. 2011;171(1):56–65.

    Article  PubMed  Google Scholar 

  • Pakhomov SV, Jacobsen SJ, Chute CG, Roger VL. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530–9.

    PubMed  Google Scholar 

  • Peterson P, Hayes TE, Arkin CF, et al. The preoperative bleeding time test lacks clinical benefit: College of American Pathologists’ and American Society of Clinical Pathologists’ position article. Arch Surg. 1998;133(2):134–9.

    Article  PubMed  CAS  Google Scholar 

  • Prevalence of diabetes in the United States. data from the 2011 National Diabetes Fact Sheet. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf. Released 26 Jan 2011.

  • Projecting possible future courses of the HIV epidemic in the United States. http://www.cdc.gov/hiv/resources/factsheets/us-epi-future-courses.htm.

  • Rajagopalan S. Serious infections in elderly patients with diabetes mellitus. Clin Infect Dis. 2005;40(7):990–6. Epub 2005 Feb 24. Review.

    Article  PubMed  Google Scholar 

  • Ramírez-Amador V, Ponce-de-León S, Anaya-Saavedra G, Crabtree Ramírez B, Sierra-Madero J. Oral lesions as clinical markers of highly active antiretroviral therapy failure: a nested case–control study in Mexico city. Clin Infect Dis. 2007;45(7):925–32. Epub 2007 Aug 23.

    Article  PubMed  CAS  Google Scholar 

  • Rao DD, Desai A, Kulkarni RD. Comparison of maxillofacial space infection in diabetic and nondiabetic patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(4):e7–12. Epub 2010 Jul 24.

    Article  PubMed  Google Scholar 

  • Sjögren’s Syndrome Foundation. 2009. http://www.sjogrens.org/home/about-sjogrens-syndrome.

  • Soysa NS, Samaranayake LP, Ellepola AN. Diabetes mellitus as a contributory factor in oral candidosis. Diabet Med. 2006;23(5):455–9.

    Article  PubMed  CAS  Google Scholar 

  • Stoves J, Connolly J, Cheung CK, et al. Electronic consultation as an alternative to hospital referral for patients with chronic kidney disease: a novel application for networked electronic health records to improve the accessibility and efficiency of healthcare. Qual Saf Health Care. 2010;19(5):e54.

    Article  PubMed  Google Scholar 

  • Taylor GW. The effects of periodontal treatment on diabetes. J Am Dent Assoc. 2003;134:41S–8. Review.

    PubMed  Google Scholar 

  • Taylor GW, Borgnakke WS. Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis. 2008;14(3):191–203. Review.

    Article  PubMed  CAS  Google Scholar 

  • Ueta E, Osaki T, Yoneda K, et al. Prevalence of diabetes mellitus in odontogenic infections and oral candidiasis: an analysis of neutrophil suppression. J Oral Pathol Med. 1993;22(4):168–74.

    Article  PubMed  CAS  Google Scholar 

  • van der Waal I, Schulten EA, Pindborg JJ. Oral manifestations of AIDS: an overview. Int Dent J. 1991;41(1):3–8.

    PubMed  Google Scholar 

  • Vissink A, Burlage FR, Spijkervet FK, et al. Prevention and treatment of the consequences of head and neck radiotherapy. Crit Rev Oral Biol Med. 2003;14(3):213–25.

    Article  PubMed  CAS  Google Scholar 

  • Wann LS, Curtis AB, Ellenbogen KA, et al. ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (update on dabigatran): a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. J Am Coll Cardiol. 2011;57(11):1330–7. Epub 2011 Feb 14.

    Article  PubMed  Google Scholar 

  • WHO Towards universal access: scaling up priority HIV/AIDS interventions in the health sector progress report. 2010. http://www.who.int/hiv/pub/2010progressreport/en/index.html.

  • Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association. Circulation. 2007;116(15):1736–54.

    Article  PubMed  Google Scholar 

  • Zintzaras E, Voulgarelis M, Moutsopoulos HM, et al. The risk of lymphoma development in autoimmune diseases: a meta-analysis. Arch Intern Med. 2005;165(20):2337–44.

    Article  PubMed  Google Scholar 

Matching Patients to Achieve Unique Patient Identification

  • Blakely T, Salmond C. Probabilistic record linkage and a method to calculate the positive predictive value. Int J Epidemiol. 2002;31(6):1246–52.

    Article  PubMed  Google Scholar 

  • Gill L, Goldacre M, Simmons H, Bettley G, Griffith M. Computerised linking of medical records: methodological guidelines. J Epidemiol Community Health. 1993;47(4):316–9.

    Article  PubMed  CAS  Google Scholar 

  • Liu S. Development of record linkage of hospital discharge data for the study of neonatal readmission. Chronic Dis Can. 1999;20(2):77–81.

    PubMed  CAS  Google Scholar 

  • Roos LL, Wajda A. Record linkage strategies. Part I: estimating information and evaluating approaches. Methods Inf Med. 1991;30(2):117–23.

    PubMed  CAS  Google Scholar 

  • Theis MK, et al. Case study of linking dental and medical healthcare records. Am J Manag Care. 2010;16(2):e51–6.

    PubMed  Google Scholar 

Improved Electronic Healthcare Technologies (EHT) Through the Harmonization of Application Design and Clinician Needs

  • Allen M, Currie LM, Graham M, Bakken S, Patel VL, Cimino JJ. The classification of clinicians’ information needs while using a clinical information system. AMIA Annu Symp Proc. 2003;2003:26–30.

    Google Scholar 

  • Armijo D, McDonnell C, Werner K. Electronic health record usability: interface design considerations. AHRQ Publication No. 09(10)-0091-2-EF. Rockville: Agency for Healthcare Research and Quality; 2009.

    Google Scholar 

  • Covell DG, Uman GC, Manning PR. Information needs in office practice: are they being met? Ann Intern Med. 1985;103(4):596–9.

    PubMed  CAS  Google Scholar 

  • Horsky J, Kuperman GJ, Patel VL. Comprehensive analysis of a medication dosing error related to CPOE. J Am Med Inform Assoc. 2005;12(4):377–82.

    Article  PubMed  Google Scholar 

  • Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE, Strom BL. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197–203.

    Article  PubMed  CAS  Google Scholar 

Electronic Decision Support in Medicine and Dentistry

  • Bader JD, Shugars DA. What do we know about how dentists make caries-related treatment decisions? Community Dent Oral Epidemiol. 1997a;25(1):97–103.

    Article  PubMed  CAS  Google Scholar 

  • Bader JD, Shugars DA. A case for diagnoses. J Am Coll Dent. 1997b;64(3):44–6.

    PubMed  CAS  Google Scholar 

  • Bankowitz RA, et al. A computer-assisted medical diagnostic consultation service. Implementation and prospective evaluation of a prototype. Ann Intern Med. 1989;110(10):824–32.

    PubMed  CAS  Google Scholar 

  • Crespo KE, Torres JE, Recio ME. Reasoning process characteristics in the diagnostic skills of beginner, competent, and expert dentists. J Dent Educ. 2004;68(12):1235–44.

    PubMed  Google Scholar 

  • Ledley RS, Lusted LB. Reasoning foundations of medical diagnosis; symbolic logic, probability, and value theory aid our understanding of how physicians reason. Science. 1959; 130 (3366):9–21.

    Article  PubMed  CAS  Google Scholar 

  • Melkos AB. Advances in digital technology and orthodontics: a reference to the invisalign method. Med Sci Monit. 2005;11(5):PI39–42.

    PubMed  Google Scholar 

  • Mendonca EA. Clinical decision support systems: perspectives in dentistry. J Dent Educ. 2004;68(6):589–97.

    PubMed  Google Scholar 

  • Okuda T, Yoshida T, Hotta M. A dental condition prediction system with artificial neural networks and fuzzy inference systems. Orlando: IEEE; 1997.

    Google Scholar 

  • Rudin JL. DART (diagnostic Aid and resource tool): a computerized clinical decision support system for oral pathology. Compendium. 1994;15(11):1316, 1318, 1320 passim.

    PubMed  CAS  Google Scholar 

  • Sciubba JJ. Improving detection of precancerous and cancerous oral lesions. Computer-assisted analysis of the oral brush biopsy. U.S. Collaborative OralCDx Study Group. J Am Dent Assoc. 1999;130(10):1445–57.

    PubMed  CAS  Google Scholar 

  • Shortliffe EH. Medical informatics: computer applications in health care and biomedicine. 2nd ed. New York: Springer; 2001. p. xxvii, 854 p.

    Google Scholar 

  • Sox HC. Medical decision making. Boston: Butterworths; 1988, 406 p.

    Google Scholar 

  • Walker GF. Cephalometrics and the computer. J Dent Res. 1967;46(6):1211.

    Article  PubMed  CAS  Google Scholar 

  • Warner HR, Toronto AF, Veasy LG. Experience with Baye’s theorem for computer diagnosis of congenital heart disease. Ann N Y Acad Sci. 1964;115:558–67.

    PubMed  CAS  Google Scholar 

  • Weed LL. Knowledge coupling: new premises and new tools for medical care and education. New York: Springer; 1991. p. xxv, 362 p.

    Google Scholar 

  • White SC. Computer-aided differential diagnosis of oral radiographic lesions. Dentomaxillofac Radiol. 1989;18(2):53–9.

    PubMed  CAS  Google Scholar 

  • White SC. Decision-support systems in dentistry. J Dent Educ. 1996;60(1):47–63.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA

    Miguel Humberto Torres-Urquidy

  2. Department of Computer and Information Systems, Clinical Data Integration Project, Robert Morris University, Moon Township, PA, USA

    Valerie J. H. Powell

  3. HP Enterprise Services, Global Healthcare, Camp Hill, PA, USA

    Franklin M. Din

  4. Healthcare Informatics Program, Misericordia University, Dallas, TX, USA

    Mark Diehl

  5. University Psychiatric Hospital, Rennes, France

    Valerie Bertaud-Gounot

  6. Klein Consulting Inc., Ridge, NY, USA

    W. Ted Klein

  7. Computer and Information Systems Department, Robert Morris University, Pittsburgh, PA, USA

    Sushma Mishra

  8. Departments of Biomedical and Diagnostic Sciences and Patient, Management, University of Detroit Mercy School of Dentistry, Detroit, MI, USA

    Shin-Mey Rose Yin Geist

  9. Washington Dental Service, Seattle, WA, USA

    Monica Chaudhari

  10. New Jersey, USA

    Mureen Allen (Medical Informatics Consultant)

Authors
  1. Miguel Humberto Torres-Urquidy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Valerie J. H. Powell
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Franklin M. Din
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mark Diehl
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Valerie Bertaud-Gounot
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. W. Ted Klein
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Sushma Mishra
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Shin-Mey Rose Yin Geist
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Monica Chaudhari
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Mureen Allen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Miguel Humberto Torres-Urquidy .

Editor information

Editors and Affiliations

  1. Robert Morris University, Moon Township,, Moon Township, 15108-1189, USA

    Valerie Powell

  2. Medical Informatics Center of Excellence, Camp Hill, 25403, USA

    Franklin M. Din

  3. MCRF/BIRC, Marshfield, WI, USA, Marshfield, 54449, Wisconsin, USA

    Amit Acharya

  4. University of Pittsburgh, Pittsburgh, PA, Pittsburgh, 15260, Pennsylvania, USA

    Miguel Humberto Torres-Urquidy

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag London Limited

About this chapter

Cite this chapter

Torres-Urquidy, M.H. et al. (2012). HIT Considerations: Informatics and Technology Needs and Considerations. In: Powell, V., Din, F., Acharya, A., Torres-Urquidy, M. (eds) Integration of Medical and Dental Care and Patient Data. Health Informatics, vol 3. Springer, London. https://doi.org/10.1007/978-1-4471-2185-5_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-2185-5_2

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2184-8

  • Online ISBN: 978-1-4471-2185-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation