PERSPECTIVES ON DIGITAL DENTISTRY

digital_dentistryesra_kulkapak

ELECTRONIC PATIENT RECORDS

Kübra Yeşildal Yeter

Eskişehir Osmangazi University, Faculty Dentistry, Department of Endodontics, Eskişehir, Türkiye

Yeşildal Yeter K. Electronic Patient Records. In: Kul E, editor. Perspectives on Digital Dentistry. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.1320.

ABSTRACT

Computer technology, which developed quickly after the 1960s, was the basis for digitizing patient re cords. The use of electronic health records (EHRs) has made patients’ medical information more read able, detailed and accessible, thereby aiming to improve the quality and efficacy of healthcare. EHRs are defined as a repository where information about a person’s health status and healthcare is stored electronically for the purpose of being made available to authorized users throughout their life. The aim of EHRs is to minimize medical errors, provide more effective communication and information sharing among healthcare professionals, reduce healthcare costs, and enhance the quality of patient medical records, patient care, and healthcare services. Digitalization in dentistry is also important in terms of the concept of ‘green dentistry’. An ecologically sustainable healthcare system is promoted by this concept by reducing the environmental impact of recording procedures in dentistry. Research using data obtained from EHRs allow us to obtain more patient data and conduct longterm studies that are not possible with traditional methods. Data from different sources allows us to examine the impact of dental treatments on individuals’ overall health over a longer duration. A standard terminology in dentistry and the use of structured forms and templates to reduce the incidence of missing or incom plete data will extensively increase the accuracy of data collected and its upcoming incorporation for analysis, learning and quality enhancement reasons. Today, the advance in information technologies encourages health institutions and healthcare professionals to use these technologies for record keep ing. However, since not all users have the same background and previous experience of information technologies and innovations, their acceptance levels of technology will not be the same. Acceptance of EPRs by users can only be achieved by recognizing that these technologies are an improvement over current record keeping procedures and with a better understanding of the advantages it provides before, during and after treatment.

Keywords: Dentistry; Digitalization; Electronic dental records; Electronic health records; Electronic patient records

Referanslar

  1. Al-Awqati Q. How to write a case report: Lessons from 1600 B.C. Kidney Int. 2006;69(12):2113-2114. [Crossref]  [PubMed]
  2. Tsiompanou E, Marketos SG. Hippocrates: Timeless still. J R Soc Med. 2013;106(7):288-292. [Crossref]  [PubMed]  [PMC]
  3. Evans, R. S. Electronic health records: then, now, and in the future. Yearb Med Inform. 2016;25(S01):48-61. [Crossref]  [PubMed]  [PMC]
  4. Ornstein SM, Oates RB, Fox GN. The computer-based medical record: current status. J Fam Pract. 1992;35(5):556-565. [Link]
  5. McDonald CJ, Tang PC, and Hripcsak G. Electronic Health Record Systems. In: Biomedical Informatics. Shortliffe EH, Cimino JJ. 4th ed. Springer-Verlag London. 2014:391-421. [Crossref]
  6. ISO/DTR20514. Health Informatics-Electronic Health RecordDefinition, Scope, and Context. 2004. [Link]
  7. Reding V. Commission recommendation of 2 July 2008 on cross-border interoperability of electronic health record systems. Off J Eur Union. 2008;3282:37-43. [Access date: 12 February 2025] [Link]
  8. Ajami S, Bagheri-Tadi T. Barriers for adopting electron ic health records (EHRs) by physicians. Acta Inform Med. 2013;21(2):129-134. [Crossref]  [PubMed]  [PMC]
  9. Atkinson JC, Zeller GG, Shah C. Electronic patient records for dental school clinics: more than paperless systems. J Dent Educ. 2002;66(5):634-642. [Crossref]  [PubMed]
  10. Furukawa MF. Electronic medical records and efficiency and productivity during office visits. Am J Manag Care. 2011;17(4):296-303. [Link]
  11. Brown LF. Inadequate record keeping by dental practitioners. Aust Dent J. 2015;60(4):497-502. [Crossref]  [PubMed]
  12. WHO [Internet]. International Classification of Diseases. [Access date: 12 February 2025]. [Link]
  13. WHO. Application of the International Classification of Diseases to Dentistry and Stomatology: ICD-DA. 3rd ed. Geneva. World Health Organization. 1995. [Link]
  14. Petti S, Andreasen JO, Glendor U, Andersson L. NA0D - The new Traumatic Dental Injury classification of the World Health Organization. Dent Traumatol. 2022;38(3):170-174. [Crossref]  [PubMed]  [PMC]
  15. Gómez-Rico Junquero I, Martinez-Girones PM, GalianaBordera A, Galán AO, Ginés S, Marín CMH et al. Transforming experimental radiology: Design and implementation of an innovative ePACS image storage system for AI imaging research environments. Int J Med Inform. 2024;190:105549. [Crossref]  [PubMed]
  16. Mell PM, Grance T. The NIST Definition of Cloud Computing. 2011. [Crossref]
  17. Silverstein JC, Foster IT. Computer Architectures for Health Care and Biomedicine. In: Biomedical Informatics. Shortliffe EH, Cimino JJ. 4th ed. Springer-Verlag London. 2014:149-184. [Crossref]
  18. Callender C, Marshall B, Cardon PW, Patel N. Obstacles to the adoption of cloud computing: best practicies in technology and communication. Issues In Information Systems. 2015;16:133-139. [Link]
  19. Rathakrishnan M, Priyadarhini A. Green dentistry: The future. Journal of the International Clinical Dental Research Organization. 2017;9(2):59. [Crossref]
  20. Hiltz M. The Environmental Impact of Dentistry. J Can Dent Assoc. 2007;73(1):59-62. [Link]
  21. Wenzel A, Møystad A. Work flow with digital intraoral radiography: A systematic review. Acta Odontol Scand. 2010;68(2):106-114. [Crossref]  [PubMed]
  22. Hammond WE. Health Level 7: an application standard for electronic medical data exchange. Top Health Rec Manage. 1991;11(4):59-66. [PubMed]
  23. Ribick A, Stanford S. Health Level Seven and the American Dental Association Sign Agreement to Develop Joint Healthcare IT Standard Initiatives 2009. [Access date: 12 February 2025] Access link: [Link]
  24. Souza-Oliveira AC, Paschoal MAB, Alvarenga-Brant R, Martins CC. Frequency of missing data in clinical records in pediatric dentistry: a descriptive study. J Clin Pediatr Dent. 2023;47(1):44-49. [Crossref]
  25. Moynihan PJ, Kelly SAM. Effect on caries of restricting sugars intake: Systematic review to inform WHO guidelines. J Dent Res. 2014;93(1):8-18. [Crossref]  [PubMed]  [PMC]
  26. Joda T, Waltimo T, Probst-Hensch N, Pauli-Magnus C, Zitzmann NU. Health Data in Dentistry: An Attempt to Master the Digital Challenge. Public Health Genomics. 2019;22(1-2):1-7. [Crossref]  [PubMed]
  27. Thapa C, Camtepe S. Precision health data: Requirements, challenges and existing techniques for data security and privacy. Comput Biol Med. 2021;129. [Crossref]  [PubMed]
  28. Calder Alan. Implementing Information Security Based on ISO 27001/ISO 27002-A Management Guide. 2011. [Link]
  29. Statement on Signing the Health Insurance Portability and Accountability Act of 1996. American Presidency Project. 1996. [Access date: 12 January 2025]. [Link]
  30. Hadden AM. Clinical examination & record-keeping: Part 3: Electronic records. Br Dent J. 2017;223(12):873-876. [Crossref]  [PubMed]
  31. Ngo E, Patel N, Chandrasekaran K, Tajik AJ, Paterick TE. The Importance of the Medical Record: A Critical Professional Responsibility. J Med Pract Manage. 2016;31(5):305-308. [PubMed]
  32. E-Nabiz [Internet] [Access date: 12 February 2025] Access link: [Link]
  33. Wander P. Dental photography in record keeping and litigation. In: British Dental Journal. 2014;216:207-208. [Crossref]  [PubMed]
  34. Kieser JA, Laing W, Herbison P. Lessons learned from large-scale comparative dental analysis following the south asian tsunami of 2004. J Forensic Sci. 2006;51(1):109-112. [Crossref]  [PubMed]
  35. Al-Emran M, Mezhuyev V, Kamaludin A. Technology Acceptance Model in M-learning context: A systematic review. Comput Educ. 2018;125:389-412. [Crossref]
  36. Çakır A, Özkaynak M. Dentists trends in using electronic health records in the framework of the technology acceptance model. NEU Dent J. 2022;4(3):115-20. [Link]