Vigdis Heimly

Learn More
Internet-based health care networks are a step forward compared to first generation health care networks, which has been limited to pushing text-based messages between different systems. An Internet-based network can also "pull" data - and not only text but any digital data - for instance images and video sequences. The Internet-based networks can more(More)
This work describes the use of clinical guidelines in public health care for decision support in a primary care record system. The clinical guidelines were used for decision support in primary care in order to improve the quality of electronic referrals to a hospital. Guidelines were developed by the specialists at the hospital, but the design and the(More)
Referrals are requests for medical examination and evaluation by a specialist, outpatient clinic or a hospital. The referral can be sent from a GP, specialist or from one hospital to another. The referral transfers fully or partly the responsibility for further treatment of the patient. The diffusion of electronic referrals in the health sector has been(More)
The introduction of electronic referrals in Norway started in 1996, when the first standard for an electronic referral was developed. Subsequent implementations of electronic health record (EHR) systems have been tested by a national testing and approval service. Almost all the Norwegian EHR systems comply with the recommended standards, but the volume of(More)
OBJECTIVE Lack of access to updated drug information is a challenge for healthcare providers in Norway. Drug charts are updated in separate EHR systems but exchange of drug information between them is lacking. In order to provide ready access to updated medication information, a project for consent-based access to a core EHR has been established. METHODS(More)
This paper gives an overview of projects completed on the topic of electronic referral in healthcare. The first referral projects were based on standardized EDI-communication. The same basis is still used in many projects, but these are slowly being replaced by web-based solutions with possibilities for decision support and booking. The time from initiation(More)
This paper sums up some of the findings from a national survey on the diffusion and use of Electronic Health Record (EHR) systems in the Norwegian health sector. The survey shows that almost all hospitals and GPs use their EHR systems on a daily basis, while the municipalities are lagging behind, All three view costs and missing functionality as the most(More)
Access control mechanisms might influence on the information seeking and documentation behavior of clinicians. In this study, we have surveyed healthcare professionals in nursing homes and hospitals on their attitudes to, and experiences with using access control mechanisms. In some situations, the access control mechanisms of the EHR system made clinicians(More)
The patient flow in Norwegian healthcare depends highly on the referrals. It is therefore important that the referrals can be written, transferred and handled effectively. The general practitioner or GP is a medical practitioner who provides primary care. The GP treats acute and chronic illnesses and provides preventive care. Despite that General(More)