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This article provides a possible service that can be used in the east African country our case study is on. Google health is a free service that would give all patients the opportunity to store their health records digitially, making it easier for doctors to access it. Especially if telemedicine were to be used, having electronic health records would be a great benefit. However, the issue of reliability is especially troubling when it comes to using services like Google health in this context. There have been many reported errors with the diagnoses of patients using this service, and it is crucial that the records are checked by both patients and doctors to ensure that all information listed is correct. Literacy rates are much lower in rural African settings, creating a problem for patients who may be unaware of inaccurate information on their records. Especially for individuals in critical conditions, fatal mistakes can therefore be made.

Electronic Health Records are also used in the case study. Patients and doctors rely on these records for accurate data, but it is rather difficult, due to the lack of reliability with which Google Health updates patient's health data. In order for Dr. Ogola's plan to work (face the challenges, create a modern health system), he must implement such health records that will store patients' information on an accessible, secure and easy to use database. This would help patients, doctors and nurses share data without having to travel long distances. Data would be secure and also accessible to the three parties. However, this would require a reliable system (more than Google Health) so as to not provide inaccurate data to the patients. Patient involvement in the care of his/her own data would be required for an such an erroneous system, as would a reliable source of healthcare information on the patients. Unreliable sources can potentially damage the whole system.

The use of Electronic Health Records in this article can be applied to our case study. Firstly, it would make the transfer of patient data easier and faster, this would increase the quality of care that the hospitals and clinics offer to their patients. These Electronic Health Records can also keep data from different doctors in order, for example if a patient visits several Doctors all of their information will be in one place and ready to access when ever necessary. In the case study if doctors had a more accurate picture of the patients medical history they would be more prepared to make diagnoses, especially when they are working with strange cases. This would also help to increase the quality of treatment that the patient would receive. Digital Health Records are easy to update both the patient and the doctor can edit the Electronic Health Record, it also can keep track of test results, and medications that the patient is currently using. Electronic Health Records allow patients to be more active in their health care allowing them to see and have access to all of their medical information. Even though this IT system is ideal for our case study there are some things we should take into consideration. In our case study we would have to make sure that equality of access is equal for everyone, there may be some people living on the outskirts of villages that might not have access to Digital Health Records. We would also have to assume that everyone would know how to use the Digital Health Record. Meaning how to update it and how to look for errors. Lastly we would have to assume that the patient would make good use out of having an Electronic Health Record. They would have to constantly be updating and checking their records to see if there is any missing information or any errors within their data. Lastly, the coding system would have to be revised, it is confusing and very inaccurate, there should be a new coding system that makes understanding your own records

In this article, the use of electronic health records is discussed. However, some problems arising from their use are also introduced, including inaccurate patient information. In the world of the case study, this IT system, electronic health records. is quite relevant and can be useful. EHRs can be used in Africa to connect rural doctors to hospitals and other professional health care workers in better facilities. This way patients' records can be reviewed, diagnoses can be made and other help can be given. However, if this system is taken advantage of in Africa, its users must be certain that the information in the records is accurate and comes from a reliable source. This is because if the information in a record is inaccurate, incorrect diagnosis and/or medication can be given as was the situation in the article. These kinds of mistakes can be detrimental to some patients.

This article elaborates on the drawbacks of electronic health files. Although the IT System, Google Health, seems that it will make getting quality health care much easier and quicker, there is a major issue of possible inaccurate information. These inaccuracies or exaggerated diagnoses on Google Health may prevent patients from receiving the care they need, and Google Earth is prone to human error as real people are responsible for inputting insurance billing codes or mislabeling a lab test with a disease that is hoped to be ruled out. This has an impact on our African case study as this article illustrates one of the highly potential problems that arise from the use of telemedicine. Although medical centers in Africa would be able to eliminate the tedious process of paper work by instantly communicating records over the internet, these records can be inaccurate and therefore compromise an already sick patients health even further. However, for the case study, EMR's prove to be a very feasible solution for the lack of communication and distances between villages and health centers, but a solution must be made in order to counteract the potential misdiagnoses'. One solution could be that patients would check their EMR's for accuracy, but with the poor conditions of living in the African villages and poor or no internet service, this solution does not seem possible for the case study.

This article is about a man getting his health information in an electronic health records massed up. There's an issue with the EMRs in the sense that they are sometimes unreliable. In regard to the Case study, as they want to place EMRs into their hospitals and clinics they ma have this issue with reliability. But it has shown signs of improvement from paper records. But the hospitals and clinics in the East African cities will need to hire more staff to make sure these records are up to date and accurate. As for the health of the patients, EMRs has its benefits and drawbacks. If the information is accurate then a life could be saved and that person could be properly cared for in a more timely fashion, but if the information isn't accurate they could be given unneeded surgery or given the wrong drugs. The EMRs could help the efficiency of the hospitals and clinics because they could work faster and get to more patients without wasting countless time looking through paper records.

This article arises a social and ethical issue of integrity of electronic health records. In this article, Dave deBronkart faced this issue when he transferred his medical records to Google Health. His information was inaccurately transferred because of the incorrect coding that insurance companies use. The database then used this incorrect coding and stated that Dave had other health problems, which he never had. The lack of codes makes the database more likely to make an inaccurate diagnosis. It also suffers from reliability because if the information, doctors can't rely on it to make correct diagnosis. Electronic databases are very useful and can be used in Oobunta if its integrity is improved. It will allow patients in villages that can't afford travel to share their symptoms and past medical history with doctors in the hospital. This will cut costs for both doctors and patients because they won't have to pay for transportation. It will also benefit the patients because it will let them be diagnosed accurately especially if they don't have enough resources or medical care in their village.

This article covers a recent problem that has risen from the use of Electronic Medical Records. Google's new Google Health, a service that gathers e-health records for patients all in one place has become unreliable. Google Health gathers medical information from billing records, which is an inaccurate source of information. The medical records on the site also do not distinguish between recent illnesses and past illnesses, and does not indicate the level of severity for the health issues. The diagnostic medical coding is to blame for inaccuracies in information gleaned from insurance data, mostly because it is clunky and includes tests for diseases that doctors hope to rule out, not for diseases that the patients necessarily have. The problems that the unwieldy code and medical records in Google Health bring up are enormous. Information is inaccurate and out of date, and this is potentially deadly when patients are being treated. The issue of reliability is that data in the records is out of date, and entered incorrectly, which could be the difference between life and death for patients with dangerous diseases.

This article was about electronic medical records. They allow patients to share their health information with doctors over the Internet, using Goggle Health. However, this application is not completely accurate. It takes information from insurance bills. These insurance bills may not be precise in describing the treatment of a patient because of their lack of codes. This raises the issue of reliability of the electronic health records. Inaccurate records could stop a doctor from performing a life saving procedure on a patient. The article relates to the case study because it talks about the drawbacks of having electronic medical records. In order for issues with reliability and integrity to be avoided in Oobunta, patients should regularly check their records to ensure their accuracy. Doctors and patients should also communicate more to eliminate problems within the health records.

In this article, a new electronic health system arose. In order for one to use this newly aged system, their personal health records must be transferred. According to the article, "accuracy gets lost in translation" (Wangsness). Due to the fact that certain information is getting lost in translation, many issues have been brought up, such as reliability. Health records are vital for every individual because they contain information that cannot be found anywhere else. A loss in data, such as certain dates, can lead to many problems for the patients during treatment. As a solution, people are asked to do one thing. They are told to check out their record and see if everything is accurate. There is a positive side for this new system and it relates directly to our case study. These Google health records are easily transferable. If one needs to send out their information to a hospital for a diagnosis, they can do so in no time. In the case study, people in Africa are having trouble getting to a hospital because of the expenses and lack of transportation. By using these Google electronic health records, the people would be able to e-mail their record to a hospital for a direct prognoses. This would save them so much money and time because they would be able to complete this task in the comfort of their own home, or anyplace with internet access. These electronic health records can solve many problems in Africa.

Criterion A- The IT system (research DNA database) that allows medical researchers to record and track medical histories throughout generations, arise a variety of issues. One of these issues is privacy, where the database holds genetic information that many ethical doctors call a "future diary". These medical databases can be analyzed by a variety of people and those who have access to this information are handling private information. The major stakeholders were those patients who gave up their DNA because their genetic information put into the hands of these medical doctors creates the privacy issue. This information needed to be well stored and doctors take implications such as encoding social security numbers and no names are used. Criterion B- These research DNA databases begin with the obtainment of genetic information. In a relational database, there are several tables containing various information. Each table contains data that all have attributes related to the subject of the table. All of the tables might be interconnected, as well. For example, a retail business using a relational database would likely have one table containing data regarding employees, another with data regarding customers, another table listing inventory and so on. A database user could run a report to find connections between data in different tables, such as the customer table and the inventory table. Criterion C- From the point of view of the major stake holders (patients who given up their genetic information) the IT system (research DNA databases) (Not done)

Criterion A) The IT system is a database. This database is a link of DNA records, health records, and family trees. Major stakeholders of this issue are citizens of Iceland who agree to let their information be put on these databases and analyzed. Criterion B) The database works in parts. First, there is already a database of family trees in place. This family tree generator works by inputting an individual's social security number. After this is in place, the name of many generations of ancestors of this individual is shown in a tree. Then, the creator of the database asks for the permission, of family members, to add the DNA code and the health record of each person. This allows for a social security number and a disease to be input at the same time. With this, the scientist can see those who have it, and those who don't. Then, with the use of the DNA codes, they can "hunt down" genes that cause certain diseases. The database is related to an issue of privacy. This is because those who allow their health records and DNA code, are letting the medical team and users of the database know all things about them. With just a social security number, a user that has access to the database may learn more things about you than you may want: such as your family, what diseases you may have, and many other things. Another issue is in reliability. There is the possibility that the medical teams that try to track genetic code differences between those with a disease and those without it, may come to realize that a difference they find is only a coincidence and not helpful. (not completed)

The IT system being used is the DNA database that are being kept on the Icelandic people. The DNA database holds a lot of information of the people in the database and even things that they do not know such as their DNA and what it means. The major stakeholder is the people that are sending their DNA information, blood samples, medical histories and family trees. The issue of privacy is then involved because of the personal information that others can go through by accessing the database. The database is run by first getting the blood sample of the patient who willingly gives permission to give their DNA information to the company, deCODE. The information is then entered into the database which organizes the information by each person's social security number. The relational database is used to organize the information. (Cont.) The impacts of the database is both negative and positive. The database can be

CRITERION A) identify the IT system and describe the issues. Identify the relationship of the major stakeholders to the issues. * The IT system described in this video is a medical database. The major stakeholder are the doctors who manage the data of patients in the relational databases. CRITERION B) Describe step-by-step how the system works and describe how the system is related to the issue(s). * A relational database, there are several tables containing various information. Each table contains data that all have attributes related to the subject of the table. All of the tables might be interconnected, as well. For example, a retail business using a relational database would likely have one table containing data regarding employees, another with data regarding customers, another table listing inventory and so on. A database user could run a report to find connections between data in different tables, such as the customer table and the inventory table. CRITERION C) Evaluate the impacts on society -- both positive and negative or from differing stakeholder's P.O.V. * One of the positive impacts of these medical databases are that the family tree is in a database and all health records can be found for each patient and because this is a relational database, all of the patient's information is linked to their families and other people who have similar diseases. This is beneficial because experts can see trends in the people who have a certain disease and once they figure out the "spelling" of the genetic code with the disease, they can work on coming up for cures for that particular disease. A negative impact of the medical databases can be privacy. The doctors have access to every patients information and they can know everything about a certain person or family if he/she wanted to. This would then raise an issue of integrity.

CRITERION A) identify the IT system and describe the issues. Identify the relationship of the major stakeholders to the issues. The IT system is the database and the issue is who has access of the Database which has medical records of individuals. The major stakeholders are the Doctors and Patients. Doctors are trying to find information on specific DNA that create sickness and diseases. Finding the relationship between the family members and there DNA, can possibly improve medicine and also allow doctors figure out what an individual can have(sickness) in future references, making inferences of what might happen. CRITERION B) Describe step-by-step how the system works and describe how the system is related to the issue(s). A data base function is that it is a computer stored software that contains tables of various information and organizes all the data into categories. One subject/category can be related to another with little difference. This is why the database makes it easier for information to be viewed and interpreted much faster. By entering data on the tables one can interlink topics in order to find specific information needed. The person who enters the data can use software like Openoffice to create a database to view DNA and the relationship with the other individuals. CRITERION C) Evaluate the impacts on society -- both positive and negative or from differing stakeholder's P.O.V. The primary issue of the negative impact on Databases, have on the skateholders for DNA purposes is Privacy. Privacy has a big part in the stakeholders because many of the patient give away there Social Security number which is something private to them. With the Social Security Number the doctors can have access to other information not related in there investigation of finding a cure. This can cause reliability with the doctors to decrease. The database would have information of all sort on there medical records which should not be something that would be public for eve

CRITERION A) identify the IT system and describe the issues. Identify the relationship of the major stakeholders to the issues: The IT system in these videos were medical databases containing records of many patients. Specialists use these databases to help them identify where a certain disease came from and whether or not it could be treated. they do this by viewing the patients ancestors records and seeing who had the disease in that family tree. CRITERION B) Describe step-by-step how the system works and describe how the system is related to the issue(s). Specialists (with the permission of the patient) insert a patients social security number into the medical database and let the database generate the patients entire family tree. Using this family tree, doctors were able to "hunt" down the origin of diseases, by looking at the genes of the ancestors. That way, by matching the DNA of the patient affected by a certain disease with the DNA of one of his/her ancestors DNA that suffered the same disease, and looking for similarities or patterns. CRITERION C) Evaluate the impacts on society -- both positive and negative or from differing stakeholder's P.O.V. There were several positive and negative impacts regarding this "hunting down" of diseases. By looking at family trees specialists and doctors would be able to determine what caused the disease and possibly come up with a cure or treatment for it. However, many patients are concerned with doctors going through their records and DNA due to there being a lack of privacy. If patients grant permission, specialists would be able to find out and know absolutely everything about their health history. Specialists argue that it would be of great benefit to detect diseases early so they could be treated by doing this. Chips are being created were thousands of babies genes could be looked at to look for any abnormalities. Some people argue that even if a disease were detected, there's two possibilities, one

Criterion A) The IT system at work here is the database run by the company deCODE. This company created a medical database in order to determine human diseases present amongst family. This leaves the stakeholders to be the Iceland citizens who use this system. The relationship between the Iceland citizens who use this system and the issue is that there is a security issue. The company, deCODE, paid a sum of one million dollars to the government for access to the medical history's and information of the Iceland citizens. This could be stolen by others or it could be hacked by an outsider. Criterion B) This system works through a series of steps to figure out what medical diseases are passed on throughout the family tree. In this case it would be a relational database. This database works by first obtaining permission from the Icelandic citizen to use their social security number and their medical history. This is put into the system and the medical records are accessed. Then the family records and past can be seen. This is multiple tables containing different pieces of information. Each table has something that is related to the previous table. Then make sure that the database is easily navigational. When the social security number is entered into the database the company must have it in the record. If the social security number is not properly encoded then the social security card could be stolen by and employee of an outside hacker. This is related to security if the hardware or software is not properly secured it can be obtained by a criminal. This can lead to identity theft and loss of financial security. Another issue would be privacy. The medical records and DNA code is allowed full use to the company. The social security number could be used in ways that the civilian did not agree to and is not known by the civilian. Criterion C) This system can cause many positive and negative impacts. One positive impact would be that this would help the patient know who e

Criterion A) The IT system at work here is the database run by the company deCODE. This company created a medical database in order to determine human diseases present amongst family. This leaves the stakeholders to be the Iceland citizens who use this system. The relationship between the Iceland citizens who use this system and the issue is that there is a security issue. The company, deCODE, paid a sum of one million dollars to the government for access to the medical history's and information of the Iceland citizens. This could be stolen by others or it could be hacked by an outsider. Criterion B) This system works through a series of steps to figure out what medical diseases are passed on throughout the family tree. In this case it would be a relational database. This database works by first obtaining permission from the Icelandic citizen to use their social security number and their medical history. This is put into the system and the medical records are accessed. Then the family records and past can be seen. This is multiple tables containing different pieces of information. Each table has something that is related to the previous table. Then make sure that the database is easily navigational. When the social security number is entered into the database the company must have it in the record. If the social security number is not properly encoded then the social security card could be stolen by and employee of an outside hacker. This is related to security if the hardware or software is not properly secured it can be obtained by a criminal. This can lead to identity theft and loss of financial security. Another issue would be privacy. The medical records and DNA code is allowed full use to the company. The social security number could be used in ways that the civilian did not agree to and is not known by the civilian. Criterion C) This system can cause many positive and negative impacts. One positive impact would be that this would help the patient know who e

CRITERION A) identify the IT system and describe the issues. Identify the relationship of the major stakeholders to the issues. The IT system involved is the DNA database system, identified as an organized collection of age old family trees, accompanied by state of the art DNA analysis and computer technology. Systematically, genetic information (DNA) is stored in related tables, distinguished by individuals' own security number codes. One centralized ethical and social consideration is privacy, mainly a major concern of the involved DNA suppliers (the public), that place their given personal information (genetic data, reference to family origins, medical history etc) in a national database system, from which the accessing of medical records and history of one's entire family can become manipulated or misused. In addition to the elevated risk of data misuse, once the involved participants (Icelandic citizens) give access to their personal information, there are no limitations placed on the utilization of the data within the national database, as it becomes accessible for the government, medical researchers and operating staff. Thus, the implications are straining to the individual donor, unable to determine when, how and to what extent the information given is shared amongst other groups. Furthermore, the privacy of the participants undesirably opens access to the medical information of related family members, as cross-referencing and data matching give the research staff operating the DNA database, access to retrieve a plethora of other members' data mainly for the purpose of effective data mining (the retrieval of hidden predictive patterns, as a diagnostic tool to decode the occurrence of genetic disorders/diseases). CRITERION B) Describe step-by-step how the system works and describe how the system is related to the issue(s). With the possession of participant's medical data, including blood type, isolated samples of DNA, medical health records e

The primary IT system in use is a DNA database, which includes information about patients, illnesses, and virtually one's make up as a human. DNA databases allow researchers to find patterns in a human genome, by looking at the DNA from various family members and determining the difference or similarities between the DNA of family members. This is done through database functions such as data mining, and data matching. Locations such as Iceland, have a database that traces back all of the people within the country to their Viking ancestors. These family trees have been paired with DNA analysis in order to trace diseases back to their start. Some more tests could be conducted in order to determine which of the living relatives of one family with arthritis, for example, have the disease. Then, the DNA can be compared in order to identify the exact gene that is at fault for the disease. This process is very easy to do because the database with all of the ancestral information is accessible with the presence of one of the family member's SSN. A simple data query can then bring together all of the person's information. Moreover, DNA, health records, and the family trees of Iceland were proposed to be linked. This could be very beneficial because new drugs could be made available to suit the specific disease of a patient. It could also be a way for diagnosed patients to take early preventative measures. This could increase the probability for a cure, and in general this would increase the life expectancy of certain areas. However, some doctors in Iceland opposed to this linkage, because the information is representative of each person's medical history, and potentially their future medical history. This information, according to the plans of the linkage of medical records and the family tree, would be available on a central database that would bring together private information about a person and connect it to all of their family members, past, present, and future. T