Ensuring the integrity of electronic health records : the best practices for e-records compliance / Orlando Lopez.

<P>1 Introduction</P><P>2 E-records Lifecycle Revisited</P><P>3 Data and E-records Lifecycles -- A Comparison</P><P>4 MHRA Guidance -- Revisited</P><P>5 E-records Integrity Expectations of EU GMP Inspectors</P><P>6 Comparison of Health Authorities E-records</P><P>Integrity Expectations</P><P>7 Maxims of E-records Integrity</P><P>8 Vulnerabilities of E-records</P><P>9 CGMP E-records Risk Management</P><P>10 CGMP E-records Risk Assessments</P><P>11 Security Service</P><P>12 Defining and Managing Manufacturing Data</P><P>13 Controls on Transient Data</P><P>14 Digital Date and Timestamps</P><P>15 E-records Migration and Its Integrity</P><P>16 Ensuring E-records Integrity of Cloud Service</P><P>Providers</P><P>17 E-records Integrity in Hybrid Systems</P><P>18 Technologies Supporting E-records Integrity</P><P>19 Integration Between Computer Systems and</P><P>E-records Lifecycles</P><P>20 Miscellaneous E-records Integrity Issues</P><P>21 E-records Remediation Project Revisited -- Medicine</P><P>Manufacturing</P><P>22 Designing E-records Integrity into your Practices</P><P>23 Introduction to Data Quality</P><P>24 Summary</P>

Data integrity is a critical aspect to the design, implementation, and usage of any system which stores, processes, or retrieves data. The overall intent of any data integrity technique is the same: ensure data is recorded exactly as intended and, upon later retrieval, ensure the data is the same as it was when originally recorded. Any alternation to the data is then traced to the person who made the modification. The integrity of data in a patient's electronic health record is critical to ensuring the safety of the patient. This book is relevant to production systems and quality control systems associated with the manufacture of pharmaceuticals and medical device products and updates the practical information to enable better understanding of the controls applicable to e-records. The book highlights the e-records suitability implementation and associated risk-assessed controls, and e-records handling. The book also provides updated regulatory standards from global regulatory organizations such as MHRA, Medicines and Healthcare Products Regulatory Agency (UK); FDA, Food and Drug Administration (US); National Medical Products Association (China); TGA, Therapeutic Goods Administration (Australia); SIMGP, Russia State Institute of Medicines and Good Practices; and the World Health Organization, to name a few.

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