A Novel QR Code–Based Solution for Secure Electronic Health Record Transfer in Venous Thromboembolism Home Rehabilitation Management: Algorithm Development and Validation

Venous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home rehabilitation management systems that use electronic health records from hospital care provide opportunities for continuous patient monitoring. However...

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Vydané v:JMIR rehabilitation and assistive technologies Ročník 12; s. e69230
Hlavní autori: Li, Changzhen, Jin, Zhigeng, Wang, Fei, Zhang, Zheqi, Liu, Binbin, Guo, Yutao
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Canada JMIR Publications 11.08.2025
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Abstract Venous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home rehabilitation management systems that use electronic health records from hospital care provide opportunities for continuous patient monitoring. However, transferring medical data from clinical to home settings raises significant concerns about privacy and security. Conventional methods such as manual data entry, optical character recognition, and dedicated data transmission lines face notable technical and operational challenges. This study aims to develop a QR code-based security transmission algorithm using Avro and byte pair encoding (BPE). The algorithm supports the secure creation and transfer of out-of-hospital health records by enabling patients to scan QR codes via a dedicated mobile app, ensuring data security and user privacy. Between January and October 2024, 300 hospitalized patients with VTE were recruited at the Sixth Medical Center of the Chinese PLA General Hospital. Post discharge, participants used a home rehabilitation app tailored for VTE management. The QR code-based security transmission algorithm was developed to securely transfer in-hospital electronic health records to the out-of-hospital app. It uses BPE, Avro, and Gzip for optimized data compression and uses ChaCha20 and BLAKE3 for encryption and authentication. Specifically, BPE tokenizes medical text, while Avro serializes JSON (JavaScript Object Notation) objects, contributing to data encryption. A proprietary tokenizer was trained, and compression efficiency was evaluated using a "Performance Benchmark Dataset." Comparative analyses were conducted to assess the compression efficiency of JSON serialization methods (Avro and ASN.1 [Abstract Syntax Notation One]), and tokenization algorithms (BPE and unigram). The dataset consisted of JSON files from 300 patients, averaging 240.1 fields per file (range 89-623) and 7095 bytes in size (range 2748-17,425 bytes). Using the BPE + Avro + Gzip algorithm, the average file size was reduced to 1048 bytes, achieving a compression ratio of 6.67. This was 1.82 times more efficient than traditional Gzip compression (average file size: 1907 bytes; compression ratio: 3.66; P<.001). For Chinese medical text tokenization, BPE outperformed unigram with a compression ratio of 4.68 versus 4.55 (P<.001). Avro and ASN.1 demonstrated comparable compression ratios of 2.57 and 2.59, respectively, when used alone (P=.30). However, Avro combined with BPE and Gzip significantly outperformed ASN.1, achieving compression ratios of 6.67 versus 5.21 (P<.001). Additionally, 84.7% (254/300) of patients needed to scan only 1 QR code, requiring an average of 3.1 seconds. The QR code-based security transmission algorithm using Avro and BPE efficiently compresses and transmits data in an encrypted manner and authenticates the identity of the scanning users, ensuring the privacy and security of medical data. Delivered as a software development kit, the algorithm offers straightforward implementation and usability, supporting its broad adoption across various applications.
AbstractList Background:Venous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home rehabilitation management systems that use electronic health records from hospital care provide opportunities for continuous patient monitoring. However, transferring medical data from clinical to home settings raises significant concerns about privacy and security. Conventional methods such as manual data entry, optical character recognition, and dedicated data transmission lines face notable technical and operational challenges.Objective:This study aims to develop a QR code–based security transmission algorithm using Avro and byte pair encoding (BPE). The algorithm supports the secure creation and transfer of out-of-hospital health records by enabling patients to scan QR codes via a dedicated mobile app, ensuring data security and user privacy.Methods:Between January and October 2024, 300 hospitalized patients with VTE were recruited at the Sixth Medical Center of the Chinese PLA General Hospital. Post discharge, participants used a home rehabilitation app tailored for VTE management. The QR code–based security transmission algorithm was developed to securely transfer in-hospital electronic health records to the out-of-hospital app. It uses BPE, Avro, and Gzip for optimized data compression and uses ChaCha20 and BLAKE3 for encryption and authentication. Specifically, BPE tokenizes medical text, while Avro serializes JSON (JavaScript Object Notation) objects, contributing to data encryption. A proprietary tokenizer was trained, and compression efficiency was evaluated using a “Performance Benchmark Dataset.” Comparative analyses were conducted to assess the compression efficiency of JSON serialization methods (Avro and ASN.1 [Abstract Syntax Notation One]), and tokenization algorithms (BPE and unigram).Results:The dataset consisted of JSON files from 300 patients, averaging 240.1 fields per file (range 89‐623) and 7095 bytes in size (range 2748‐17,425 bytes). Using the BPE + Avro + Gzip algorithm, the average file size was reduced to 1048 bytes, achieving a compression ratio of 6.67. This was 1.82 times more efficient than traditional Gzip compression (average file size: 1907 bytes; compression ratio: 3.66; P<.001). For Chinese medical text tokenization, BPE outperformed unigram with a compression ratio of 4.68 versus 4.55 (P<.001). Avro and ASN.1 demonstrated comparable compression ratios of 2.57 and 2.59, respectively, when used alone (P=.30). However, Avro combined with BPE and Gzip significantly outperformed ASN.1, achieving compression ratios of 6.67 versus 5.21 (P<.001). Additionally, 84.7% (254/300) of patients needed to scan only 1 QR code, requiring an average of 3.1 seconds.Conclusions:The QR code–based security transmission algorithm using Avro and BPE efficiently compresses and transmits data in an encrypted manner and authenticates the identity of the scanning users, ensuring the privacy and security of medical data. Delivered as a software development kit, the algorithm offers straightforward implementation and usability, supporting its broad adoption across various applications.
Venous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home rehabilitation management systems that use electronic health records from hospital care provide opportunities for continuous patient monitoring. However, transferring medical data from clinical to home settings raises significant concerns about privacy and security. Conventional methods such as manual data entry, optical character recognition, and dedicated data transmission lines face notable technical and operational challenges.BackgroundVenous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home rehabilitation management systems that use electronic health records from hospital care provide opportunities for continuous patient monitoring. However, transferring medical data from clinical to home settings raises significant concerns about privacy and security. Conventional methods such as manual data entry, optical character recognition, and dedicated data transmission lines face notable technical and operational challenges.This study aims to develop a QR code-based security transmission algorithm using Avro and byte pair encoding (BPE). The algorithm supports the secure creation and transfer of out-of-hospital health records by enabling patients to scan QR codes via a dedicated mobile app, ensuring data security and user privacy.ObjectiveThis study aims to develop a QR code-based security transmission algorithm using Avro and byte pair encoding (BPE). The algorithm supports the secure creation and transfer of out-of-hospital health records by enabling patients to scan QR codes via a dedicated mobile app, ensuring data security and user privacy.Between January and October 2024, 300 hospitalized patients with VTE were recruited at the Sixth Medical Center of the Chinese PLA General Hospital. Post discharge, participants used a home rehabilitation app tailored for VTE management. The QR code-based security transmission algorithm was developed to securely transfer in-hospital electronic health records to the out-of-hospital app. It uses BPE, Avro, and Gzip for optimized data compression and uses ChaCha20 and BLAKE3 for encryption and authentication. Specifically, BPE tokenizes medical text, while Avro serializes JSON (JavaScript Object Notation) objects, contributing to data encryption. A proprietary tokenizer was trained, and compression efficiency was evaluated using a "Performance Benchmark Dataset." Comparative analyses were conducted to assess the compression efficiency of JSON serialization methods (Avro and ASN.1 [Abstract Syntax Notation One]), and tokenization algorithms (BPE and unigram).MethodsBetween January and October 2024, 300 hospitalized patients with VTE were recruited at the Sixth Medical Center of the Chinese PLA General Hospital. Post discharge, participants used a home rehabilitation app tailored for VTE management. The QR code-based security transmission algorithm was developed to securely transfer in-hospital electronic health records to the out-of-hospital app. It uses BPE, Avro, and Gzip for optimized data compression and uses ChaCha20 and BLAKE3 for encryption and authentication. Specifically, BPE tokenizes medical text, while Avro serializes JSON (JavaScript Object Notation) objects, contributing to data encryption. A proprietary tokenizer was trained, and compression efficiency was evaluated using a "Performance Benchmark Dataset." Comparative analyses were conducted to assess the compression efficiency of JSON serialization methods (Avro and ASN.1 [Abstract Syntax Notation One]), and tokenization algorithms (BPE and unigram).The dataset consisted of JSON files from 300 patients, averaging 240.1 fields per file (range 89-623) and 7095 bytes in size (range 2748-17,425 bytes). Using the BPE + Avro + Gzip algorithm, the average file size was reduced to 1048 bytes, achieving a compression ratio of 6.67. This was 1.82 times more efficient than traditional Gzip compression (average file size: 1907 bytes; compression ratio: 3.66; P<.001). For Chinese medical text tokenization, BPE outperformed unigram with a compression ratio of 4.68 versus 4.55 (P<.001). Avro and ASN.1 demonstrated comparable compression ratios of 2.57 and 2.59, respectively, when used alone (P=.30). However, Avro combined with BPE and Gzip significantly outperformed ASN.1, achieving compression ratios of 6.67 versus 5.21 (P<.001). Additionally, 84.7% (254/300) of patients needed to scan only 1 QR code, requiring an average of 3.1 seconds.ResultsThe dataset consisted of JSON files from 300 patients, averaging 240.1 fields per file (range 89-623) and 7095 bytes in size (range 2748-17,425 bytes). Using the BPE + Avro + Gzip algorithm, the average file size was reduced to 1048 bytes, achieving a compression ratio of 6.67. This was 1.82 times more efficient than traditional Gzip compression (average file size: 1907 bytes; compression ratio: 3.66; P<.001). For Chinese medical text tokenization, BPE outperformed unigram with a compression ratio of 4.68 versus 4.55 (P<.001). Avro and ASN.1 demonstrated comparable compression ratios of 2.57 and 2.59, respectively, when used alone (P=.30). However, Avro combined with BPE and Gzip significantly outperformed ASN.1, achieving compression ratios of 6.67 versus 5.21 (P<.001). Additionally, 84.7% (254/300) of patients needed to scan only 1 QR code, requiring an average of 3.1 seconds.The QR code-based security transmission algorithm using Avro and BPE efficiently compresses and transmits data in an encrypted manner and authenticates the identity of the scanning users, ensuring the privacy and security of medical data. Delivered as a software development kit, the algorithm offers straightforward implementation and usability, supporting its broad adoption across various applications.ConclusionsThe QR code-based security transmission algorithm using Avro and BPE efficiently compresses and transmits data in an encrypted manner and authenticates the identity of the scanning users, ensuring the privacy and security of medical data. Delivered as a software development kit, the algorithm offers straightforward implementation and usability, supporting its broad adoption across various applications.
Venous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home rehabilitation management systems that use electronic health records from hospital care provide opportunities for continuous patient monitoring. However, transferring medical data from clinical to home settings raises significant concerns about privacy and security. Conventional methods such as manual data entry, optical character recognition, and dedicated data transmission lines face notable technical and operational challenges. This study aims to develop a QR code-based security transmission algorithm using Avro and byte pair encoding (BPE). The algorithm supports the secure creation and transfer of out-of-hospital health records by enabling patients to scan QR codes via a dedicated mobile app, ensuring data security and user privacy. Between January and October 2024, 300 hospitalized patients with VTE were recruited at the Sixth Medical Center of the Chinese PLA General Hospital. Post discharge, participants used a home rehabilitation app tailored for VTE management. The QR code-based security transmission algorithm was developed to securely transfer in-hospital electronic health records to the out-of-hospital app. It uses BPE, Avro, and Gzip for optimized data compression and uses ChaCha20 and BLAKE3 for encryption and authentication. Specifically, BPE tokenizes medical text, while Avro serializes JSON (JavaScript Object Notation) objects, contributing to data encryption. A proprietary tokenizer was trained, and compression efficiency was evaluated using a "Performance Benchmark Dataset." Comparative analyses were conducted to assess the compression efficiency of JSON serialization methods (Avro and ASN.1 [Abstract Syntax Notation One]), and tokenization algorithms (BPE and unigram). The dataset consisted of JSON files from 300 patients, averaging 240.1 fields per file (range 89-623) and 7095 bytes in size (range 2748-17,425 bytes). Using the BPE + Avro + Gzip algorithm, the average file size was reduced to 1048 bytes, achieving a compression ratio of 6.67. This was 1.82 times more efficient than traditional Gzip compression (average file size: 1907 bytes; compression ratio: 3.66; P<.001). For Chinese medical text tokenization, BPE outperformed unigram with a compression ratio of 4.68 versus 4.55 (P<.001). Avro and ASN.1 demonstrated comparable compression ratios of 2.57 and 2.59, respectively, when used alone (P=.30). However, Avro combined with BPE and Gzip significantly outperformed ASN.1, achieving compression ratios of 6.67 versus 5.21 (P<.001). Additionally, 84.7% (254/300) of patients needed to scan only 1 QR code, requiring an average of 3.1 seconds. The QR code-based security transmission algorithm using Avro and BPE efficiently compresses and transmits data in an encrypted manner and authenticates the identity of the scanning users, ensuring the privacy and security of medical data. Delivered as a software development kit, the algorithm offers straightforward implementation and usability, supporting its broad adoption across various applications.
Abstract BackgroundVenous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home rehabilitation management systems that use electronic health records from hospital care provide opportunities for continuous patient monitoring. However, transferring medical data from clinical to home settings raises significant concerns about privacy and security. Conventional methods such as manual data entry, optical character recognition, and dedicated data transmission lines face notable technical and operational challenges. ObjectiveThis study aims to develop a QR code–based security transmission algorithm using Avro and byte pair encoding (BPE). The algorithm supports the secure creation and transfer of out-of-hospital health records by enabling patients to scan QR codes via a dedicated mobile app, ensuring data security and user privacy. MethodsBetween January and October 2024, 300 hospitalized patients with VTE were recruited at the Sixth Medical Center of the Chinese PLA General Hospital. Post discharge, participants used a home rehabilitation app tailored for VTE management. The QR code–based security transmission algorithm was developed to securely transfer in-hospital electronic health records to the out-of-hospital app. It uses BPE, Avro, and Gzip for optimized data compression and uses ChaCha20 and BLAKE3 for encryption and authentication. Specifically, BPE tokenizes medical text, while Avro serializes JSON (JavaScript Object Notation) objects, contributing to data encryption. A proprietary tokenizer was trained, and compression efficiency was evaluated using a “Performance Benchmark Dataset.” Comparative analyses were conducted to assess the compression efficiency of JSON serialization methods (Avro and ASN.1 [Abstract Syntax Notation One]), and tokenization algorithms (BPE and unigram). ResultsThe dataset consisted of JSON files from 300 patients, averaging 240.1 fields per file (range 89‐623) and 7095 bytes in size (range 2748‐17,425 bytes). Using the BPE + Avro + Gzip algorithm, the average file size was reduced to 1048 bytes, achieving a compression ratio of 6.67. This was 1.82 times more efficient than traditional Gzip compression (average file size: 1907 bytes; compression ratio: 3.66; PPPP ConclusionsThe QR code–based security transmission algorithm using Avro and BPE efficiently compresses and transmits data in an encrypted manner and authenticates the identity of the scanning users, ensuring the privacy and security of medical data. Delivered as a software development kit, the algorithm offers straightforward implementation and usability, supporting its broad adoption across various applications.
Author Jin, Zhigeng
Guo, Yutao
Li, Changzhen
Wang, Fei
Zhang, Zheqi
Liu, Binbin
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Cites_doi 10.5555/177910.177914
10.12968/S1361-3723(24)70007-4
10.12968/S1361-3723(24)70010-4
10.17392/1038-20
10.18653/v1/P16-1162
10.3390/jcm9082467
10.3233/SHTI220063
10.18653/v1/P18-1007
10.2196/22661
10.12968/S1361-3723(24)70013-X
10.1016/j.compag.2014.08.015
10.1109/ACCESS.2024.3486054
10.3760/cma.j.cn112137-20231102-00987
10.12968/bjhc.2024.0029
10.1007/s13246-018-0695-y
10.1109/EMBC.2019.8856946
10.17487/RFC8439
10.1038/nrcardio.2015.83
10.1109/AISC56616.2023.10085559
10.1007/s41870-023-01610-2
10.2196/jmir.1166
10.1109/ACCESS.2020.2987941
10.12968/S1353-4858(24)70011-7
10.1080/01611194.2018.1549122
10.1111/j.1365-2710.2012.01358.x
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Copyright Changzhen Li, Zhigeng Jin, Fei Wang, Zheqi Zhang, Binbin Liu, Yutao Guo. Originally published in JMIR Rehabilitation and Assistive Technology (https://rehab.jmir.org).
2025. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright © Changzhen Li, Zhigeng Jin, Fei Wang, Zheqi Zhang, Binbin Liu, Yutao Guo. Originally published in JMIR Rehabilitation and Assistive Technology (https://rehab.jmir.org) 2025
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Keywords data compression
data serialization
venous thromboembolism
authenticated encryption
health information exchange
secure data transmission
QR code
home rehabilitation
tokenization algorithm
Avro
electronic health record
Language English
License Changzhen Li, Zhigeng Jin, Fei Wang, Zheqi Zhang, Binbin Liu, Yutao Guo. Originally published in JMIR Rehabilitation and Assistive Technology (https://rehab.jmir.org).
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References Mathivanan (R10); 41
Ujiie (R7); 8
Kumar (R28); 2024
Kumar (R27); 2024
Gage (R18); 12
Kumar (R31); 2024
Mao (R13); 2019
R21
R20
Lin (R8); 37
Lauriot Dit Prevost (R12); 290
R23
Mlačo (R3); 17
R22
R25
R26
Hospital Pharmacy Professional Committee of the Chinese Pharmaceutical Association (R4); 104
Tarjan (R24); 109
Sahu (R30); 31
Nakayama (R9); 192
Kumar (R32); 8
Nicholson (R2); 9
Sahu (R29); 2024
Mathivanan (R11); 43
R14
R16
R15
R17
Heit (R1); 12
Wright (R5); 11
R19
Batra (R6); 16
References_xml – volume: 12
  ident: R18
  article-title: A new algorithm for data compression
  publication-title: C Users J
  doi: 10.5555/177910.177914
– volume: 2024
  start-page: 70007
  issue: 2
  ident: R28
  article-title: Securing military computing with the blockchain
  publication-title: Comput Fraud Secur
  doi: 10.12968/S1361-3723(24)70007-4
– volume: 2024
  start-page: 70010
  issue: 3
  ident: R29
  article-title: A secure decentralised finance framework
  publication-title: Comput Fraud Secur
  doi: 10.12968/S1361-3723(24)70010-4
– volume: 17
  start-page: 54
  issue: 1
  ident: R3
  article-title: Provoked venous thromboembolism during ten-year follow up at the Clinical Centre University of Sarajevo
  publication-title: Med Glas (Zenica)
  doi: 10.17392/1038-20
– ident: R20
  doi: 10.18653/v1/P16-1162
– volume: 9
  issue: 8
  ident: R2
  article-title: Prevention of venous thromboembolism in 2020 and beyond
  publication-title: J Clin Med
  doi: 10.3390/jcm9082467
– ident: R23
– volume: 290
  ident: R12
  article-title: “Re-Materialized” medical data: paper-based transmission of structured medical data using QR-Code, for medical imaging reports
  publication-title: Stud Health Technol Inform
  doi: 10.3233/SHTI220063
– ident: R21
  doi: 10.18653/v1/P18-1007
– ident: R25
– ident: R26
– volume: 8
  issue: 11
  ident: R7
  article-title: Identification of adverse drug event-related Japanese articles: natural language processing analysis
  publication-title: JMIR Med Inform
  doi: 10.2196/22661
– volume: 2024
  issue: 4
  ident: R31
  article-title: Code of silence: cyber security strategies for combating deepfake disinformation
  publication-title: Comput Fraud Secur
  doi: 10.12968/S1361-3723(24)70013-X
– volume: 109
  ident: R24
  article-title: A readability analysis for QR code application in a traceability system
  publication-title: Comput Electron Agric
  doi: 10.1016/j.compag.2014.08.015
– ident: R16
  doi: 10.1109/ACCESS.2024.3486054
– volume: 104
  ident: R4
  article-title: Chinese expert consensus on home management of oral anticoagulants
  publication-title: Natl Med J China
  doi: 10.3760/cma.j.cn112137-20231102-00987
– volume: 31
  start-page: 1
  issue: 1
  ident: R30
  article-title: Telemedicine: how to achieve interoperability without compromising data security
  publication-title: Br J Healthc Manag
  doi: 10.12968/bjhc.2024.0029
– volume: 41
  start-page: 1057
  issue: 4
  ident: R10
  article-title: QR code based patient data protection in ECG steganography
  publication-title: Australas Phys Eng Sci Med
  doi: 10.1007/s13246-018-0695-y
– volume: 2019
  ident: R13
  article-title: QRStream: a secure and convenient method for text healthcare data transferring
  publication-title: Annu Int Conf IEEE Eng Med Biol Soc
  doi: 10.1109/EMBC.2019.8856946
– ident: R22
  doi: 10.17487/RFC8439
– volume: 12
  start-page: 464
  issue: 8
  ident: R1
  article-title: Epidemiology of venous thromboembolism
  publication-title: Nat Rev Cardiol
  doi: 10.1038/nrcardio.2015.83
– volume: 192
  ident: R9
  publication-title: Stud Health Technol Inform
– ident: R14
  doi: 10.1109/AISC56616.2023.10085559
– volume: 16
  start-page: 447
  issue: 1
  ident: R6
  article-title: OCR-MRD: performance analysis of different optical character recognition engines for medical report digitization
  publication-title: Int J Inf Tecnol
  doi: 10.1007/s41870-023-01610-2
– volume: 11
  issue: 3
  ident: R5
  article-title: Ability to generate patient registries among practices with and without electronic health records
  publication-title: J Med Internet Res
  doi: 10.2196/jmir.1166
– volume: 8
  ident: R32
  article-title: A hybrid model of hesitant fuzzy decision-making analysis for estimating usable-security of software
  publication-title: IEEE Access
  doi: 10.1109/ACCESS.2020.2987941
– volume: 2024
  start-page: 70011
  issue: 3
  ident: R27
  article-title: Securing communication protocols in military computing
  publication-title: Netw Secur
  doi: 10.12968/S1353-4858(24)70011-7
– volume: 43
  start-page: 233
  issue: 3
  ident: R11
  article-title: QR code–based ECG signal encryption/decryption algorithm
  publication-title: Cryptologia
  doi: 10.1080/01611194.2018.1549122
– volume: 37
  start-page: 643
  issue: 6
  ident: R8
  article-title: The feasibility of QR-code prescription in Taiwan
  publication-title: J Clin Pharm Ther
  doi: 10.1111/j.1365-2710.2012.01358.x
– ident: R19
– ident: R15
– ident: R17
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Snippet Venous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home...
Background:Venous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence risk. Home...
Abstract BackgroundVenous thromboembolism (VTE) is a common vascular disorder requiring extended anticoagulation therapy postdischarge to reduce recurrence...
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SubjectTerms Accuracy
Algorithms
Application programming interface
Efficiency
Electronic health records
Electronic/Mobile Data Capture, Internet-based Survey & Research Methodology
Emerging Technologies for Rehabilitation
Hospitals
Interoperability
JavaScript
Medical records
Original Paper
Patients
Privacy
Telemedicine
Thromboembolism
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Title A Novel QR Code–Based Solution for Secure Electronic Health Record Transfer in Venous Thromboembolism Home Rehabilitation Management: Algorithm Development and Validation
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Volume 12
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