Affiliation:
1. Algoritmi Research Center, University of Minho, Braga, Portugal
2. Centro Hospitalar do Porto, Porto, Portugal
Abstract
Currently, implementing a new electronic health record data system is a rather difficult mission. Among some of the cons are the systems that already exist in institutions, different types of formats, programming languages and versions, user mentality, and resistance to new technologies. The new approach presented is based on an openEHR architecture that introduces a new way of organizing clinical information using valid and reusable clinical structures. This article focuses on the initial steps of the implementation of an openEHR system based on EHR in a Portuguese major health care provider. In all components presented in this approach, the mapping of the current systems in the healthcare institution is guaranteed. The system comprises operational template creation through a validation mechanism and after that storage, a platform for data generation dynamically constructed from templates and an interoperability mechanism through the implementation of an HL7 V3/CDA message system.
Subject
Health Information Management,Medical Laboratory Technology,Computer Science Applications,Health Informatics,Leadership and Management
Reference21 articles.
1. SNOMED CT module-driven clinical archetype management
2. Beale, T., & Heard, S. (Ocean I. (2007). Archetype Definitions and Principles. Ocean Informatics, 15.
3. Machine learning and software engineering in health informatics
4. da Costa Oliveira, R. (2016). Transformation of clinical data from HL7 messages to openEHR compositions.
5. Template4EHR: Building Dynamically GUIs for the Electronic Health Records Using Archetypes