Formalize clinical processes into electronic health information systems: Modelling a screening service for diabetic retinopathy
| Autor: | Jose Andonegui, M. Martinez-Espronceda, Aitor Eguzkiza, Jesús Daniel Trigo, Luis Serrano |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Computer science
Interoperability Information Storage and Retrieval Health Informatics computer.software_genre Clinical decision support system Health informatics Retina Health Information Systems User-Computer Interface Patient-Centered Care Electronic Health Records Humans Mass Screening Diagnosis Computer-Assisted Program Development SNOMED CT Diabetic Retinopathy Database business.industry Semantic interoperability openEHR Computer Science Applications Systems Integration Spain Personal computer User interface Software engineering business computer Algorithms Medical Informatics |
| Zdroj: | Journal of biomedical informatics. 56 |
| ISSN: | 1532-0480 |
| Popis: | Display Omitted A normalized methodology was provided to model patient-centered clinical processes.Clinician's workload was redistributed to improve the efficiency of DR screening.A model includes archetypes, termsets, templates, CDS rules, pathways and UI views.6 stages, 8 GDL rules, 19 templates, 12 termsets and 32 archetypes were used.The resulting resources were uploaded to open access repositories to be reused. Most healthcare services use information and communication technologies to reduce and redistribute the workload associated with follow-up of chronic conditions. However, the lack of normalization of the information handled in and exchanged between such services hinders the scalability and extendibility. The use of medical standards for modelling and exchanging information, especially dual-model based approaches, can enhance the features of screening services. Hence, the approach of this paper is twofold. First, this article presents a generic methodology to model patient-centered clinical processes. Second, a proof of concept of the proposed methodology was conducted within the diabetic retinopathy (DR) screening service of the Health Service of Navarre (Spain) in compliance with a specific dual-model norm (openEHR). As a result, a set of elements required for deploying a model-driven DR screening service has been established, namely: clinical concepts, archetypes, termsets, templates, guideline definition rules, and user interface definitions. This model fosters reusability, because those elements are available to be downloaded and integrated in any healthcare service, and interoperability, since from then on such services can share information seamlessly. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect