BMC Med Inform Decis Mak - Developing an electronic health record (EHR) for methadone treatment recording and decision support.

Tópicos

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Resumo

CKGROUND: In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR.METHODS: A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function.RESULTS: The use of archetypes was found to capture the ever changing requirements in the healthcare domain and externalises them in constrained data structures. The solution is extensible enabling the EHR to cover medicine management in general as per the programme of the HRB Centre for Primary Care Research.CONCLUSIONS: The data collected via this Irish system can be aggregated into a larger dataset, if necessary, for analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for Primary Care Research in Ireland.

Resumo Limpo

ckground paper give overview methadon treatment ireland outlin rational design electron health record ehr extens interoper decis support function incorpor sever intern standard conceptu model appli problem orient approach hierarch structur propos build ehrmethod set archetyp design line current best practic clinic guidelin guid informationgath process webbas data entri system implement incorpor element paperbas prescript form time facilit decis support functionresult use archetyp found captur ever chang requir healthcar domain externalis constrain data structur solut extens enabl ehr cover medicin manag general per programm hrb centr primari care researchconclus data collect via irish system can aggreg larger dataset necessari analysi evidencegath sinc adopt openehr standard will later extend includ function prescrib drug methadon along research agenda hrb centr primari care research ireland

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