BMC Med Inform Decis Mak - Towards plug-and-play integration of archetypes into legacy electronic health record systems: the ArchiMed experience.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ general(901) number(790) one(736) }
{ structur(1116) can(940) graph(676) }
{ data(3963) clinic(1234) research(1004) }
{ can(774) often(719) complex(702) }
{ method(1219) similar(1157) match(930) }
{ design(1359) user(1324) use(1319) }
{ concept(1167) ontolog(924) domain(897) }
{ method(2212) result(1239) propos(1039) }
{ imag(1947) propos(1133) code(1026) }
{ sequenc(1873) structur(1644) protein(1328) }
{ take(945) account(800) differ(722) }
{ extract(1171) text(1153) clinic(932) }
{ control(1307) perform(991) simul(935) }
{ case(1353) use(1143) diagnosi(1136) }
{ model(2656) set(1616) predict(1553) }
{ group(2977) signific(1463) compar(1072) }
{ health(1844) social(1437) communiti(874) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ inform(2794) health(2639) internet(1427) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ clinic(1479) use(1117) guidelin(835) }
{ data(1714) softwar(1251) tool(1186) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ model(3480) simul(1196) paramet(876) }
{ research(1218) medic(880) student(794) }
{ medic(1828) order(1363) alert(1069) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(1821) servic(1111) care(1106) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: The dual model approach represents a promising solution for achieving semantically interoperable standardized electronic health record (EHR) exchange. Its acceptance, however, will depend on the effort required for integrating archetypes into legacy EHR systems.METHODS: We propose a corresponding approach that: (a) automatically generates entry forms in legacy EHR systems from archetypes; and (b) allows the immediate export of EHR documents that are recorded via the generated forms and stored in the EHR systems' internal format as standardized and archetype-compliant EHR extracts. As a prerequisite for applying our approach, we define a set of basic requirements for the EHR systems.RESULTS: We tested our approach with an EHR system called ArchiMed and were able to successfully integrate 15 archetypes from a test set of 27. For 12 archetypes, the form generation failed owing to a particular type of complex structure (multiple repeating subnodes), which was prescribed by the archetypes but not supported by ArchiMed's data model.CONCLUSIONS: Our experiences show that archetypes should be customized based on the planned application scenario before their integration. This would allow problematic structures to be dissolved and irrelevant optional archetype nodes to be removed. For customization of archetypes, openEHR templates or specialized archetypes may be employed. Gaps in the data types or terminological features supported by an EHR system will often not preclude integration of the relevant archetypes. More work needs to be done on the usability of the generated forms.

Resumo Limpo

ckground dual model approach repres promis solut achiev semant interoper standard electron health record ehr exchang accept howev will depend effort requir integr archetyp legaci ehr systemsmethod propos correspond approach automat generat entri form legaci ehr system archetyp b allow immedi export ehr document record via generat form store ehr system intern format standard archetypecompli ehr extract prerequisit appli approach defin set basic requir ehr systemsresult test approach ehr system call archim abl success integr archetyp test set archetyp form generat fail owe particular type complex structur multipl repeat subnod prescrib archetyp support archim data modelconclus experi show archetyp custom base plan applic scenario integr allow problemat structur dissolv irrelev option archetyp node remov custom archetyp openehr templat special archetyp may employ gap data type terminolog featur support ehr system will often preclud integr relev archetyp work need done usabl generat form

Resumos Similares

Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,776517840756438 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,749658764104027 )
AMIA Annu Symp Proc - Cross-mapping clinical notes between hospitals: an application of the LOINC Document Ontology. ( 0,741670375593544 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,733927126955332 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,73286652626557 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,731079752695884 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,726130688964384 )
J Am Med Inform Assoc - Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative. ( 0,725583787530414 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,724680900025078 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,724350221571305 )
J Am Med Inform Assoc - The NIAID Division of AIDS enterprise information system: integrated decision support for global clinical research programs. ( 0,723299955861582 )
AMIA Annu Symp Proc - Using process visualizations to validate electronic form design. ( 0,714777010948942 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,713921586926095 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,713348964627101 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,712018854508904 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,709047091494266 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,706887068466497 )
Methods Inf Med - Semantic validation of standard-based electronic health record documents with W3C XML schema. ( 0,706832515617403 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,706072159753171 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,704168699644281 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,701849512198483 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,700533926375115 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,699590759939855 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,698360771748853 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,698314102357478 )
J Med Syst - Factors associated with health information exchange system usage in a safety-net ambulatory care clinic setting. ( 0,697654779991785 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,696013993883512 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,695465806134541 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,695142592610965 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,694598973625518 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,694124538146342 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,69302446718981 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,69290895179188 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,689887131926806 )
Healthc (Amst) - Meaningful use: Floor or ceiling? ( 0,689389068455511 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,687907019825358 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,684398916565143 )
Health Informatics J - Evaluation of ISO EN 13606 as a result of its implementation in XML. ( 0,683479618714136 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,680217167539005 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,678123520280683 )
AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches. ( 0,678046655844873 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,676142782642718 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,674740819721638 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,672005707438625 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,669085251703491 )
J Biomed Inform - Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. ( 0,668627584032815 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,667981428839504 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,667276291449248 )
J Am Med Inform Assoc - Informatics and operations--let's get integrated. ( 0,665828569045368 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,6656726840664 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,663177026478106 )
Telemed J E Health - New technologies and nursing: use and perception of primary healthcare nurses about electronic health record in Catalonia, Spain. ( 0,662997094668768 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,661912822496138 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,661269403945757 )
Appl Clin Inform - Confronting and resolving an ethical dilemma associated with a practice based evaluation using observational methodology of health information technology. ( 0,6611720779456 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,660089282591396 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,660030609306988 )
J Am Med Inform Assoc - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. ( 0,660010620297509 )
J Biomed Inform - The ISO/IEC 11179 norm for metadata registries: does it cover healthcare standards in empirical research? ( 0,657176257754796 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,653220235221995 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,651790473914543 )
Inform Health Soc Care - Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey. ( 0,646501085892222 )
AMIA Annu Symp Proc - A semantic and syntactic text simplification tool for health content. ( 0,645805925134792 )
J Med Syst - Creating content modules for Chinese EHR documents and their trial implementation in Wuwei City. ( 0,645463301399134 )
BMC Med Inform Decis Mak - Survey of patient and public perceptions of electronic health records for healthcare, policy and research: study protocol. ( 0,645270762042455 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,6445499424443 )
J Am Med Inform Assoc - Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico. ( 0,64387213283324 )
Methods Inf Med - Utilizing IHE-based Electronic Health Record systems for secondary use. ( 0,643075790055403 )
J Med Syst - Performance assessment of EMR systems based on post-relational database. ( 0,642726839401426 )
Telemed J E Health - Seamless integration of ISO/IEEE11073 personal health devices and ISO/EN13606 electronic health records into an end-to-end interoperable solution. ( 0,640915691109301 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,640816969058014 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,639830040980147 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,638228048798545 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,63742546984025 )
J Am Med Inform Assoc - Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal. ( 0,636651102282398 )
J Am Med Inform Assoc - The use of open source electronic health records within the federal safety net. ( 0,635493707584291 )
Int J Med Inform - The IT productivity paradox in health: a stakeholder's perspective. ( 0,634580427286494 )
Appl Clin Inform - Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record. ( 0,63354714773304 )
Healthc (Amst) - Instant replay. ( 0,632985196514199 )
BMC Med Inform Decis Mak - Development and evaluation of a de-identification procedure for a case register sourced from mental health electronic records. ( 0,632619631977175 )
J Med Syst - EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. ( 0,632287919568287 )
AMIA Annu Symp Proc - Health information exchange, Health Information Technology use, and hospital readmission rates. ( 0,628344276565886 )
J Med Syst - Factors related to health information exchange participation and use. ( 0,627955018766683 )
AMIA Annu Symp Proc - The Knowledge Program: an innovative, comprehensive electronic data capture system and warehouse. ( 0,627255006960767 )
J Am Med Inform Assoc - The marginal value of pre-visit paper reminders when added to a multifaceted electronic health record based quality improvement system. ( 0,626631444640377 )
Appl Clin Inform - Diffusion of Electronic Health Records and electronic communication in Norway. ( 0,626343984262693 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,626154536370493 )
Perspect Health Inf Manag - Electronic health records and information portability: a pilot study in a rural primary healthcare center in India. ( 0,626116865690879 )
Int J Med Inform - Electronic health records implementation: an evaluation of information system impact and contingency factors. ( 0,625631431840209 )
J Am Med Inform Assoc - PEDSnet: a National Pediatric Learning Health System. ( 0,625428070940798 )
J Am Med Inform Assoc - Factors associated with difficult electronic health record implementation in office practice. ( 0,625237918983208 )
J Am Med Inform Assoc - Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department. ( 0,622846631131025 )
Telemed J E Health - Teledentistry in practice: literature review. ( 0,622603706732107 )
Perspect Health Inf Manag - Annual survey on the level and extent of usage of electronic health records in government-related hospitals in Eastern Province, Saudi Arabia. ( 0,621374935078338 )
Perspect Health Inf Manag - Yes, Virginia, there is a paper record! ( 0,619709397676065 )
BMC Med Inform Decis Mak - Evaluating quality of care for patients with type 2 diabetes using electronic health record information in Mexico. ( 0,61883625064654 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,617365384323935 )
J Am Med Inform Assoc - Patient safety goals for the proposed Federal Health Information Technology Safety Center. ( 0,616698764929207 )
Perspect Health Inf Manag - Evaluation of inpatient clinical documentation readiness for ICD-10-CM. ( 0,616650350551674 )
Comput Methods Programs Biomed - The relationship between usage intention and adoption of electronic health records at primary care clinics. ( 0,616109417138073 )