J Am Med Inform Assoc - Modeling shared care plans using CONTsys and openEHR to support shared homecare of the elderly.

Tópicos

{ health(3367) inform(1360) care(1135) }
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{ record(1888) medic(1808) patient(1693) }
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{ ehr(2073) health(1662) electron(1139) }
{ clinic(1479) use(1117) guidelin(835) }
{ case(1353) use(1143) diagnosi(1136) }
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{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
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{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
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{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
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{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

This case report describes how two complementary standards, CONTsys (European Standard EN 13940-1 for continuity of care) and the reference model of openEHR, were applied in modeling a shared care plan for shared homecare based on requirements from the OLD@HOME project. Our study shows that these requirements are matched by CONTsys on a general level. However, certain attributes are not explicit in CONTsys, for example agents responsible for performing planned interventions, and support for monitoring outcome of interventions. We further studied how the care plan conceptual model can be implemented using the openEHR reference model. The study demonstrates the feasibility of developing shared care plans combining a standard concept model, for example CONTsys with an electronic health records (EHR) interoperability specification, that is the openEHR, while highlighting areas that need further exploration. It also explores the reusability of existing clinical archetypes as building blocks of care plans and the modeling of new shared care plan archetypes.

Resumo Limpo

case report describ two complementari standard contsi european standard en continu care refer model openehr appli model share care plan share homecar base requir oldhom project studi show requir match contsi general level howev certain attribut explicit contsi exampl agent respons perform plan intervent support monitor outcom intervent studi care plan conceptu model can implement use openehr refer model studi demonstr feasibl develop share care plan combin standard concept model exampl contsi electron health record ehr interoper specif openehr highlight area need explor also explor reusabl exist clinic archetyp build block care plan model new share care plan archetyp

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