Reusing openEHR Archetypes for the Expression of Cerebral Palsy Electronic Medical Records

Meta-modeling of healthcare records is necessary to capitalize and normalize the knowledge of domain experts. First, it enables knowledge interoperability and, it offers reuse of clinical concepts and provides a higher design quality of health information systems and electronic health record systems. However, to obtain these advantages, designers must be able to retrieve the suitable archetypes that cover the clinical concepts involved in their specific applications, and to overcome the difficulties of modeling an electronic health record system based on existing archetypes. In fact, designers often have difficulties to reuse and adapt archetypes provided by open repositories, when modeling new electronic health record systems. Thus, they need special tools assisting them in customizing the appropriate archetypes. This paper focuses on archetypes reuse for modeling the electronic health record of child affected by cerebral palsy. Also, this paper highlights the major difficulties encountered during this process. Then, it evaluates archetypes reuse and presents some perspectives to solve these difficulties.