Multi-National, Multi-Institutional Analysis of Clinical Decision Support Data Needs to Inform Development of the HL7 Virtual Medical Record Standard.
نویسندگان
چکیده
An important barrier to the widespread dissemination of clinical decision support (CDS) is the heterogeneity of information models and terminologies used across healthcare institutions, health information systems, and CDS resources such as knowledge bases. To address this problem, the Health Level 7 (HL7) Virtual Medical Record project (an open, international standards development effort) is developing community consensus on the clinical information exchanged between CDS engines and clinical information systems. As a part of this effort, the HL7 CDS Work Group embarked on a multinational, collaborative effort to identify a representative set of clinical data elements required for CDS. Based on an analysis of CDS systems from 20 institutions representing 4 nations, 131 data elements were identified as being currently utilized for CDS. These findings will inform the development of the emerging HL7 Virtual Medical Record standard and will facilitate the achievement of scalable, standards-based CDS.
منابع مشابه
A virtual medical record for guideline-based decision support
A major obstacle in deploying computer-based clinical guidelines at the point of care is the variability of electronic medical records and the consequent need to adapt guideline modeling languages, guideline knowledge bases, and execution engines to idiosyncratic data models in the deployment environment. This paper reports an approach, developed jointly by researchers at Newcastle and Stanford...
متن کاملData Integration for Clinical Decision Support Based on openEHR Archetypes and HL7 Virtual Medical Record
Clinical Decision Support Systems (CDSS) have gained relevance due to their potential to support patient-centric care, but their deployment still has to overcome barriers to become successful. One of these barriers is the integration of patient data with the CDSS engine, a tough challenge given the need to address interoperability with many different existing systems and medical devices. The Mo...
متن کاملطراحی مدل شی گرا پیامهای اصلی برای پشتیبانی از پرونده الکترونیک سلامت(EHR)
Introduction: The recent advances in information and communication technology have increased the possibility to store and circulate information. EHR (Electronic health record) system, as an IT (Information Technology) in the healthcare field, can improve access to patient data. International research studies show that the benefits of e-health are significantly greater where EHR information can ...
متن کاملSolving the interoperability challenge of a distributed complex patient guidance system: a data integrator based on HL7's Virtual Medical Record standard
OBJECTIVE We show how the HL7 Virtual Medical Record (vMR) standard can be used to design and implement a data integrator (DI) component that collects patient information from heterogeneous sources and stores it into a personal health record, from which it can then retrieve data. Our working hypothesis is that the HL7 vMR standard in its release 1 version can properly capture the semantics need...
متن کاملبررسی استانداردهای ساختار، محتوا و واژه‌نامه پرونده الکترونیک سلامت در سازمان‌های منتخب و ارائه الگوی مناسب برای ایران
Introduction: Electronic health record (EHR) is defined as digitally stored healthcare information about an individual's life time with the purpose of supporting continuity of care, education, and research. Major issue that needs to be addressed in order to accomplish with sharing and exchange is the development and use of content and structure standards in the EHR. Based on, this investigation...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- AMIA ... Annual Symposium proceedings. AMIA Symposium
دوره 2010 شماره
صفحات -
تاریخ انتشار 2010