Creating application interfaces for legacy systems Clinical
Transcription
Creating application interfaces for legacy systems Clinical
Creating application interfaces for legacy systems Clinical-driven EHRs – the openEHR approach Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Legacy systems and what is special about them Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Problems with what data really means Health Informatics Group - http://cintesis.med.up.pt Compreension of collected data Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Portuguese reality Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Portuguese reality Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems openEHR and Legacy Systems Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Why openEHR Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Project aim Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Methods Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Methods Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Methods Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Methods Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Methods Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Patient summary Concept in concept (Articles SONHO +Questionaire) Diagnosis Diagnosis Medication Medication prescription Problems Treatment Problems Therapeutic Patient name Patient Alerts / Reminders Medical Alert IdentiFication Hospital patient Patient Number number Date-of-birth Date of birth Complications -‐ Gender Gender Allergies Medical Alerts Vital Signs Vital signs |Monitoring Exams Lab./Exams Current Medication -‐ Address Weight Tests Immunization Family history Complaints Address Weight Lab./Exams -‐ Family Background -‐ Concept in openEHR Diagnosis Medication order Medication description involving a formulation Problems Procedure undertaken Procedure Personal name Alert identiFication Individual's personal demographics Individual's personal demographics Problems Individual's personal demographics Adverse reaction Vital Signs Pulse Respirations Blood Pressure Indirect oximetry Heart rate and rhythm Body temperature Imaging investigation Medication order Medication description involving a formulation Address Body weight Laboratory test Non-‐drug therapy Risk of condition based on family history Symptom Pain symptom Story Story Operation Record Health Informatics Group - http://cintesis.med.up.pt Healthcare History Clinical History Surgical Operation Room OpenEHR Archetype name EVALUATION.problem-‐diagnosis.v1 INSTRUCTION.medication.v1 ITEM_TREE.medication-‐formulation.v1 EVALUATION.problem.v1 ACTION.procedure.v1 ITEM_TREE.procedure.v1 CLUSTER.person_name.v1 EVALUATION.alert.v1 CLUSTER.individual_personal.v1 CLUSTER.individual_personal.v1 EVALUATION.problem.v1 CLUSTER.individual_personal.v1 EVALUATION.adverse.v1 SECTION.vital_signs.v1 OBSERVATION.heart_rate-‐pulse.v1 OBSERVATION.respiration.v1 OBSERVATION.blood_pressure.v1 OBSERVATION.indirect_oximetry.v1 OBSERVATION.heart_rate.v1 OBSERVATION.body_weight.v1 ACTION.imaging.v1 ITEM_TREE.imaging.v1 INSTRUCTION.medication.v1 ITEM_TREE.medication-‐formulation.v1 CLUSTER.address.v1 OBSERVATION.body_weight.v1 OBSERVATION.lab_test.v1 INSTRUCTION.non_drug_therapy.v1 EVALUATION.risk-‐family_history.v1 CLUSTER.symptom.v1 CLUSTER.symptom-‐pain.v1 OBSERVATION.story.v1 OBSERVATION.story.v1 OBSERVATION.operation_record.v1 Creating application interfaces for legacy systems Patient Data in SONHO Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Patient Data in SONHO Patient Respo. Nurse New drug Prescribed Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Main diagnosis Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Templates Available in SONHO Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Difficulties of mapping legacy information models to archetypes Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems My questions Health Informatics Group - http://cintesis.med.up.pt Creating application interfaces for legacy systems Final message Health Informatics Group - http://cintesis.med.up.pt