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
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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

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