Title
Standards for detailed clinical models as the basis for medical data exchange and decision support
Abstract
Introduction: Detailed clinical models are necessary to exchange medical data between heterogeneous computer systems and to maintain consistency in a longitudinal electronic medical record system. At Intermountain Health Care (IHC), we have a history of designing detailed clinical models. The purpose of this paper is to share our experience and the lessons we have learned over the last 5 years. Design: IHC's newest model is implemented using eXtensible Markup Language (XML) Schema as the formalism, and conforms to the Health Level Seven (HL7) version 3 data types. The centerpiece of the new strategy is the Clinical Event Model, which is a flexible name–value pair data structure that is tightly linked to a coded terminology. Discussion: We describe IHC's third-generation strategy for representing and implementing detailed clinical models, and discuss the reasons for this design.
Year
DOI
Venue
2003
10.1016/S1386-5056(02)00103-X
International Journal of Medical Informatics
Keywords
Field
DocType
Clinical models,Templates,Archetypes,Information models,Medical terminology,Electronic medical record,Medical data exchange standards,Decision support
Data science,Data structure,Data mining,Data exchange,Terminology,XML,Medical terminology,Computer science,Decision support system,Data type,Information model
Journal
Volume
Issue
ISSN
69
2
1386-5056
Citations 
PageRank 
References 
25
2.56
1
Authors
3
Name
Order
Citations
PageRank
Joseph F. Coyle1252.56
Angelo Rossi Mori29324.40
Stanley M. Huff320231.86