Paper Info
Title
Towards a comprehensive electronic patient record to support an innovative individual care concept for premature infants using the openEHR approach.
Abstract
This paper introduces the modelling of a prototype neonatology electronic patient record (EPR) using openEHR archetypes. The EPR is necessary to support the complex communication tasks of the innovative concept of 'Developmental, Family-Centred, Individual Care of Premature Infants and Newborns' established for the Department of Neonatology at Heidelberg University Hospital.The data to be documented was analysed and modelled using the five step openEHR data modelling approach (odma).The analysis revealed a total of 1818 items, which could be arranged into 70 clinical concepts. The items and concepts were then mapped to 132 openEHR archetypes. Fifty-eight of these archetypes could be reused either directly or via specialisation from the existing openEHR archetypes. A further 67 archetypes were newly developed. To combine and constrain archetypes for local settings 16 templates were developed.By using the five step openEHR data modelling approach, semantic interoperability, and a reduced need for repeated documentation of the same data can be realised. This is of major importance within the hospital as well as for trans-institutional data exchange.
Year
DOI
Venue
2009
10.1016/j.ijmedinf.2009.03.001
International Journal of Medical Informatics
Keywords
Field
DocType
Computerized medical record system,openEHR archetypes and templates,Neonatology
openEHR,Data mining,Data modeling,Data exchange,Knowledge management,Semantic interoperability,Documentation,Medicine
Journal
Volume
Issue
ISSN
78
8
1386-5056
Citations 
PageRank 
References 
24
1.13
15
Authors
4
Name
Order
Citations
PageRank
Jasmin Buck1452.85
Sebastian Garde215917.04
Christian Dominik Kohl3655.72
Petra Knaup-gregori4314.08