Mapping ASTI patient’s therapeuticdata model to virtual Medical Record:can VMR represent therapeutic data elements used by ASTI in clinicalguideline implementations?

AMIA 2013 Annual Symposium

Vahid Ebrahiminia ; MD ; PhD1 ; Mobin Yasini ; MD2 ; Jean Baptiste Lamy ; Pharm.D ; PhD2

PID  :  122629

来源: CEUR

【 摘 要 】

Lack of interoperability between health information systems is a major obstacle in implementing Clinical decisionsupports systems (CDSS) and their widespread disseminations. Virtual Medical Record (vMR) proposed by HL7 is acommon data model for representing clinical information Inputs and outputs that can be used by CDSS and localclinical systems. A CDSS called ASTI used a similar model to represent clinical data and therapeutic history ofpatient. In order to evaluate the compatibility of ASTI with vMR, we started to map the ASTI model of representingpatient’s therapeutic data to vMR. We compared the data elements and associated terminologies used in ASTI andvMR and we evaluated the semantic fidelity between the models. Only one data element the qualitative descriptionof drug dosage, did not match the vMR model. However, it can be calculated in the execution engine. The semanticfidelity was satisfactorily preserved in 12 of 17 elements mapped between the models. This model of ASTI seemscompatible to vMR. Further work is necessary to evaluate the compatibility of clinical data model of ASTI to vMR