Developing an electronic health record (EHR) for methadone treatment recording and decision support

BMC Medical Informatics and Decision Making

Correspondence

Lucy Hederman¹  Tom Fahey²  Liang Xiao²  Gráinne Cousins²  Borislav D Dimitrov²  Brenda Courtney² 

[1] Department of Computer Science, Trinity College Dublin, Ireland;HRB Centre for Primary Care Research, Department of General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland;

关键词: Methadone Treatment;    Electronic Health Record;    Clinical Decision Support System;    Electronic Health Record System;    Drug Related Death;   

DOI  :  10.1186/1472-6947-11-5

 received in 2010-09-07, accepted in 2011-02-01,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundIn this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR.MethodsA set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function.ResultsThe use of archetypes was found to capture the ever changing requirements in the healthcare domain and externalises them in constrained data structures. The solution is extensible enabling the EHR to cover medicine management in general as per the programme of the HRB Centre for Primary Care Research.ConclusionsThe data collected via this Irish system can be aggregated into a larger dataset, if necessary, for analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for Primary Care Research in Ireland.

【 授权许可】

Unknown   
© Xiao et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.