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Problem-oriented patient record model as a conceptual foundation for a multi-professional electronic patient record
1Health Service Research, Ecole de Santé Publique de l'Université Catholique de Louvain (UCL), Unité de Sociologie et d'Economie de la Santé, Clos Chapelle aux Champs 30.41, 1200 Bruxelles, Belgium. declercq@sesa.ucl.ac.be
International Journal of Medical Informatics
|February 6, 2008
Summary
A new problem-oriented conceptual model for electronic patient records can improve nurse-physician communication. This patient-centered model integrates medical and nursing perspectives for better data sharing.
Area of Science:
- Health Informatics
- Nursing Informatics
- Medical Informatics
Background:
- Electronic patient records (EPR) can enhance interprofessional communication.
- A unified conceptual model for medical and nursing records is needed for effective EPR implementation.
- Current efforts lack a common framework for diverse healthcare perspectives.
Purpose of the Study:
- To describe a problem-oriented conceptual model for a common electronic patient record.
- To demonstrate its suitability for both nursing and medical viewpoints in hospitals.
- To address the challenge of creating a unified EPR system.
Main Methods:
- Developed a model based on nursing theory and primary care concepts.
- Refined the model with a multidisciplinary team using retrospective and prospective case studies.
- Validated the model through interviews, a prototype interface, and expert assessment.
Main Results:
- Proposed a problem-oriented conceptual model with two meta-information levels.
- The model incorporates concepts like 'health care element' and 'health approach'.
- Results align with Belgian and European standardization initiatives.
Conclusions:
- The conceptual model provides a foundation for a multiprofessional, problem-oriented EPR.
- This approach promotes a patient-centered electronic health record.
- Facilitates improved data communication and cooperation between healthcare professionals.
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