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Executing Complexity-Increasing Queries in Relational (MySQL) and NoSQL (MongoDB and EXist) Size-Growing ISO/EN 13606 Standardized EHR Databases
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Creating ISO/EN 13606 archetypes based on clinical information needs.

Christoph Rinner1, Michael Kohler, Gudrun Hübner-Bloder

  • 1Medical University Vienna, Austria. chrostoph.rinner@meduniwien.ac.at

Studies in Health Technology and Informatics
|June 21, 2011
PubMed
Summary
This summary is machine-generated.

This study introduces a method for creating archetypes, which are models for electronic health record (EHR) content. The approach automates the generation of electronic case report forms from these archetypes.

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Area of Science:

  • Health Informatics
  • Clinical Informatics
  • Healthcare Standards

Background:

  • Archetypes are fundamental to modeling electronic health record (EHR) content within the ISO/EN 13606 EHR architecture.
  • The dual-model approach relies on archetypes for structuring and representing clinical information.
  • Standardization in EHRs is crucial for interoperability and data consistency.

Purpose of the Study:

  • To present an iterative development process for creating EHR archetypes.
  • To demonstrate the automated generation of electronic case report forms (eCRFs) directly from archetypes.
  • To evaluate the proposed archetype development approach within a specific clinical domain.

Main Methods:

  • An iterative development methodology was employed for archetype creation.
  • Archetypes were systematically developed to represent clinical information items.
  • A process for automated generation of eCRFs from the developed archetypes was implemented.

Main Results:

  • 128 archetypes were successfully developed.
  • The developed archetypes cover 446 distinct clinical information items.
  • The focus domain for this evaluation was diabetes care.

Conclusions:

  • The presented iterative approach is effective for developing EHR archetypes.
  • Automated eCRF generation from archetypes streamlines clinical data collection processes.
  • The methodology is validated by its application to the complex diabetes domain.