Semantic Interoperable Electronic Patient Records: The Unfolding of Consensus based Archetypes

Area of Science:

• Health Informatics
• Digital Health Records

Background:

• The North Norway Regional Health Authority is implementing a large-scale openEHR-based Electronic Patient Record (EPR) system.
• The project is influenced by the development of a national repository for openEHR archetypes.

Purpose of the Study:

• To report on the status of a large-scale openEHR-based EPR project.
• To identify challenges and propose improvements for clinician engagement in archetype development.

Main Methods:

• This is a status report detailing project progress and challenges.
• Analysis of clinician participation and consensus processes in archetype creation.

Main Results:

• Clinician engagement in archetype production is essential but faces challenges.
• Low numbers of active clinicians, lack of critical specialty representation, and lengthy review processes (3-4 rounds) hinder consensus.
• A need exists for backup clinicians from each specialty to ensure participation.

Conclusions:

• Improved clinician involvement and visibility of archetypes are necessary for structured data and information sharing.
• Sharpened information practice is required to enhance clinician understanding and participation in openEHR archetype development.